Methylation Detection Flashcards

1
Q

What is DNA methylation?

A

DNA methylation is an epigenetic event that affects cell function by altering gene expression and refers to;

  1. The covalent addition of a methyl group
  2. catalysed by DNA methyltransferase (DNMT)
  3. to the 5-carbon of cytosine in a CpG dinucleotide
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Methylation analysis encompasses a large number of techniques.

What types of molecular biology techniques are required to study methylation?

A
  1. Most early studies used methylation sensitive restriction enzymes to digest DNA followed by Southern detection or PCR amplification
  2. Bisulfite reaction based methods have now become standard practice such as methylation specific PCR.
  3. Global methylation analysis is still a relatively new and evolving technology and is restricted to the research setting
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What important consideration must you be aware of when using PCR based mathods to for methylation detection?

A

Epigenetic information is lost during PCR because DNA polymerase does not distinguish between methylated and unmethylated cytosines

Therefore the DNA must be modified in a way that allows the methylation information to be preserved.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is ‘Bisulphite modification’?

A

The ‘deamination’ of unmethylated cytosines in DNA leads to conversion into uracil by treatment of single stranded DNA with sodium bisulphite.

The sequence changes brought about by this process enable us to identify which cytosines are methylated and unmethylated, using a variety of downstream processes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the chemical process of Bisulphite modification?

A

Bisulfite conversion is performed under acidic conditions and preferentially deaminates cytosine whilst the methyl group on 5-methylcytosine protects the amino group from the deamination.

In diagnostic processes it is advisable to modify control samples of known genotype (e.g. methylation positive and negative) in each assay.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Name one interesting feature which results from bisufite treating dsDNA.

A

The sense and antisense strands are no longer complementary after sodium bisulfite treatment.

Thus, any probes or primers which are designed for downstream process are designed for either strand.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the two broad types of downstream process used to assess methylation of bisulfite modified DNA?

A

Methylation-independent PCR (MIP) primers are used in most of the available PCR-based methods, which are designed for proportional amplification of methylated and unmethylated DNA.

Methylation-specific PCR (MSP) primers, which are designed to specifically amplify methylated DNA or unmethylated DNA only - gives best sensitivity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the main lmitation to Methylation-independent PCR based assays?

A

It can be difficult to amplify a target independent of its methylation status.

In most situations, there is a PCR bias toward amplification of unmethylated DNA.

This means that the methylated allele can be ‘missed’ thus reducing sensitivity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

List some of the main methods which utilise Methylation-independent PCR (MIP) primers.

A
  1. Pyrosequencing
  2. Combined Bisulfite Restriction Analysis (COBRA)
  3. Methylation-sensitive melt curve analysis
  4. Real-Time Quantitative Detection Techniques
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Why would you use pyrosequencing for methylation detection?

A

Pyrosequencing offers advantages as it permits quantification of methylation levels (as low as 10% methylation).

A disadvantage of Pyrosequencing is that the high cycle numbers involved mean that it can be prone to contamination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is COBRA anlaysis?

A

COBRA exploits the creation of new methylation-dependent restriction sites or the maintenance of restriction sites in a methylation-dependent manner after bisulphite treatment.

Analysis then relies on the separation of digested PCR products followed by hybridisation of fluorescently labelled probes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the disadvantages of COBRA?

A
  1. Not all sequence changes result in the formation/abolition of a restriction enzyme site
  2. Any technique that involves restriction digestion post PCR, like COBRA, is prone to error due to the formation of heteroduplexes between the converted methylated and unmethylated DNA. This heteroduplex will not be cleaved by restriction enzyme
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Describe the MethyLight RQ-PCR method for detecting methylation.

A

Provides a quantitative analysis of methylation, two ways to perform assay;

  1. MIP primers + methylation specific TaqMan probe labelled with different fluorophores for meth/un-meth
  2. MSP primers + methylation insensitive TaqMan probes

Limitations are that it cannot provide highly accurate quantitative. Not as accurate as pyrosequencing.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe the HeavyMethyl RQ-PCR method for detecting methylation.

