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Molecular Biology, Pathobiology, and Genetics |
1 The Sidney Kimmel Comprehensive Cancer Center, 2 The Program in Human Genetics, and 3 Graduate Program in Cellular and Molecular Medicine, The Johns Hopkins University School of Medicine; and 4 The University of Maryland Greenebaum Cancer Center, The University of Maryland School of Medicine, Baltimore, Maryland
Requests for reprints: Kornel E. Schuebel or Stephen B. Baylin, Cancer Biology, The Johns Hopkins University, Sidney Kimmel Comprehensive Cancer Center, Room 530, 1650 Orleans Street, Baltimore, MD 21231. Phone: 410-955-8506; E-mail: kornels{at}jhmi.edu or sbaylin{at}jhmi.edu.
| Abstract |
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| Introduction |
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The existence of a two-component DNA methylation system consisting of an enzyme activity that methylates unmethylated DNA (de novo) and one that methylates hemimethylated sites ("maintenance") has long been proposed (1214). Genetic disruption of mouse DNMT1 (15) leads to extensive demethylation of several classes of genomic DNA sequences and embryonic lethality during midgestation (15, 16). Consistent with the role of DNA methyltransferase 1 (DNMT1) as the major maintenance methyltransferase in mouse, biochemical analysis shows that this enzyme has a 5- to 30-fold preference for hemimethylated DNA over unmethylated substrates (17). Furthermore, DNMT1 introduction into the germ line of Drosophila does not lead to methylation of the fly genome (18). Taken together, these experiments suggest that Dnmt1 functions exclusively as a maintenance enzyme, ensuring faithful propagation of DNA methylation patterns from parental to daughter genomes.
In contrast, inactivation of both mouse Dnmt3a and Dnmt3b was found to disrupt de novo methylation of proviral DNA in embryonic stem cells and genome-wide de novo methylation during early development, in the absence of discernible effects on maintenance of preexisting methylation patterns (19). These studies have led to the general consensus that DNMT3a and DNMT3b proteins represent the only bona fide de novo DNMTs.
The two-component system satisfactorily explains the establishment of DNA methylation in normal murine cells. However, altered DNA methylation patterns are also important in the etiology of disease states, such as cancer (11). Human neoplasias exhibit methylation defects, including both global loss of 5-methylcytosine (20) and accumulation of 5-methylcytosine in the CpG-rich regulatory regions of tumor suppressor genes concurrent with gene silencing (21). These observations have stimulated a search to identify the molecular components, including the role of the mammalian DNMTs, underlying these aberrant methylation patterns. In colorectal cancer cells, acute down-regulation of DNMT1 expression mediated by transient RNA interference (RNAi) treatment leaves gene promoter hypermethylation intact (22). Furthermore, in these same cells, chronic loss of DNMT1 via targeted gene disruption (23) or stable RNAi-mediated suppression (22) leaves the vast majority of CpG methylation and gene promoter hypermethylation intact. These results were explained by subsequent studies showing that sequential genetic removal of DNMT1 and DNMT3b abolishes virtually all DNA methylation, including promoter CpG island methylation, in these colon cancer cells (24). Thus, maintenance of CpG methylation in human cancer cells does not depend on DNMT1 or DNMT3b methyltransferase alone but on the combined catalytic activity of both enzymes. However, these studies did not address how CpG methylation is initially established; a question that has important implications for understanding how tumor suppressor gene expression is extinguished in human cancer.
To better clarify the role of methyltransferases in establishing DNA methylation patterns in human cancer cells, we sought to develop a more robust assay for measuring de novo methyltransferase activity. Our interest in aberrant methylation of promoter CpG islands and associated gene silencing led us to test these DNA sequences for potential quantitation of de novo methylation. We now show that such sequences can provide a robust assay for de novo methyltransferase activity. Furthermore, through study of colon cancer cells, in which all of the known major mammalian DNMTs have been genetically disrupted, we show that DNMT1 is responsible for most of this activity. Finally, we show that DNMT1 is a robust de novo DNMT for CpG islands in both heterologous cell systems and cancer cell settings.
