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Promoter methylation status of p15 and p21 genes in HPP-CFCs of bone marrow of patients with psoriasis


European Journal of Dermatology. Volume 19, Number 2, 141-6, March-April 2009, Investigative report

DOI : 10.1684/ejd.2008.0618

Summary  

Author(s) : Kaiming Zhang, Ruili Zhang, Xinhua Li, Guohua Yin, Xuping Niu , Institute of Dermatology, Taiyuan City Centre Hospital, Affiliated to Shanxi Medical University, No.1 Dong San Dao Taiyuan City, Shanxi Province 030009, P.R. China.

Summary : Psoriasis is an inflammatory disease related to dysfunctional immunity. The dysfunctional immunity may influence the haematopoietic microenvironment or haematopoiesis in psoriasis. However, direct evidence is lacking. Our objective was to investigate the proliferation of hematopoietic cells from psoriatic patients and any link between the promoter methylation status of p15 and p21 genes and the colony formation ability of high proliferative potential colony-forming cells (HPP-CFCs). Marrow mononuclear cells were isolated from the bone marrow of psoriatic patients and normal controls by density gradient centrifugalization. Colony forming assays of HPP-CFCs were performed in vitro in methylcellulose semi-solid culture medium. mRNA expression and the promoter methylation status of p15 and p21 genes in HPP-CFCs were studied by semi-quantitative RT-PCR and methylation-specific PCR respectively. In methycellulose semi-solid culture system, the colony count of HPP-CFCs in bone marrow of psoriatic patients was significantly less than that of normal controls. Moreover, significantly lower positive frequencies of promoter methylation and higher transcription levels for p15 and p21 genes were observed in psoriasis in comparison to normal volunteers. The lower promoter methylation of p15 and p21 genes may be an important mechanism for the dysfunctional growth regulation pathways in HPP-CFCs in psoriasis.

Keywords : HPP-CFCs, high proliferative potential colony-forming cells, BMHCs, bone marrow haematopoietic cells, BMMNCs, bone marrow mononuclear cells, MS-PCR, methylation-specific polymerase chain reaction

Pictures

ARTICLE

Auteur(s) : Kaiming Zhang, Ruili Zhang, Xinhua Li, Guohua Yin, Xuping Niu

Institute of Dermatology, Taiyuan City Centre Hospital, Affiliated to Shanxi Medical University, No.1 Dong San Dao Taiyuan City, Shanxi Province 030009, P.R. China

accepté le 19 Novembre 2008

Psoriasis is a common and enigmatic inflammatory skin disorder that affects approximately 2% of the world’s population. Compelling circumstantial and experimental evidence suggests a primary immunopathogenesis based on T-cell dysregulation [1-3]. Pathogenic T lymphocytes, along with the relative dominance of type 1 helper T (Th1) cytokines, e.g. interferon- and interleukin-2 and reduced levels of anti-inflammatory cytokines, e.g. interleukin-4 and interleukin-10, play a critical role in the formation of psoriatic lesions, by triggering the chain reactions of cellular and molecular networks [4-8]. In addition, psoriasis shows a wide variety of immune abnormalities, not only concerned with T cells, but also with various other immunocytes, such as B cells, monocytes, neutrophils, as well as erythrocytes [9-11]. The cytokines secreted by these cells add to a milieu with mediator imbalance. Bone marrow, with its rapidly renewing cell populations, is one of the most sensitive tissues to various stimulation of exogenous or endogenous factors [12]. It is tempting to speculate that the dysfunctional immunity may influence the hematopoietic microenvironment, or hematopoiesis, in psoriasis. In fact, retroactively, abnormal monocytopoietic activity has been demonstrated in psoriasis functional bone marrow scintigraphy [13, 14]. The high proliferative potential colony-forming cell (HPP-CFCs) assay was a preferable model for investigating the content of hematopoietic stem cells (HSCs), their responsiveness to hematopoiesis growth factors and to activities of proliferation and differentiation [15, 16]. In vitro assessment using HPP-CFCs colony-forming assays as a surrogate marker of hematopoietic activity could play a key role in linking hematopoiesis to psoriasis [17].

