Aberrant promoter methylation is known to silence tumor-suppressor genes in prostate cancer. Using a quantitative real-time PCR assay(MethyLight), I determined promoter methylation levels of APC, RASSF1A, CYP26A1 and TBX15 in 219 radical prostatectomies diagnosed between 1998-2001, examined their correlation with clinicopathological follow-up data including Gleason Pattern(GP), Gleason Score(GS) and pathological stage, and explored their potential in predicting biochemical recurrence(BR) using univariate and multivariate analyses. I demonstrated that methylation status of all four genes could accurately differentiate normal from cancerous tissues. Quantitative methylation levels of APC and TBX15 correlated strongly with GP, GS, and pathological stage. Both APC and TBX15 methylation levels could significantly predict BR in univariate analysis(p-value=0.028 and 0.003, respectively). The methylation profiles of APC and TBX15 combined could discriminate patients into high, intermediate, and low risk groups of BR(p-value=0.005). My project demonstrated that quantitative increase in promoter methylation levels of APC and TBX15 were associated with PCa progression.

Aberrant promoter methylation is known to silence tumor-suppressor genes in prostate cancer. Using a quantitative real-time PCR assay(MethyLight), I determined promoter methylation levels of APC, RASSF1A, CYP26A1 and TBX15 in 219 radical prostatectomies diagnosed between 1998-2001, examined their correlation with clinicopathological follow-up data including Gleason Pattern(GP), Gleason Score(GS) and pathological stage, and explored their potential in predicting biochemical recurrence(BR) using univariate and multivariate analyses. I demonstrated that methylation status of all four genes could accurately differentiate normal from cancerous tissues. Quantitative methylation levels of APC and TBX15 correlated strongly with GP, GS, and pathological stage. Both APC and TBX15 methylation levels could significantly predict BR in univariate analysis(p-value=0.028 and 0.003, respectively). The methylation profiles of APC and TBX15 combined could discriminate patients into high, intermediate, and low risk groups of BR(p-value=0.005). My project demonstrated that quantitative increase in promoter methylation levels of APC and TBX15 were associated with PCa progression.

No description available.

The neuron-derived orphan receptor 1 (NOR1) belongs to the NR4A nuclear receptor subfamily. As an immediate early response gene, NOR1 is rapidly induced by a broad spectrum of physiological and pathological signals. Functional studies demonstrate NOR1 as a constitutively active ligand-independent nuclear receptor whose transcriptional activity is dependent on both expression level and posttranslational modifications. To date, an increasing number of studies have demonstrated a pivotal role of NOR1 in the transcriptional control of metabolism and the development of cardiovascular diseases. In this dissertation, we demonstrate NOR1 expression in endothelial cells and sub-endothelial cells of human atherosclerotic lesions. In response to inflammatory stimuli, NOR1 expression is rapidly induced in endothelial cells through an NF-κB-dependent signaling pathway. Functional studies reveal that NOR1 increases monocyte adhesion by inducing the expression of adhesion molecules VCAM-1 and ICAM-1 in endothelial cells. Transient transfection and chromatin immunoprecipitation assays identify VCAM-1 as a bona fide NOR1 target gene in endothelial cells. Finally, we demonstrate that NOR1-deficiency reduces hypercholesterolemia-induced atherosclerosis formation in apoE-/- mice by decreasing the macrophage content of the lesion. In smooth muscle cells (SMC), NOR1 was previously established as a cAMP response element binding protein (CREB) target gene in response to platelet-derived growth factor (PDGF) stimulation. CREB phosphorylation and subsequent binding of phosphorylated CREB to the NOR1 promoter play a critical role in inducing NOR1 expression. In this dissertation, we further demonstrate that histone deacetylase (HDAC) inhibition potentiates and sustains PDGF-induced NOR1 mRNA and protein expression in SMC. This augmented NOR1 expression is associated with increased phosphorylation of CREB, recruitment of phosphorylated CREB to the NOR1 promoter, and trans-activation of the NOR1 promoter. Additionally, HDAC inhibition also increases NOR1 protein half-life in SMC. Collectively, these findings identify a novel pathway in endothelial cells underlying monocyte adhesion and expand our knowledge of the epigenetic mechanisms orchestrating NOR1 expression in SMC. Finally, we establish a previously unrecognized atherogenic role of NOR1 in positively regulating monocyte recruitment to the vascular wall.