| Materials and Methods |
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DNMT3b, allele 2
DNMT1, allele 1
DNMT3a, allele 1
DNMT3a, allele 2. Identification (primers Neo and 3a-KO) and verification of homologous recombinants (Primers HD1 and 2) was done using PCR. Loss of DNMT3a mRNA was assessed by reverse transcription-PCR (RT-PCR) using primers 3aRT-up and 3aRT-down and compared with control glyceraldehyde-3-phosphate dehydrogenase levels (26). Primer sequences are Neo, 5'-GTTGTGCCCAGTCATAGCCG-3'; 3a-KO, 5'-CCCTCGATAGCAACTCTACC-3', HD1 5'-AAGTGTTGCGTAAGGTTCC-3'; HD2, 5'-GTGATGGAGTCCTCACACAC-3'; 3aRT-up, 5'-TGTGTGAGGACTCCATCACG-3'; and 3aRT-down, 5'-AACTTTGTGTCGCTAC CTCAG-3'. High performance liquid chromatography. Approximately 40 µg of RNA-free genomic DNA, prepared using the Blood and Cell Culture DNA Midi kit (Qiagen, Chatsworth, CA), was quantitatively digested with nuclease P1 (Roche Molecular Biochemicals, Indianapolis, IN) and calf intestinal alkaline phosphatase (Sigma, St. Louis, MO) as described (27). Samples were separated on a reversed-phase column (Supelcosil LC-18 DB, Sigma) at room temperature, monitoring absorbances at 275 and 285 nm. Peak assignments were confirmed using deoxyribonucleoside standards (Sigma). 5-Methylcytosine content was expressed as a percentage of the total cytosine pool, using peak areas after correction for extinction coefficients.
Plasmid construction. Plasmids pMLH1-101/4 and pTIMP3-639/73 were generated by amplification of HCT116 genomic DNA with oligonucleotides MLH1.101 and MLH1.104 or TIMP3-2 and TIMP3-3 (see below) followed by insertion into pCR2.1 -TOPO (Invitrogen). An XbaI/HindIII fragment from pTIMP3-639/73 was inserted into the XbaI and HindIII sites of pCO-Hygro to generate pCO-HygroTIMP3-639/73. To generate pCO-HygroMLH1-102/4, pMLH1-101/4 was digested with EcoRV and inserted into the SspI site of pCO-Hygro. Plasmid pCO-HygroMGMT was generated by digesting plasmid pKT200 (a gift from Dr. Sankar Mitra) with PstI, blunt ended with T4 DNA polymerase, digested with XbaI, and inserted into the SspI and XbaI sites of pCo-Hygro. We inserted a SpeI-PmeI fragment including full-length hemagglutinin (HA)tagged version of DNMT1 from pCDNA3.1-HA-DNMT1 (28) into pMT/V5-HisA to generate pMT-HA-DNMT1. Vector pCDNA3.1-HA-DNMT1 C1226Y was generated by site directed mutagenesis from pCDNA3.1-HA-DNMT1 using the Quikchange kit (Stratagene, La Jolla, CA). All plasmids introduced into Drosophila Schneider S-2 cells were propagated in Dam and Dcm methylase-deficient bacteria (SCS110; Stratagene).
PCR primers MLH1.101, 5'-TGCACCTCCAACTCAGGGCC-3'; MLH1.104, 5'-CCACGAACGACATTTTGGCGC-3'; TIMP3-2, 5'-CGGCAGCAGCGGCAATGACC-3'; and TIMP3-3 5'-GGTCATTGCCGCTGCTGCCG-3'. Cycling variables and PCR reaction conditions are available upon request.
Cell culture and manipulation. Drosophila Schneider S-2 cells (a gift from Dr. Phillip Beachy) were grown in Schneider's Drosophila Medium (Life Technologies, Gaithersburg, MD) containing 10% fetal bovine serum and 1% penicillin/streptomycin as described. Subconfluent S-2 cells were cotransfected with linearized pCo-Hygro using Effectene (Qiagen). After 48 hours of incubation with nucleic acid complexes, cells were selected with 0.2 µg/mL Hygromycin (Life Technologies) in complete medium. Cell lines harboring stably integrated plasmids were identified by PCR. Transient transfections with pMT-HA-DNMT1 were done for 48 hours followed by 96 hours of induction as described (29). Cos-7 cells (American Type Culture Collection) were cultured in DMEM supplemented with 10% FCS and 1x PenStrep and were transfected with 5 µg of DNA using LipofectAMINE Plus according to the manufacturers instructions (Life Technologies).
