1  1214 163 CPG METHYLATION LEVELS IN HPA AXIS GENES PREDICT CHRONIC PAIN OUTCOMES FOLLOWING TRAUMA EXPOSURE. CHRONIC POST-TRAUMATIC MUSCULOSKELETAL PAIN (CPTP) IS A COMMON OUTCOME OF TRAUMATIC STRESS EXPOSURE. BIOLOGICAL FACTORS THAT INFLUENCE THE DEVELOPMENT OF CPTP ARE POORLY UNDERSTOOD, THOUGH CURRENT EVIDENCE INDICATES THAT THE HYPOTHALAMIC-PITUITARY-ADRENAL (HPA) AXIS PLAYS A CRITICAL ROLE IN ITS DEVELOPMENT. LITTLE IS KNOWN ABOUT MOLECULAR MECHANISMS UNDERLYING THIS ASSOCIATION, INCLUDING EPIGENETIC MECHANISMS. HERE, WE ASSESSED WHETHER PERITRAUMATIC DNA METHYLATION LEVELS AT 248 5'-C-PHOSPHATE-G-3' (CPG) SITES IN HPA AXIS GENES (FKBP5, NR3C1, CRH, CRHR1, CRHR2, CRHBP, POMC) PREDICT CPTP AND WHETHER IDENTIFIED CPTP-ASSOCIATED METHYLATION LEVELS INFLUENCE EXPRESSION OF THOSE GENES. USING PARTICIPANT SAMPLES AND DATA COLLECTED FROM TRAUMA SURVIVORS ENROLLED INTO LONGITUDINAL COHORT STUDIES (N = 290), WE USED LINEAR MIXED MODELING TO ASSESS THE RELATIONSHIP BETWEEN PERITRAUMATIC BLOOD-BASED CPG METHYLATION LEVELS AND CPTP. A TOTAL OF 66 (27%) OF THE 248 CPG SITES ASSESSED IN THESE MODELS STATISTICALLY SIGNIFICANTLY PREDICTED CPTP, WITH THE THREE MOST SIGNIFICANTLY ASSOCIATED CPG SITES ORIGINATING FROM THE POMC GENE REGION (IE, CG22900229 [BETA = .124, P < .001], CG16302441 [BETA = .443, P < .001], CG01926269 [BETA = .130, P < .001]). AMONG THE GENES ANALYZED, BOTH POMC (Z = 2.36, P = .018) AND CRHBP (Z = 4.89, P < .001) WERE ENRICHED IN CPG SITES SIGNIFICANTLY ASSOCIATED WITH CPTP. FURTHER, POMC EXPRESSION WAS INVERSELY CORRELATED WITH METHYLATION LEVELS IN A CPTP-DEPENDENT MANNER (6-MONTHS NRS<4: R = -.59, P < .001; 6-MONTHS NRS >/= 4: R = -.18, P = .2312). OUR RESULTS SUGGEST THAT METHYLATION OF HPA AXIS GENES INCLUDING POMC AND CRHBP PREDICT RISK FOR AND MAY CONTRIBUTE TO VULNERABILITY TO CPTP. PERSPECTIVE: PERITRAUMATIC BLOOD LEVELS OF CPG METHYLATION SITES IN HPA AXIS GENES, PARTICULARLY CPG SITES IN THE POMC GENE, PREDICT CPTP DEVELOPMENT. THIS DATA SUBSTANTIALLY ADVANCES OUR UNDERSTANDING OF EPIGENETIC PREDICTORS AND POTENTIAL MEDIATORS OF CPTP, A HIGHLY COMMON, MORBID, AND HARD-TO-TREAT FORM OF CHRONIC PAIN.	2023	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
2  5642  18 SETMELANOTIDE: FIRST APPROVAL. SETMELANOTIDE (IMCIVREE, RHYTHM PHARMACEUTICALS) IS A MELANOCORTIN-4 (MC4) RECEPTOR AGONIST DEVELOPED FOR THE TREATMENT OF OBESITY ARISING FROM PROOPIOMELANOCORTIN (POMC), PROPROTEIN CONVERTASE SUBTILISIN/KEXIN TYPE 1 (PCSK1), OR LEPTIN RECEPTOR (LEPR) DEFICIENCY. THE DRUG HAS RECEIVED ITS FIRST APPROVAL IN THE USA FOR CHRONIC WEIGHT MANAGEMENT IN PATIENTS 6 YEARS AND OLDER WITH OBESITY CAUSED BY POMC, PCSK1 AND LEPR DEFICIENCY AND HAS BEEN GRANTED PRIORITY MEDICINES (PRIME) DESIGNATION BY THE EUROPEAN MEDICINES AGENCY FOR THE TREATMENT OF OBESITY AND THE CONTROL OF HUNGER ASSOCIATED WITH DEFICIENCY DISORDERS OF THE MC4 RECEPTOR PATHWAY. SETMELANOTIDE IS ALSO BEING DEVELOPED IN OTHER RARE GENETIC DISORDERS ASSOCIATED WITH OBESITY INCLUDING BARDET-BIEDL SYNDROME, ALSTROM SYNDROME, POMC AND OTHER MC4R PATHWAY HETEROZYGOUS DEFICIENCY OBESITIES, AND POMC EPIGENETIC DISORDERS. THIS ARTICLE SUMMARIZES THE MILESTONES IN THE DEVELOPMENT OF SETMELANOTIDE LEADING TO THIS FIRST APPROVAL FOR OBESITY CAUSED BY POMC, PCSK1 AND LEPR DEFICIENCY.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
3  6545  29 TRANSCRIPTOMIC AND EPIGENETIC CHANGES IN THE HYPOTHALAMUS ARE INVOLVED IN AN INCREASED SUSCEPTIBILITY TO A HIGH-FAT-SUCROSE DIET IN PRENATALLY STRESSED FEMALE RATS. DISTURBANCES IN THE PRENATAL PERIOD ARE LINKED TO METABOLIC DISORDERS IN ADULTHOOD, IMPLYING THE HYPOTHALAMIC SYSTEMS OF APPETITE AND ENERGY BALANCE REGULATION. IN ORDER TO ANALYZE THE CENTRAL EFFECTS OF A HIGH-FAT-SUCROSE (HFS) DIET IN PRENATALLY STRESSED (PNS) FEMALE ADULT RATS, WISTAR DAMS WERE EXPOSED TO CHRONIC-MILD-STRESS DURING THE THIRD WEEK OF GESTATION AND WERE THEN COMPARED WITH UNSTRESSED CONTROLS. ADULT FEMALE OFFSPRING WERE FED A CHOW OR HFS DIET FOR 10 WEEKS. CHANGES IN BODY WEIGHT, ADIPOSITY AS WELL AS EXPRESSION AND METHYLATION LEVELS OF SELECTED HYPOTHALAMIC GENES WERE ANALYZED. PNS INDUCED LOWER BIRTHWEIGHT AND BODY LENGTH WITH NO CHANGES IN BODY FAT MASS. AFTER THE HFS DIET, THE EXPECTED OVERWEIGHT MODEL WAS OBSERVED ACCOMPANIED BY HIGHER ADIPOSITY AND INSULIN RESISTANCE, WHICH WAS WORSENED BY PNS. THE STRESS MODEL INDUCED HIGHER ENERGY INTAKE IN ADULTHOOD. HYPOTHALAMIC GENE EXPRESSION ANALYSIS REVEALED THAT THE HFS DIET DECREASED SLC6A3 (DOPAMINE ACTIVE TRANSPORTER), NPY (NEUROPEPTIDE Y) AND IR (INSULIN RECEPTOR) AND INCREASED POMC (PRO-OPIOMELANOCORTIN). HYPOTHALAMIC DNA METHYLATION LEVELS IN THE PROMOTER REGION OF SLC6A3 REVEALED THAT SLC6A3 WAS HYPERMETHYLATED BY THE HFS DIET IN CPG SITE -53 BP TO THE TRANSCRIPTION START SITE. HFS DIET ALSO HYPERMETHYLATED CPG SITE -167 BP OF THE POMC PROMOTER ONLY IN NONSTRESSED ANIMALS. NO CORRELATIONS WERE FOUND BETWEEN GENE EXPRESSION AND DNA METHYLATION LEVELS. THESE RESULTS IMPLY THAT EARLY-LIFE STRESS IN FEMALES INCREASED PREDISPOSITION TO DIET-INDUCED OBESITY IN ADULTHOOD.	2012	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
