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The Writing is on the Genes: Can Epigenomics Predict Disease Risk?

In the nature versus nurture debate about human traits, epigenomics holds a special place. Epigenetic changes are physical changes that happen to genes but do not change the gene (DNA) sequence itself—such as DNA methylation. The regulation of these changes is not yet well-understood, providing new ammunition to the age-old argument. It is possible that the methylation pattern is all “nature”, predetermined by a person’s genetic makeup, or alternatively methylation could be a result of “nurture”, reflecting the influence of regulatory signals outside the cell, that is, the environment. Having analyzed the detailed methylation patterns in several dozen individuals at two different time points, over a decade apart, Feinberg et al. present evidence that the answer may actually be both—a combination of genetic determinants and environmental regulation.
In this study, the authors analyzed the full methylation pattern at 4.5 million sites genome-wide in 74 volunteers. The participants, who were on average 74 years old at the time of the first visit, provided blood samples again 11 to 14 years later, allowing for comparison of methylation patterns both between individuals, and in the same individuals across time. In doing this, the authors found 227 variably methylated regions (VMRs), which varied widely between the study participants. Of these, 119 VMRs remained stable within each individual over time, constituting an epigenetic fingerprint that may be genetically predetermined and differed between pairs of individual participants. The remaining VMRs were highly variable over time, suggesting that their pattern is affected by environmental influences. Four of the stable VMRs consistently correlated with study subjects’ body mass index in both visits. All four of these sites were located at or near genes that are known to be involved in the pathogenesis of diabetes or obesity, lending biological plausibility to the correlation between the methylation pattern and obesity risk.
Through their analysis of the epigenome in a large pool of volunteer subjects, Feinberg et al. have demonstrated a unique signature of stable epigenetic changes within each individual. Several of these stable methylation sites were correlated with the patients’ body mass index. If these results are confirmed in younger individuals and consistent throughout the life span, tests for methylation might be used to screen patients in childhood and identify those at risk for obesity, allowing preventative treatment. In theory, similar testing for other common diseases that may have a stable epigenetic component, such as diabetes or asthma, could allow early intervention and prevention.

Abstract

The epigenome consists of non–sequence-based modifications, such as DNA methylation, that are heritable during cell division and that may affect normal phenotypes and predisposition to disease. Here, we have performed an unbiased genome-scale analysis of ~4 million CpG sites in 74 individuals with comprehensive array-based relative methylation (CHARM) analysis. We found 227 regions that showed extreme interindividual variability [variably methylated regions (VMRs)] across the genome, which are enriched for developmental genes based on Gene Ontology analysis. Furthermore, half of these VMRs were stable within individuals over an average of 11 years, and these VMRs defined a personalized epigenomic signature. Four of these VMRs showed covariation with body mass index consistently at two study visits and were located in or near genes previously implicated in regulating body weight or diabetes. This work suggests an epigenetic strategy for identifying patients at risk of common disease.
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Supplementary Material

Summary

Table S1. Variably methylated regions across individuals.

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File (3001262tables1.xls)

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Note

Citation: A. P. Feinberg, R. A. Irizarry, D. Fradin, M. J. Aryee, P.Murakami, T. Aspelund, G. Eiriksdottir,T. B. Harris, L. Launer, V. Gudnason, M. D. Fallin, Personalized epigenomic signatures that are stableover time and covary with body mass index. Sci. Transl. Med. 2, 49ra67 (2010).

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Science Translational Medicine
Volume 2Issue 4915 September 2010
Pages: 49ra67

History

Received: 5 May 2010
Accepted: 26 August 2010

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Authors

Affiliations

Andrew P. Feinberg*, [email protected]
Center for Epigenetics, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA.
Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.
Rafael A. Irizarry*
Center for Epigenetics, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA.
Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
Delphine Fradin*,
Center for Epigenetics, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA.
Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.
Martin J. Aryee
Center for Epigenetics, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA.
Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, MD 21205, USA.
Peter Murakami
Center for Epigenetics, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA.
Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.
Thor Aspelund
Icelandic Heart Association, Kopavogur 201, Iceland.
University of Iceland, Reykjavik, Iceland.
Gudny Eiriksdottir
Icelandic Heart Association, Kopavogur 201, Iceland.
Tamara B. Harris
Intramural Research Program, National Institute of Aging, Bethesda, MD 21205, USA.
Lenore Launer
Intramural Research Program, National Institute of Aging, Bethesda, MD 21205, USA.
Vilmundur Gudnason
Icelandic Heart Association, Kopavogur 201, Iceland.
University of Iceland, Reykjavik, Iceland.
M. Daniele Fallin [email protected]
Center for Epigenetics, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA.
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.

Notes

*
These authors contributed equally to this work.
Present address: INSERM, Paris 75014, France.
†To whom correspondence should be addressed. E-mail: [email protected] (M.D.F.); [email protected] (A.P.F.)

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Science Translational Medicine
Volume 2|Issue 49
September 2010
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Received:5 May 2010
Accepted:26 August 2010
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