Western blot analysis. Cell extracts from transfected Cos-7, Drosophila S2, or double knock-out (DKO) cells were prepared, electrophoresed, and transferred as described (30). Filters were probed with a polyclonal antibody specific for DNMT1 (23), or commercially available antibodies to HA or proliferating cell nuclear antigen (Santa Cruz Biotechnology, Santa Cruz, CA). Visualization was done using the enhanced chemiluminescence method according to the manufacturers instructions (Amersham, Arlington Heights, IL).
Methylation analysis. Bisulfite sequence analysis was done essentially as previously described (23). Briefly, DNA was extracted and treated with sodium bisulfite as described (31). The oligonucleotide primers for amplifying TIMP3 (TIMP3.BisSeq2F and TIMP3.BisSeq2R), MLH1 (MLH1.BisSeq.1F and MLH1.BisSeq1R), and MGMT (MGMT.BisSeq2F and MGMT.BisSeq4R) are shown below. PCR products were cloned into the vector pCR2.1-TOPO (Invitrogen) according to the manufacturer's instructions. DNA from individual clones was prepared using Promega Wizard (Madison, WI) reagents and analyzed at the JHU Sequencing Facility. For global analysis of 5-methylcytosine content, 5 µg of genomic DNA and 50 units of McrBC (New England Biolabs, Beverly, MA) enzyme was incubated with 1x NEBuffer 2 (50 mmol/L NaCl, 10 mmol/L Tris-HCl, 10 mmol/L MgCl2, 1 mmol/L DTT) containing 100 µg/mL bovine serum albumin and 1 mmol/L
-GTP for 12 hours at 37°C. One third of each reaction was electrophoresed on 0.8% agarose gels and visualized by UV illumination. Primer sequences are TIMP3.BisSeq2F, 5'-GGTTTGAGGGGGCGGGTTTTAATAG-3'; TIMP3.BisSeq2R, 5'-CTACTACTCGCCTCTCCAAAATTACC-3'; MLH1.BisSeq.1F, 5'-AGTAGTTTTTTTTTTAGGAGTGAAGG-3'; MLH1.BisSeq1R, 5'-TTAACCCTACTCTTATAACCTCCC-3'; MGMT.BisSeq2F, 5'-GAGGATGCGTAGATTGTTTTAGGTT-3'; and MGMT.BisSeq4R, 5'-AACTATCCCAACATATCCGAAAC-3'.
Primer sequences used for bisulfite sequencing of the endogenous Drosophila X chromosome locus or nucleotides 3276 to 3589 of pCOHygro, encompassing a portion of the Amp resistance gene, are available upon request.
Methyltransferase assay. Templates for measuring methyltransferase activity were generated by amplifying plasmids pTIMP3-639/73, pMLH1-102/4, or pKT200 with primer sets TIMP3-2 and TIMP3-3, MLH1.101 and MLH1.104 (for sequence, please see Plasmid Contruction above), or MGMT.103 and MGMT.104 (MGMT.103, 5'-AGGAGGGGAGAGACTCGCGC-3'; MGMT.104, 5'-GAGCTCCGCACTCTTCCGGG-3'), respectively. Nucleic acid products were ethanol precipitated, purified with G-25 spin columns (BioMax, Odenton, MD), and quantitated by spectrophotometry. DNMT assays were done essentially as described (23). Briefly, 15 µg of protein lysate or 0.5 to 2 units of recombinant DNMT1 protein (New England Biolabs) was incubated with 3 µCi of S-adenosyl-L-[methyl-3H]methionine (Amersham) and 0.5 to 8 µg of the purified DNA template for 120 minutes at 37°C. Reactions were stopped, purified, and the resuspended nucleic acids spotted on GF/C filter discs (Whatman) before analysis by liquid scintillation counting. Reactions without DNA were analyzed in parallel and subtracted from the experimental value. For in vitro methylation treatment, 50 µg of DNA were mixed with 1x NEBuffer 2 (50 mmol/L NaCl, 10 mmol/L Tris-HCl, 10 mmol/L MgCl2, 1 mmol/L DTT) containing 320 µmol/L S-adenosylmethionine, and 25 units of SssI methylase (New England Biolabs) followed by incubation at 37°C for 4 hours. After addition of 640 µmol/L S-adenosylmethionine and 10 units of SssI enzyme, reaction mixtures were further incubated for 24 hours at 37°C. Methylated DNA was extracted with phenol/chloroform, ethanol precipitated, and quantitated by spectrophotometry.
