8 - diagnosis and treatment of epigenetic alterations Flashcards
tissue and cell type profiling
bisorphite sequencing –> looks at histone modification and methylation of whole tissues
DNMTi
DNA methylation transferase inhibition
removes hypermethylation of tumour suppressor genes
cancer treatment
5-azacytidine
DNMTi
successful epigenetic therapy
DNMT enzyme binds to 5-azacytidine and decreases its activity
disadvantages of DNMTi therapy alone
lacks specificity
resistance common
unsuccessful in solid tumours
function of HDAC inhibitors
inhibit histone deacetylation
hyper-acetylation –> promotion of tumour suppressor genes
promote cell cycle arrest and apoptosis
examples of HDAC inhibitors
vorinostat
belinostat
romidepsin
combination treatments
combine HDACi with DNMTi
combine DNMTi with cytotoxic drugs
combination of HDACi with DNMTi
increased expression of silenced genes and antitumour apoptotic response
combination of DNMTi with cytotoxic drugs aim
resensitize cancers to the standard agents
discovery using next generation sequencing about chromatin cancer mutations
more than 50% of human cancers harbour mutations in enzymes involved in chromatin organisation
cancer cell immune evasion using epigenetics
- tumour cells use epigenetic process to escape chemotherapy and host immune surveillance
challenges to cancer epigenetic research:
- order of events of abnormal gene silencing in cells
- role of chromatin modifications in mediating these processes and targeting DNA methylation changes
- maintenance of gene silencing in cancer cells
- epigenetic biomarkers have low sensitivity –> need for multi-gene panels
- epigenetic therapies lack specificity –> adverse side effects and of target effects
illumina 450K methylation array
epigenome interrogation technique
covers DNA methylation sites at single-nucleotide resolution
almost genome wide
disadvantages of bisulfite sequencing
difficult to optomise
base calling software –< cant cope with lack of ‘C’ signal
over-exaggerates at methylated sites
doesnt provide information about methylation sites of individual alleles
cant accurately quantify methylation (semi-quantitative)
‘gold-standard’ for gene-specific methylation analysis
sequencing of cloned bisulfite PCR amplicons
pros of sequencing of cloned bisulfite PCR amplicons
- PCR production cloned into plasmid vectors and clones sequenced
- Highly quantitative
- Gives molecule-specific information
cons of sequencing of cloned bisulfite PCR amplicons
time consuming
expensive
process of target-specific bisulfite-Pyrosequencing
Real-time sequencing method for analysis of short-medium length DNA sequences
o Nucleotides added sequentially to reaction
o Pyrophosphate released during nucleotide incorporation detected as light produced by enzyme substrate cascade system
pros of target-specific bisulfite-Pyrosequencing
o Fast and reliable o Cost-effective o Targets specific regions of genome o Provides single nucleotide read-out o Reproducible
cons of target-specific bisulfite-Pyrosequencing
o Not high throughput
o Small fragments (max 100bp)
features of whole-genome bisulfite sequencing
- Whole genome coverage
- Costly
- Time-consuming –> need to resequence genome many times
- Requires extensive bioinformatics
- Limited scalability per run
method of whole-genome bisulfite sequencing
Measures single-base cytosine methylation levels (measures ratio of methylated molecules rather than enrichment)
RRBS
Reduced representation bisulfite sequencing