article: Aberrant CpG methylation is a universal epigenetic trait of cancer cell genomes. However, human cancer samples or cell lines preclude the investigation of epigenetic changes occurring early during tumour development. Here, we have used MeDIP-seq to analyse the DNA methylome of APCMin adenoma as a model for intestinal cancer initiation, and we present a list of more than 13,000 recurring differentially methylated regions (DMRs) characterizing intestinal adenoma of the mouse. We show that Polycomb Repressive Complex (PRC) targets are strongly enriched among hypermethylated DMRs, and several PRC2 components and DNA methyltransferases were up-regulated in adenoma. We further demonstrate by bisulfite pyrosequencing of purified cell populations that the DMR signature arises de novo in adenoma cells rather than by expansion of a pre-existing pattern in intestinal stem cells or undifferentiated crypt cells. We found that epigenetic silencing of tumour suppressors, which occurs frequently in colon cancer, was rare in adenoma. Quite strikingly, we identified a core set of DMRs, which is conserved between mouse adenoma and human colon cancer, thus possibly revealing a global panel of epigenetically modified genes for intestinal tumours. Our data allow a distinction between early conserved epigenetic alterations occurring in intestinal adenoma and late stochastic events promoting colon cancer progression, and may facilitate the selection of more specific clinical epigenetic biomarkers.
  Epigenetic mechanisms play critical roles in controlling the cellular transcript repertoire and ultimately cellular phenotypes. The methylation of cytosine bases of CpG dinucleotides, as well as the covalent modification of histone proteins represent major target sites of the protein complexes involved in epigenetic control. Epigenetic histone and DNA codes are established and interpreted in a combinatorial fashion, and both interact in the short-term regulation of gene activity and in the establishment of long-term epigenetic memory, such as heterochromatin formation and gene silencing [1], [2]. The Polycomb Repressive Complexes (PRC1 and PRC2) and Trithorax Group Complexes (TrxG) are major histone modifying protein complexes setting repressive or activating marks, respectively, while CpG methylation patterns are set and propagated by DNA methlytransferases (DNMTs). A major role of the PRC2 complex in development is to tag gene regulatory sequences with a specific tri-methyl mark on lysine 27 of histone 3 (H3K27me3), resulting in short-term transcriptional repression [3]. Moreover, PRC2 complexes can also interact with DNMTs, and initiate long-term silencing of genes via de-novo CpG methylation [4]. By default, non-transformed cells are characterized by high genome-wide CpG methylation, with the exception of CpG islands (CGIs), which are mostly unmethylated [1], [2], [5]. Tumour cells contain aberrant epigenomes [4], [6]–[12]. Tumours are characterized by general genomic hypomethylation of CpGs, while CGIs are hypermethylated [13]. It has been found that histone modification patterns of tumour cells resemble those found in embryonic stem cells and likely guide CpG methylation [14]–[18]. This epigenetic pattern of tumour cells has been associated with uncontrolled PRC2 activity [6], [15], [19]–[21]. As a consequence of the deregulation of epigenetic control mechanisms, many types of cancer display epigenetic silencing of tumour suppressor genes, which interact with genetic mutations in establishing the tumour phenotype. Intestinal tumours of humans and mice usually initiate via hyperactivation of Wnt/beta-catenin signalling, which is often caused by genetic loss of the tumour suppressor APC [22], [23]. Additional genetic and epigenetic alterations are involved in the gradual loss of tissue homeostasis during tumour progression, among them epigenetic silencing of the tumour suppressor Cdkn2a (coding for a cell cycle and apoptosis control gene), Dkk1 and Sfrp family genes (coding for Wnt antagonists) or Hic1 (coding for a developmental control gene) [24], [25]. How and when colon cancer-specific methylation patterns form is largely unknown. This is in contrast to genetic mutations, of which many have been linked to specific stages of tumour progression [22]. Here we have utilized the APCMin mouse model to characterize early steps of epigenetic modifications in intestinal cancer. APCMin mice form multiple intestinal adenomas following the somatic loss of functional APC, similar to the initiation of a large majority of sporadic human colon cancers and to familial colon cancer syndromes [22], [23]. We report a comprehensive catalogue of differentially methylated regions (DMRs), which form de novo and consistently in APCMin adenoma. Hypermethylated DMRs were found prevalently at sites of PRC2 activity, but silencing of tumour suppressors was rarely observed in adenoma. The comparison to human colon cancer samples identified a core epigenetic map of intestinal cancer DMRs, which is conserved between mice and humans.
