1 1492 145 DNA HYDROXYMETHYLATION BY TEN-ELEVEN TRANSLOCATION METHYLCYTOSINE DIOXYGENASE 1 AND 3 REGULATES NOCICEPTIVE SENSITIZATION IN A CHRONIC INFLAMMATORY PAIN MODEL. BACKGROUND: TEN-ELEVEN TRANSLOCATION METHYLCYTOSINE DIOXYGENASE CONVERTS 5-METHYLCYTOSINE IN DNA TO 5-HYDROXYMETHYLCYTOSINE, WHICH PLAYS AN IMPORTANT ROLE IN GENE TRANSCRIPTION. ALTHOUGH 5-HYDROXYMETHYLCYTOSINE IS ENRICHED IN MAMMALIAN NEURONS, ITS REGULATORY FUNCTION IN NOCICEPTIVE INFORMATION PROCESSING IS UNKNOWN. METHODS: THE GLOBAL LEVELS OF 5-HYDROXYMETHYLCYTOSINE AND TEN-ELEVEN TRANSLOCATION METHYLCYTOSINE DIOXYGENASE WERE MEASURED IN SPINAL CORDS IN MICE TREATED WITH COMPLETE FREUND'S ADJUVANT. IMMUNOBLOTTING, IMMUNOHISTOCHEMISTRY, AND BEHAVIORAL TESTS WERE USED TO EXPLORE THE DOWNSTREAM TEN-ELEVEN TRANSLOCATION METHYLCYTOSINE DIOXYGENASE-DEPENDENT SIGNALING PATHWAY. RESULTS: COMPLETE FREUND'S ADJUVANT-INDUCED NOCICEPTION INCREASED THE MEAN LEVELS (+/- SD) OF SPINAL 5-HYDROXYMETHYLCYTOSINE (178 +/- 34 VS. 100 +/- 21; P = 0.0019), TEN-ELEVEN TRANSLOCATION METHYLCYTOSINE DIOXYGENASE-1 (0.52 +/- 0.11 VS. 0.36 +/- 0.064; P = 0.0088), AND TEN-ELEVEN TRANSLOCATION METHYLCYTOSINE DIOXYGENASE-3 (0.61 +/- 0.13 VS. 0.39 +/- 0.08; P = 0.0083) COMPARED WITH LEVELS IN CONTROL MICE (N = 6/GROUP). THE KNOCKDOWN OF TEN-ELEVEN TRANSLOCATION METHYLCYTOSINE DIOXYGENASE-1 OR TEN-ELEVEN TRANSLOCATION METHYLCYTOSINE DIOXYGENASE-3 ALLEVIATED THERMAL HYPERALGESIA AND MECHANICAL ALLODYNIA, WHEREAS OVEREXPRESSION CYTOSINETHEM IN NAIVE MICE (N = 6/GROUP). DOWN-REGULATION OF SPINAL TEN-ELEVEN TRANSLOCATION METHYLCYTOSINE DIOXYGENASE-1 AND TEN-ELEVEN TRANSLOCATION METHYLCYTOSINE DIOXYGENASE-3 ALSO REVERSED THE INCREASES IN FOS EXPRESSION (123 +/- 26 VS. 294 +/- 6; P = 0.0031; AND 140 +/- 21 VS. 294 +/- 60; P = 0.0043, RESPECTIVELY; N = 6/GROUP), 5-HYDROXYMETHYLCYTOSINE LEVELS IN THE STAT3 PROMOTER (75 +/- 16.1 VS. 156 +/- 28.9; P = 0.0043; AND 91 +/- 19.1 VS. 156 +/- 28.9; P = 0.0066, RESPECTIVELY; N = 5/GROUP), AND CONSEQUENT STAT3 EXPRESSION (93 +/- 19.6 VS. 137 +/- 27.5; P = 0.035; AND 72 +/- 15.2 VS. 137 +/- 27.5; P = 0.0028, RESPECTIVELY; N = 5/GROUP) IN COMPLETE FREUND'S ADJUVANT-TREATED MICE. CONCLUSIONS: THIS STUDY REVEALS A NOVEL EPIGENETIC MECHANISM FOR TEN-ELEVEN TRANSLOCATION METHYLCYTOSINE DIOXYGENASE-1 AND TEN-ELEVEN TRANSLOCATION METHYLCYTOSINE DIOXYGENASE-3 IN THE MODULATION OF SPINAL NOCICEPTIVE INFORMATION VIA TARGETING OF STAT3. 2017 2 2111 27 EPIGENETIC FUNCTION OF TET FAMILY, 5-METHYLCYTOSINE, AND 5-HYDROXYMETHYLCYTOSINE IN HEMATOLOGIC MALIGNANCIES. DNA METHYLATION PLAYS SIGNIFICANT ROLES IN A VARIETY OF BIOLOGICAL AND PATHOLOGICAL PROCESSES INCLUDING MAMMALIAN DEVELOPMENT, GENOMIC IMPRINTING, RETROTRANSPOSON SILENCING, AND X-CHROMOSOME INACTIVATION. RECENT DISCOVERIES INDICATED THAT TEN-ELEVEN TRANSLOCATION (TET) FAMILY OF DIOXYGENASES CAN CONVERT 5-METHYLCYTOSINE (5-MC) INTO 5-HYDROXYMETHYLCYTOSINE (5-HMC). THE TET FAMILY INCLUDES THREE MEMBERS: TET1, TET2, AND TET3. WITH INCREASING EVIDENCE, MORE AND MORE BIOLOGICAL AND PATHOLOGICAL PROCESSES IN WHICH 5-HMC AND TET FAMILY SERVE UNPARALLELED BIOLOGICAL ROLES ARE NOTICED, FOR EXAMPLE, DNA DEMETHYLATION AND TRANSCRIPTIONAL REGULATION OF DIFFERENT TARGET GENES, WHICH ARE INVOLVED IN MANY HUMAN DISEASES, ESPECIALLY HEMATOLOGIC MALIGNANCIES, RESEMBLING CHRONIC MYELOMONOCYTIC LEUKEMIA, MYELODYSPLASTIC SYNDROMES, AND SO ON. IN THIS REVIEW, WE FOCUS ON THE DIVERSE FUNCTIONS OF TET FAMILY AND THE NOVEL EPIGENETIC MARKS, 5-MC AND 5-HMC, IN HEMATOLOGIC MALIGNANCIES. THIS REVIEW WILL PROVIDE VALUABLE INSIGHTS INTO THE POTENTIAL TARGETS OF HEMATOLOGIC MALIGNANCIES. FURTHER UNDERSTANDING OF THE NORMAL AND PATHOLOGICAL FUNCTIONS OF TET FAMILY MAY PROVIDE NEW METHODS TO DEVELOP NOVEL EPIGENETIC THERAPIES FOR TREATING HEMATOLOGIC MALIGNANCIES. 