Recombinant adenovirus generation and infection. High-titer adenovirus expressing DNMT1 or ß-galactosidase was generated using the AdEasy system as described (32). Full-length human DNMT1 was released from pSVK3-5.2 (33) by digestion with SalI and KpnI and inserted into the SalI/KpnI sites of the shuttle vector pADTrack-CMV. After recombination with the vector pAdEasy, high-titer virus was generated in 911 and 293 cells. Viruses were purified on a cesium chloride gradient, and the effective titer was determined by plaque assay of low-passage 293 cells. The efficiency of the infection was normalized to the frequency and intensity of green fluorescent protein (GFP)positive cells. DKO cells were infected sequentially at 6 days intervals with
2 plaque-forming units per cell for a total of 24 to 48 days.
| Results |
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Initially, when genomic DNA from human and Drosophila cells, or short oligonucleotides, were mixed with extracts from human cancer cells, we measured only limited incorporation, equivalent to background levels (data not shown). We then studied CpG islands of three genes (Fig. 1A) frequently targeted by DNA methylation in colon cancer, TIMP3 (40), O6-MGMT (41), and MLH1 (42). These genes are representative of the diverse categories of genes that are hypermethylated in colorectal cancer and fulfill the criterion of genes containing CpG islands (Fig. 1B; ref. 43).
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DNMT1 accounts for the majority of de novo methyltransferase activity in protein extracts from human cancer cells. We next asked whether our enzyme assay could measure de novo activity in human cancer cells genetically inactivated for different DNMTs. Incorporation into the CpG island of the human TIMP3 gene was first assessed using whole-cell extracts from wild-type colorectal cancer cells and compared with DNMT1(+/), DNMT1(/), DNMT3b(/), or DKO DNMT1(/)DNMT3b(/) cells.
As shown in Fig. 2A, this experiment revealed that the majority of de novo activity was lost after deletion of both alleles of DNMT1, the enzyme predicted to exclusively mediate maintenance methylation. This was reflected by a 40 ± 6% decrease with loss of one DNMT allele [DNMT1(+/)], and a 60 ± 5% decrease in the DNMT1(/) cells. Analysis of cells lacking DNMT3b revealed a lesser but distinctly measurable loss of de novo enzyme activity (17 ± 4%). Experiments done with cells lacking both DNMT1 and DNMT3b produced two interesting results. First, the loss of both of these enzymes reduced methyltransferase activity in an additive manner (60 + 17 = 77%), suggesting that DNMT1 and DNMT3b, as assayed in our cell extract system, catalyze de novo methylation independently rather than cooperatively. Second, the DKO cell lines retained
21 ± 2% of de novo activity, suggesting the existence of another methylating activity in these cells.
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Interestingly, lysates from Cos-7 cells expressing exogenous human DNMT1 showed a consistent and reproducible preference (TIMP3 > MGMT > MLH1) for the different substrates (Fig. 2D) identical to that observed with HCT116 colon cancer cell lysates (see Fig. 1C). To address whether this specificity was inherent to DNMT1, we incubated each of the three human CpG islands with pure DNMT1 enzyme (Fig. 2D). Surprisingly, the pure enzyme showed a markedly different specificity (TIMP3 = MLH1 >>>>> MGMT). We speculated that the specificity of DNMT1 for various CpG islands was not inherent to the enzyme but may be due to associated cellular factors present in the protein extracts. To test this hypothesis, we incubated recombinant human DNMT1 with lysates from human or fly cells lacking DNMT1 and measured methylation of the human CpG islands by incorporation assays (Fig. 2D). Both of these lysates caused suppression of DNMT1-mediated methylation of MLH1 from levels similar to those observed using pure enzyme, down to levels using whole-cell extracts from HCT116 colon cancer cells. On the other hand, methylation of the MGMT CpG island was only achieved after incubation of recombinant DNMT1 with the colon cancer cell lysate. Thus, specificity for MGMT methylation may be due to the presence of an accessory factor present in human cells, accounting for the lack of methylation observed using the recombinant protein alone.