4  1559  29 DNA METHYLATION MODULATES NOCICEPTIVE SENSITIZATION AFTER INCISION. DNA METHYLATION IS A KEY EPIGENETIC MECHANISM CONTROLLING DNA ACCESSIBILITY AND GENE EXPRESSION. BLOCKADE OF DNA METHYLATION CAN SIGNIFICANTLY AFFECT PAIN BEHAVIORS IMPLICATED IN NEUROPATHIC AND INFLAMMATORY PAIN. HOWEVER, THE ROLE OF DNA METHYLATION WITH REGARD TO POSTOPERATIVE PAIN HAS NOT YET BEEN EXPLORED. IN THIS STUDY WE SOUGHT TO INVESTIGATE THE ROLE OF DNA METHYLATION IN MODULATING INCISIONAL PAIN AND IDENTIFY POSSIBLE TARGETS UNDER DNA METHYLATION AND CONTRIBUTING TO INCISIONAL PAIN. DNA METHYLTRANFERASE (DNMT) INHIBITOR 5-AZA-2'-DEOXYCYTIDINE SIGNIFICANTLY REDUCED INCISION-INDUCED MECHANICAL ALLODYNIA AND THERMAL SENSITIVITY. AZA-2'-DEOXYCYTIDINE ALSO REDUCED HINDPAW SWELLING AFTER INCISION, SUGGESTING AN ANTI-INFLAMMATORY EFFECT. GLOBAL DNA METHYLATION AND DNMT3B EXPRESSION WERE INCREASED IN SKIN AFTER INCISION, BUT NONE OF DNMT1, DNMT3A OR DNMT3B WAS ALTERED IN SPINAL CORD OR DRG. THE EXPRESSION OF PROOPIOMELANOCORTIN POMC ENCODING BETA-ENDORPHIN AND OPRM1 ENCODING THE MU-OPIOID RECEPTOR WERE UPREGULATED PERIPHERALLY AFTER INCISION; MOREOVER, OPRM1 EXPRESSION WAS FURTHER INCREASED UNDER DNMT INHIBITOR TREATMENT. FINALLY, LOCAL PERIPHERAL INJECTION OF THE OPIOID RECEPTOR ANTAGONIST NALOXONE SIGNIFICANTLY EXACERBATED INCISION-INDUCED MECHANICAL HYPERSENSITIVITY. THESE RESULTS SUGGEST THAT DNA METHYLATION IS FUNCTIONALLY RELEVANT TO INCISIONAL NOCICEPTIVE SENSITIZATION, AND THAT MU-OPIOID RECEPTOR SIGNALING MIGHT BE ONE METHYLATION REGULATED PATHWAY CONTROLLING SENSITIZATION AFTER INCISION.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
5  2836  30 FOOD INTAKE IN EARLY LIFE AND EPIGENETIC MODIFICATIONS OF PRO-OPIOMELANOCORTIN EXPRESSION IN ARCUATE NUCLEUS. THE PREVALENCE OF OBESITY IS INCREASING IN NOWADAYS SOCIETIES AND, DESPITE BEING A MULTIFACTORIAL DISEASE, IT HAS A SIGNIFICANT CORRELATION WITH FOOD INTAKE. THE CONTROL OF FOOD INTAKE IS PERFORMED BY NEURONS OF THE ARCUATE NUCLEUS OF THE HYPOTHALAMUS (ARC), WHICH SECRET OREXIGENIC AND ANOREXIGENIC NEUROPEPTIDES, SUCH AS PROOPIOMELANOCORTIN (POMC), UNDER STIMULATION OF, E.G., GHRELIN, INSULIN, AND LEPTIN. INSULIN, USES INOSITOL 1,4,5-TRISPHOSPHATE/SERINE-THREONINE KINASE (IP3/AKT) PATHWAYS AND STIMULATES THE EXCLUSION OF (FORKHEAD BOX PROTEIN O1) FOXO1 FROM THE NUCLEUS AND THEREBY DOES THE INACTIVATION OF THE INHIBITION OF POMC EXPRESSION, WHILE LEPTIN STIMULATES SIGNAL TRANSDUCER AND ACTIVATOR OF TRANSCRIPTION 3 (STAT3) PHOSPHORYLATION AND POMC EXPRESSION. EPIGENETIC MODIFICATIONS OF THE SYNTHESIS OF THESE NEUROPEPTIDES CAN LEAD TO AN INCREASED CALORIC INTAKE, WHICH, IN TURN, IS AN IMPORTANT RISK FACTOR FOR OBESITY AND ITS COMORBIDITIES. EPIGENETIC MODIFICATIONS ARE REVERSIBLE, SO THE SEARCH FOR EPIGENETIC TARGETS HAS SIGNIFICANT SCIENTIFIC AND THERAPEUTIC APPEAL. IN THIS REVIEW, WE SYNTHESIZE THE EFFECT OF FOOD INTAKE ON THE EPIGENETIC MODIFICATIONS OF NEUROPEPTIDE Y AND PRO-OPIOMELANOCORTIN OF ARC AND ITS RELATIONSHIPS WITH OBESITY DEVELOPMENT AND COMORBIDITIES. WE FOUND THAT THERE IS NO CONSENSUS ON THE METHYLATION OF NEUROPEPTIDES WHEN THE EVALUATIONS ARE CARRIED OUT IN DIFFERENT PROMOTERS. BASED ON REPORTS CARRIED ON IN THE EARLY LIFE IN LABORATORY ANIMALS, WHICH IS THE TIMELINE THAT THE VAST MAJORITY OF AUTHOR USED TO STUDY THIS TOPIC, CHRONIC INFLAMMATION, DEFECTS IN INSULIN AND LEPTIN SIGNALING MAY BE LINKED TO CHANGES OCCURRING IN THE PHOSPHOINOSITIDE 3-KINASE/AKT (PI3K/AKT) AND/OR STAT3/SOCS3 (CYTOKINE SIGNALING 3) PATHWAYS. IN ITS TURN, THE EPIGENETIC MODIFICATIONS RELATED TO INCREASED FOOD INTAKE AND REDUCED ENERGY EXPENDITURE MAY BE ASSOCIATED WITH PI3K/AKT AND STAT3/SOCS3 SIGNALING DISRUPTION AND PRO-OPIOMELANOCORTIN EXPRESSION.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
6  3080  41 GENOME-WIDE METHYLATION IN ALCOHOL USE DISORDER SUBJECTS: IMPLICATIONS FOR AN EPIGENETIC REGULATION OF THE CORTICO-LIMBIC GLUCOCORTICOID RECEPTORS (NR3C1). ENVIRONMENTAL FACTORS, INCLUDING SUBSTANCE ABUSE AND STRESS, CAUSE LONG-LASTING CHANGES IN THE REGULATION OF GENE EXPRESSION IN THE BRAIN VIA EPIGENETIC MECHANISMS, SUCH AS DNA METHYLATION. WE EXAMINED GENOME-WIDE DNA METHYLATION PATTERNS IN THE PREFRONTAL CORTEX (PFC, BA10) OF 25 PAIRS OF CONTROL AND INDIVIDUALS WITH ALCOHOL USE DISORDER (AUD), USING THE INFINIUM((R)) METHYLATIONEPIC BEADCHIP. WE IDENTIFIED 5254 DIFFERENTIALLY METHYLATED CPGS (P(NOMINAL) < 0.005). BIOINFORMATIC ANALYSES HIGHLIGHTED BIOLOGICAL PROCESSES CONTAINING GENES RELATED TO STRESS