Caput Epigenetics

27 important questions on Caput Epigenetics

Explain which mechanism causes the plasticity of macrophages.

Epigenetics: genes are differentially expressed in different macrophage cell types (dependent on the environment etc).

Which two mechanisms determine epigenetics?
What factors influence epigenetics?

DNA methylation and histone modification (reversible); are influences by the environment (gender, viral infection, hormones, geography, nutrition, chemicals).

Explain the mechanism of the disease rheumatoid arthritis.

In early r.a. neutrophils, b cells and t cells are present in the joint. The synovial membrane is hyperplastic and synoviocytes (jointcells) are hypertrophic.
In established r.a., there are synovial villi, angiogenesis, eroded bone, pannus etc (in short; synovial membrane has changed). This is due to interaction between synoviocytes and leukocytes --> auto-antibodies against synoviocytes.

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Why should epigenetics be investigated in chronic inflammation (aka RA)?

1. genetic polymorphism only explains 50-60% of risk
2. gender bias (epigenetic modifications determine x-chrom inactivation)
3. hyperplastic synoviocytes (FLS) resemble solid tumors (so... behaviour cells is changed).
4. the pathogenic behavior of FLS is imprinted (epigenetic modifications determine imprinting).

Which three ways of epigenetic regulation do you know?

1. Transcriptional regulation by histone modification
2. Transcriptional regulation by DNA metylation
3. Post transcriptional regulation by RNA interference

In which regions can you see DNA methylation?

On CpG dinucleotides (mainly noncoding regions) DNA methylation is performed by DNA methyltransferases (Dnmts: DNMT1 for new DNA, DNMT3A/B for DNA).

How does DNA methylation regulate transcription?

  • Methylation blocks binding of transcription factor on the nearby gene promotor.
  • Methylation attrackts co-repressors

Which role does DNA methylation plays in Rheumatic Arthritis?

Hypomethylation promotes L1 retroviral element expression in synovial tisue. Synoviocytes express pro-inflammatory (retroviral) proteins; immune attack.

DNA methylation fingerprints distinguish RA synoviocytes (FSL) from OA (voorstadium, minder aggressief); shows hypomethylation in RA.

Which mechanisms deregulate DNA methylation in immunde mediated inflammatory disease?

  • Aging: DNA methylation decreased during aging.
  • Deregulation of enzymes regulation DNA methylation: DNMTs are decreased in SLE.
  • Active DNA demethylation: AICDA promotes active demethylase (supress = medication for SLE).
  • miRNA deregulation: miRNAs that promothe hypomethylation by repressing expression of DNMT1, are overexpressed in SLE.

How do (histone modifications of) superenhancers influence Rheumatic A?

Due to polymorphism in superenhancers of immune genes, there is an increase of recruitment of transcription factors. The gene is therefore upregulated.
Histone acetylation has influence on the  function of these superenhancers?
(So is it due to polymorphism or due to histone modification?)

In what ways can gene expression be regulated by miRNA?

miRNA binds target RNA and promotes degradation or blocks transcription.

How is inhibition of gene expression by miRNA regulated?

Inflammation has a big influence on miRNAs. Several genes are inhibited due to miRNA production under influence of inflammatory cytokines, TLR agonists, IFNs and viral infection.

So; when gene is transcribed (nice histones, no methyl), gene product is still inhibited.

What is observed in miRNA expression in immune mediated inflammatory disease?

Expression of miRNAs is deregulated in IMIDs. This impacts the magnitude of the inflammatory respons (in two major ways: 1. by impacting the development of inflammatory cell subsets 2. by establishing the level of immune cell function (e.g., controlling how much cytokine is made by DCs))

Slides: "Inflammation (cytokines) regulates miRNA". This is the other way around?

How do epigenetics influence systemic sclerosis?

Epigenetics play a role in the vascular abnormabilities and immune dysfunction leading to extracellular membrane abnormalities (fibrosis). Also in the lungs; dangerous.

For example, miRNA681 overexpression in systemic sclerosis pDCs contributes to the type I interferon signature. This means that this miRNA overexpression causes overexpression of IFNalfa.

How do histone modifications regulate gene expression?

Modifications can (just as methylation) help to compartmentalize the genome into domains of different transcriptional potentials.

By which three types of proteins is the epigenetic code established, regulated and interpreted?