2019 3 3433 48 HYDROXYMETHYLATION OF MICRORNA-365-3P REGULATES NOCICEPTIVE BEHAVIORS VIA KCNH2. DNA 5-HYDROXYLMETHYLCYTOSINE (5HMC) CATALYZED BY TEN-ELEVEN TRANSLOCATION METHYLCYTOSINE DIOXYGENASE (TET) OCCURS ABUNDANTLY IN NEURONS OF MAMMALS. HOWEVER, THE IN VIVO CAUSAL LINK BETWEEN TET DYSREGULATION AND NOCICEPTIVE MODULATION HAS NOT BEEN ESTABLISHED. HERE, WE FOUND THAT SPINAL TET1 AND TET3 WERE SIGNIFICANTLY INCREASED IN THE MODEL OF FORMALIN-INDUCED ACUTE INFLAMMATORY PAIN, WHICH WAS ACCOMPANIED WITH THE AUGMENT OF GENOME-WIDE 5HMC CONTENT IN SPINAL CORD. KNOCKDOWN OF SPINAL TET1 OR TET3 ALLEVIATED THE FORMALIN-INDUCED NOCICEPTIVE BEHAVIOR AND OVEREXPRESSION OF SPINAL TET1 OR TET3 IN NAIVE MICE PRODUCED PAIN-LIKE BEHAVIOR AS EVIDENCED BY DECREASED THERMAL PAIN THRESHOLD. FURTHERMORE, WE FOUND THAT TET1 OR TET3 REGULATED THE NOCICEPTIVE BEHAVIOR BY TARGETING MICRORNA-365-3P (MIR-365-3P). FORMALIN INCREASED 5HMC IN THE MIR-365-3P PROMOTER, WHICH WAS INHIBITED BY KNOCKDOWN OF TET1 OR TET3 AND MIMICKED BY OVEREXPRESSION OF TET1 OR TET3 IN NAIVE MICE. NOCICEPTIVE BEHAVIOR INDUCED BY FORMALIN OR OVEREXPRESSION OF SPINAL TET1 OR TET3 COULD BE PREVENTED BY DOWNREGULATION OF MIR-365-3P, AND MIMICKED BY OVEREXPRESSION OF SPINAL MIR-365-3P. FINALLY, WE DEMONSTRATED THAT A POTASSIUM CHANNEL, VOLTAGE-GATED EAG-RELATED SUBFAMILY H MEMBER 2 (KCNH2), VALIDATED AS A TARGET OF MIR-365-3P, PLAYED A CRITICAL ROLE IN NOCICEPTIVE MODULATION BY SPINAL TET OR MIR-365-3P. TOGETHER, WE CONCLUDED THAT TET-MEDIATED HYDROXYMETHYLATION OF MIR-365-3P REGULATES NOCICEPTIVE BEHAVIOR VIA KCNH2. SIGNIFICANCE STATEMENT: MOUNTING EVIDENCE INDICATES THAT EPIGENETIC MODIFICATIONS IN THE NOCICEPTIVE PATHWAY CONTRIBUTE TO PAIN PROCESSES AND ANALGESIA RESPONSE. HERE, WE FOUND THAT THE INCREASE OF 5HMC CONTENT MEDIATED BY TET1 OR TET3 IN MIR-365-3P PROMOTER IN THE SPINAL CORD IS INVOLVED IN NOCICEPTIVE MODULATION THROUGH TARGETING A POTASSIUM CHANNEL, KCNH2. OUR STUDY REVEALS A NEW EPIGENETIC MECHANISM UNDERLYING NOCICEPTIVE INFORMATION PROCESSING, WHICH MAY BE A NOVEL TARGET FOR DEVELOPMENT OF ANTINOCICEPTIVE DRUGS. 2016 4 5965 24 TEN-ELEVEN-TRANSLOCATION 2 (TET2) NEGATIVELY REGULATES HOMEOSTASIS AND DIFFERENTIATION OF HEMATOPOIETIC STEM CELLS IN MICE. THE TEN-ELEVEN-TRANSLOCATION 2 (TET2) GENE ENCODES A MEMBER OF TET FAMILY ENZYMES THAT ALTERS THE EPIGENETIC STATUS OF DNA BY OXIDIZING 5-METHYLCYTOSINE TO 5-HYDROXYMETHYLCYTOSINE (5HMC). SOMATIC LOSS-OF-FUNCTION MUTATIONS OF TET2 ARE FREQUENTLY OBSERVED IN PATIENTS WITH DIVERSE MYELOID MALIGNANCIES, INCLUDING MYELODYSPLASTIC SYNDROMES, MYELOPROLIFERATIVE NEOPLASMS, AND CHRONIC MYELOMONOCYTIC LEUKEMIA. BY ANALYZING MICE WITH TARGETED DISRUPTION OF THE TET2 CATALYTIC DOMAIN, WE SHOW HERE THAT TET2 IS A CRITICAL REGULATOR OF SELF-RENEWAL AND DIFFERENTIATION OF HEMATOPOIETIC STEM CELLS (HSCS). TET2 DEFICIENCY LED TO DECREASED GENOMIC LEVELS OF 5HMC AND AUGMENTED THE SIZE OF THE HEMATOPOIETIC STEM/PROGENITOR CELL POOL IN A CELL-AUTONOMOUS MANNER. IN COMPETITIVE TRANSPLANTATION ASSAYS, TET2-DEFICIENT HSCS WERE CAPABLE OF MULTILINEAGE RECONSTITUTION AND POSSESSED A COMPETITIVE ADVANTAGE OVER WILD-TYPE HSCS, RESULTING IN ENHANCED HEMATOPOIESIS INTO BOTH LYMPHOID