Epigenetic modifications and glucocorticoid sensitivity in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS)
Identifieur interne : 000092 ( Main/Exploration ); précédent : 000091; suivant : 000093Epigenetic modifications and glucocorticoid sensitivity in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS)
Auteurs : Wilfred C. De Vega ; Santiago Herrera [États-Unis] ; Suzanne D. Vernon [États-Unis] ; Patrick O. McgowanSource :
- BMC Medical Genomics [ 1755-8794 ] ; 2017.
Abstract
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a debilitating idiopathic disease characterized by unexplained fatigue that fails to resolve with sufficient rest. Diagnosis is based on a list of symptoms and exclusion of other fatigue-related health conditions. Despite a heterogeneous patient population, immune and hypothalamic-pituitary-adrenal (HPA) axis function differences, such as enhanced negative feedback to glucocorticoids, are recurring findings in ME/CFS studies. Epigenetic modifications, such as CpG methylation, are known to regulate long-term phenotypic differences and previous work by our group found DNA methylome differences in ME/CFS, however the relationship between DNA methylome modifications, clinical and functional characteristics associated with ME/CFS has not been examined.
We examined the DNA methylome in peripheral blood mononuclear cells (PBMCs) of a larger cohort of female ME/CFS patients using the Illumina HumanMethylation450 BeadChip Array. In parallel to the DNA methylome analysis, we investigated in vitro glucocorticoid sensitivity differences by stimulating PBMCs with phytohaemagglutinin and suppressed growth with dexamethasone. We explored DNA methylation differences using bisulfite pyrosequencing and statistical permutation. Linear regression was implemented to discover epigenomic regions associated with self-reported quality of life and network analysis of gene ontology terms to biologically contextualize results.
We detected 12,608 differentially methylated sites between ME/CFS patients and healthy controls predominantly localized to cellular metabolism genes, some of which were also related to self-reported quality of life health scores. Among ME/CFS patients, glucocorticoid sensitivity was associated with differential methylation at 13 loci.
Our results indicate DNA methylation modifications in cellular metabolism in ME/CFS despite a heterogeneous patient population, implicating these processes in immune and HPA axis dysfunction in ME/CFS. Modifications to epigenetic loci associated with differences in glucocorticoid sensitivity may be important as biomarkers for future clinical testing. Overall, these findings align with recent ME/CFS work that point towards impairment in cellular energy production in this patient population.
The online version of this article (doi:10.1186/s12920-017-0248-3) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s12920-017-0248-3
PubMed: 28231836
PubMed Central: 5324230
Affiliations:
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De Vega</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.17063.33</institution-id><institution>Department of Biological Sciences,</institution><institution>University of Toronto,</institution></institution-wrap>Scarborough, 1265 Military Trail, Toronto, ON M1C 1A4 Canada</nlm:aff><wicri:noCountry code="subfield">ON M1C 1A4 Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.17063.33</institution-id><institution>Department of Cell and Systems Biology,</institution><institution>University of Toronto,</institution></institution-wrap>Toronto, ON Canada</nlm:aff><wicri:noCountry code="subfield">ON Canada</wicri:noCountry></affiliation></author><author><name sortKey="Herrera, Santiago" sort="Herrera, Santiago" uniqKey="Herrera S" first="Santiago" last="Herrera">Santiago Herrera</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.17063.33</institution-id><institution>Department of Biological Sciences,</institution><institution>University of Toronto,</institution></institution-wrap>Scarborough, 1265 Military Trail, Toronto, ON M1C 1A4 Canada</nlm:aff><wicri:noCountry code="subfield">ON M1C 1A4 Canada</wicri:noCountry></affiliation><affiliation wicri:level="2"><nlm:aff id="Aff6"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1936 746X</institution-id><institution-id institution-id-type="GRID">grid.259029.5</institution-id><institution>Present affiliation: Department of Biological Sciences,</institution><institution>Lehigh University,</institution></institution-wrap>Bethlehem, PA USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Bethlehem</wicri:cityArea></affiliation></author><author><name sortKey="Vernon, Suzanne D" sort="Vernon, Suzanne D" uniqKey="Vernon S" first="Suzanne D." last="Vernon">Suzanne D. 