In human cells, cell cycle progression is tightly regulated by a series of phosphorylation events, which involves Cdks and Dbf4/ASK-dependent Cdc7 kinase [18-21]. At G1 to S phase transition, Cdk4/6-cyclin D and Cdk2-cyclin E phosphorylate Rb and liberate E2F [22-25], which can promote transcription of various cell cycle regulators. The P15 and P21 proteins all belong to the INK4 kinase family of cyclin-dependent kinase inhibitors, and they negatively regulate the cell cycle through competitive inhibition of the cyclin-dependent kinases 2, 4 and 6, involved in Rb-dependent cell cycle regulation. The major inactivity mechanism of p15 and p21 genes is methylation of the 5′ promoter region of the gene, which leads to transcription silencing [26-29]. So the promoter methylation status of p15 and p21 genes is suggested to be responsible for regulating proliferation activity of Bone marrow haematopoietic cells (BMHCs). However, to our knowledge, no direct experimental evidence has been provided on this line of thought.

In this study, we determined promoter methylation status and mRNA expression of p15 and p21 genes in HPP-CFCs of psoriatic patients, to reveal the potential mechanisms of abnormal activity of BMHCs in psoriasis.

Materials and methods

Patients

Twenty-four patients (14 males, 10 females, ages 15-68y, median 35.2y) with chronic plaque type psoriasis affecting at least 10% of their total body surface area and 24 healthy volunteers (11 males, 13 females, ages 19-65y, median 32.2y) without significant renal, hepatic, or other medical disease, were enrolled in the study. A medication–free period of at least 1 month for systemic agents for treating psoriasis was required in both groups before the procedures. The protocols involving human subjects were approved by the Medical Ethics Committee of Taiyuan City Centre Hospital. After written informed consents were obtained, 5 mL bone marrow was obtained by osteostixis at the posterior superior iliac spine and anticoagulated using 20 U/mL heparin as anticoagulant.

CD34+ cell frequency assay

Bone marrow mononuclear cells (BMMNCs) were separated from anticoagulated bone marrow derived from the psoriatic patients and normal volunteers by density gradient centrifugation on Ficoll (Ficoll,1.077,Sigma) within 12 hours of collection, and the remaining erythrocytes were lysed using 0.15 mol·L-1 Tris-ammonium chloride. Approximately 1 × 106 cells for each experiment were incubated for 30min at 4 °C in the culture medium, with anti-CD34-FITC (BD Biosciences). After washing the cells with PBS/1% BSA (Sigma-Aldrich), they were analyzed by flow cytometry.

HPP-CFCs colony formation assays

BMMNCs were incubated in IMDM supplemented with 20% fetal bovine serum (FBS, Sigma) and seeded into 24-well flat-bottomed micro-titer plates (GIBCO) at a density of 2 × 105mL-1 in a total volume of 0.5 mL IMDM culture medium supplemented with 0.9% methylcellulose (Aldrich Chemical; Milwaukee, WI), 30% FBS, 1% deionized bovine serum albumin (BSA, Sigma), 5 × 10-5M 2-mercaptoethanol (2-ME, Sigma), pre-tested 10% hydrocortisone hemisuccinate (10-6M final concentration, Sigma), as well as hematopoietic growth factors, containing 50 ng·mL-1 rhSCF, 50 ng·mL-1 rhGM-CSF, 100 U·mL-1 rhIL-3, 100 U·mL-1 rhIL-6, R&D Systems,and 2 U·mL-1 rhEpo (R&D Systems) for 2 weeks.The colonies larger than 0.5 mm in size were scored by using an inverted microscope as HPP-CFC colonies and chosen for harvesting.

Proliferation Assays of HPP-CFCs

In some experiments, HPP-CFCs were collected and incubated at the density of 2 × 105/mL for 48 hours in round-bottom, 96-well plates. The culture supernatants were removed and then 20 μL 5 mg/mL MTT solution and 180 μL serum-free medium were added to the wells. After a 4 hour incubation, the supernatant was removed gently, 200 μL DMSO per well was added, and the plates were put on vibration for 10 minutes. The optical density per well was determined by Multiscan MS (Labsystems, Finland) as the proliferation values of respective HPP-CFCs.