  To investigate DNA methylation patterns that occur shortly after intestinal tumour initiation in the mouse, we compared normal and adenomatous tissues of wildtype C57BL/6J (B6) and isogenic APCMin mice by immunoprecipitation of methylated DNA followed by massively parallel sequencing (MeDIP-seq) [6], [7], [26]. Three intestinal samples of normal B6 mice, as well as three normal intestinal and five adenoma samples of B6-APCMin mice were subjected to MeDIP-seq to generate a total of 5. 6×108 36mer reads, which were mapped to the mouse genome [27] (approximately 2×107 uniquely mapped reads per sample; see Figure 1a for summary of samples, and Table S1 for read generation and mapping statistics). To test for efficacy of the immunoprecipitation, we analysed a highly methylated and a CpG-free control region by quantitative PCR (Xist, Csa; [6]), and found a median enrichment of 72-fold (Figure S1). Pairwise Pearson' s correlations revealed a high overall similarity between the MeDIP-seq samples (r = 0. 88 to 0. 93; Table S2). To identify focal methylation differences between normal tissue and adenoma, we calculated read density in overlapping 500 bp windows over the complete genome, and compared the six normal with the five adenoma samples (Wilcoxon P<0. 01, mean signal in at least one group >0. 25 mapped reads per million, ratio between normal and adenoma >1. 33). We identified 13,980 DMRs, of which 5,135 (37%) were hypermethylated and 8,845 (63%) hypomethylated in adenoma (see Figure 1b for a characteristic hypermethylated DMR within Ush1g; Table 1 for DMR summaries; Table S3 for a full list of DMRs). Using odds ratio calculation, we found that methylation changes were unevenly distributed over the genome. Both hyper- and hypomethylated DMRs were found highly enriched in CpG islands, promoter and exon regions. In contrast, lower frequencies of DMRs were observed in repetitive, intergenic and intronic regions (Figure 1c). In particular, we did not observe general hypomethylation in Line-1 and IAP-repeats, which is in contrast to advanced human colon carcinomas that frequently show defects in the maintenance of repeat methylation [11], [28], [29] (Table S4a). It is however of note that the highest absolute numbers of DMR windows were detected in repetitive, intergenic and intronic regions, which make up the largest fraction of the genome (Table 1, Figure S2). Methylation patterns present at DMRs clearly separated normal intestine from adenoma in hierarchical cluster analyses (Figure S3) We used two bisulfite-based approaches to validate our genome-wide MeDIP data. Methylation-specific single-nucleotide primer extension followed by HPLC separation (SIRPH, [30]) on seven samples previously used in MeDIP-seq confirmed 24 of 24 tested DMRs, and was consistent with MeDIP-seq data (Median Pearson correlation of r = 0. 86; Table S4b). Massively parallel bisulfite pyrosequencing provided high-resolution profiles of individual regions and validated 21 of 21 DMRs on three samples used in the genome-wide study (Pearson correlations of the log2 ratios r = 0. 8 to 0. 9; Figure 1d–1f, Table S4c, Figure 1d, 1e). Additional bisulfite analysis of nine independent samples that were not used for MeDIP-seq analysis confirmed 18 of the 21 DMRs (Table S4a, cut-off P<0. 05; FC>1. 33), while three regions displayed variations between individual mice. We were able to exclude gross copy number changes, which might have occurred in adenoma, by low-coverage genomic DNA sequencing of two normal intestinal samples and one adenoma (Table S1). Overall, these multiple tests validate our genome-wide DMR maps for intestinal adenoma. It is well established that DNA methylation of gene control regions is accompanied by histone modification. Since we found an enrichment of DMRs in promoters and gene bodies, we examined if adenoma methylation patterns correlated with known Polycomb Repressive Complex (PRC), Trithorax Group (TrxG/MLL) or TET1 binding sites [31]–[34]. Using Gene Set Enrichment Analysis (GSEA [35]), we found that genes previously identified as PRC1/2 targets in mouse embryonic stem cells were enriched among the genes whose promoters were hypermethylated in adenoma (Figure 2a, see Table S5 for gene-centric MeDIP-seq data, and Table S6 for signature genes). A similar correlation was found with mouse orthologues of PRC2 target genes identified in human ES cells, or with target genes of the PRC2 component EED. When we evaluated target genes of TrxG/MLL, no significant correlation with adenoma-specific hypo- or hypermethylation was found (Figure 