DNA methylation patterns are frequently dysregulated in cancer, although little is known of the mechanisms through which specific gene sets become aberrantly methylated. The ecotropic viral integration site 1 (EVI1) locus encodes a DNA binding zinc-finger transcription factor that is aberrantly expressed in a subset of acute myeloid leukemia (AML) patients with poor outcome. We find that the promoter DNA methylation signature of EVI1 AML blast cells differs from those of normal CD34 ؉ bone marrow cells and other AMLs. This signature contained 294 differentially methylated genes, of which 238 (81%) were coordinately hypermethylated. An unbiased motif analysis revealed an overrepresentation of EVI1 binding sites among these aberrantly hypermethylated loci. EVI1 was capable of binding to these promoters in 2 different EVI1-expressing cell lines, whereas no binding was observed in an EVI1-negative cell line. Furthermore, EVI1 was observed to interact with DNA methyl transferases 3A and 3B. Among the EVI1 AML cases, 2 subgroups were recognized, of which 1 contained AMLs with many more methylated genes, which was associated with significantly higher levels of EVI1 than in the cases of the other subgroup. Our data point to a role for EVI1 in directing aberrant promoter DNA methylation patterning in EVI1 AMLs. (Blood. 2011;117(1):234-241)
IntroductionPatterning of DNA methylation plays a critical role in epigenetic gene regulation during normal development. 1 Aberrant cytosine methylation of gene promoters occurs frequently in many forms of cancer, including acute myeloid leukemias (AMLs). 2 Several tumor suppressor genes (eg, CDKN2B and CEBPA) are found to be abnormally methylated and silenced in AML patients. 3,4 Moreover, aberrant distribution of promoter DNA methylation occurring in specific and distinct patterns has been shown to be a universal feature occurring in all AML patients. 5 However, the mechanisms that mediate these aberrant methyl cytosine patterns have not been defined.Abnormal expression of the EVI1 (ecotropic viral integration site 1) gene, as the result of inv(3)(q21q26.2)/t(3,3)(q21;q26.2) or through other unknown mechanisms, is associated with unfavorable AML outcome. 6,7 EVI1 encodes a C2H2 zinc finger transcription factor, binding DNA in a sequence-specific manner and functions as a repressor. 8-10 Retroviral insertion mutagenesis studies suggest that EVI1 deregulation plays a role in leukemogenesis. 11 The mechanism through which EVI1 mediates these effects is unknown.Given the function of EVI1 as a transcriptional repressor, we wondered whether EVI1 might be associated with aberrant epigenetic programming in AML patients. To test this hypothesis, we conducted a large-scale DNA methylation profiling study in human EVI1 AMLs. A specific promoter DNA methylation signature was uncovered in EVI1 AMLs, and evidence was provided that EVI1 contributes to aberrant promoter DNA methylation patterning in those leukemias.
Methods
Patient samplesDiagnostic material from 26 AML patients overexpressing EVI1 ...