ABSTRACT Ethanol is a classic teratogen capable of inducing a wide range of developmental abnormalities that vary in severity, from the barely perceptible to spontaneous abortion. These defects are collectively referred to as foetal alcohol spectrum disorders (FASD). Foetal alcohol syndrome (FAS) lies at the extreme end of this spectrum and is associated with three broad domains: prenatal and/or postnatal growth retardation, distinctive facial features and brain damage. Epidemiological and animal studies clearly indicate that the clinical variability of FASD is related to four distinct window periods: preconception, preimplantation, gastrulation and postorganogenesis. These developmental windows are correlated with peak periods of epigenetic reprogramming, suggesting a common mechanism of ethanol teratogenesis. Together with experimental evidence that ethanol inhibits DNA-methyltransferase, as well as folate metabolism, this suggests an ‘epigenetic model of FASD’. The aim of the present study was to explore the validity of this model by investigating the relationship between ethanol-induced growth retardation and imprinting, following ethanol exposure during the preimplantation period. Employing an experimental study design, together with a hybrid mouse model, embryos and placentae were harvested at 10.5 days post coitus (dpc). The weights of embryos and placentae, as well as methylation profiles at the H19 imprinting control region (ICR) – an important regulator of growth - were measured. It was found that ethanol-treated embryos and placentae were severely growth retarded in comparison to controls: r=-0.760 (p<0.01, one-tailed) and r=-0.816 (p<0.05, two-tailed), respectively. Bisulphite genomic sequencing revealed that the methylation profile at the H19 ICR was unaffected in ethanol-treated embryos, in comparison to saline-treated controls. Conversely, methylation at the paternal and maternal alleles in placentae was found to be reduced and increased, respectively, in comparison to embryos. These results imply that mechanisms for the maintenance of imprinting in the embryo are more robust than in the placenta. This is consistent with the relatively longlived nature of the embryo, which must maintain imprinting for a considerably longer period of time than the placenta. Bisulphite sequencing also revealed that the paternal allele of the H19 ICR had significantly decreased levels of methylation, while the maternal allele had increased levels of methylation, in ethanol treated-placentae, in comparison to saline controls. The changes observed at the paternal allele were localized to the CTCF1 DNA-binding site, while a trend for increased methylation at the maternal allele was observed at the CTCF2 site. A partial correlation further revealed that demethylation at the paternal allele in placentae partly mediated the effect of ethanol on placental weight. An ‘epigenetic switch model’, whereby paternal Igf2 is downregulated by the epigenetic switching of the paternal allele to the maternal epigenotype, is proposed to explain this relationship. However, partial correlations also indicated that demethylation at the paternal allele of the H19 ICR, as well as placental growth retardation, did not mediate the effect of ethanol on embryo growth. Collectively, these data suggest that imprinting at the H19 ICR is not a mechanism of embryo growth retardation prior to 10.5 dpc. In explaining these results, it is proposed that the growth retarded placenta was able to meet the nutritional demands of the similarly growth retarded embryo up until 10.5 dpc. However, an important question for future research would be to examine the relationship between ethanol-induced growth retardation and imprinting during late gestation. During the final growth spurt (>14.5 dpc) the growth retarded placenta may become unable to meet the increased demands for nutrition, which would exacerbate foetal growth restriction. In sum, the present study revealed a novel mechanism of ethanol-induced growth retardation in the placenta but indicated that imprinting at the H19 ICR does not mediate the effect of ethanol on the early embryo. Further research is required to resolve the relationship between imprinting and ethanol-induced growth retardation.