ADAPTATION, INCLUDING THE GLUCOCORTICOID RECEPTOR (ENCODED BY NR3C1). CONSIDERING THAT ALCOHOL IS A STRESSOR, WE FOCUSED OUR ATTENTION ON DIFFERENTIALLY METHYLATED REGIONS OF THE NR3C1 GENE AND VALIDATED THE DIFFERENTIAL METHYLATION OF SEVERAL GENES IN THE NR3C1 NETWORK. CHRONIC ALCOHOL DRINKING RESULTS IN A SIGNIFICANT INCREASED METHYLATION OF THE NR3C1 EXON VARIANT 1(H), WITH A PARTICULAR INCREASE IN THE LEVELS OF 5-HYDROXYMETHYLCYTOSINE OVER 5-METHYLCYTOSINE. THESE CHANGES IN DNA METHYLATION WERE ASSOCIATED WITH REDUCED NR3C1 MRNA AND PROTEIN EXPRESSION LEVELS IN PFC, AS WELL AS OTHER CORTICO-LIMBIC REGIONS OF AUD SUBJECTS WHEN COMPARED WITH CONTROLS. FURTHERMORE, WE SHOW THAT THE EXPRESSION OF SEVERAL STRESS-RESPONSIVE GENES (E.G., CRF, POMC, AND FKBP5) IS ALTERED IN THE PFC OF AUD SUBJECTS. THESE STRESS-RESPONSE GENES WERE ALSO CHANGED IN THE HIPPOCAMPUS, A REGION THAT IS HIGHLY SUSCEPTIBLE TO STRESS. THESE DATA SUGGEST THAT ALCOHOL-DEPENDENT ABERRANT DNA METHYLATION OF NR3C1 AND CONSEQUENT CHANGES IN OTHER STRESS-RELATED GENES MIGHT BE FUNDAMENTAL IN THE PATHOPHYSIOLOGY OF AUD AND LAY THE GROUNDWORK FOR TREATMENTS TARGETING THE EPIGENETIC MECHANISMS REGULATING NR3C1 IN AUD.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
7  4222  32 METHYLATION AT THE CPG ISLAND SHORE REGION UPREGULATES NR3C1 PROMOTER ACTIVITY AFTER EARLY-LIFE STRESS. EARLY-LIFE STRESS (ELS) INDUCES LONG-LASTING CHANGES IN GENE EXPRESSION CONFERRING AN INCREASED RISK FOR THE DEVELOPMENT OF STRESS-RELATED MENTAL DISORDERS. GLUCOCORTICOID RECEPTORS (GR) MEDIATE THE NEGATIVE FEEDBACK ACTIONS OF GLUCOCORTICOIDS (GC) IN THE PARAVENTRICULAR NUCLEUS (PVN) OF THE HYPOTHALAMUS AND ANTERIOR PITUITARY AND THEREFORE PLAY A KEY ROLE IN THE REGULATION OF THE HYPOTHALAMIC-PITUITARY-ADRENAL (HPA) AXIS AND THE ENDOCRINE RESPONSE TO STRESS. WE HERE SHOW THAT ELS PROGRAMS THE EXPRESSION OF THE GR GENE (NR3C1) BY SITE-SPECIFIC HYPERMETHYLATION AT THE CPG ISLAND (CGI) SHORE IN HYPOTHALAMIC NEURONS THAT PRODUCE CORTICOTROPIN-RELEASING HORMONE (CRH), THUS PREVENTING CRH UPREGULATION UNDER CONDITIONS OF CHRONIC STRESS. CPGS MAPPING TO THE NR3C1 CGI SHORE REGION ARE DYNAMICALLY REGULATED BY ELS AND UNDERPIN METHYLATION-SENSITIVE CONTROL OF THIS REGION'S INSULATION-LIKE FUNCTION VIA YING YANG 1 (YY1) BINDING. OUR RESULTS PROVIDE NEW INSIGHT INTO HOW A GENOMIC ELEMENT INTEGRATES EXPERIENCE-DEPENDENT EPIGENETIC PROGRAMMING OF THE COMPOSITE PROXIMAL NR3C1 PROMOTER, AND ASSIGNS AN INSULATING ROLE TO THE CGI SHORE.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
8   886  43 CHRONIC CORTICOSTERONE EXPOSURE INCREASES EXPRESSION AND DECREASES DEOXYRIBONUCLEIC ACID METHYLATION OF FKBP5 IN MICE. THERE IS EVIDENCE FOR HYPERCORTISOLEMIA PLAYING A ROLE IN THE GENERATION OF PSYCHIATRIC SYMPTOMS AND FOR EPIGENETIC VARIATION WITHIN HYPOTHALAMIC-PITUITARY-ADRENAL (HPA) AXIS GENES MEDIATING BEHAVIORAL CHANGES. WE TESTED THE HYPOTHESIS THAT EXPRESSION CHANGES WOULD BE INDUCED IN FKBP5 AND OTHER HPA AXIS GENES BY CHRONIC EXPOSURE TO CORTICOSTERONE AND THAT THESE CHANGES WOULD OCCUR THROUGH THE EPIGENETIC MECHANISM OF LOSS OR GAIN OF DNA METHYLATION (DNAM). WE ADMINISTERED CORTICOSTERONE (CORT) TO C57BL/6J MICE VIA THEIR DRINKING WATER FOR 4 WK AND TESTED FOR BEHAVIORAL AND PHYSIOLOGICAL CHANGES AND CHANGES IN GENE EXPRESSION LEVELS USING RNA EXTRACTED FROM HIPPOCAMPUS, HYPOTHALAMUS, AND BLOOD FOR THE FOLLOWING HPA GENES: FKBP5, NR3C1, HSP90, CRH, AND CRHR1. THE CORT MICE EXHIBITED ANXIETY-LIKE BEHAVIOR IN THE ELEVATED PLUS MAZE TEST. CHRONIC EXPOSURE TO CORT ALSO CAUSED A SIGNIFICANT DECREASE IN THE HIPPOCAMPAL AND BLOOD MRNA LEVELS OF NR3C1 AND A DECREASE IN HSP90 IN BLOOD AND CAUSED AN INCREASE IN FKBP5 FOR ALL TISSUES. DIFFERENCES WERE SEEN IN FKBP5 METHYLATION IN HIPPOCAMPUS AND HYPOTHALAMUS. TO ISOLATE A SINGLE-CELL TYPE, WE FOLLOWED UP WITH AN HT-22 MOUSE HIPPOCAMPAL NEURONAL CELL LINE EXPOSED TO CORT. AFTER 7 D, WE OBSERVED A 2.4-FOLD INCREASE IN FKBP5 EXPRESSION AND A DECREASE IN DNAM. IN THE CORT-TREATED MICE, WE ALSO OBSERVED CHANGES IN BLOOD DNAM IN FKBP5. OUR RESULTS SUGGEST DNAM PLAYS A ROLE IN MEDIATING EFFECTS OF GLUCOCORTICOID EXPOSURE ON FKBP5 FUNCTION, WITH POTENTIAL CONSEQUENCES FOR BEHAVIOR.	2010	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