Generation and characterization of human cancer cells lacking DNMT3a. Because DNMT3b and DNMT3a are the only known bona fide de novo DNMTs in mammals, it would be predicted that the residual activity in the DKO cells, which have lost DNMT1 and DNMT3b, would be derived from DNMT3a. To test this hypothesis, we used strategies for the targeted inactivation of genes in human colorectal cancer cells. The human DNMT3a locus was inactivated by targeted gene disruption, using an approach that deleted 13 exons, including the catalytic domain of the enzyme, in HCT116 cells lacking DNMT3b and containing only a single allele of DNMT1 (Fig. 3A). Amplification of genomic DNA identified two clones containing successful targeting events within the DNMT3a locus (Fig. 3B). Loss of expression of the DNMT3a gene product in these cells was confirmed by RT-PCR (Fig. 3B).
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20% reduction (from 4.022 ± 0.139 to 3.297 ± 0.074) in 5-methylcytosine content (Fig. 3D). We showed previously that cells lacking DNMT1 had a minimal loss (
20%) of 5-methylcytosine content (23), whereas cells deleted for DNMT3b had virtually no loss (<3%) of 5-methylcytosine content (24). However, disruption of both DNMT1 and DNMT3b resulted in a reduction of nearly all (>95%) genomic methylation. In light of these data, and from the analysis of our new knockout cell lines, we conclude that DNMT3a contributes minimally to the maintenance of genomic DNA methylation patterns. Having derived cells with both de novo DNMTs, 3a and 3b genetically inactivated we assayed extracts for de novo methyltransferase activity against the TIMP3 CpG island substrate. DNMT1(+/)DNMT3a(/)DNMT3b(/) cells revealed no further measurable loss of de novo activity against the CpG island substrates (Fig. 3D) when compared with the parental DNMT1(+/) cells. From these experiments, we conclude that a majority of the de novo methyltransferase activity in extracts from human cancer cells is provided by DNMT1.
DNMT1 methylates human DNA integrated in the fly genome. Because our cell extract experiments showed high de novo DNMT1 activity against human CpG island substrates, we wondered if DNMT1 could preferentially methylate these same sequences in the context of an intact cell. To assess this in a CpG methylation-deficient background, and in the absence of the de novo DNMT 3a and 3b proteins, we introduced an inducible human DNMT1 construct into Drosophila melanogaster cells into which we had first stably integrated human CpG islands (Fig. 4A).
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We conclude that expression of the human DNMT1 enzyme is sufficient to specifically recognize and de novo methylate human CpG-rich sequences embedded in the fly genome.
DNMT1 can catalyze gene-specific de novo methylation of tumor suppressor genes in human cancer cells. We next wished to establish whether DNMT1, when reintroduced into DNMT1(/), DNMT3b(/) cancer cells harboring a >95% reduction in 5-methylcytosine content, including loss of DNA methylation in hypermethylated promoters, was capable of reestablishing DNA methylation de novo. To address this question, we made replication-defective adenoviruses encoding full-length human DNMT1 or ß-galactosidase and infected the DKO cells. High-level expression was confirmed by microscopy, as these adenoviruses coexpress GFP (Fig. 5A). We also detected high DNMT1 protein levels (Fig. 5B) and de novo methyltransferase activity for the CpG substrates in cell extracts (Fig. 5B).
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We next analyzed the methylation status of the three endogenous CpG islands in the DKO cells. As a point of reference, we first bisulfite sequenced the TIMP3, MLH1, and MGMT promoters in the parental HCT116 cells. In this analysis, TIMP3 showed complete methylation of the promoter region, whereas the MLH1 and MGMT promoters displayed an incomplete and heterogeneous pattern of methylation. In contrast, all three loci showed a complete absence of methylation in the DKO or ß-galactosidase-infected cells (Fig. 5D). However, in these same cells, we observed robust methylation in six of the eight sequenced MGMT alleles but not in any alleles of TIMP3 or MLH1 following adenovirally mediated overexpression of DNMT1 (Fig. 5D). We confirmed this MGMT-specific CpG methylation in several independent experiments. For example, when we infected different DKO cell lines or serially infected these cells with variable amounts of the virus, CpG methylation was detected exclusively in the MGMT gene. Interestingly, when we analyzed DNMT1-infected and uninfected DKO cells by HPLC (Table 1), we observed an increase from 0.237 to 0.435 in total 5-methylcytosine content, roughly doubling the amount of endogenous 5-methylcytosine, suggesting the existence of other CpG islands that may be targeted for methylation by DNMT1. These data show that when introduced exogenously, DNMT1 could catalyze promoter hypermethylation in human cancer cells in a nonrandom, gene-specific manner.