A

When the DNA is methylated, the blocker oligonucleotides do not bind, leaving the primer- binding site accessible for the MIP primers to bind and amplify the target.

The amplification is detected with a methylation specific oligonucleotide probe that contains CpG sites, labelled with fluorescent dye (F) and quencher (Q) in a 5′-exonuclease assay, used here as an example for a real-time detection method e.g. TaqMan, Lightcycler.

When the DNA is unmethylated, the blocker oligonucleotides bind, blocking the access of the primers to their binding sites. No PCR product is generated.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the advantage of HeavyMethyl over MethyLight?

A

The use of blocker molecules significantly increases the analytical sensitivity.

The main advantage relative to conventional MSP is that false-positive rates are extremely low.

Due to the blockers providing methylation specificity at every cycle of the PCR, whereas in MSP, a false-priming event needs to happen only once to get the amplification going (i.e. two levels of methylation specificity with blocker and primer).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is meant by ‘methylation-specific primers’ (MSP)?

A

Primer pairs are designed specifically to complement only unconverted 5-methylcytosines (methy-specific) or uracils (unmethylated-specific).

17
Q

What are the advantages and potential drawbacks of using ‘methylation-specific primers’ (MSP)?

A

Avoids the amplification bias seen in MIP -> Increases sensitivity

A disadvantage is that the assays are generally associated with high false-positive rates -> Decreased specificity.

18
Q

What could be the cause of the increased false-positive rates when using methylation-specific primers?

A
  1. The high number of PCR cycles which can be necessary for obtaining highly sensitive assays.
  2. False-priming events (i.e. methyl-specific primer binds non-methylated template and amplification happens despite the mismatches of the primer sequences with the template)
  3. Incomplete bisulfite-converted template DNA molecules may be responsible for false-positive results.
19
Q

What commonly used diagnostic assay utilised a MSP based assay?

A

MS-PCR for Prader-Willi and Angelman syndromes

20
Q

Describe how the MS-PCR assay for PWS/AS works

A
  1. Typically involves bisulfite modification of DNA
  2. Followed by PCR of exon 1 of SNRPN
  3. Common reverse primer
  4. methylation specific forward primer -> targets maternally inherited allele
  5. un-methylation specific forward primer -> targets paternally inherited allele
21
Q

Describe how the results of MS-PCR assay are interpreted? What controls are run alongside test samples?

A
  1. Two reverse primers produce a differently sized products
  2. In PWS only the maternal band is seen on gel
  3. In AS only the paternal band is seen on gel

Controls;

  1. Normal: Has both bands on gel
  2. No DNA control: No bands
  3. Unmodified DNA: No bands
22
Q

What high thorighput platforms are available for methylation analysis?

A

Array Based Methylation Analysis: Illumina HumanMethylation27 BeadChip

Next Generation Sequencing (NGS)

23
Q

How do Methylation Analysis Methods NOT Dependent Upon Bisulfite Modification work and name three examples of assays currently in use in diagnostic laboratories?

A

These methods use a methylation sensitive restriction enzyme followed by a downstream assay of the digestion.

  1. Southern Blotting
  2. PCR e.g. FMR1 mPCR
  3. MS-MLPA e.g. PWS/AS and BWS/RSS
24
Q

Describe how Southern Blotting is used to assess the methylation status of the repeat expansion associated with Fragile X syndrome.

A

Uses a methylation-sensitive restriction enzyme (e.g. Eag1) to digest a larger fragment produced by a methylation insensitive enzyme (e.g. EcoR1) to give repeat expansion and methylation information.

25
Q

Descrive how to interpret the results of a Fragile X Southern Blot.

Name the enzymes and prove used and the sizes/patterns of bands produced on a typical gel image.