9  5651  26 SEX DIFFERENCES IN THE EPIGENETIC REGULATION OF CHRONIC VISCERAL PAIN FOLLOWING UNPREDICTABLE EARLY LIFE STRESS. BACKGROUND: WE PREVIOUSLY REPORTED THAT EARLY LIFE STRESS (ELS) DYSREGULATED GLUCOCORTICOID RECEPTOR (GR) AND CORTICOTROPHIN-RELEASING HORMONE (CRH) EXPRESSION IN THE CENTRAL NUCLEUS OF THE AMYGDALA (CEA). EPIGENETIC MODIFICATIONS SERVE AS MEMORIES OF ADVERSE EVENTS THAT OCCURRED DURING EARLY LIFE. THEREFORE, WE HYPOTHESIZED THAT EPIGENETIC MECHANISMS ALTER GR AND CRH EXPRESSION IN THE CEA AND UNDERLIE CHRONIC VISCERAL PAIN AFTER ELS. METHODS: NEONATAL RATS WERE EXPOSED TO UNPREDICTABLE, PREDICTABLE ELS, OR ODOR ONLY (NO STRESS CONTROL) FROM POSTNATAL DAYS 8 TO 12. IN ADULTHOOD, VISCERAL SENSITIVITY WAS ASSESSED OR THE CEA WAS ISOLATED FOR WESTERN BLOT OR CHIP-QPCR TO STUDY HISTONE MODIFICATIONS AT THE GR AND CRH PROMOTERS. FEMALE ADULT RATS UNDERWENT STEREOTAXIC IMPLANTATION OF INDWELLING CANNULAS FOR MICROINJECTIONS OF GARCINOL (HAT INHIBITOR) INTO THE CEA. AFTER 7 DAYS OF MICROINJECTIONS, VISCERAL SENSITIVITY WAS ASSESSED OR THE CEA WAS ISOLATED FOR CHIP-QPCR ASSAYS. RESULTS: UNPREDICTABLE ELS INCREASED VISCERAL SENSITIVITY IN ADULT FEMALE RATS, BUT NOT IN MALE COUNTERPARTS. ELS INCREASED HISTONE 3 LYSINE 9 (H3K9) ACETYLATION IN THE CEA AND H3K9 ACETYLATION LEVELS AT THE GR PROMOTER IN THE CEA OF ADULT FEMALE RATS. AFTER UNPREDICTABLE ELS, H3K9 ACETYLATION WAS INCREASED AND GR BINDING WAS DECREASED AT THE CRH PROMOTER. ADMINISTRATION OF GARCINOL IN THE CEA OF ADULT FEMALES, THAT UNDERWENT UNPREDICTABLE ELS, NORMALIZED H3K9 ACETYLATION AND RESTORED GR BINDING AT THE CRH PROMOTER. CONCLUSION: DYSREGULATED HISTONE ACETYLATION AND GR BINDING AT THE CRH PROMOTER IN THE CEA ARE AN IMPORTANT MECHANISM FOR "MEMORIZING" ELS EVENTS MEDIATING VISCERAL PAIN IN ADULTHOOD.	2020	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
10  5652  29 SEX DIMORPHIC CHANGES IN TRH GENE METHYLATION AND THYROID-AXIS RESPONSE TO ENERGY DEMANDS IN MATERNALLY SEPARATED RATS. THE HYPOTHALAMUS-PITUITARY-THYROID (HPT) AXIS REGULATES ENERGY BALANCE THROUGH THE PLEIOTROPIC ACTION OF THYROID HORMONES. HPT BASAL ACTIVITY AND STIMULATION BY COLD OR VOLUNTARY EXERCISE ARE REPRESSED BY PREVIOUS CHRONIC STRESS IN ADULTS. MATERNAL SEPARATION (MS) MODIFIES HPT BASAL ACTIVITY; WE THUS STUDIED THE RESPONSE OF THE AXIS TO ENERGY DEMANDS AND ANALYZED POSSIBLE EPIGENETIC CHANGES ON TRH PROMOTER. NONHANDLED (NH) OR MS MALE WISTAR RATS WERE COLD EXPOSED 1 H AT ADULTHOOD; TRH EXPRESSION IN THE HYPOTHALAMIC PARAVENTRICULAR NUCLEUS (PVN) AND SERUM THYROTROPIN (TSH) CONCENTRATION WERE INCREASED ONLY IN NH RATS. TWO WEEKS OF VOLUNTARY EXERCISE DECREASED FAT MASS AND INCREASED TRH EXPRESSION, AND THYROID HORMONES CONCENTRATION CHANGED PROPORTIONALLY TO RUNNING DISTANCE IN NH MALE RATS AND MS MALE RATS. ALTHOUGH NH FEMALES RAN MORE THAN MS AND MUCH MORE THAN MALES, EXERCISE DECREASED BODY WEIGHT AND FAT MASS ONLY IN NH RATS WITH NO CHANGE ON ANY PARAMETER OF THE HPT AXIS BUT INCREASED POMC EXPRESSION IN ARCUATE-NUCLEUS OF NH AND NPY IN MS FEMALES. OVERALL, THE METHYLATION PATTERN OF PVN TRH GENE PROMOTER WAS SIMILAR IN NH MALES AND FEMALES; MS MODIFIED METHYLATION OF SPECIFIC CPG SITES, A THYROID HORMONE RECEPTOR (THR)-BINDING SITE PRESENT AFTER THE INITIATION SITE WAS HYPOMETHYLATED IN MS MALES; IN MS FEMALES, THE THR BINDING SITE OF THE PROXIMAL PROMOTER (SITE 4) AND 2 SITES IN THE FIRST INTRON WERE HYPERMETHYLATED. OUR STUDIES SHOWED THAT, IN A SEX-DIMORPHIC MANNER, MS BLUNTED THE RESPONSES OF HPT AXIS TO ENERGY DEMANDS IN ADULT ANIMALS AND CAUSED METHYLATION CHANGES ON TRH PROMOTER THAT COULD ALTER T3 FEEDBACK.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
11  3462  39 HYPOTHALAMIC NR3C1 DNA METHYLATION IN RATS EXPOSED TO PRENATAL STRESS. BACKGROUND: HUMAN AND ANIMAL STUDIES HAVE INDICATED THAT MATERNAL PRENATAL STRESS (PS) HAS MOLECULAR AND BEHAVIORAL EFFECTS DURING PREGNANCY AND EARLY LIFE. THE PRESENT STUDY AIMED TO EVALUATE THE EPIGENETIC CHANGES OF THE NR3C1 GENE INVOLVED IN THE HPA AXIS IN THE HYPOTHALAMIC TISSUES OF RATS EXPOSED TO PS INDUCED BY CHRONIC UNPREDICTABLE MILD STRESS (CUMS). BEHAVIORAL AND MOLECULAR EFFECTS OF THESE CHANGES ON THE NEXT GENERATION WERE ALSO ASSESSED. METHODS AND RESULTS: CUMS PROTOCOL WAS USED TO GENERATE STRESS IN PREGNANT WISTAR RATS. TO DETERMINE THE EFFECTS OF STRESS ON ANHEDONIA AND MOVEMENT, SUCROSE PREFERENCE TEST, FORCED SWIMMING TEST, AND OPEN FIELD TEST WERE PERFORMED. FOLLOWING THESE BEHAVIORAL EXPERIMENTS, BISULFITE SEQUENCING PCR FOR DNA METHYLATION LEVELS OF THE NR3C1 GENE, RT-QPCR FOR MRNA LEVELS, AND WESTERN BLOT TECHNIQUES FOR PROTEIN ANALYSIS WERE USED IN THE HYPOTHALAMIC TISSUE OF SACRIFICED RATS. DEPRESSION-LIKE BEHAVIORS WERE EVIDENT IN THE BEHAVIORAL TESTS OF STRESS-EXPOSED MOTHERS AND PUPS. IN PS-EXPOSED PUPS, HYPOTHALAMIC NR3C1 PROMOTER METHYLATION WAS HIGHER, AND NR3C1 MRNA LEVELS AND NR3C1 PROTEIN LEVELS WERE LOWER COMPARED WITH CONTROLS, REGARDLESS OF SEX. CONCLUSION: OUR RESULTS CONFIRM THE RELATIONSHIP BETWEEN PS AND EPIGENETIC CHANGES OF HPA AXIS-RELATED GENES AND SHOW THAT NR3C1 GENE METHYLATION STATUS IN PUPS IS SENSITIVE TO PS DURING PREGNANCY. ENVIRONMENTAL MATERNAL STRESS MAY HAVE TRANSGENERATIONAL EFFECTS THAT ARE POTENTIALLY ASSOCIATED WITH ADVERSE OUTCOMES IN THE PUPS.	2022	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