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Mcgowan</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.17063.33</institution-id><institution>Department of Biological Sciences,</institution><institution>University of Toronto,</institution></institution-wrap>Scarborough, 1265 Military Trail, Toronto, ON M1C 1A4 Canada</nlm:aff><wicri:noCountry code="subfield">ON M1C 1A4 Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.17063.33</institution-id><institution>Department of Cell and Systems Biology,</institution><institution>University of Toronto,</institution></institution-wrap>Toronto, ON Canada</nlm:aff><wicri:noCountry code="subfield">ON Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="GRID">grid.17063.33</institution-id><institution>Department of Psychology,</institution><institution>University of Toronto,</institution></institution-wrap>Toronto, ON Canada</nlm:aff><wicri:noCountry code="subfield">ON Canada</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="GRID">grid.17063.33</institution-id><institution>Department of Physiology,</institution><institution>Faculty of Medicine, University of Toronto,</institution></institution-wrap>Toronto, ON Canada</nlm:aff><wicri:noCountry code="subfield">ON Canada</wicri:noCountry></affiliation></author></analytic><series><title level="j">BMC Medical Genomics</title><idno type="eISSN">1755-8794</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a debilitating idiopathic disease characterized by unexplained fatigue that fails to resolve with sufficient rest. Diagnosis is based on a list of symptoms and exclusion of other fatigue-related health conditions. Despite a heterogeneous patient population, immune and hypothalamic-pituitary-adrenal (HPA) axis function differences, such as enhanced negative feedback to glucocorticoids, are recurring findings in ME/CFS studies. Epigenetic modifications, such as CpG methylation, are known to regulate long-term phenotypic differences and previous work by our group found DNA methylome differences in ME/CFS, however the relationship between DNA methylome modifications, clinical and functional characteristics associated with ME/CFS has not been examined.</p></sec><sec><title>Methods</title><p>We examined the DNA methylome in peripheral blood mononuclear cells (PBMCs) of a larger cohort of female ME/CFS patients using the Illumina HumanMethylation450 BeadChip Array. In parallel to the DNA methylome analysis, we investigated in vitro glucocorticoid sensitivity differences by stimulating PBMCs with phytohaemagglutinin and suppressed growth with dexamethasone. We explored DNA methylation differences using bisulfite pyrosequencing and statistical permutation. Linear regression was implemented to discover epigenomic regions associated with self-reported quality of life and network analysis of gene ontology terms to biologically contextualize results.</p></sec><sec><title>Results</title><p>We detected 12,608 differentially methylated sites between ME/CFS patients and healthy controls predominantly localized to cellular metabolism genes, some of which were also related to self-reported quality of life health scores. Among ME/CFS patients, glucocorticoid sensitivity was associated with differential methylation at 13 loci.</p></sec><sec><title>Conclusions</title><p>Our results indicate DNA methylation modifications in cellular metabolism in ME/CFS despite a heterogeneous patient population, implicating these processes in immune and HPA axis dysfunction in ME/CFS. Modifications to epigenetic loci associated with differences in glucocorticoid sensitivity may be important as biomarkers for future clinical testing. Overall, these findings align with recent ME/CFS work that point towards impairment in cellular energy production in this patient population.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/s12920-017-0248-3) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Fukuda, K" uniqKey="Fukuda K">K Fukuda</name></author><author><name sortKey="Straus, Se" uniqKey="Straus S">SE Straus</name></author><author><name sortKey="Hickie, I" uniqKey="Hickie I">I Hickie</name></author><author><name sortKey="Sharpe, Mc" uniqKey="Sharpe M">MC Sharpe</name></author><author><name sortKey="Dobbins, Jg" uniqKey="Dobbins J">JG Dobbins</name></author><author><name sortKey="Komaroff, A" uniqKey="Komaroff A">A Komaroff</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gaab, J" 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Patel</name></author><author><name sortKey="Suda, Ry" uniqKey="Suda R">RY Suda</name></author><author><name