Semi-quantitative RT-PCR for p15 and p21 mRNA expression

For semi-quantitative analysis, total RNA was extracted from HPP-CFCs of healthy volunteers or psoriatic patients using a Trizol kit (Life Technologies. Corp, USA), First-strand cDNA was generated at 42°C from 3 μg of total RNA with random primers and reverse transcriptase (MMLV RNase H reverse transcriptase; BBI Corp., Gaithersburg, MD, USA) in accordance with the manufacturer’s protocol. With a housekeeping gene, human β-actin, as internal control, mRNA expression of p15 or p21 gene was amplified in a 25 μL total reaction volume containing 5 μL cDNA, 2.5 μL 10× PCR buffer, 1.5 mmol/L MgCl2, 1 μL of 10 mol/L dNTPs, 1 μL p15 or p21 primers, 1 μL β-actin primers, and 2.5 U Taq polymerase (AmpliTaq Gold). The primers are listed in table 1. The thermocycler parameters were 95 °C for 10 min, followed by 40 cycles of 95 °C for 15 s, 60°C for 1 min and 72 °C for 30s. Finally, a 10 μL sample of the PCR product was loaded onto a 2% agarose gel, stained with ethidium bromide, and visualized under ultraviolet light. Gel ultraviolet images were grabbed and the optical density of each target band was analyzed by gel documentation analysis system (GDS8000; UVP Inc. California, USA). The relative quantity of p15 or p21 was calibrated by comparing the expression of each target to β-actin.
Table 1 PCR primers used for MSP or RT-PCR

Primers

Sense primer 5′→3′

Antisense primer 5′→3′

Size (bp)

p15-RT

GGAATGGGCGAGGAGAACAAGGGCATG

ATAAGCTTGGCGTCAGTCCCCCGTGGCT

428

p21-RT

GTGGACCTGTCACTGTCTTGTAC

CTTCCTCTTGGAGAAGATCAGC

163

β-actin

CTACAATGAGCTGCGTGTGGC

CAGGTCCAGACGCAGGATGGC

270

p15-M

GATCGGTCGTTCGGTTATTG

CTTATTCTCGCGCATTC

207

p15-U

GTTGTTTGGTTATTGTATGGG

CCCTTATTCTCCTC CAC AT

204

p21-M

TACGCGAGGTTTCGGGATCG

AAAACGACCCGCGCTCG

133

p21-U

TATGTGAGGTTTTGGGATTGG

AAAAACAACCCACACTCAACC

133

Methylation-Specific Polymerase Chain Reaction (MS-PCR)

DNA of HPP-CFCs from psoriatic patients and normal controls was extracted using the Genomic DNA Purification Kit (Promega Corp.) using standard protocols. 2 μg genomic DNA was denatured by treatment with NaOH and modified by sodium bisulfite to convert all unmethylated cytosines to uracils while leaving methylated cytosines unaffected. The samples were then purified using Wizard DNA purification resin (Promega, Madison, WI), treated with NaOH, recovered in ethanol and re-suspended in 30 μL of distilled water.

MS-PCR for p15 and p21 promoter methylation was performed as described previously [30, 31]. Each sample was amplified with two sets of primers for methylated DNA (methylated MS-PCR) and unmethylated DNA (unmethylated MS-PCR) respectively. The primers used for the methylated and unmethylated p15 and p21 gene promoter regions were as reported previously (table 1). The methylated DNA isolated from peripheral blood, modified by sodium bisulfite and dealt with Sss-I methylase was used as positive control. The PCR mixture contained 100 ng of bisulfite-treated DNA, 0.2 mmol/L of deoxynucleoside triphosphate, 1.5 mmol/L of MgCl2, 50 pmol of each primer, 1 × PCR Buffer, and 2.5 units of AmpliTaq Gold in a final volume of 25 μL. PCR was performed in PTC-100 Programmable Thermal Controller (MJResearch Inc., Waltham, Massachusetts, USA). The PCR products were analyzed by agarose gel electrophoresis and ethidium bromide staining. For each amplification, a positive control was included. PCR conditions for the four sets of reactions were as follows: 95 °C for 10 minutes; then 40 cycles at 95 °C for 1 minute, 61 °C for 1 minute, and 72 °C for 1 minute; and a final extension of 10 minutes at 72 °C. Finally, 10 μL of PCR products were loaded onto 2% agarose gels, stained with ethidium bromide, and visualized under ultraviolet light.

Statistical analysis

The results of HPP-CFCs assays are reported as mean ± standard deviation in all assays and statistical analysis was performed using two-sample/group t-test. mRNA expression of the p15 and p21 genes was analyzed by the Mann-Whitney Test. The Chi-square test was used to compare the difference of the p15 and p21 gene promoter methylation status, between psoriatic patients and normal controls.

Results

CD34+ cells are present with the same frequency in BMMNC of healthy donors and patients with psoriasis

We stained whole mononuclear cells from freshly drawn bone marrow with anti-CD34-FITC. We analyzed the frequency of CD34+ cells in both patients with psoriasis and control subjects. The mean frequency was 3.4% ± 0.3 in the healthy control group and 3.2% ± 0.2 in the psoriasis patient group; no statistically significant differences were found between the two populations by the two sample t test (t = 0.38, P > 0.5).