AND MYELOID LINEAGES. IN VITRO, TET2 DEFICIENCY DELAYED HSC DIFFERENTIATION AND SKEWED DEVELOPMENT TOWARD THE MONOCYTE/MACROPHAGE LINEAGE. OUR DATA INDICATE THAT TET2 HAS A CRITICAL ROLE IN REGULATING THE EXPANSION AND FUNCTION OF HSCS, PRESUMABLY BY CONTROLLING 5HMC LEVELS AT GENES IMPORTANT FOR THE SELF-RENEWAL, PROLIFERATION, AND DIFFERENTIATION OF HSCS. 2011 5 5971 27 TET PROTEINS AND 5-METHYLCYTOSINE OXIDATION IN HEMATOLOGICAL CANCERS. DNA METHYLATION HAS PIVOTAL REGULATORY ROLES IN MAMMALIAN DEVELOPMENT, RETROTRANSPOSON SILENCING, GENOMIC IMPRINTING, AND X-CHROMOSOME INACTIVATION. CANCER CELLS DISPLAY HIGHLY DYSREGULATED DNA METHYLATION PROFILES CHARACTERIZED BY GLOBAL HYPOMETHYLATION IN CONJUNCTION WITH HYPERMETHYLATION OF PROMOTER CPG ISLANDS THAT PRESUMABLY LEAD TO GENOME INSTABILITY AND ABERRANT EXPRESSION OF TUMOR SUPPRESSOR GENES OR ONCOGENES. THE RECENT DISCOVERY OF TEN-ELEVEN-TRANSLOCATION (TET) FAMILY DIOXYGENASES THAT OXIDIZE 5MC TO 5-HYDROXYMETHYLCYTOSINE (5HMC), 5-FORMYLCYTOSINE (5FC), AND 5-CARBOXYLCYTOSINE (5CAC) IN DNA HAS LED TO PROFOUND PROGRESS IN UNDERSTANDING THE MECHANISM UNDERLYING DNA DEMETHYLATION. AMONG THE THREE TET GENES, TET2 RECURRENTLY UNDERGOES INACTIVATING MUTATIONS IN A WIDE RANGE OF MYELOID AND LYMPHOID MALIGNANCIES. TET2 FUNCTIONS AS A BONA FIDE TUMOR SUPPRESSOR PARTICULARLY IN THE PATHOGENESIS OF MYELOID MALIGNANCIES RESEMBLING CHRONIC MYELOMONOCYTIC LEUKEMIA (CMML) AND MYELODYSPLASTIC SYNDROMES (MDS) IN HUMAN. HERE WE REVIEW DIVERSE FUNCTIONS OF TET PROTEINS AND THE NOVEL EPIGENETIC MARKS THAT THEY GENERATE IN DNA METHYLATION/DEMETHYLATION DYNAMICS AND NORMAL AND MALIGNANT HEMATOPOIETIC DIFFERENTIATION. THE IMPACT OF TET2 INACTIVATION IN HEMATOPOIESIS AND VARIOUS MECHANISMS MODULATING THE EXPRESSION OR ACTIVITY OF TET PROTEINS ARE ALSO DISCUSSED. FURTHERMORE, WE ALSO PRESENT EVIDENCE THAT TET2 AND TET3 COLLABORATE TO SUPPRESS ABERRANT HEMATOPOIESIS AND HEMATOPOIETIC TRANSFORMATION. A DETAILED UNDERSTANDING OF THE NORMAL AND PATHOLOGICAL FUNCTIONS OF TET PROTEINS MAY PROVIDE NEW AVENUES TO DEVELOP NOVEL EPIGENETIC THERAPIES FOR TREATING HEMATOLOGICAL MALIGNANCIES. 2015 6 5399 32 REDUCED TEN-ELEVEN TRANSLOCATION AND ISOCITRATE DEHYDROGENASE EXPRESSION IN INFLAMMATORY HIDRADENITIS SUPPURATIVA LESIONS. BACKGROUND: AS ENVIRONMENTAL FACTORS APPEAR TO PREDISPOSE PATIENTS TO HIDRADENITIS SUPPURATIVA (HS), STUDYING EPIGENETIC MODIFICATIONS IS OF INTEREST TO FURTHER UNDERSTAND THE PATHOGENESIS OF HS. OBJECTIVES: TO STUDY THE EXPRESSION OF DNA HYDROXYMETHYLATION REGULATORS, NAMELY THE TEN-ELEVEN TRANSLOCATION (TET) AND ISOCITRATE DEHYDROGENASE (IDH) FAMILY, IN THE SKIN OF HS PATIENTS. MATERIALS & METHODS: TWENTY PATIENTS WITH HS AND 12 HEALTHY SUBJECTS WERE RECRUITED. WE ANALYSED THE EXPRESSION OF TET1, TET2, TET3, IDH1, IDH2, IDH3A, AND IDH3B IN LESIONAL AND PERILESIONAL HS TISSUE AS WELL AS TISSUE FROM HEALTHY CONTROLS BY QUANTITATIVE REAL-TIME REVERSE TRANSCRIPTION POLYMERASE CHAIN REACTION (RT-PCR). IN ADDITION, IMMUNOHISTOCHEMISTRY WAS PERFORMED FOR TET1, TET2, AND TET3. RESULTS: RT-PCR ANALYSIS SHOWED THAT MRNA OF ALL THE STUDIED GENES WAS SIGNIFICANTLY UNDER-EXPRESSED IN LESIONAL HS SKIN COMPARED TO HEALTHY SKIN. IDH1 AND IDH2 MRNA EXPRESSION WAS ALSO SIGNIFICANTLY LOWER IN PERILESIONAL HS SKIN COMPARED TO HEALTHY SKIN, AND TET3 MRNA EXPRESSION WAS SIGNIFICANTLY LOWER IN LESIONAL HS SKIN COMPARED TO PERILESIONAL HS SKIN. RT-PCR ANALYSIS FOR TET1, TET2, AND TET3 MRNA EXPRESSION WAS CONFIRMED BY IMMUNOHISTOCHEMICAL ANALYSIS. CORRELATION ANALYSIS REVEALED A SIGNIFICANT POSITIVE CORRELATION BETWEEN TET AND IDH GENE EXPRESSION IN PERILESIONAL AND LESIONAL HS SKIN. CONCLUSIONS: OUR RESULTS SUGGEST THAT EPIGENETIC CHANGES OCCUR IN HS TISSUE AND THAT ABERRANT EXPRESSION OF THE DNA HYDROXYMETHYLATION REGULATORS MAY PLAY A ROLE IN THE PATHOGENESIS OF HS. AS EPIGENETIC MODIFICATIONS ARE REVERSIBLE, FURTHER RESEARCH INTO THE CAUSE OF THESE ABERRANT EXPRESSION PATTERNS IS WARRANTED IN ORDER TO DEVELOP POSSIBLE NOVEL THERAPEUTIC APPROACHES. 