2a). TET1 complexes have previously been implicated in DNA hypomethylation in tumours [17], however we found no correlation with the occurrence of hypomethylation of promoters in adenoma. These analyses indicate that PRC2 target genes are preferred targets of DNA hypermethylation in mouse intestinal adenoma. To test directly if hypermethylated DMRs found in adenoma are enriched for the H3K27me3 histone mark set by PRC2, we examined several DMRs in chromatin derived from mouse intestine, by chromatin immunoprecipitation, followed by qPCR. We found that five out of six adenoma-hypermethylated DMRs (associated with the Ush1g, Gata4, Irx2, Onecut3 and Plcd3 genes, but not the one associated with Vdr) displayed an increased H3K27me3 mark in normal intestine and, to a large extent, also in adenoma, and hence were associated with PRC2 activity in the intestine (Figure 2b, and Figure S4). In contrast, two hypomethylated DMRs (Dusp6 and Fos), as well as the stem cell marker gene Cd133 were not enriched for the H3K27me3 mark. Next we assessed the expression of genes coding for Polycomb complex components and DNA methyltransferases. We found up-regulation of the maintenance DNA methyltransferase gene Dnmt1, the de-novo methyltransferase genes Dnmt3a and Dnmt3b, and of several PRC2 component genes in adenoma compared to normal intestinal tissue (Figure 2c, see also Table S7 for additional gene sets related to epigenetic modification). In addition, immunohistochemical analysis on sections of normal and adenoma tissue found up-regulation of EED and DNMT1 protein in adenoma (Figure 2d, 2e). Taken together, our data suggest a functional correlation between increased DNA methyltransferase and PRC2 expression and CpG hypermethylation in adenoma. The intestinal epithelium contains proliferative and differentiated cells in different domains (crypts and villi, respectively), and mouse intestinal adenoma is known to originate from intestinal stem cells (ISC) of the crypt ([36], see Figure 3a for a schematic representation of intestinal cell types). ISCs make up only a small fraction of the total tissue. Therefore we wanted to exclude that the CpG methylation signatures of proliferative or stem cells, which might have been masked by prevalent patterns of differentiated cells in normal tissue, match the signatures of adenoma. We obtained tissue samples enriched for villus or crypt cells, and in addition, purified intestinal stem cells by FACS from transgenic mice expressing the fluorescent stem cell-specific Lgr5 reporter [37]. The villus, crypt and ISC preparations were subjected to bisulfite pyrosequencing of eleven specific DMRs, among them Dusp6 and Fos (containing adenoma-hypomethylated DMRs), as well as Ush1g and Vdr (containing adenoma-hypermethylated DMRs). We found minimal methylation differences between stem cells, crypt (proliferating cells) and villus (differentiated cells) at all DMRs examined, and methylation levels in all three types of cell preparations by and large matched those observed in bulk normal tissue. In contrast, the methylation levels found in adenoma were distinct (Figure 3b). Hierarchical clustering further illustrated that the DNA methylation status of the DMRs chosen is quite different in adenoma as compared to normal tissues and cell preparations (Figure 3c). Importantly, these data strongly suggest that the CpG hypo- and hypermethylation patterns of intestinal tumours do not derive from ISCs, but form de-novo and in a recurring manner after tumour initiation following the loss of APC. It is generally assumed that promoter hypermethylation causes down-regulation of gene expression, whereas promoter hypomethylation is associated with up-regulation of genes. We asked if and to what extent this assumption holds true. To do so, we evaluated our RNA-seq data, which was derived from the same tissue samples that were used for MeDIP-seq (see Figure 1a for samples; Figure S5, S6 for RNA-seq quality assessment). We evaluated groups of genes that were both, differentially methylated and differentially expressed between normal intestine and adenoma. The number of genes that were hypomethylated at their promoters and up-regulated in adenoma was larger than expected to occur by chance (Figure 4a, see also Table S5, P<2*10−8, hypergeometric distribution). One example is the Pla2g2a gene (also known as Mom1), which is a known modifier of adenoma development [38] (Figure S7). Likewise, promoter hypermethylation correlated for some genes with decreased gene expression, but the overlap between promoter hypermethylated genes and transcriptionally down-regulated genes was not significant (P>0. 