<p>Genomic imprinting is a phenomenon through which a subset of genes are epigenetically marked during gemtogenisis. This mark is maintained in the soma to often manifest parent of origin-specific monoalleleic expresson patterns. Genetics evidence suggests that gene expression patterns in mprinted genes, which are frequently organised in clusters, are regulated by the imprinting control regions (ICR). This thesis is mainly focused on the mechanisms through which the ICRs control the imprinting in the cluster, containing the <i>Kcnq1, Igf2</i> and <i>H19</i> genes, located at the distal end of mouse chromosome 7.</p><p>The <i>H19</i> ICR, located in the 5' flank of the <i>H19</i> gene represses paternal <i>H19</i> and maternal <i>Igf2</i> expression, respectively, but has no effect on <i>Kcnq1</i> expression, which is controlled by another ICR located at the intron 10 of the <i>Kcnq1</i> gene. This thesis demonstrates that the maternal <i>H19</i> ICR allele contains several DNase I hypersensitive sites, which map to target sites for the chromatin insulator protein CTCF at the linker regions between the positioned nucleosomes. The thesis demonstrates that the <i>H19</i> ICR acts as a unidirectional insulator and that this property invovles three nucleosome positioning sites facilitating interaction between the <i>H19</i> ICR and CTCF. The <i>Kcnq1</i> ICR function is much more complex, since it horbours both lineage-specific silencing functions and a methylation sensitive unidirectional chromatin insulator function. Importantly, the thesis demonstrates that the <i>Kcnq1</i> ICR spreads DNA methylation into flanking region only when it is itself unmethylated. Both the methylation spreading and silencing functions map to the same regions.</p><p>In conclusion, the thesis has unraveled and unrivalled complexity of the epigenetic control and function of short strtches of sequences. The epigenetic status of these cis elements conspires to control long-range silencing and insulation. The manner these imprinting control regions can cause havoc in expresson domains in human diseases is hence emerging.</p>

Genomic imprinting is an epigenetic phenomenon by which a subset of genes is expressed in a parent of origin specific manner. Most of the imprinted genes are located in clusters. Genetic evidences suggest that genes in imprinted clusters are regulated by Imprinting Control Regions (ICRs). To elucidate the mechanisms by which the imprinting is maintained in clusters, we have chosen a well characterized cluster at the distal end of mouse chromosome 7. This cluster contains 15 imprinted genes and they have been shown to be regulated by H19 and Kcnq1 ICRs. The mouse H19 ICR, which is shown to have a chromatin insulator function, is implicated in the regulation of H19 and Igf2 genes by interacting with the CTCF protein. It has been documented that CTCF is also involved in the maintenance of differential methylation at the ICR. In this investigation we demonstrated that CTCF maintained differential methylation is lost when we subjected the ICR containing episomal plasmids to de novo methylation machinery of the human choriocarcinoma cell line, JEG3, suggesting that the H19 ICR looses its methylation privilege property under neoplastic conditions. The Kcnq1 ICR has been implicated in the regulation of 11 imprinted genes. The Kcnq1 ICR is methylated on the active maternal allele but unmethylated on the inactive paternal allele and overlaps an oppositely oriented and paternally expressed gene known as Kcnq1ot1. In this investigation, we documented that the Kcnq1 ICR controls the imprinting of neighboring genes by behaving as a bidirectional silencer and that this function is regulated by antisense RNA Kcnq1ot1. Furthermore, we have documented that duration of antisense transcription plays a critical role in the antisense RNA- mediated silencing. In conclusion, this thesis provides more insights into the complex mechanistic aspects by which ICRs, control imprinting of genes in clusters during development and neoplasia.

Genomic imprinting is a phenomenon through which a subset of genes are epigenetically marked during gemtogenisis. This mark is maintained in the soma to often manifest parent of origin-specific monoalleleic expresson patterns. Genetics evidence suggests that gene expression patterns in mprinted genes, which are frequently organised in clusters, are regulated by the imprinting control regions (ICR). This thesis is mainly focused on the mechanisms through which the ICRs control the imprinting in the cluster, containing the Kcnq1, Igf2 and H19 genes, located at the distal end of mouse chromosome 7. The H19 ICR, located in the 5' flank of the H19 gene represses paternal H19 and maternal Igf2 expression, respectively, but has no effect on Kcnq1 expression, which is controlled by another ICR located at the intron 10 of the Kcnq1 gene. This thesis demonstrates that the maternal H19 ICR allele contains several DNase I hypersensitive sites, which map to target sites for the chromatin insulator protein CTCF at the linker regions between the positioned nucleosomes. The thesis demonstrates that the H19 ICR acts as a unidirectional insulator and that this property invovles three nucleosome positioning sites facilitating interaction between the H19 ICR and CTCF. The Kcnq1 ICR function is much more complex, since it horbours both lineage-specific silencing functions and a methylation sensitive unidirectional chromatin insulator function. Importantly, the thesis demonstrates that the Kcnq1 ICR spreads DNA methylation into flanking region only when it is itself unmethylated. Both the methylation spreading and silencing functions map to the same regions. In conclusion, the thesis has unraveled and unrivalled complexity of the epigenetic control and function of short strtches of sequences. The epigenetic status of these cis elements conspires to control long-range silencing and insulation. The manner these imprinting control regions can cause havoc in expresson domains in human diseases is hence emerging.