2018 7 1268 29 CYTOPLASMATIC COMPARTMENTALIZATION BY BCR-ABL PROMOTES TET2 LOSS-OF-FUNCTION IN CHRONIC MYELOID LEUKEMIA. THE LOSS-OF-FUNCTION OF TEN-ELEVEN-TRANSLOCATION (TET) 2, A FE(2+) -OXOGLUTARATE-DEPENDENT DIOXYGENASE CATALYZING 5 METHYL CYTOSINE (5MC) CONVERSION INTO 5-HYDROXYMETHYLCYTOSINE (5HMC), CONTRIBUTES TO THE HEMATOPOIETIC TRANSFORMATION IN VIVO. THE AIM OF OUR STUDY WAS TO ELUCIDATE ITS ROLE IN THE PHENOTYPE OF CHRONIC MYELOID LEUKEMIA (CML), A MYELOPROLIFERATIVE DISEASE CAUSED BY THE BCR-ABL REARRANGED GENE. WE FIRST CONFIRMED TET2 INTERACTION WITH THE BCR-ABL PROTEIN PREDICTED BY A FOURIER-BASED BIOINFORMATIC METHOD. SUCH INTERACTION LED TO TET2 CYTOPLASMATIC COMPARTMENTALIZATION IN A COMPLEX TETHERED BY THE FUSION PROTEIN TYROSINE KINASE (TK) AND ENCOMPASSING THE FORKHEAD BOX O3A (FOXO3A) TRANSCRIPTION FACTOR. WE THEN FOCUSED THE IMPACT OF TET2 LOSS-OF-FUNCTION ON EPIGENETIC TRANSCRIPTIONAL REGULATION OF BCL2-INTERACTING MEDIATOR (BIM), A PRO-APOPTOTIC PROTEIN TRANSCRIPTIONALLY REGULATED BY FOXO3A. BIM DOWNREGULATION IS A CRITICAL COMPONENT OF CML PROGENITOR EXTENDED SURVIVAL AND IS ALSO INVOLVED IN THE DISEASE RESISTANCE TO IMATINIB (IM). HERE WE REPORTED THAT TET2 RELEASE FROM BCR-ABL PROTEIN FOLLOWING TK INHIBITION IN RESPONSE TO IM TRIGGERS A CHAIN OF EVENTS INCLUDING TET2 NUCLEAR TRANSLOCATION, RE-ACTIVATION OF ITS ENZYMATIC FUNCTION AT 5MC AND RECRUITMENT AT THE BIM PROMOTER FOLLOWED BY BIM TRANSCRIPTIONAL INDUCTION. 5HMC INCREMENT FOLLOWING TET2 RE-ACTIVATION WAS ASSOCIATED WITH THE REDUCTION OF HISTONE H3 TRI-METHYLATION AT LYSINE 9 (H3K9ME3), WHICH MAY CONTRIBUTE WITH DNA DE-METHYLATION REPORTED ELSEWHERE TO RECAST A PERMISSIVE EPIGENETIC "LANDSCAPE" FOR FOXO3A TRANSCRIPTIONAL ACTIVITY. 2012 8 5976 36 TET1-DEPENDENT EPIGENETIC MODIFICATION OF BDNF EXPRESSION IN DORSAL HORN NEURONS MEDIATES NEUROPATHIC PAIN IN RATS. TEN-ELEVEN TRANSLOCATION METHYLCYTOSINE DIOXYGENASE 1 (TET1) MEDIATES THE CONVERSION OF 5-METHYLCYTOSINE (5 MC) TO 5-HYDROXYMETHYLCYTOSINE (5 HMC), HENCE PROMOTING DNA DEMETHYLATION. ALTHOUGH RECENT STUDIES HAVE LINKED THE DNA DEMETHYLATION OF SPECIFIC GENES TO PAIN HYPERSENSITIVITY, THE ROLE OF SPINAL TET1-DEPENDENT DNA DEMETHYLATION IN NOCICEPTION HYPERSENSITIVITY DEVELOPMENT REMAINS ELUSIVE. HERE, WE REPORT CORRELATED WITH BEHAVIORAL ALLODYNIA, SPINAL NERVE LIGATION (SNL) UPREGULATED TET1 EXPRESSION IN DORSAL HORN NEURONS THAT HYDROXYLATE 5 MC TO 5 HMC AT CPG DINUCLEOTIDES IN THE BDNF PROMOTER TO PROMOTE SPINAL BDNF EXPRESSION AT DAY 7 AFTER OPERATION. FOCAL KNOCKDOWN OF SPINAL TET1 EXPRESSION DECREASED TET1 BINDING AND 5 HMC ENRICHMENT, FURTHER INCREASED 5 MC ENRICHMENT AT CPG SITES IN THE BDNF PROMOTER AND DECREASED SPINAL BDNF EXPRESSION ACCOMPANIED BY THE ALLEVIATION OF THE DEVELOPED ALLODYNIA. MOREOVER, AT DAY 7 AFTER OPERATION, SNL-ENHANCED TET1 EXPRESSION ALSO INHIBITED THE BINDING OF DNA METHYLTRANSFERASES (DNMTS, I.E., DNMT1, DNMT3A, AND DNMT3B) TO THE BDNF PROMOTER, A REQUIREMENT FOR TRANSCRIPTIONAL SILENCING BY CATALYSING 5-CYTOSINE (5C) TO 5 MC. TOGETHER, THESE DATA SUGGEST AT CPG SITES OF THE BDNF PROMOTER, SNL-ENHANCED TET1 EXPRESSION PROMOTES DNA DEMETHYLATION BOTH BY CONVERTING 5 MC TO 5 HMC AND INHIBITING DNMT BINDING TO REGULATE SPINAL BDNF EXPRESSION, HENCE CONTRIBUTING TO BEHAVIORAL ALLODYNIA DEVELOPMENT. 