12  3372  47 HISTONE MODIFICATIONS OF THE CRHR1 GENE IN A RAT MODEL OF DEPRESSION FOLLOWING CHRONIC STRESS. MULTIPLE LINES OF EVIDENCE SUGGEST A LINK BETWEEN DEPRESSION AND CHANGES IN HYPOTHALAMIC-PITUITARY-ADRENAL (HPA)-AXIS HORMONE DYNAMICS, INCLUDING ALTERED REGULATION OF THE CORTICOTROPHIN-RELEASING HORMONE (CRH) AND ITS MAIN RECEPTOR, CORTICOTROPHIN-RELEASING HORMONE RECEPTOR 1 (CRHR1). HOWEVER, THE PRECISE MOLECULAR MECHANISMS UNDERLYING DEPRESSION REMAIN POORLY UNDERSTOOD. IN THIS STUDY, WE EMPLOYED A MODEL OF DEPRESSION IN RATS BY SUBJECTING ANIMALS TO 21 DAYS OF CHRONIC UNPREDICTABLE MILD STRESS (CUMS). REAL-TIME PCR AND WESTERN BLOTTING WERE USED TO STUDY THE MRNA AND PROTEIN EXPRESSION LEVELS OF CRHR1 IN THE HYPOTHALAMUS. IN ADDITION, CHROMATIN IMMUNOPRECIPITATION ASSAYS WERE USED TO DETECT HISTONE METHYLATION AT THE CRHR1 GENE PROMOTER; THE LEVELS OF HISTONE H3 TRIMETHYLATION AT LYSINES 4 (H3K4) AND 9 (H3K9) REFLECT ACTIVE TRANSCRIPTION AND TRANSCRIPTIONAL REPRESSION, RESPECTIVELY. RATS EXPOSED TO CUMS EXHIBITED SIGNIFICANT REDUCTION IN LOCOMOTION AND SUCROSE PREFERENCE. THESE BEHAVIORAL ALTERATIONS WERE ASSOCIATED WITH ELEVATED EXPRESSION LEVELS OF CRHR1 MRNA AND PROTEIN IN THE HYPOTHALAMUS OF RATS IN THE CUMS GROUP. WE ALSO FOUND THAT THE LEVELS OF H3K9 TRIMETHYLATION AT THE CRHR1 GENE PROMOTER IN THE CUMS GROUP WERE SIGNIFICANTLY LOWER THAN THOSE IN THE CONTROL GROUP, WHEREAS H3K4 TRIMETHYLATION LEVELS WERE THE SAME FOR BOTH GROUPS. TAKEN TOGETHER, OUR FINDINGS SUGGEST THAT THE INCREASE IN CRHR1 EXPRESSION IN THE HYPOTHALAMUS OF STRESSED RATS CORRELATES WITH A DECREASE IN THE REPRESSIVE CHROMATIN STATE CAUSED BY REDUCED H3K9 TRIMETHYLATION LEVELS. THESE DATA ARE THE FIRST IN VIVO EVIDENCE OF A ROLE FOR CHROMATIN MODIFICATIONS IN THE REGULATION OF CRHR1 GENE EXPRESSION IN THE HYPOTHALAMUS, AND MAY PROVIDE NOVEL INSIGHT INTO THERAPEUTIC APPROACHES TO TREAT DEPRESSION.	2014	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
13  5200  49 PRENATAL MATERNAL STRESS PREDICTS METHYLATION OF GENES REGULATING THE HYPOTHALAMIC-PITUITARY-ADRENOCORTICAL SYSTEM IN MOTHERS AND NEWBORNS IN THE DEMOCRATIC REPUBLIC OF CONGO. EXPOSURE TO STRESS EARLY IN LIFE PERMANENTLY SHAPES ACTIVITY OF THE HYPOTHALAMIC-PITUITARY-ADRENOCORTICAL (HPA) AXIS AND THE BRAIN. PRENATALLY, GLUCOCORTICOIDS PASS THROUGH THE PLACENTA TO THE FETUS WITH POSTNATAL IMPACTS ON BRAIN DEVELOPMENT, BIRTH WEIGHT (BW), AND HPA AXIS FUNCTIONING. LITTLE IS KNOWN ABOUT THE BIOLOGICAL MECHANISMS BY WHICH PRENATAL STRESS AFFECTS POSTNATAL FUNCTIONING. THIS STUDY ADDRESSES THIS GAP BY EXAMINING THE EFFECT OF CHRONIC STRESS AND TRAUMATIC WAR-RELATED STRESS ON EPIGENETIC CHANGES IN FOUR KEY GENES REGULATING THE HPA AXIS IN NEONATAL CORD BLOOD, PLACENTA, AND MATERNAL BLOOD: CRH, CRHBP, NR3C1, AND FKBP5. PARTICIPANTS WERE 24 MOTHER-NEWBORN DYADS IN THE CONFLICT-RIDDEN REGION OF THE EASTERN DEMOCRATIC REPUBLIC OF CONGO. BW DATA WERE COLLECTED AT DELIVERY AND MATERNAL INTERVIEWS WERE CONDUCTED TO ASSESS CULTURALLY RELEVANT CHRONIC AND WAR-RELATED STRESSORS. CHRONIC STRESS AND WAR TRAUMA HAD WIDESPREAD EFFECTS ON HPA AXIS GENE METHYLATION, WITH SIGNIFICANT EFFECTS OBSERVED AT TRANSCRIPTION FACTOR BINDING (TFB) SITES IN ALL TARGET GENES TESTED. SOME CHANGES IN METHYLATION WERE UNIQUE TO CHRONIC OR WAR STRESS, WHEREAS OTHERS WERE OBSERVED ACROSS BOTH STRESSOR TYPES. MOREOVER, STRESS EXPOSURES IMPACTED MATERNAL AND FETAL TISSUES DIFFERENTLY, SUPPORTING THEORETICAL MODELS THAT STRESS IMPACTS VARY ACCORDING TO LIFE PHASE. METHYLATION IN SEVERAL NR3C1 AND CRH CPG SITES, ALL LOCATED AT TFB SITES, WAS ASSOCIATED WITH BW. THESE FINDINGS SUGGEST THAT PRENATAL STRESS EXPOSURE IMPACTS DEVELOPMENT VIA EPIGENETIC CHANGES IN HPA AXIS GENES.	2016	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
14  2371  35 EPIGENETIC REGULATION OF THE GLUCOCORTICOID RECEPTOR PROMOTER 1(7) IN ADULT RATS. REGULATION OF GLUCOCORTICOID RECEPTOR (GR) LEVELS IS AN IMPORTANT STRESS ADAPTATION MECHANISM. TRANSCRIPTION FACTOR NFGI-A AND ENVIRONMENTALLY INDUCED GR PROMOTER 1 7 METHYLATION HAVE BEEN IMPLICATED IN FINE-TUNING THE EXPRESSION OF GR 1 7 TRANSCRIPTS. HERE, WE INVESTIGATED GR PROMOTER 1 7 METHYLATION AND GR 1 7 EXPRESSION IN ADULT RATS EXPOSED TO EITHER ACUTE OR CHRONIC STRESS PARADIGMS. A STRONG NEGATIVE CORRELATION WAS OBSERVED BETWEEN THE SUM OF PROMOTER-WIDE METHYLATION LEVELS AND GR 1 7 TRANSCRIPT LEVELS, INDEPENDENT OF THE STRESSOR. METHYLATION OF INDIVIDUAL SITES DID NOT, HOWEVER, CORRELATE WITH TRANSCRIPT LEVELS. THIS SUGGESTED THAT PROMOTER 1 7 WAS DIRECTLY REGULATED BY PROMOTER-WIDE DNA METHYLATION. ALTHOUGH ACUTE STRESS INCREASED NGFI-A EXPRESSION IN THE HYPOTHALAMIC PARAVENTRICULAR NUCLEUS (PVN), GR 1 7 TRANSCRIPT LEVELS REMAINED UNAFFECTED DESPITE LOW METHYLATION LEVELS. ACUTE STRESS HAD LITTLE EFFECT ON THESE LOW METHYLATION LEVELS, EXCEPT AT FOUR HIPPOCAMPAL