Tyrosine kinase equivalents: Writers (kinases), erasers (phosphatase)  and readers (proteins with SH2 domain).

What are HDCAs? What is their funtion in regulation of gene expression?

Histone deacetylases; the erasers of histone modifications (acetyl)

Acetylation --> neutralization tails --> relaxing chromatin structure.
+acetyl=binding place bromodomains --> transcription.

Deacetylation -->  chromatin compaction --> transcription repressed.

Why are HDCAs often kalled key signalling enzymes? Why is it important that this is further investigated?

HDCAs can act on non-histone proteins as well and play a role in different signalling pathways. Interest in these enzymes is growing because HDAC inhibitors appear to be promising therapeutic agents against cancer and a variety of other diseases.

Which role does HCAC play in arthritis?

  • HDAC activity is high in RA synovial tissue (so; more deacetylation of different proteins; big influence....)
  • TNFalfa increases HDAC activity/expression in RA.
  • Pan-HDACi (=HDAC inhibitors) suppress cytokine production in vitro, ameliorate joint inflammation and prevents bone destruction in vivo (Givinostat = safe and effective).


Effect of inhibitors on cytokine production was measured "Both the selective and the nonselective HDAC inhibitors (MI192 and TSA, respectively) were found to regulate cytokine production from PBMCs, but their effects were cell type and compound specific"


TNFalfa increases HDAC activity... but HDACinhibitors regulate cytokines? So what is cause and what is consequence here?

What is the role of specific HDAC5 in RA?

IL-1β and TNF suppress the expression of histone deacetylase 5 (HDAC5) in fibroblast-like synoviocytes (FLS) from patients with rheumatoid arthritis (RA), an effect that leads to an increase in the production of inflammatory mediators by FLS (cytokine increase!) by activating type I interferon response genes.

What is the role of specific HDAC3 in RA?

HDAC regulates the FLS activation and the type I interferon response.
Macrophages from Hdac3 -/- mice are unable to activate half of the inflammatory gene expression program because of reduced Stat1 expression levels (but HDAC only inflence phosphorylation and DNA binding of STAT, not the acetylation.....)

What is the function of bromodomain proteins in generegulation?




BRDs selectively recognize and bind to acetylated Lys residues - particularly in histones - and thereby have important roles in the regulation of gene expression.

Acetylation of Lys domains neutralizes the histones; euchromatine; transcriptional activation.

Explain what BET inhibitors are en how they are used in patients with RA

BET inhibitors block bromodomains (and, therefore, block transcriptional activation...). These inhibitors have an antiinflammatory effect in RA patients (just as HCADi's, contoversal... see onenote).

BET family inhibitors supress monocyte activation.  iBET compound protects mice against infection-mediated inflammation.

Figure: Expression of genes regulated by TNF-α and IL-1β in RASF after cytokine stimulation in the presence or absence of the inhibitor. RASF exposure to BET inhibitors: more than 25% downregulation in the message levels of 70.2% and 73.1% of genes induced (more than twofold) by TNF-α and IL-1β, respectively.  So BETi inhibits inflammation in RA.

Why is it important to distinguish different bromodomains?

Compounds discriminating between BET family BD1 and BD2 might offer further specificity and safety.

Explain why ER stress can be used as a model for epigenetic regulation.
What role does ER stress play in RA FLS?

ER stress can, just as inflammatory arthritis, lead to auto-immunity.

  • ER stress enhances TLR4 signalling in the FLS (synoviocytes) and therefore activation of these cells in RA patienst.
  • ER can modulate epigeneti regulatory proteins (in B27+ spA).

What can we use epigenetics for in immune mediated inflammatory disease?

  • Refining omics data
  • Diagnostics and prognostics
  • Understanding pathobiology
  • Therapeutic strategies.

Joint specific regulation of synoviocytes in RA.

Our data suggest that the epigenetic configuration at gene promoters regulates cell-specific LPS-induced responses and primes SF to sustain their inflammatory response in chronic arthritis.

Our data highlight the importance of the chromatin structure in regulating inflammatory processes in macrophages and different types of fibroblasts. This primes SF for an enhanced inflammatory and destructive response during repeated activation of TLR4. Future studies will show whether drugs targeting epigenetic enzymes are able to manipulate the sustained response of SF to TLR activation.

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