2016 9 21 24 5-HYDROXYMETHYLCYTOSINE (5HMC) AND TEN-ELEVEN TRANSLOCATION 1-3 (TET1-3) PROTEINS IN THE DORSAL ROOT GANGLIA OF MOUSE: EXPRESSION AND DYNAMIC REGULATION IN NEUROPATHIC PAIN. EPIGENETIC MECHANISMS ARE INCREASINGLY IMPLICATED IN CHRONIC PAIN PATHOLOGY. IN THIS STUDY, WE DEMONSTRATE THAT THE NOVEL EPIGENETIC MARK 5-HYDROXYMETHYLCYTOSINE (5HMC) IS PRESENT IN DORSAL ROOT GANGLIA (DRG) NEURONS AND GLIA, AND ITS LEVELS INCREASE FOLLOWING NERVE INJURY. FURTHERMORE, WE SHOW THAT THE 5HMC-GENERATING TEN-ELEVEN TRANSLOCATION 1-3 (TET1-3) PROTEINS ARE EXPRESSED IN A CELL-TYPE SPECIFIC MANNER IN THE DRG, WITH TET3 DISPLAYING DIFFERENTIAL UPREGULATION AFTER INJURY, SUGGESTING A POTENTIAL ROLE IN NEUROPATHIC PAIN. 2017 10 83 31 A NOVEL EPIGENETIC MARKER, TEN-ELEVEN TRANSLOCATION FAMILY MEMBER 2 (TET2), IS IDENTIFIED IN THE INTRACTABLE EPILEPTIC BRAIN AND REGULATES ATP BINDING CASSETTE SUBFAMILY B MEMBER 1 (ABCB1) IN THE BLOOD-BRAIN BARRIER. DRUG-RESISTANT EPILEPSY (DRE) IS A CHRONIC CONDITION DERIVED FROM SPONTANEOUS CHANGES AND REGULATORY EFFECTS IN THE EPILEPTIC BRAIN. AS DEMETHYLATION FACTORS, TEN-ELEVEN TRANSLOCATION (TET) FAMILY MEMBERS HAVE BECOME A FOCUS IN RECENT STUDIES OF NEUROLOGICAL DISORDERS. HERE, WE QUANTIFIED AND LOCALIZED TET1, TET2 AND 5-HYDROXYMETHYLCYTOSINE (5-HMC) IN THE TEMPORAL LOBE CORTEX OF DRE PATIENTS (N = 27) AND TRAUMATIC BRAIN HEMORRHAGE CONTROLS (N = 10) BY IMMUNOCHEMICAL STAINING. TET2 AND ATP BINDING CASSETTE SUBFAMILY B MEMBER 1 (ABCB1) EXPRESSION PATTERNS WERE DETERMINED IN THE ISOLATED BRAIN CAPILLARIES OF DRE PATIENTS. TET2 EXPRESSION WAS SIGNIFICANTLY INCREASED IN THE TEMPORAL CORTICAL TISSUE OF DRE PATIENTS WITH OR WITHOUT HIPPOCAMPAL SCLEROSIS (HS) COMPARED TO CONTROL PATIENTS, WHILE TET1 AND 5-HMC SHOWED NO DIFFERENCES IN EXPRESSION. WE ALSO FOUND THAT A PARTICULARLY STRONG EXPRESSION OF TET2 IN THE VASCULAR TISSUE OF DRE PATIENTS. ABCB1 AND TET2 HAVE EVIDENTLY HIGHER EXPRESSION IN THE VASCULAR ENDOTHELIUM FROM THE NEOCORTEX OF DRE PATIENTS. IN BLOOD-BRAIN BARRIER (BBB) MODEL, TET2 DEPLETION CAN CAUSE ATTENUATED EXPRESSION AND FUNCTION OF ABCB1. DATA FROM A COHORT STUDY AND EXPERIMENTS IN A BBB MODEL SUGGEST THAT TET2 HAS A SPECIFIC REGULATORY EFFECT ON ABCB1, WHICH MAY SERVE AS A POTENTIAL MECHANISM AND TARGET IN DRE. 2022 11 831 34 CHARACTERIZATION OF TET AND IDH GENE EXPRESSION IN CHRONIC LYMPHOCYTIC LEUKEMIA: COMPARISON WITH NORMAL B CELLS AND PROGNOSTIC SIGNIFICANCE. BACKGROUND: CHRONIC LYMPHOCYTIC LEUKEMIA (CLL) IS THE MOST COMMON HEMATOLOGICAL MALIGNANCY IN WESTERN COUNTRIES, CHARACTERIZED BY A HETEROGENEOUS CLINICAL COURSE. ALTHOUGH GENETIC STUDIES HAVE IDENTIFIED CHROMOSOMAL ABERRATIONS OR SPECIFIC MUTATIONS, EPIGENETIC CHANGES HAVE BEEN POORLY CHARACTERIZED IN CLL. METHODS: WE ASSESSED TEN-ELEVEN TRANSLOCATIONS (TET) 1, 2, AND 3, ISOCITRATE DEHYDROGENASE (IDH) 1, AND 2 MESSENGER RNA (MRNA) EXPRESSION USING REAL-TIME PCR ON PURIFIED LEUKEMIC B CELLS FROM 214 CLL PATIENTS (MEDIAN FOLLOW-UP = 75 MONTHS, RANGE 1-380), NORMAL PERIPHERAL BLOOD B CELLS (N = 20), AND UMBILICAL CORD BLOOD B CELLS (N = 21). THE MICROENVIRONMENT INFLUENCE WAS ASSESSED AFTER 24 H CO-CULTURE OF CLL CELLS WITH BONE MARROW