Cervical malignancy is the fourth most common cause of cancer-related mortality in women worldwide; infection with high-risk human papillomavirus (HRHPV) is responsible for over 500,000 cases of cervical carcinoma each year, approximately 90% of which are squamous cell carcinomas (SCCs). Over half of all HPV-positive cervical SCCs are caused by the deregulated expression of HPV16 oncogenes E6 and E7 in proliferating basal cells of the cervical squamous epithelium. The major risk factor associated with cervical neoplastic progression is integration of HRHPV into the host genome, which is detected in $~$85% of HPV16-positive cervical carcinomas. The work presented in this doctoral thesis sought to provide insights into our understanding of the process of HPV16 integration as well as to elucidate mechanisms that deregulate both virus and host gene expression following integration. The W12 cell model system used in this project is a polyclonal cervical keratinocyte line generated by explant culture of a low-grade cervical squamous intraepithelial lesion (LSIL) that arose following natural infection with HPV16. The W12 clones were isolated in the absence of selective pressure, and as such represent the range of integration events that occur in a pre-malignant lesion at the early stages of carcinogenesis, prior to integrant selection. Despite identical genetic backgrounds, expression levels of oncogenes E6 and E7 varied up to 16-fold between the W12 clones. Expression of HPV oncogenes is ultimately determined by transcription factor binding to the non-coding long control region (LCR) of the viral genome. The initial result of this study found that genomic mutations affecting transcription factor binding at the LCR of the W12 clones was not a cause of differential viral expression, concluding that epigenetic control may be at play. Higher levels of virus expression per template were associated with increased levels of histone post-translational modification (PTM) hallmarks of transcriptionally active chromatin and reduced levels of repressive hallmarks. There was greater abundance of the active/elongating form of the RNA polymerase-II enzyme (RNAPII-Ser2P), together with CDK9, the component of positive transcription elongation factor-b (P-TEFb) responsible for the Ser2 phosphorylation. The changes observed were functionally significant, as cells with higher HPV16 expression per template showed greater sensitivity to depletion and/or inhibition of histone acetyl transferases and CDK9, as well as reduced sensitivity to histone deacetylase inhibition. Employing next generation sequencing data available for five representative W12 clones, the sites of HPV16 host integration were identified. The three-dimensional (3D) structure of the nucleus and physical interactions between stretches of the genome over long distances (i.e. enhancer and promoters) are known to exert an additional level of gene regulation. Identification of 3D virus-host interactions in the W12 clones employing the newly developed and unique 'Sequence Capture of Regions Interacting with Bait Loci Hi-C' (SCRiBL-Hi-C) protocol showed that both short- ($~$50 kb), and long-range ($~$1 Mb) interactions occur during the early stages of carcinogenesis. Together, the data in this thesis indicate that transcription and subsequent expression of the HPV16 genome is controlled by multiple layers of epigenetic regulation.