05; Figure 4a). However, the majority of genes showed no correlation between promoter methylation and transcriptional activity, and some genes even displayed an inverse correlation. For example, Slc9a3 contains a hypermethylated DMR in the promoter, and is strongly activated in adenoma (Figure S8). We also evaluated genes that were differentially methylated in their gene body and differentially expressed, and again found only a small overlap between changes in gene body methylation and gene expression (Figure 4b). We asked whether gene signatures, which are representative for key cell types and processes of normal development show a common behaviour in terms of gene expression and methylation patterns in adenoma. Gene activity, as assessed by RNA-seq, differed strongly between normal intestinal tissue and adenoma for all gene signatures analysed (Figure 4c, Figure S6). We found that Wnt target genes [39], along with ISC/crypt progenitor cell and TA (transiently amplifying) cell marker genes were almost uniformly up-regulated in adenoma, while differentiation signature genes were mostly down-regulated [40]–[42] (Figure 4c, see Table S6 for signature genes). Despite the transcriptional co-regulation of the signature genes, we found no consistent or significant trend of differential promoter or gene body methylation within the ISC-, proliferative- and differentiation-associated gene groups (Figure 4c). Previous research revealed a number of tumour suppressors, which are hypermethylated at their promoters and consequently silenced in carcinoma. We thus assessed the promoter methylation patterns and transcriptional activity of the mouse orthologues of 31 tumour suppressors previously reported to be frequently epigenetically silenced in human colon cancer [12], [24], [25]. In mouse intestinal adenoma, however, we found only two out of 31 tumour suppressors that were both, promoter-hypermethylated and transcriptionally silenced (Figure 4d). These are the retinoic-acid signal transducer Crabp1 and the runt-related transcription factor Runx3, which both control differentiation and apoptosis in gut epithelia [43]–[45]. The combined data show that the correlation of differential promoter methylation and differential gene expression in mouse intestinal adenoma applies only to a small subset of genes, while most genes show an uncoupling of both processes. In particular, epigenetic silencing of tumour suppressors, which is a frequent trait in human colon carcinoma, was found to occur rarely in mouse adenoma. Mouse intestinal adenoma shares key functional traits and transcriptional programmes with human colon cancer [23], [46]. We therefore asked whether the similarities extend to epigenetic regulation, and consequently, whether the methylation signature of mouse intestinal adenoma could be detected in human colon cancer. To this end, we identified the human orthologues of genes whose promoters are hypo- or hypermethylated in mouse adenoma, and assessed promoter methylation patterns from MeDIP-seq data of 14 advanced human colon cancers of the stages T2–T4 (unpublished data, C. G. , M. R. S. et al.). Strikingly, we found that a significant fraction of hyper- or hypomethylated genes identified in mouse adenoma displayed matching promoter hyper- or hypomethylation in human colon cancers (Figure 5a). Among the group of the most consistently hypermethylated genes in both human colon cancer and mouse intestinal adenoma (48 genes), we found Cdh4, Crabp1, Crmp1, Dbc1, Duox1, Grm7, Hand1, Hs3st2, Pcdh17 and Pdpn, which have previously been suggested as cancer biomarkers [15], [47]–[54]. Among the genes, which are consistently promoter-hypomethylated in both mice and humans (54 genes), we identified the matrix metalloproteinase and colon cancer prognostic marker Mmp14, which is also over-expressed in mouse adenoma. Promoter methylation changes in the genes identified here were quite consistent across the panel of the 14 human colon cancers (see Figure 5b for a selection of top eleven hypo- and hypermethylated genes, and Table S8 for complete gene sets). Our data define a core methylation signature of intestinal cancer, which is conserved between humans and mice. The comparison of mouse with human data (comprising early lesions in mice and advanced stages of human cancer) indicates that this core epigenetic signature is established early during tumour formation, and is retained when the cancer epigenome is further modified during tumour progression to carcinoma.