| Discussion |
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Taken together, our data indicate that DNMT1 might be considered to have more diverse and broad-ranging catalytic activities than previously suspected for a simple maintenance enzyme. The potential capacity of this protein for catalyzing de novo methylation of CpG islands, as indicated in the systems we have tested, makes this enzyme an attractive candidate for a role in such processes as initiating hypermethylation of CpG-rich promoters in human cancer cells, and in other CpG island methylation-associated processes, such as imprinting and X inactivation occurring during human development.
These above possibilities, especially for the role in cancer, correlate with other previous findings. For example, constitutive expression of exogenous DNMT1, accompanied by increased enzyme activity, is sufficient to transform NIH3T3 cells and induce tumors when introduced as xenografts in nude mice (46) and to accelerate the spread of methylation in gene promoter CpG islands (30). Efficient oncogenic transformation by the c-fos oncogene requires elevated DNMT1 expression and increased cellular 5-methylcytosine content (47). Furthermore, genetic disruption of Dnmt1 in mice reduces gastrointestinal tumors in the Min mouse model (48), whereas a hypomorphic DNMT1 allele induces tumor formation (49). The molecular signaling pathways (50, 51) linking DNMT1 to oncogenesis suggest a capacity to mediate aberrant CpG island methylation. Our current data provide compelling evidence that DNMT1 could participate in neoplastic progression because it is functionally equipped to initiate promoter CpG island hypermethylation associated with gene silencing. Our data also indicate that during the initiation of such aberrant methylation, the targeting of promoters in a native chromatin setting may be gene specific. This is apparent in our findings showing selective remethylation of O6-MGMT in the DKO cells after reintroduction of DNMT1. Future studies designed to identify other genes targeted for epigenetic inactivation by DNMT1 could lead to important discoveries in our understanding of human cancer. In addition, how protein interactions known to occur with DNMT1 (52) or chromatin structures that normally protect CpG islands from aberrant methylation (4) influence the genesis of DNA methylation patterns in cancer cells, and how they may direct sites for the de novo functions of DNMT1 is clearly a rich area for future experimentation.
A final point raised by our data and showing the value of our sensitive de novo methylation assay concerns the detection of residual activity in the DKO cells that have genetically disrupted DNMT1 and DNMT3b. Clearly, from characterization of mammalian DNMTs to date, it might have been predicted that this remaining activity would be provided by DNMT3a. Yet, when this was rigorously tested using the DNMT1(+/), DNMT3a(/), DNMT3b(/) cells, CpG methylation was maintained in an identical manner to DNMT1(+/) cells. Thus, we detected no loss of de novo methyltransferase activity in cells rendered deficient for DNMT3a. All of the activity remaining in these cells,
50% of wild-type HCT116 cells, can be accounted for by the one allele of DNMT1. Other studies have reported increased levels of DNMT3a RNA in cell lines and tumors (53), and our data cannot rule out the possibility that DNMT3a plays an important role in establishing and/or maintaining methylation patterns in other cell types. Most importantly, the possibility that another DNMT, such as DNMT2, which has recently been suggested to have some de novo CpG methylating capacity (54), may be responsible.
| Acknowledgments |
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The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
We thank S. Mitra (Department of Human Biological Chemistry and Genetics, University of Texas Medical Branch, Galveston, TX) and M. Rountree (The Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins University School of Medicine, Baltimore, MD) for plasmids; D. Von Kessler (Department of Molecular Biology and Genetics, The Johns Hopkins University School of Medicine) and P. Beachy (Department of Molecular Biology and Genetics, The Johns Hopkins University School of Medicine) for the gift of D. melanogaster S2 cells and helpful suggestions regarding their propagation; K-S. Yang and S.G. Rhee for assistance with the HPLC analysis; J. Herman, K. Stefanisko, M. van Engeland, H. Easwaran, B. Vogelstein, and members of the Baylin lab for critical reading; and B. Vogelstein for continued support and encouragement.
Received 6/ 7/05. Revised 10/21/05. Accepted 11/10/05.
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