CPGS. CHRONIC STRESS ALTERED THE CORTICOSTERONE RESPONSE TO AN ACUTE STRESSOR. IN THE ADRENAL AND PITUITARY GLANDS, BUT NOT IN THE BRAIN, THIS WAS ACCOMPANIED BY AN INCREASE IN METHYLATION LEVELS IN ORCHESTRATED CLUSTERS RATHER THAN INDIVIDUAL CPGS. PVN METHYLATION LEVELS, UNAFFECTED BY ACUTE OR CHRONIC STRESS, WERE SIGNIFICANTLY MORE VARIABLE WITHIN- THAN BETWEEN-GROUPS, SUGGESTING THAT THEY WERE INSTATED PROBABLY DURING THE PERINATAL PERIOD AND REPRESENT A PRE-ESTABLISHED TRAIT. THUS, IN ADDITION TO THE KNOWN PERINATAL PROGRAMMING, THE GR 1 7 PROMOTER IS EPIGENETICALLY REGULATED BY CHRONIC STRESS IN ADULTHOOD, AND RETAINS PROMOTER-WIDE TISSUE-SPECIFIC PLASTICITY. DIFFERENCES IN METHYLATION SUSCEPTIBILITY BETWEEN THE PVN IN THE PERINATAL PERIOD AND THE PERIPHERAL HPA AXIS TISSUES IN ADULTHOOD MAY REPRESENT AN IMPORTANT "TRAIT" VS. "STATE" REGULATION OF THE GR GENE.	2012	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
15  2187  40 EPIGENETIC MECHANISMS UNDERLYING STRESS-INDUCED VISCERAL PAIN: RESILIENCE VERSUS VULNERABILITY IN A TWO-HIT MODEL OF EARLY LIFE STRESS AND CHRONIC ADULT STRESS. BACKGROUND: WOMEN WITH A HISTORY OF EARLY LIFE STRESS (ELS) HAVE A HIGHER RISK OF DEVELOPING IRRITABLE BOWEL SYNDROME (IBS). IN ADDITION, CHRONIC STRESS IN ADULTHOOD CAN EXACERBATE IBS SYMPTOMS SUCH AS ABDOMINAL PAIN DUE TO VISCERAL HYPERSENSITIVITY. WE PREVIOUSLY SHOWED THAT SEX AND THE PREDICTABILITY OF ELS DETERMINE WHETHER RATS DEVELOP VISCERAL HYPERSENSITIVITY IN ADULTHOOD. IN FEMALE RATS, UNPREDICTABLE ELS CONFERS VULNERABILITY AND RESULTS IN VISCERAL HYPERSENSITIVITY, WHEREAS PREDICTABLE ELS INDUCES RESILIENCE AND DOES NOT INDUCE VISCERAL HYPERSENSITIVITY IN ADULTHOOD. HOWEVER, THIS RESILIENCE IS LOST AFTER EXPOSURE TO CHRONIC STRESS IN ADULTHOOD LEADING TO AN EXACERBATION OF VISCERAL HYPERSENSITIVITY. EVIDENCE SUGGESTS THAT CHANGES IN HISTONE ACETYLATION AT THE PROMOTER REGIONS OF GLUCOCORTICOID RECEPTOR (GR) AND CORTICOTROPHIN-RELEASING FACTOR (CRF) IN THE CENTRAL NUCLEUS OF THE AMYGDALA (CEA) UNDERLIE STRESS-INDUCED VISCERAL HYPERSENSITIVITY. HERE, WE AIMED TO INVESTIGATE THE ROLE OF HISTONE ACETYLATION IN THE CEA ON VISCERAL HYPERSENSITIVITY IN A TWO-HIT MODEL OF ELS FOLLOWED BY CHRONIC STRESS IN ADULTHOOD. METHODS: MALE AND FEMALE NEONATAL RATS WERE EXPOSED TO UNPREDICTABLE, PREDICTABLE ELS, OR ODOR ONLY (NO STRESS CONTROL) FROM POSTNATAL DAYS 8 TO 12. IN ADULTHOOD, RATS UNDERWENT STEREOTAXIC IMPLANTATION OF INDWELLING CANNULAS. RATS WERE EXPOSED TO CHRONIC WATER AVOIDANCE STRESS (WAS, 1 H/DAY FOR 7 DAYS) OR SHAM STRESS AND RECEIVED INFUSIONS OF VEHICLE, THE HISTONE DEACETYLASE INHIBITOR TRICHOSTATIN A (TSA) OR THE HISTONE ACETYLTRANSFERASE INHIBITOR GARCINOL (GAR) AFTER EACH WAS SESSION. 24 H AFTER THE FINAL INFUSION, VISCERAL SENSITIVITY WAS ASSESSED AND THE CEA WAS REMOVED FOR MOLECULAR EXPERIMENTS. RESULTS: IN THE TWO-HIT MODEL (ELS + WAS), FEMALE RATS PREVIOUSLY EXPOSED TO PREDICTABLE ELS, SHOWED A SIGNIFICANT REDUCTION IN HISTONE 3 LYSINE 9 (H3K9) ACETYLATION AT THE GR PROMOTER AND A SIGNIFICANT INCREASE IN H3K9 ACETYLATION AT THE CRF PROMOTER. THESE EPIGENETIC CHANGES WERE ASSOCIATED WITH CHANGES IN GR AND CRF MRNA EXPRESSION IN THE CEA AND AN EXACERBATION OF STRESS-INDUCED VISCERAL HYPERSENSITIVITY IN FEMALE ANIMALS. TSA INFUSIONS IN THE CEA ATTENUATED THE EXACERBATED STRESS-INDUCED VISCERAL HYPERSENSITIVITY, WHEREAS GAR INFUSIONS ONLY PARTIALLY AMELIORATED ELS+WAS INDUCED VISCERAL HYPERSENSITIVITY. CONCLUSION: THE TWO-HIT MODEL OF ELS FOLLOWED BY WAS IN ADULTHOOD REVEALED THAT EPIGENETIC DYSREGULATION OCCURS AFTER EXPOSURE TO STRESS IN TWO IMPORTANT PERIODS OF LIFE AND CONTRIBUTES TO THE DEVELOPMENT OF VISCERAL HYPERSENSITIVITY. THESE ABERRANT UNDERLYING EPIGENETIC CHANGES MAY EXPLAIN THE EXACERBATION OF STRESS-INDUCED ABDOMINAL PAIN IN IBS PATIENTS.	2023	
                                                                                                  
16  2905  32 GENE DYSREGULATION IN THE ADULT RAT PARAVENTRICULAR NUCLEUS AND AMYGDALA BY PRENATAL EXPOSURE TO DEXAMETHASONE. FETAL PROGRAMMING IS THE CONCEPT THAT MATERNAL STRESSORS DURING CRITICAL PERIODS OF FETAL DEVELOPMENT CAN ALTER OFFSPRING PHENOTYPES POSTNATALLY. EXCESS GLUCOCORTICOIDS CAN INTERACT WITH THE FETUS TO EFFECT GENETIC AND EPIGENETIC CHANGES IMPLICATED IN ADVERSE DEVELOPMENTAL OUTCOMES. THE PRESENT STUDY INVESTIGATES HOW CHRONIC EXPOSURE TO THE SYNTHETIC GLUCOCORTICOID DEXAMETHASONE DURING LATE GESTATION ALTERS THE EXPRESSION OF GENES RELATED TO BEHAVIOR IN BRAIN AREAS RELEVANT TO THE REGULATION AND FUNCTION OF THE HYPOTHALAMIC-PITUITARY-ADRENAL AXIS. PREGNANT WISTAR KYOTO RATS RECEIVED SUBCUTANEOUS INJECTIONS OF DEXAMETHASONE (100 MUG/KG) DAILY FROM GESTATIONAL DAY 15-21 OR VEHICLE ONLY AS SHAM CONTROLS. THE AMYGDALA AND PARAVENTRICULAR NUCLEUS (PVN) WERE MICRO-PUNCHED TO EXTRACT