A
  1. EcoR1 = meth-insensitive enzyme
  2. Eag1= meth-sensitive enzyme
  3. StB12.3 probe
  4. Methylated DNA yields a upper band at 5.2 kb
  5. Un-methylated DNA yields a upper band at 2.8 kb (as both enzyme cut)
  6. As the size difference between the alleles increases (due to expansion) then the two alleles can be discriminated in the upper and lower regions of the gel
  7. Once the expansion becomes so large the allele is always methylated then this allele is only seen in the upper region (methylated DNA) of the gel.
  8. In females there will just be a single band in the lower region representing the normal allele in cells where that X is not inactivated. In males the lower band is absent as there’s only one allele
26
Q

How is mosaicism interpreted on FMR1 Southern Blot?

A

Where a male has a mosaic expansion then there is large expanded methylated alleles present in the upper region of the gel (usually as a smear)

The band in the lower region is missing in non-mosaics, but is present a faint band is the FMR1 expansion is mosaic. The faintness of the band indicates the level of mosaicism.

27
Q

Describe how PCR is used to assess the methylation status of the repeat expansion associated with Fragile X syndrome.

A

The AmplideX FMR1 l_ong range mPCR_ is a technique based on the use of a methylation-sensitive restriction enzyme

28
Q

Describe how the AmplideX FMR1 PCR assay works

A
  1. Long-range PCR to span repeat expansion
  2. Same primers used in two separate reactions with the only difference being the labelling of the primer (Fam vs Hex)
  3. The Fam PCR amplifies all alleles irrespective of methylation status
  4. In the Hex PCR the DNA is exposed to meth-sensitive enzyme.
  5. If the DNA is un-meth then it is digested and no product is produced and visa-versa
  6. Thus Hex peaks represent the methylated alleles
  7. The ratio of Fam to Hex for an allele indicates the level of methylation in the sample
  8. Normal sized allele should be ~50% in Hex
  9. Major devations of normal alleles would indicate skewing
  10. Expanded alleles will be the same height in Fam and Hex because they are always methylated.
29
Q

What is the advantage and disadvantage of using AmplideX PCR vs Southern?

A
  1. Advantages: Cheaper, quicker
  2. More accurate skewing identification
  3. PCR is more sensitive for low level mosaicism detection
  4. Disadvantages: very large expansions can not be spanned by the long-range PCR.
30
Q

Describe how MLPA is used to assess methylation status in PWS/AS and BWS/RSS.

A

The MS-MLPA protocol is very similar to the standard MLPA method

The difference is that each MS-MLPA reaction generates two samples

  1. undigested sample for copy number detection
  2. digested sample for methylation detection
31
Q

Describe how the MS-MLPA assay works

A
  1. MS-MLPA probes for methylation detection are the same as regulat MLPA probes
  2. Their target sequence contains the restriction site of the methylation-sensitive endonuclease.
  3. After hybridisation, the reaction is split into two tubes: one tube is processed for copy number, the other is incubated with the enzyme.
  4. If the sample DNA is methylated the probes are protected from the enzyme and produce a peak after PCR, unmethylated probes are digested away.
32
Q

HOw are the results of MS-MLPA interpreted?

A

Analysis of MS-MLPA consists of two parts

  1. Determining copy number by comparing different undigested samples
  2. Determining methylation patterns by comparing each undigested sample with the digested sample, this gives a semi-quantified amount of methylation.

Black arrows indicate four SNRPN MS-MLPA probes used for methylation quantification. The white arrow indicates an MLPA probe located within the PWS/AS region used for copy number quantification. The grey arrow indicates an MS-MLPA digestion control probe.

33
Q

What other disorders besides PWS/AS and BWS/RSS utilise MS-MLPA for detection of methylation?

A
  1. Hypermethylation of the hMLH1 promoter, which results in transcriptional silencing of hMLH1 and is commonly seen in sporadic colon cancers with microsatellite instability (MSI) is now routinely offered in diagnostic labs.
  2. Analysis of tumour DNA can aid discrimination between those individuals likely to have sporadic forms of colon cancer and those likely to benefit from mutation screening of Lynch Syndrome genes.