HPP-CFC colony count of psoriatic patients

As shown, the methylcellulose semi-solid culture medium supplement with various cytokines supported the in vitro proliferation or expansion of more primitive progenitors, which gave rise to HPP-CFC colonies (figure 1). A comparison of HPP-CFC colony formation of BMHC from psoriatic patients and normal controls was carried out. The results indicated a significantly lower colony formation capacity of hematopoietic cells in psoriasis (9.17 ± 1.46) in comparison to normal controls (13.75 ± 1.81) (figure 2A). Then, HPP-CFCs from psoriatic patients or normal volunteers were examined for their proliferation activity, using the MTT colorimetric assay. The proliferation values of psoriatic patients (0.95 ± 0.12) were significantly lower (p < 0.05) than those of normal controls (1.26 ± 0.09). HPP-CFCs from psoriatic patients exhibited decreased proliferation activity (figure 2B).

mRNA expression of p15 and p21 genes in HPP-CFCs

Levels of the p15 and p21 transcripts were determined in HPP-CFC samples by semi-quantitative RT-PCR analysis. A 428-bp fragment of the p15 transcript and a 163-bp fragment of the p21 transcript were generated, respectively, with a 270-bp fragment of the β-actin transcript co-amplified as the internal standard (figure 3). We compared p15 or p21 mRNA expression in HPP-CFCs between normal volunteers and psoriatic patients. The results shown in table 2 demonstrate that mRNA expression of p15 and p21 genes in HPP-CFCs of psoriatic patients was significantly higher (P = 0.026 for p15; P = 0.04 for p21) than that found in normal controls.
Table 2 The relative quantity of p15 or p21 gene mRNA in HPP-CFCs of normal volunteers (N) and psoriatic patients (P)

Sample

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

P

p15

N

1.02

0.53

0.00

0.00

0.86

1.56

0.00

1.20

0.00

1.90

0.90

0.00

0.00

0.00

2.14

0.86

0.91

0.00

0.00

1.31

1.51

1.02

0.00

0.00

0.026

P

0.00

1.23

1.64

2.30

1.65

1.98

1.06

1.35

0.00

1.56

1.36

2.16

2.34

1.65

1.23

0.00

0.00

0.00

1.25

0.98

0.65

0.00

0.00

1.67

p21

N

2.13

0.00

1.69

0.00

0.00

0.96

0.65

0.00

1.22

1.56

1.35

0.00

0.69

0.00

0.00

0.00

1.29

0.98

0.00

1.68

1.24

0.00

0.00

0.00

0.040

P

2.69

1.56

1.98

2.13

1.22

1.64

0.00

0.00

2.37

2.35

1.69

0.39

1.56

1.25

0.00

0.00

0.00

0.00

2.20

0.66

2.13

1.13

1.88

1.69

Methylation status of the p15 and p21 genes

We examined the methylation status of the p15 gene and p21 gene promoters in HPP-CFCs, using the MS-PCR technique. Methylated or unmethylated MS-PCR for p15 yielded PCR products with 207 bp and 204 bp respectively (figure 4A). For the p21 gene, both methylated and unmethylated MS-PCR products were 133 bp (figure 4B). Of 24 normal controls, 13 (54.2%) tested positive for p15 methylation, and 9 (37.5%) for p21 methylation. While, of 24 patients evaluated at diagnosis, 5 (20.8%) tested positive for p15 methylation, 3 (12.5%) for p21 methylation. This result demonstrated that HPP-CFCs of psoriasic patients had lower p15 and p21 gene methylation, compared with normal controls (χ2 = 5.68, P < 0.05; χ2 = 4.00, P < 0.05).

Discussion

In this study, using an in vitro system, we detected the colony formation activity of psoriatic BMHC by HPP-CFC colony assay. BMHC of psoriatic patients showed decreased proliferation capacity. Furthermore, significantly lower positive frequencies of methylation of p15 and p21 gene promoters were observed in HPP-CFCs of psoriatic patients, with higher levels of p15 and p21 gene mRNA expression.

Psoriasis is a chronic and relapsing inflammatory disease of the skin associated with various immune abnormalities. Pathogenic T lymphocytes play a critical role by triggering the chain reaction of the cellular and molecular networks in the formation of psoriatic lesions. However, a multitude of recent research results have revealed that many elements apart from T cells are involved in the immunopathology of psoriasis, including almost all other blood cells [4-8]. Once these pathogenic immunocytes become activated, they will release soluble factors, such as gamma-interferon (IFN-γ), interleukin-2 (IL-2), IL-8 and tumor necrosis factor-alpha (TNF-α), to influence the hematopoietic microenvironment, and even the hematopoietic activity [32, 33].