MESENCHYMAL STROMAL CELLS (BMSC). FINALLY, 5-HYDROXYMETHYLCYTOSINE LEVEL (%5-HMC) WAS ASSESSED BY ELISA IN CLL CELLS ALONE OR WITH MICROENVIRONMENT STIMULI. RESULTS: TET 1 AND 3 AND IDH2 WERE DECREASED IN CLL CELLS COMPARED WITH HEALTHY B CELLS (P = 0.0221, 0.0013, <0.0001, RESPECTIVELY), WHILE IDH1 WAS OVEREXPRESSED (P = 0.0037). TET2 AND IDH1 WERE SIGNIFICANTLY CORRELATED WITH TREATMENT-FREE SURVIVAL (TFS); PATIENTS WITH HIGH TET2/IDH1 EXPRESSION HAD A HIGHER MEDIAN TFS (111 MONTHS) THAN PATIENTS WITH LOW EXPRESSION (78 MONTHS, P = 0.0071/0.0123). MOREOVER, TET1 EXPRESSION DECREASED (P = 0.0371), WHILE TET3 AND IDH2 EXPRESSION INCREASED (P = 0.0273/0.0039) IN CO-CULTURES. HOWEVER, %5-HMC WAS NOT CORRELATED WITH CLINICAL DATA AND WAS UNCHANGED FOLLOWING MICROENVIRONMENT STIMULI. CONCLUSIONS: DESPITE A SLIGHT DEREGULATION IN CLL CELLS COMPARED WITH NORMAL B CELLS, WE IDENTIFIED A SIGNIFICANT ASSOCIATION BETWEEN TET/IDH GENE EXPRESSION AND PROGNOSIS, SUGGESTING THAT EPIGENETIC CHANGES COULD POTENTIALLY BE ASSOCIATED WITH DISEASE PROGRESSION. MOREOVER, DESPITE AN IDENTICAL %5-HMC, TET GENE EXPRESSION WAS INFLUENCED BY CONTACT WITH BMSC CONFIRMING THE CRUCIAL ROLE OF THE MICROENVIRONMENT IN CLL PATHOGENESIS. 2016 12 5973 27 TET-CATALYZED 5-HYDROXYMETHYLATION PRECEDES HNF4A PROMOTER CHOICE DURING DIFFERENTIATION OF BIPOTENT LIVER PROGENITORS. UNDERSTANDING THE PROCESSES THAT GOVERN LIVER PROGENITOR CELL DIFFERENTIATION HAS IMPORTANT IMPLICATIONS FOR THE DESIGN OF STRATEGIES TARGETING CHRONIC LIVER DISEASES, WHEREBY REGENERATION OF LIVER TISSUE IS CRITICAL. ALTHOUGH DNA METHYLATION (5MC) AND HYDROXYMETHYLATION (5HMC) ARE HIGHLY DYNAMIC DURING EARLY EMBRYONIC DEVELOPMENT, LESS IS KNOWN ABOUT THEIR ROLES AT LATER STAGES OF DIFFERENTIATION. USING AN IN VITRO MODEL OF HEPATOCYTE DIFFERENTIATION, WE SHOW HERE THAT 5HMC PRECEDES THE EXPRESSION OF PROMOTER 1 (P1)-DEPENDENT ISOFORMS OF HNF4A, A MASTER TRANSCRIPTION FACTOR OF HEPATOCYTE IDENTITY. 5HMC AND HNF4A EXPRESSION FROM P1 ARE DEPENDENT ON TEN-ELEVEN TRANSLOCATION (TET) DIOXYGENASES. IN TURN, THE LIVER PIONEER FACTOR FOXA2 IS NECESSARY FOR TET1 BINDING TO THE P1 LOCUS. BOTH FOXA2 AND TETS ARE REQUIRED FOR THE 5HMC-RELATED SWITCH IN HNF4A EXPRESSION. THE EPIGENETIC EVENT IDENTIFIED HERE MAY BE A KEY STEP FOR THE ESTABLISHMENT OF THE HEPATOCYTE PROGRAM BY HNF4A. 2017 13 6419 36 THE TET2-UPF1 COMPLEX MODULATES MRNA STABILITY UNDER STRESS CONDITIONS. INTRODUCTION: ENVIRONMENTAL STRESS PROMOTES EPIGENETIC ALTERATIONS THAT IMPACT GENE EXPRESSION AND SUBSEQUENTLY PARTICIPATE IN THE PATHOLOGICAL PROCESSES OF THE DISORDER. AMONG EPIGENETIC REGULATIONS, TEN-ELEVEN TRANSLOCATION (TET) ENZYMES OXIDIZE 5-METHYLCYTOSINE (5MC) TO 5-HYDROXYMETHYLCYTOSINE (5HMC) IN DNA AND RNA AND FUNCTION AS CRITICAL PLAYERS IN THE PATHOGENESIS OF DISEASES. OUR PREVIOUS RESULTS SHOWED THAT CHRONIC STRESS INCREASES THE EXPRESSION OF CYTOPLASMIC TET2 IN THE HIPPOCAMPUS OF MICE EXPOSED TO CHRONIC MILD STRESS (CMS). WHETHER THE CYTOPLASMIC TET2 ALTERS RNA 5HMC MODIFICATION IN CHRONIC STRESS-RELATED PROCESSES REMAINS LARGELY UNKNOWN. METHODS: TO EXPLORE THE ROLE OF CYTOPLASMIC TET2 UNDER CMS CONDITIONS, WE ESTABLISHED CMS MICE MODEL AND DETECTED THE EXPRESSION OF RNA 5HMC BY DOT BLOT. WE VERIFIED THE INTERACTION OF TET2 AND ITS INTERACTING PROTEIN BY CO-IMMUNOPRECIPITATION COMBINED WITH MASS SPECTROMETRY AND SCREENED DOWNSTREAM TARGET GENES BY CLUSTER ANALYSIS OF TET2 AND UPSTREAM FRAMESHIFT 1 (UPF1) INTERACTING RNA. THE EXPRESSION OF PROTEIN WAS DETECTED