DNS-Methylierung ist ein zentraler epigenetischer Prozess, der essentiell für die Differenzierung embryonaler Stammzellen ist, über dessen Funktion in somatischen Zellen allerdings wenig bekannt ist. In der vorliegenden Doktorarbeit wurden zwei Mausmodelle analysiert, um die Rolle der durch DNS Methyltransferase 1 (DNMT1) hergestellten DNS-Methylierung im adulten hämatopoetischen System zu untersuchen. Als erstes wurde ein „Knockout“-Modell gewählt, um DNMT1 im hämatopoetischen System zu eliminieren. Des Weiteren wurde eine Mausmutante mit reduzierter DNMT1 Expression analysiert. Die vollständige Entfernung von DNMT1 aus dem hämatopoetischen System adulter Mäuse resultierte in Zytopenie und Anämie, gefolgt vom raschen Tod aller Tiere. Die Analyse des Knochenmarks dieser Mäuse zeigte einen fast vollständigen Verlust von hämatopoetischen Stamm- sowie Vorläuferzellen. Dies zeigt, dass die durch DNMT1 erzeugte DNS-Methylierung essentiell für Homöostase und Differenzierung von hämatopoetischen Stammzellen ist. Mäuse mit reduzierter DNMT1 Expression hingegen sind lebensfähig und zeigen einen niedrigen Grad an DNS-Methylierung in verschiedensten Geweben, einschließlich des hämatopoetischen Systems. Durch eine detaillierte phänotypische und funktionelle Analyse der hämatopoetischen Stammzellen zeigte sich, dass der veränderte DNS-Methylierungsgrad ein vermindertes Selbsterneuerungspotenzial zur Folge hat. Interessanterweise fehlen DNMT1 hypomorphen Mäusen lymphoide Vorläuferzellen sowie reife lymphoide Zellen, wohingegen myeloide und erythroide Zellpopulationen keine Veränderungen zeigten. Genomweite Expressionsanalysen von Stammzellen sowie myeloiden Vorläuferzellen zeigten, dass hypomethylierte Stammzellen eine verfrühte myeloerythroide Entwicklung vollziehen und liefern damit eine Erklärung für den Verlust des Selbsterneurungspotenzials und der lymphoiden Entwicklung. Diese Resultate identifizieren eine bis hierhin unbekannte Funktion von spezifischen DNS-Methylierungsgraden für die Steuerung von funktionellen Programmen wie Selbsterneuerung und Differenzierung in hämatopoetischen Stammzellen. / DNA methylation is one of the major epigenetic mechanisms which is known to play a role in embryonic stem cell fate, but its function in somatic stem cells is not well understood. In this thesis two different genetic mouse models were chosen to address the role of DNA methyltransferase 1 (DNMT1) controlled DNA methylation in adult hematopoiesis. First, a conditional knockout approach was used to delete DNMT1 in the adult hematopoietic system. Second, DNMT1 hypomorphic mice with reduced DNMT1 expression were analyzed. Complete DNMT1 deletion in hematopoietic cells led to severe cytopenia and anemia causing rapid lethality of all animals. Bone marrow analysis revealed an almost complete absence of hematopoietic stem and progenitor cells in DNMT1 ablated primary mice as well as in secondary chimeric mice. These results indicated that DNMT1 controlled maintenance of DNA methylation is indispensable for HSCs preservation and differentiation. In contrast to complete DNMT1 deletion, mice with hypomorphic DNMT1 expression were viable, but showed low methylation levels in multiple tissues including the hematopoietic system. Detailed phenotypical and functional analysis of the hypomethylated hematopoietic stem cell (HSCs) compartment revealed an impaired homeostasis and self-renewal capacity. Intriguingly, mutant animals had profoundly reduced lymphoid cell compartments, whereas myeloid and erythroid compartments were unchanged. Expression profiling of stem and myeloid progenitor cells unexpectedly demonstrated that reduced DNA methylation forces the HSC to adopt a myeloid lineage identity. These results, showing the inability of hypomethylated HSCs to maintain an undifferentiated state, provided an explanation for their disturbed capability to self-renew and produce lymphocytes. Taken together, these findings suggest that distinct levels of DNA methylation are required to control different functional programs such as self-renewal and alternative lineage choices in HSCs, thus uncovering a previously unrecognized function for DNMT1 activity.