HPP-CFCs represent an important cell type in hematopoiesis and provide a model system, particularly in humans, for studying the properties of primitive progenitor cells in vitro. HPP-CFCs have been defined by their ability to form large colonies in vitro in bone marrow cell cultures [34]. The HPP-CFCs have been characterized by their multi-potential ability to generate macrophage, granulocyte, megakaryocyte and erythroid lineages [35, 36] and to re-populate the bone marrow of lethally irradiated mice [37, 38]. Although HPP-CFCs do not fully comprise the stem cell compartment, because their frequency in the bone marrow is not predictive of HSC frequency, the HPP-CFCs assay was a preferable model for investigating the content of HSCs, and their responsiveness to hematopoiesis growth factors. In this paper, we found that the colony counts of HPP-CFCs from psoriatic patients’ bone marrow, with decreased proliferation activity, was significantly lower than that of the normal controls. It implies that the in vitro activity of psoriatic patients’ HSCs may be abnormal.

In human cells, cell cycle progression is tightly regulated by a series of phosphorylation events, which involves Cdks and Dbf4/ASK-dependent Cdc7 kinase [18-21]. At G1 to S phase transition, Cdk4/6-cyclin D and Cdk2-cyclin E phosphorylate Rb and liberate E2F [22-25]. The resulting activation of E2F promotes the transcription of various cell cycle regulators, including cyclin E1 [39-41], cyclin A2 [42], Cdc2 [43], and Cdc6 [44, 45], an activation subunit of mammalian Cdc7 kinase. The P15 and P21 proteins all belong to the INK4 kinase family of cyclin-dependent kinase inhibitors, and they negatively regulate the cell cycle through competitive inhibition of the cyclin-dependent kinases 2, 4 and 6 involved in Rb-dependent cell cycle regulation.

To explore the molecular mechanisms of the in vitro abnormal activity of psoriatic patients’ HSC, we detected the mRNA expression of p15 and p21 genes by semi-quantitative RT-PCR. Significantly higher mRNA expressions of p15 and p21 genes were observed in the HPP-CFCs of psoriatic patients. It is suggested that higher transcriptional levels of p15 and p21 genes are responsible for the abnormal HPP-CFC colony formation of psoriatic hematopoietic cells.

The major inactivity mechanism of the p15 and p21 genes is methylation of the 5′ promoter region of the gene, especially 5′-CpG methylation, which leads to transcription silencing [46, 47]. DNA methylation may directly interfere with the basal transcriptional machinery by altering the DNA secondary structure, especially the major groove conformation. DNA methylation can also induce chromosome remodeling through histone deacetylation, resulting in transcriptional repression. Aberrant DNA methylation has been found in p15 and p21 genes, leading to their down-regulation in tumors [48]. Since then a clear link between CpG island promoter methylation and gene silencing has been established through in vitro methylation and transfection studies [49-54]. We detected the methylation status of cytosines in the CpG islands present in these promoter regions of p15 and p21 genes in HPP-CFCs, where the promoter sequences examined are associated with GC-rich regions and often overlap with the E2F and SP-1 sites. It demonstrated the significantly lower promoter methylation frequencies of p15 and p21 in HPP-CFCs from BMHCs of psoriatic patients, in comparison to normal controls. We guess that the low methylation of p15 and p21 genes probably has an important role in the lower proliferation and colony formation of HPP-CFCs, by up-regulating transcriptional activation of p15 and p21 genes. Moreover, 5 patients had both p15 and p16 gene methylations in the HPP-CFCs of patients with psoriasis. Because the p15 and p16 genes are located in the same locus at 9p21, it suggests that 9p21 is an important loci involved in the pathogenesis of psoriasis.

To our knowledge this is the first report that shows the dysfunctional HPP-CFC colony formation ability and the promoter methylation status of p15 and p21 genes of BMHCs in psoriasis. This might reflect that the proliferate activity of psoriatic HSCs from bone marrow cells is abnormal and suggest that haematopoietic cells are involved in pathogenesis of psoriasis. With further studying of HSCs, and from psoriatic bone marrow haematopoietic cells, we suppose that psoriasis may be a disease characterized by changes of skin and blood, as well as cutaneous extra-medullary hematopoiesis.

Acknowledgments

The authors gratefully acknowledge the support of National Natural Science Foundation of China and Natural Science Foundation of Shanxi Province. Conflict of Interest Statement: None declared.

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