BY WESTERN BLOT AND THE EXPRESSION OF THE SCREENED TARGET GENES WAS DETECTED BY QRT-PCR. RESULTS: IN THIS STUDY, WE FOUND THAT INCREASED CYTOPLASMIC TET2 EXPRESSION UNDER CMS CONDITIONS LEADS TO INCREASE IN TOTAL RNA 5HMC MODIFICATION. TET2 INTERACTED WITH THE KEY NON-SENSE-MEDIATED MRNA DECAY (NMD) FACTOR UPF1, REGULATED THE STABILITY OF STRESS-RELATED GENES SUCH AS UNC5B MRNA, AND MIGHT THEREBY AFFECT NEURODEVELOPMENT. DISCUSSION: IN SUMMARY, THIS STUDY REVEALED THAT TET2-MEDIATED RNA 5HMC MODIFICATION IS INVOLVED IN STRESS-RELATED MRNA STABILITY REGULATION AND MAY SERVE AS A POTENTIAL THERAPEUTIC TARGET FOR CHRONIC STRESS-RELATED DISEASES SUCH AS DEPRESSION. 2023 14 5978 19 TET2 AND TET3 IN B CELLS ARE REQUIRED TO REPRESS CD86 AND PREVENT AUTOIMMUNITY. A CONTRIBUTION OF EPIGENETIC MODIFICATIONS TO B CELL TOLERANCE HAS BEEN PROPOSED BUT NOT DIRECTLY TESTED. HERE WE REPORT THAT DEFICIENCY OF TEN-ELEVEN TRANSLOCATION (TET) DNA DEMETHYLASE FAMILY MEMBERS TET2 AND TET3 IN B CELLS LED TO HYPERACTIVATION OF B AND T CELLS, AUTOANTIBODY PRODUCTION AND LUPUS-LIKE DISEASE IN MICE. MECHANISTICALLY, IN THE ABSENCE OF TET2 AND TET3, DOWNREGULATION OF CD86, WHICH NORMALLY OCCURS FOLLOWING CHRONIC EXPOSURE OF SELF-REACTIVE B CELLS TO SELF-ANTIGEN, DID NOT TAKE PLACE. THE IMPORTANCE OF DYSREGULATED CD86 EXPRESSION IN TET2- AND TET3-DEFICIENT B CELLS WAS FURTHER DEMONSTRATED BY THE RESTRICTION, ALBEIT NOT COMPLETE, ON ABERRANT T AND B CELL ACTIVATION FOLLOWING ANTI-CD86 BLOCKADE. TET2- AND TET3-DEFICIENT B CELLS HAD DECREASED ACCUMULATION OF HISTONE DEACETYLASE 1 (HDAC1) AND HDAC2 AT THE CD86 LOCUS. THUS, OUR FINDINGS SUGGEST THAT TET2- AND TET3-MEDIATED CHROMATIN MODIFICATION PARTICIPATES IN REPRESSION OF CD86 ON CHRONICALLY STIMULATED SELF-REACTIVE B CELLS, WHICH CONTRIBUTES, AT LEAST IN PART, TO PREVENTING AUTOIMMUNITY. 2020 15 5983 28 TET2 RESTRAINS INFLAMMATORY GENE EXPRESSION IN MACROPHAGES. TET METHYLCYTOSINE DIOXYGENASE 2 (TET2) IS ONE OF THE EARLIEST AND MOST FREQUENTLY MUTATED GENES IN CLONAL HEMATOPOIESIS OF INDETERMINATE POTENTIAL (CHIP) AND MYELOID CANCERS, INCLUDING MYELODYSPLASTIC SYNDROMES (MDS) AND CHRONIC MYELOMONOCYTIC LEUKEMIA (CMML). TET2 CATALYZES THE OXIDATION OF 5-METHYLCYTOSINE TO 5-HYDROXYMETHYLCYTOSINE, LEADING TO DNA DEMETHYLATION, AND ALSO AFFECTS TRANSCRIPTION BY RECRUITING HISTONE MODIFIERS. INACTIVATING TET2 MUTATIONS CAUSE EPIGENETIC DYSREGULATION, CLONAL HEMATOPOIETIC STEM CELL (HSC) DOMINANCE, AND MONOCYTIC LINEAGE SKEWING. HERE, WE FOUND THAT TET2 WAS THE MOST HIGHLY EXPRESSED TET ENZYME IN MURINE MACROPHAGE (MPHI) DIFFERENTIATION. TET2 TRANSCRIPTION WAS FURTHER INDUCED BY LIPOPOLYSACCHARIDE (LPS), BUT NOT INTERLEUKIN (IL)-4, STIMULATION, POTENTIALLY IN A NUCLEAR FACTOR KAPPABETA-DEPENDENT MANNER. TET2 LOSS DID NOT AFFECT EARLY LPS GENE RESPONSES IN VITRO, BUT INCREASED IL-1B, IL-6, AND ARGINASE 1 (ARG1) MRNA EXPRESSION AT LATER STAGES OF STIMULATION IN BONE-MARROW-DERIVED MPHIS (BMMPHIS). TET2-DEFICIENT PERITONEAL MPHIS, HOWEVER, DEMONSTRATED PROFOUND, CONSTITUTIVE EXPRESSION OF LPS-INDUCED GENES ASSOCIATED WITH AN INFLAMMATORY STATE IN VIVO. IN CONTRAST, TET2 DEFICIENCY DID NOT AFFECT ALTERNATIVE MPHI GENE EXPRESSION SIGNIFICANTLY IN RESPONSE TO IL-4. THESE RESULTS SUGGESTED IMPAIRED RESOLUTION OF INFLAMMATION IN THE ABSENCE OF TET2 BOTH IN VITRO AND IN VIVO. FOR THE FIRST TIME, WE ALSO DETECTED TET2 MUTATIONS IN BMMPHIS FROM MDS AND CMML PATIENTS AND ASSAYED THEIR EFFECTS ON LPS RESPONSES, INCLUDING THEIR POTENTIAL INFLUENCE ON HUMAN IL-6 EXPRESSION. OUR RESULTS SHOW THAT TET2 RESTRAINS INFLAMMATION IN MURINE MPHIS AND MICE, RAISING THE POSSIBILITY THAT LOSS OF TET2 FUNCTION IN MPHIS MAY ALTER THE IMMUNE ENVIRONMENT IN THE LARGE ELDERLY POPULATION WITH TET2-MUTANT CHIP AND IN TET2-MUTANT MYELOID CANCER PATIENTS. 