sortKey="Zhang, S" uniqKey="Zhang S">S Zhang</name></author><author><name sortKey="Thistlethwaite, Pa" uniqKey="Thistlethwaite P">PA Thistlethwaite</name></author><author><name sortKey="Yuan, Jx" uniqKey="Yuan J">JX Yuan</name></author><author><name sortKey="Insel, Pa" uniqKey="Insel P">PA Insel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ahlstrom, M" uniqKey="Ahlstrom M">M Ahlstrom</name></author><author><name sortKey="Pekkinen, M" uniqKey="Pekkinen M">M Pekkinen</name></author><author><name sortKey="Huttunen, M" uniqKey="Huttunen M">M Huttunen</name></author><author><name sortKey="Lamberg Allardt, C" uniqKey="Lamberg Allardt C">C Lamberg-Allardt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Engel, Ls" uniqKey="Engel L">LS Engel</name></author><author><name sortKey="Taioli, E" uniqKey="Taioli E">E Taioli</name></author><author><name sortKey="Pfeiffer, R" uniqKey="Pfeiffer R">R Pfeiffer</name></author><author><name sortKey="Garcia Closas, M" uniqKey="Garcia Closas M">M Garcia-Closas</name></author><author><name sortKey="Marcus, Pm" uniqKey="Marcus P">PM Marcus</name></author><author><name sortKey="Lan, Q" uniqKey="Lan Q">Q Lan</name></author><author><name sortKey="Boffetta, P" uniqKey="Boffetta P">P Boffetta</name></author><author><name sortKey="Vineis, P" uniqKey="Vineis P">P Vineis</name></author><author><name sortKey="Autrup, H" uniqKey="Autrup H">H Autrup</name></author><author><name sortKey="Bell, Da" uniqKey="Bell D">DA Bell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Marino, S" uniqKey="Marino S">S Marino</name></author><author><name sortKey="Verzegnassi, F" uniqKey="Verzegnassi F">F Verzegnassi</name></author><author><name sortKey="Tamaro, P" uniqKey="Tamaro P">P Tamaro</name></author><author><name sortKey="Stocco, G" uniqKey="Stocco G">G Stocco</name></author><author><name sortKey="Bartoli, F" uniqKey="Bartoli F">F Bartoli</name></author><author><name sortKey="Decorti, G" uniqKey="Decorti G">G Decorti</name></author><author><name sortKey="Rabusin, M" uniqKey="Rabusin M">M Rabusin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dose, Ac" uniqKey="Dose A">AC Dose</name></author><author><name sortKey="Burnside, B" uniqKey="Burnside B">B Burnside</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Blake Palmer, Kg" uniqKey="Blake Palmer K">KG Blake-Palmer</name></author><author><name sortKey="Su, Y" uniqKey="Su Y">Y Su</name></author><author><name sortKey="Smith, An" uniqKey="Smith A">AN Smith</name></author><author><name sortKey="Karet, Fe" uniqKey="Karet F">FE Karet</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Visser, J" uniqKey="Visser J">J Visser</name></author><author><name sortKey="Graffelman, W" uniqKey="Graffelman W">W Graffelman</name></author><author><name sortKey="Blauw, B" uniqKey="Blauw B">B Blauw</name></author><author><name sortKey="Haspels, I" uniqKey="Haspels I">I Haspels</name></author><author><name sortKey="Lentjes, E" uniqKey="Lentjes E">E Lentjes</name></author><author><name sortKey="De Kloet, Er" uniqKey="De Kloet E">ER de Kloet</name></author><author><name sortKey="Nagelkerken, L" uniqKey="Nagelkerken L">L Nagelkerken</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Meyer, Jd" uniqKey="Meyer J">JD Meyer</name></author><author><name sortKey="Light, Ar" uniqKey="Light A">AR Light</name></author><author><name sortKey="Shukla, Sk" uniqKey="Shukla S">SK Shukla</name></author><author><name sortKey="Clevidence, D" uniqKey="Clevidence D">D Clevidence</name></author><author><name sortKey="Yale, S" uniqKey="Yale S">S Yale</name></author><author><name sortKey="Stegner, Aj" uniqKey="Stegner A">AJ Stegner</name></author><author><name sortKey="Cook, Db" uniqKey="Cook D">DB Cook</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li><li>Pennsylvanie</li><li>Utah</li></region></list><tree><noCountry><name sortKey="De Vega, Wilfred C" sort="De Vega, Wilfred C" uniqKey="De Vega W" first="Wilfred C." last="De Vega">Wilfred C. De Vega</name><name sortKey="Mcgowan, Patrick O" sort="Mcgowan, Patrick O" uniqKey="Mcgowan P" first="Patrick O." last="Mcgowan">Patrick O. Mcgowan</name></noCountry><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Herrera, Santiago" sort="Herrera, Santiago" uniqKey="Herrera S" first="Santiago" last="Herrera">Santiago Herrera</name></region><name sortKey="Vernon, Suzanne D" sort="Vernon, Suzanne D" uniqKey="Vernon S" first="Suzanne D." last="Vernon">Suzanne D. Vernon</name><name sortKey="Vernon, Suzanne D" sort="Vernon, Suzanne D" uniqKey="Vernon S" first="Suzanne D." last="Vernon">Suzanne D. Vernon</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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