  We report that the formation of APCMin mouse adenoma from normal intestinal tissue is accompanied by characteristic CpG methylation changes in a large number of genomic regions, and that a core set of such DMRs is conserved between mouse adenoma and human colon cancer. The finding of recurring DMRs in independent adenomas is in agreement with an instructive mechanism guiding CpG methylation in tumours, as proposed previously [7], [15]. It has been suggested that gain of CpG methylation in tumour cells correlates with the H3K27me3 mark set by PRC2 activity [15], [55], and our data demonstrating preferential DNA hypermethylation of Polycomb target sites confirm this model. Furthermore, our gene expression data show that PRC2 components are over-expressed in adenoma, and immunohistochemistry confirmed up-regulation of EED protein in adenoma tissue. These observations suggest that enhanced PRC2 activity may be instrumental in the rapid establishment of the adenoma-specific DNA hypermethylation pattern following the loss of APC. Hypomethylation in mouse adenoma was likewise found to occur in a regular pattern, rather than in the form of genome-wide demethylation. We could however not identify correlations between recurring hypomethylation and binding patterns of epigenetic regulators, such as PRC, TrxG or TET complexes. Previous reports have shown that in human colon cancer tumour suppressors are frequently silenced by promoter methylation, and individual tumours differ in the genes that are silenced [12], [24], [25]. In contrast, we rarely detected tumour suppressors among the recurring DMRs, which are common between individual APCMin adenomas and partly shared between mouse adenoma and human colon cancer. These observations suggest that the variable epigenetic patterns of individual human colon cancers derive by clonal expansion following stochastic methylation changes that confer a growth advantage to individual tumour cells. Since such clonal selection is dependent on rare initiating events, tumour suppressor silencing is not detected in early APCMin adenoma, but frequently and variably with respect to the genes affected in human colon cancer. This different situation also applies to genomic instability [56]. It thus appears likely that most epigenetic changes in tumour suppressor genes represent late steps that arise during adenoma-to-carcinoma progression rather than representing differences between the mouse and human species. Taken together, our combined analyses suggest that the epigenetic deregulation in tumours can be divided into two principal components, an early and fast instructive patterning mechanism, which immediately follows tumour initiation, and late rare stochastic events promoting clonal expansion (for a model, see Figure 6). We present for the first time DNA methylation data comparing primary normal cell types with transformed tissue derived from the same organ. We observed that the adenoma-specific DNA methylation patterns were distinct from those found in the major cell types of intestinal epithelia, including intestinal stem cells, which give rise to adenoma in the mouse [36]. This indicates that adenoma-specific DMRs are not pre-existing in a cell population comprising a minor fraction of the intestinal tissue, such as ISCs, and simply emerge by expansion of this cell type in adenoma, but are formed de-novo in a recurring and characteristic manner. Our data therefore establish beyond doubt that epigenetic patterns found in tumour cells arise upon transformation, and are thus suitable as specific epigenetic disease markers. Current epigenomic models assume that DNA hypermethylation, in particular methylation of promoter regions, means gene silencing. We find that this model, with respect to adenoma, holds true only for a minor fraction of genes whose promoters are hypermethylated. Likewise, only a minor fraction of genes with hypomethylated promoters in adenoma are transcriptionally up-regulated. These gene groups are larger than expected to occur by chance, however, the large majority of genes does not follow this simple logic. Overall, changes in promoter methylation do not appear to generally cause altered gene expression. Further studies involving additional control elements such as enhancers and intragenic silencers are required for a deeper understanding of the control of gene expression by epigenetic mechanisms in adenoma. We identified a core set of recurring DMRs, which is conserved between mouse adenoma and human colon carcinoma. This has important clinical implications, since our finding suggests the existence of a conserved set of DMRs arising early in human colon cancer, which may be universal to a large majority of human intestinal malignancies. This class of biomarkers may be suitable for the discovery of intestinal cancer at an early stage. We rarely found hypermethylation and silencing of specific tumour suppressors in early adenoma of the mouse. Epigenetic silencing of tumour suppressors by promoter hypermethylation is however frequent in a subset of advanced human tumours. These latter marks may be useful as markers, which may correlate with histopathological features and be suited for distinguishing clinically relevant tumour subtypes.