Wnt/beta-Catenin-Signalgebung hat große Bedeutung für die Initiation und Progression verschiedener Krebsarten. Unser Labor hat kürzlich ein Mausmodell für Squamöse Speicheldrüsen-Karzinome etabliert, das menschliche Hals-Nasen-Ohren-Karzinome reflektiert, durch kombinierte Mutationen von beta-Catenin und dem Bmp-Rezeptor 1a. Diese Tumore enthielten hohen Level von sich selbst-erneuernden Krebs-Stammzellen. Behandlung mit den Wnt-Inhibitoren ICG-001 blockierte die Selbsterneuerung und induzierte die Differenzierung der Krebs-Stammzellen. In den Krebs-Stammzellen der Maus wurde eine globale Aufregulierung des Histonmarkers H3K4me3 beobachtet, was durch Wnt-Inhibition gehemmt werden konnte. Um die molekularen Mechnismen aufzuklären, wurden die Histon-Methyltransferasen für H3K4me3, d.h., Mitglieder der Mll-Proteinfamilie, in sphären-kultivierten Krebs-Stammzellen durch RT-PCR analysiert: Mll1 war hoch transkribiert, zusammen mit den Hoxa9- und Meis1-Zielgenen. Interessanterweise aktivierte die Expression von Mll1 durch Wnt-Signalgebung die distale Enhancer-Region von Mll1, was durch Luciferase-Reporter-Assays gemessen wurde. Immunopräzipitation zeigte weiter, dass Mll1 im beta-Catenin-Transcriptionsfaktor-Komplex involviert ist: shRNA-Behandlung von Mll1 reduzierte die Sphären-Bildung der Speicheldrüsen-Krebs-Stammzellen der Maus. In doppelt-mutanten Mäusen hat die zusätzliche genetische Ablation von Mll1 die Tumorbildung verhindert und die Selbsterneuerung der Krebs-Stammzellen reduziert. Diese Daten zeigen dass die beta-Catenin-Mll1-Achse die Selbsterneuerung der Stammzellen antreibt und deren Differenzierung verhindert, und zwar via epigenetische Mechanismen. Deshalb wird durch das Targeting von Mll1 und dessen Interaktion mit beta-Catenin und andern Komponenten den gesunden epigenetischen Zustand in den Stammzellen wieder herstellt, was eine neue und vielversprechende Möglichkeit für die Behandlung von Patienten mit Hals-Nasen-Ohren-Tumoren darstellt. / Wnt/beta-catenin signaling has been implicated in the initiation and progression of various human cancers. Our lab has recently established a mouse model of salivary gland squamous cell carcinomas (SCCs), which resembles human head and neck cancer, by combined gain- and loss-of-function mutations of beta-catenin and the Bmp receptor 1a (double mutant tumors). These tumors contained highly self-renewing cancer stem cells (CSCs) that were Wnt-dependent. Treatment with the Wnt inhibitor ICG-001 (interferes with beta-catenin-CBP-Mll1 interaction) blocked the self-renewal and induced differentiation of CSCs. In the mouse salivary gland CSCs, a global up-regulation of the histone mark H3K4me3 was observed, which could be suppressed by Wnt inhibition. To study the potential molecular mechanisms, the H3K4me3 histone methyl-transferases, i.e., members of the Mll protein family were analyzed in freshly isolated, sphere-cultured CSCs by RT-PCR: Mll1 was highly transcribed, together with its target genes Hoxa9 and Meis1. Interestingly, the expression of Mll1 was upregulated by Wnt signaling by activating its distal enhancer regions, which was seen with Luciferase reporter assays. Immuno-precipitation further showed that Mll1 is involved in the beta-catenin/Tcf4 transcription factor complex: shRNA treatment against Mll1 reduced sphere formation of mouse salivary gland CSCs. In double mutant mice, additional genetic ablation of Mll1 (triple mutant tumors) abrogated tumor formation and affected the self-renewal ability of CSCs. Collectively, the data presented in this study show that the beta-catenin-Mll1 axis drives self‐renewal and fends off differentiation of CSCs via epigenetic mechanisms. Therefore, targeting Mll1 or its interaction with beta-catenin and other components may help to restore a healthy epigenetic state in the stem cells, which represent a novel and promising therapeutic approach for the treatment of head and neck SCCs.