MRNA FOR REVERSE TRANSCRIPTION AND QUANTITATIVE POLYMERASE CHAIN REACTION FOR THE ANALYSIS OF THE EXPRESSION OF SPECIFIC GENES. IN THE PVN, THE EXPRESSION OF THE GLUCOCORTICOID RECEPTOR NR3C1 WAS DOWNREGULATED IN FEMALE RATS IN RESPONSE TO PROGRAMMING. THE EXPRESSION OF CACNA1C ENCODING THE CA(V)1.2 PORE SUBUNIT OF L-TYPE VOLTAGE-GATED CALCIUM CHANNELS WAS DOWNREGULATED IN MALE AND FEMALE RATS PRENATALLY EXPOSED TO DEXAMETHASONE. COLLECTIVELY, THE RESULTS SUGGEST THAT PRENATAL EXPOSURE TO ELEVATED LEVELS OF GLUCOCORTICOIDS PLAYS A ROLE IN THE DYSREGULATION OF THE HYPOTHALAMIC-PITUITARY-ADRENAL AXIS AND POTENTIALLY LEARNING AND MEMORY BY ALTERING THE EXPRESSION OF SPECIFIC GENES WITHIN THE AMYGDALA AND PVN.	2022	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
17  5656  36 SEX-DEPENDENT ASSOCIATION OF DNA METHYLATION IN THE CODING REGION OF THE CORTICOTROPIN-RELEASING HORMONE GENE AND SCHIZOPHRENIA SPECTRUM DISORDER. BACKGROUND: SCHIZOPHRENIA SPECTRUM DISORDER (SSD) IS A COMMON MENTAL DISORDER CAUSING SEVERE AND CHRONIC DISABILITY. EPIGENETIC CHANGES IN GENES RELATED TO THE HYPOTHALAMIC-PITUITARY-ADRENAL (HPA) AXIS ARE BELIEVED TO PLAY AN IMPORTANT ROLE IN SSD PATHOGENESIS. THE METHYLATION STATUS OF THE CORTICOTROPIN-RELEASING HORMONE (CRH) GENE, WHICH IS CENTRAL TO THE HPA AXIS, HAS NOT BEEN INVESTIGATED IN PATIENTS WITH SSD. AIM: WE INVESTIGATED THE METHYLATION STATUS OF THE CODING REGION OF THE CRH GENE (HEREAFTER, CRH METHYLATION) USING PERIPHERAL BLOOD SAMPLES FROM PATIENTS WITH SSD. SUBJECTS AND METHODS: WE USED SODIUM BISULPHITE AND METHYLTARGET TO DETERMINE CRH METHYLATION AFTER COLLECTING PERIPHERAL BLOOD SAMPLES FROM 70 PATIENTS WITH SSD WHO HAD POSITIVE SYMPTOMS AND 68 HEALTHY CONTROLS. RESULTS: CRH METHYLATION WAS SIGNIFICANTLY INCREASED IN PATIENTS WITH SSD, ESPECIALLY IN MALE PATIENTS. CONCLUSIONS: DIFFERENCES IN CRH METHYLATION WERE DETECTABLE IN THE PERIPHERAL BLOOD OF PATIENTS WITH SSD. EPIGENETIC ABNORMALITIES IN THE CRH GENE WERE CLOSELY RELATED TO POSITIVE SYMPTOMS OF SSD, SUGGESTING THAT EPIGENETIC PROCESSES MAY MEDIATE THE PATHOPHYSIOLOGY OF SSD.	2023	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
18  2321  35 EPIGENETIC REGULATION OF GENES THAT MODULATE CHRONIC STRESS-INDUCED VISCERAL PAIN IN THE PERIPHERAL NERVOUS SYSTEM. BACKGROUND & AIMS: CHRONIC STRESS ALTERS THE HYPOTHALAMIC-PITUITARY-ADRENAL AXIS, INCREASES GUT MOTILITY, AND INCREASES THE PERCEPTION OF VISCERAL PAIN. WE INVESTIGATED WHETHER EPIGENETIC MECHANISMS REGULATE CHRONIC STRESS-INDUCED VISCERAL PAIN IN THE PERIPHERAL NERVOUS SYSTEMS OF RATS. METHODS: MALE RATS WERE SUBJECTED TO 1 HOUR OF WATER AVOIDANCE STRESS EACH DAY, OR GIVEN DAILY SUBCUTANEOUS INJECTIONS OF CORTICOSTERONE, FOR 10 CONSECUTIVE DAYS. L4-L5 AND L6-S2 DORSAL ROOT GANGLIA (DRG) WERE COLLECTED AND COMPARED BETWEEN STRESSED AND CONTROL RATS (PLACED FOR 1 HOUR EACH DAY IN A TANK WITHOUT WATER). LEVELS OF CANNABINOID RECEPTOR 1 (CNR1), DNA (CYTOSINE-5-)-METHYLTRANSFERASE 1 (DNMT1), TRANSIENT RECEPTOR POTENTIAL VANILLOID TYPE 1 (TRPV1), AND EP300 WERE KNOCKED DOWN IN DRG NEURONS IN SITU WITH SMALL INTERFERING RNAS. WE MEASURED DNA METHYLATION AND HISTONE ACETYLATION AT GENES ENCODING THE GLUCOCORTICOID RECEPTOR (NR3C1), CNR1, AND TRPV1. VISCERAL PAIN WAS MEASURED IN RESPONSE TO COLORECTAL DISTENTION. RESULTS: CHRONIC STRESS WAS ASSOCIATED WITH INCREASED METHYLATION OF THE NR3C1 PROMOTER AND REDUCED EXPRESSION OF THIS GENE IN L6-S2, BUT NOT L4-L5, DRGS. STRESS ALSO WAS ASSOCIATED WITH UP-REGULATION IN DNMT1-ASSOCIATED METHYLATION OF THE CNR1 PROMOTER AND DOWN-REGULATION OF GLUCOCORTICOID-RECEPTOR-MEDIATED EXPRESSION OF CNR1 IN L6-S2, BUT NOT L4-L5, DRGS. CONCURRENTLY, CHRONIC STRESS INCREASED EXPRESSION OF THE HISTONE ACETYLTRANSFERASE EP300 AND INCREASED HISTONE ACETYLATION AT THE TRPV1 PROMOTER AND EXPRESSION OF THE TRPV1 RECEPTOR IN L6-S2 DRG NEURONS. KNOCKDOWN OF DNMT1 AND EP300 IN L6-S2 DRG NEURONS OF RATS REDUCED DNA METHYLATION AND HISTONE ACETYLATION, RESPECTIVELY, AND PREVENTED CHRONIC STRESS-INDUCED INCREASES IN VISCERAL PAIN. CONCLUSIONS: CHRONIC STRESS INCREASES DNA METHYLATION AND HISTONE ACETYLATION OF GENES THAT REGULATE VISCERAL PAIN SENSATION IN THE PERIPHERAL NERVOUS SYSTEM OF RATS. BLOCKING EPIGENETIC REGULATORY PATHWAYS IN SPECIFIC REGIONS OF THE SPINAL CORD MIGHT BE DEVELOPED TO TREAT PATIENTS WITH CHRONIC ABDOMINAL PAIN.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