  All mouse work has been conducted according to the relevant national and international guidelines. APCMin mice (genetic background C57BL/6J (B6), Jackson laboratory (www. jax. org, USA) ), were maintained by backcrossing to C57BL/6JOlaHsd (Harlan, The Netherlands). Animals were housed at a 12 h/12 h light/dark cycle and fed ad libitum. B6-APCMin/+ (APCMin) and B6-APC+/+ (B6) wild type littermates were dissected at the age of 15 to 19 weeks and individual adenomas and normal intestinal tissue was excised from the ileum. For immunohistochemistry, tissues were fixed in 4% formaldehyde, dehydrated via a graded ethanol series, embedded in paraffin, and sectioned at 4 µm. Anti-EED (1∶50, ARP-38384 Aviva) and anti-DNMT1 (1∶200, Alexis 804-369-C100) primary antibodies, anti-mouse Alexa488 and ImmPRESS secondary antibodies, and the NovaRED substrate kit (Vector) were used. Crypt, villus and intestinal stem cell preparations were prepared as described previously [57]. In short, villus preparations were scraped from the inner intestinal surface after initial washing steps, and crypts were isolated by filtering (70 µm, CellTRICS) after 30 min of PBS/2 mM EDTA incubation. FACS sorting for GFP+ intestinal stem cells was done after TrypLE dissociation of cells, using a FACS Aria system (BD) and a 100 µm nozzle. Crypt and villus tissue preparations were controlled for enrichment by visual inspection. In short, DNA and RNA of normal and adenoma intestinal samples were isolated using the Allprep DNA/RNA Mini kit (Qiagen). A DNAse digest of the RNA was performed on the columns according to the manufacturer' s instructions. Nucleic acid concentrations were measured with a Nanodrop photometer (Implen, Germany) or Qubit fluorometer (Invitrogen) and quality was assessed on an agarose gel (DNA) or a 2100 Bioanalyzer (Agilent, RNA). MeDIP-seq was adapted from previously published protocols [6], [26], [58]. RNA-seq was performed from 4 µg of total RNA, after depletion for ribosomal RNA using the RiboMinus Eukaryote Kit for RNA-seq (Invitrogen), following a strand-specific protocol [59]. Sequencing was done on 454 GS-FLX for the bisulfite-pyrosequencing and Illumina Genome Analyser (GAIIx) machines for MeDIP-seq and RNA-seq. Extended RNA/DNA material and methods are available online as Text S1. Bioinformatic methods section is available online as Text S1 along with associated Tables S9, S10. MeDIP-seq and RNA-seq data can be accessed in GEO under GSE38983.
summary: The formation and progression of tumours to metastatic disease is driven by two major mechanisms, i. e. genetic alterations that activate oncogenes or inactivate tumour suppressor genes, and changes in the epigenome that cause variations in the expression of the genetic information. A deeper understanding of the interaction between the genetic and epigenetic mechanisms is critical for the selection of tumour biomarkers and for the future development of therapies. Human tumour specimens and cell lines contain a plethora of genetic and epigenetic changes, which complicate data analysis. In contrast, mouse tumour models such as the APCMin mouse used in this study arise by a single initiating genetic mutation, yet share key traits with human cancer. Here we show that mouse adenomas acquire a multitude of epigenetic alterations, which are recurring in mouse adenoma and in human colon cancer, representing early and advanced tumours, respectively. The use of a mouse model thus allowed us to uncover a sequence of epigenetic changes occurring in tumours, which may facilitate the identification of novel clinical colon cancer biomarkers.
keywords: medicine
  animal models
  model organisms
  gastroenterology and hepatology
  epigenetics
  gastrointestinal cancers
  genomic medicine
  biology
  dna modification
  mouse
  systems biology
  genetics
  genomics
  genetics and genomics
title: DNA–Methylome Analysis of Mouse Intestinal Adenoma Identifies a Tumour-Specific Signature That Is Partly Conserved in Human Colon Cancer