1 3446 106 HYPERMETHYLATION OF MIR21 IN CD4+ T CELLS FROM PATIENTS WITH RELAPSING-REMITTING MULTIPLE SCLEROSIS ASSOCIATES WITH LOWER MIRNA-21 LEVELS AND CONCOMITANT UP-REGULATION OF ITS TARGET GENES. BACKGROUND: MULTIPLE SCLEROSIS (MS) IS A CHRONIC INFLAMMATORY DISEASE OF THE CENTRAL NERVOUS SYSTEM CAUSED BY GENETIC AND ENVIRONMENTAL FACTORS. DNA METHYLATION, AN EPIGENETIC MECHANISM THAT CONTROLS GENOME ACTIVITY, MAY PROVIDE A LINK BETWEEN GENETIC AND ENVIRONMENTAL RISK FACTORS. OBJECTIVE: WE SOUGHT TO IDENTIFY DNA METHYLATION CHANGES IN CD4+ T CELLS IN PATIENTS WITH RELAPSING-REMITTING (RR-MS) AND SECONDARY-PROGRESSIVE (SP-MS) DISEASE AND HEALTHY CONTROLS (HC). METHODS: WE PERFORMED DNA METHYLATION ANALYSIS IN CD4+ T CELLS FROM RR-MS, SP-MS, AND HC AND ASSOCIATED IDENTIFIED CHANGES WITH THE NEARBY RISK ALLELE, SMOKING, AGE, AND GENE EXPRESSION. RESULTS: WE OBSERVED SIGNIFICANT METHYLATION DIFFERENCES IN THE VMP1/MIR21 LOCUS, WITH RR-MS DISPLAYING HIGHER METHYLATION COMPARED TO SP-MS AND HC. VMP1/MIR21 METHYLATION DID NOT CORRELATE WITH A KNOWN MS RISK VARIANT IN VMP1 OR SMOKING BUT DISPLAYED A SIGNIFICANT NEGATIVE CORRELATION WITH AGE AND THE LEVELS OF MATURE MIR-21 IN CD4+ T CELLS. ACCORDINGLY, RR-MS DISPLAYED LOWER LEVELS OF MIR-21 COMPARED TO SP-MS, WHICH MIGHT REFLECT DIFFERENCES IN AGE BETWEEN THE GROUPS, AND HEALTHY INDIVIDUALS AND A SIGNIFICANT ENRICHMENT OF UP-REGULATED MIR-21 TARGET GENES. CONCLUSION: DISEASE-RELATED CHANGES IN EPIGENETIC MARKING OF MIR21 IN RR-MS LEAD TO DIFFERENCES IN MIR-21 EXPRESSION WITH A CONSEQUENCE ON MIR-21 TARGET GENES. 2018 2 810 47 CHANGES IN DNA METHYLATION IN APOE AND ACKR3 GENES IN MULTIPLE SCLEROSIS PATIENTS AND THE RELATIONSHIP WITH THEIR HEAVY METAL BLOOD LEVELS. MULTIPLE SCLEROSIS (MS) IS A CHRONIC INFLAMMATORY DISEASE WITH DEMYELINATED LESIONS IN THE CENTRAL NERVOUS SYSTEM CAUSED BY GENETIC AND ENVIRONMENTAL FACTORS. DNA METHYLATION AS AN EPIGENETIC CHANGE INFLUENCED BY ENVIRONMENTAL FACTORS, INCLUDING HEAVY METALS HAS BEEN IMPLEMENTED IN MS DISEASE. WE INVESTIGATED THE CORRELATION OF DNA METHYLATION CHANGES IN APOE AND ACKR3 GENES IN MS PATIENTS AND THE POSSIBLE ASSOCIATION WITH BLOOD CONCENTRATION OF ARSENIC (AS), CADMIUM (CD) AND LEAD (PB) AS MAJOR HEAVY METAL POLLUTANTS. THIS STUDY INCLUDED 69 RELAPSING-REMITTING MULTIPLE SCLEROSIS (RR-MS) PATIENTS AND 69 AGE/GENDER-MATCHED HEALTHY SUBJECTS. THE HRM REAL-TIME PCR METHOD WAS USED TO INVESTIGATE THE CHANGES IN DNA METHYLATION AND HEAVY METAL CONCENTRATIONS WERE MEASURED BY ELECTROTHERMAL ATOMIC ABSORPTION SPECTROMETRY. OUR RESULTS SHOWED THAT THE METHYLATION PATTERN IN THE ACKR3 GENE OF THE PATIENT GROUP WAS MORE HYPOMETHYLATED, WHILE IN THE CASE OF THE APOE GENE, THIS PATTERN WAS MORE TOWARDS HYPERMETHYLATION COMPARED TO HEALTHY SUBJECTS. MOREOVER, THE BLOOD LEVELS OF AS AND CD METALS, BUT NOT PB, WERE SIGNIFICANTLY HIGHER IN THE PATIENT GROUP COMPARE TO THE CONTROL GROUP (P