19   325  44 ALLELE-SPECIFIC DNA METHYLATION LEVEL OF FKBP5 IS ASSOCIATED WITH POST-TRAUMATIC STRESS DISORDER. BACKGROUND: FK506-BINDING PROTEIN 5 (FKBP5) BINDS TO GLUCOCORTICOID RECEPTORS AND MODULATES GLUCOCORTICOID SENSITIVITY. THE FKBP5 GENE HAS BEEN IMPLICATED IN THE DYSREGULATION OF HUMAN STRESS RESPONSES, CONTRIBUTING TO THE RISK AND TREATMENT RESPONSE OF STRESS-RELATED DISORDERS. THE PRESENT STUDY EXAMINED WHETHER EPIGENETIC CHANGES IN FKBP5 ARE ASSOCIATED WITH CHRONIC POST-TRAUMATIC STRESS DISORDER (PTSD) STATUS IN THE CONTEXT OF FKBP5 GENETIC VARIATION (RS1360780 POLYMORPHISM) AMONG MALE VETERANS EXPOSED TO COMBAT TRAUMA. METHODS: KOREAN MALE VETERANS WHO SERVED ON ACTIVE DUTY DURING THE VIETNAM WAR WERE CATEGORIZED INTO 2 GROUPS: WITH PTSD (N = 123) AND WITHOUT PTSD (N = 116). THE GENOTYPE OF FKBP5 RS1360780 AND DNA METHYLATION LEVELS OF TWO CPG SITES AT THE FKBP5 INTRON 7 REGION WERE ASSESSED IN PERIPHERAL BLOOD. ANALYSIS OF COVARIANCE WAS PERFORMED TO EXAMINE MAIN AND INTERACTION EFFECTS OF PTSD STATUS AND FKBP5 GENOTYPE ON FKBP5 DNA METHYLATION LEVEL, WITH AGE, TRAUMA LEVELS, AND ALCOHOL USE AS COVARIATES. RESULTS: A SIGNIFICANT MAIN EFFECT OF FKBP5 RS1360780 AND PTSD AND AN INTERACTION EFFECT BETWEEN GENOTYPE AND PTSD STATUS WERE FOUND ON MEAN FKBP5 DNA METHYLATION LEVEL. THE T ALLELE OF RS1360780 WAS ASSOCIATED WITH LOWER FKBP5 METHYLATION LEVEL. IN ADDITION, THE PTSD GROUP SHOWED SIGNIFICANTLY HIGHER METHYLATION THAN DID THE NON-PTSD GROUP AMONG VETERANS CARRYING THE RISK T ALLELE (N = 96), WHILE NO GROUP DIFFERENCE WAS OBSERVED ON METHYLATION LEVELS AMONG VETERANS WITH THE CC GENOTYPE (N = 143). AMONG VETERANS CARRYING THE T ALLELE, FKBP5 METHYLATION LEVELS WERE POSITIVELY CORRELATED WITH THE SEVERITY OF PTSD SYMPTOMS. CONCLUSIONS: THE PRESENT STUDY DEMONSTRATED DIFFERENT FKBP5 METHYLATION LEVELS IN PTSD DEPENDING ON FKBP5 GENETIC VARIATION AMONG VETERANS EXPOSED TO COMBAT TRAUMA. THE PRESENT FINDING SUGGESTS THAT THE GENETIC AND EPIGENETIC MODULATION OF FKBP5 IS INVOLVED IN THE PATHOPHYSIOLOGY OF PTSD. FURTHER LONGITUDINAL RESEARCH INVOLVING PEOPLE EXPOSED TO TRAUMA IS REQUIRED TO UNDERSTAND CAUSAL RELATIONSHIPS OF FKBP5 IN THE DEVELOPMENT AND RECOVERY OF PTSD.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
20  6551  43 TRANSGENERATIONAL BLUNTING OF MORPHINE-INDUCED CORTICOSTERONE SECRETION IS ASSOCIATED WITH DYSREGULATED GENE EXPRESSION IN MALE OFFSPRING. A NUMBER OF PARENTAL EXPERIENCES, EVEN WHEN OCCURRING PRIOR TO CONCEPTION, HAVE BEEN SHOWN TO INDUCE TRANSGENERATIONAL EFFECTS BEYOND THE FIRST GENERATION. IN THE CASE OF EXPOSURE TO DRUGS OF ABUSE, STUDIES IN RODENTS SUGGEST THAT OFFSPRING DEMONSTRATE SIGNIFICANT DIFFERENCES IN HOW THEY RESPOND TO THE DRUG TO WHICH THEIR PARENT WAS EXPOSED. WE HAVE PREVIOUSLY OBSERVED SIGNIFICANT ALTERATIONS IN MORPHINE ANALGESIA, CONDITIONED PLACE PREFERENCE AND SELF-ADMINISTRATION IN THE OFFSPRING OF FEMALES EXPOSED TO MORPHINE DURING ADOLESCENT DEVELOPMENT. IN ADDITION TO EFFECTS ON PAIN PERCEPTION AND REWARD, MORPHINE ALSO MODULATES THE HYPOTHALAMIC PITUITARY ADRENAL (HPA) AXIS. THE PURPOSE OF THE CURRENT STUDY WAS TO DETERMINE WHETHER FEMALE ADOLESCENT MORPHINE EXPOSURE RESULTS IN TRANSGENERATIONAL EFFECTS ON REGULATION OF THE HPA AXIS BY MORPHINE IN FUTURE GENERATIONS. ADOLESCENT MORPHINE WAS ADMINISTERED TO FEMALE SPRAGUE DAWLEY RATS USING A 10 DAY, ESCALATING DOSE REGIMEN OF MORPHINE (5-25 MG/KG; FROM 30 TO 39 DAYS OF AGE). CONTROL ANIMALS RECEIVED SALINE. BOTH SALINE AND MORPHINE EXPOSED FEMALES (SAL-F0 AND MOR-F0, RESPECTIVELY) WERE MATED WITH DRUG NAIVE MALES BEGINNING AT LEAST 3 WEEKS AFTER THE FINAL INJECTION. PLASMA CORTICOSTERONE LEVELS WERE MEASURED IN MALE AND FEMALE OFFSPRING (F1) DURING ADULTHOOD FOLLOWING 0, 0.1, OR 10 MG/KG MORPHINE. IN ADDITION, EXPRESSION OF CORTICOTROPIN RELEASING HORMONE (CRH) AND MU OPIOID RECEPTOR (OPRM1) IN THE PARAVENTRICULAR NUCLEUS (PVN) WERE MEASURED USING QUANTITATIVE PCR. MOR-F1 MALES, BUT NOT FEMALES, HAD BLUNTED MORPHINE-INDUCED CORTICOSTERONE SECRETION. THIS EFFECT WAS SPECIFIC TO OFFSPRING FROM FEMALES EXPOSED TO MORPHINE DURING ADOLESCENCE AS THOSE EXPOSED DURING ADULTHOOD PRODUCED OFFSPRING IN WHICH THE EFFECT WAS ABSENT. IN ADDITION, MOR-F1 MALES HAD SIGNIFICANTLY LOWER LEVELS OF PVN CRH FOLLOWING SALINE. THESE EFFECTS WERE NOT DRIVEN BY PVN OPRM1 IN THE F1 MALES AS THERE WERE NO DIFFERENCES BASED ON MATERNAL ADOLESCENT EXPOSURE. TO DETERMINE THE PERSISTENCE OF THE BLUNTED MORPHINE-INDUCED CORTICOSTERONE EFFECT, SAL-F2 AND MOR-F2 MALES WERE EXAMINED. BLUNTED MORPHINE-INDUCED CORTICOSTERONE SECRETION EXTENDED INTO THE MOR-F2 GENERATION, AS WELL AS EFFECTS ON CRH. IN ADDITION, THERE WAS ADDITIONAL DYSREGULATION OFOPRM1 EXPRESSION IN THE PVN IN MOR-F2 COMPARED WITH SAL-F2 MALES. THESE FINDINGS SUGGEST THAT SEX-SPECIFIC ALTERATIONS IN OPIOID-MEDIATED REGULATION OF THE HPA AXIS ARE TRANSGENERATIONALLY TRANSMITTED FOR AT LEAST TWO GENERATIONS FOLLOWING FEMALE ADOLESCENT MORPHINE EXPOSURE. THESE EFFECTS MAY PLAY A ROLE IN THE PREVIOUSLY OBSERVED CHANGES IN MORPHINE ANALGESIA AND REWARD-RELATED BEHAVIORS OBSERVED IN THIS PHENOTYPE. IN ADDITION, ALTERATIONS IN HPA FUNCTIONING SUCH AS THESE MAY PLAY A BROAD ROLE IN TRANSGENERATIONAL EPIGENETIC TRANSMISSION.	2018