2017 16 5981 34 TET2 PROMOTES PATHOGEN INFECTION-INDUCED MYELOPOIESIS THROUGH MRNA OXIDATION. VARIETIES OF RNA MODIFICATION FORM THE EPITRANSCRIPTOME FOR POST-TRANSCRIPTIONAL REGULATION. 5-METHYLCYTOSINE (5-MC) IS A SPARSE RNA MODIFICATION IN MESSENGER RNA (MRNA) UNDER PHYSIOLOGICAL CONDITIONS. THE FUNCTION OF RNA 5-HYDROXYMETHYLCYTOSINE (5-HMC) OXIDIZED BY TEN-ELEVEN TRANSLOCATION (TET) PROTEINS IN DROSOPHILA HAS BEEN REVEALED MORE RECENTLY. HOWEVER, THE TURNOVER AND FUNCTION OF 5-MC IN MAMMALIAN MRNA HAVE BEEN LARGELY UNKNOWN. TET2 SUPPRESSES MYELOID MALIGNANCIES MOSTLY IN AN ENZYMATIC ACTIVITY-DEPENDENT MANNER, AND IS IMPORTANT IN RESOLVING INFLAMMATORY RESPONSE IN AN ENZYMATIC ACTIVITY-INDEPENDENT WAY. MYELOPOIESIS IS A COMMON HOST IMMUNE RESPONSE IN ACUTE AND CHRONIC INFECTIONS; HOWEVER, ITS EPIGENETIC MECHANISM NEEDS TO BE IDENTIFIED. HERE WE DEMONSTRATE THAT TET2 PROMOTES INFECTION-INDUCED MYELOPOIESIS IN AN MRNA OXIDATION-DEPENDENT MANNER THROUGH ADAR1-MEDIATED REPRESSION OF SOCS3 EXPRESSION AT THE POST-TRANSCRIPTION LEVEL. TET2 PROMOTES BOTH ABDOMINAL SEPSIS-INDUCED EMERGENCY MYELOPOIESIS AND PARASITE-INDUCED MAST CELL EXPANSION THROUGH DECREASING MRNA LEVELS OF SOCS3, A KEY NEGATIVE REGULATOR OF THE JAK-STAT PATHWAY THAT IS CRITICAL FOR CYTOKINE-INDUCED MYELOPOIESIS. TET2 REPRESSES SOCS3 EXPRESSION THROUGH ADAR1, WHICH BINDS AND DESTABILIZES SOCS3 MRNA IN A RNA EDITING-INDEPENDENT MANNER. FOR THE UNDERLYING MECHANISM OF TET2 REGULATION AT THE MRNA LEVEL, TET2 MEDIATES OXIDATION OF 5-MC IN MRNA. TET2 DEFICIENCY LEADS TO THE TRANSCRIPTOME-WIDE APPEARANCE OF METHYLATED CYTOSINES, INCLUDING ONES IN THE 3' UNTRANSLATED REGION OF SOCS3, WHICH INFLUENCES DOUBLE-STRANDED RNA FORMATION FOR ADAR1 BINDING, PROBABLY THROUGH CYTOSINE METHYLATION-SPECIFIC READERS, SUCH AS RNA HELICASES. OUR STUDY REVEALS A PREVIOUSLY UNKNOWN REGULATORY ROLE OF TET2 AT THE EPITRANSCRIPTOMIC LEVEL, PROMOTING MYELOPOIESIS DURING INFECTION IN THE MAMMALIAN SYSTEM BY DECREASING 5-MCS IN MRNAS. MOREOVER, THE INHIBITORY FUNCTION OF CYTOSINE METHYLATION ON DOUBLE-STRANDED RNA FORMATION AND ADAR1 BINDING IN MRNA REVEALS ITS NEW PHYSIOLOGICAL ROLE IN THE MAMMALIAN SYSTEM. 2018 17 4876 23 OVEREXPRESSION OF ARGINASE 1 IS LINKED TO DNMT3A AND TET2 MUTATIONS IN LOWER-GRADE MYELODYSPLASTIC SYNDROMES AND CHRONIC MYELOMONOCYTIC LEUKEMIA. IMMUNE DYSREGULATION IS A COMMON FEATURE OF MYELODYSPLASTIC SYNDROMES (MDS) AND CHRONIC MYELOMONOCYTIC LEUKEMIA (CMML), PARTICULARLY IN EARLY STAGES. HOWEVER, THE GENETIC BASIS REMAINS POORLY UNDERSTOOD. WE RECENTLY REPORTED THAT MACROPHAGES FROM MICE DEFICIENT IN TET METHYLCYTOSINE DIOXYGENASE 2 (TET2), A MODEL OF MDS/CMML, ARE HYPERINFLAMMATORY AND HAVE INCREASED EXPRESSION OF ARGINASE 1 (ARG1). IN MACROPHAGES AND MYELOID DERIVED SUPPRESSOR CELLS (MDSCS) EXPRESSION OF ARG1 CONTRIBUTES TO T-CELL SUPPRESSION AND IMMUNE EVASION BY L-ARGININE DEPLETION, IN THE SETTING OF CHRONIC INFLAMMATION AND CANCER. SINCE HUMAN MDS AND CMML ARE DRIVEN BY TET2 MUTATIONS AND ASSOCIATED WITH CHRONIC INFLAMMATION, WE HYPOTHESIZED THAT ARGINASE ENZYMATIC ACTIVITY AND ARG1 EXPRESSION WOULD BE INCREASED IN HUMAN MDS/CMML BONE MARROW. ELEVATED ARGINASE ACTIVITY WAS OBSERVED IN BONE MARROW MONONUCLEAR CELLS OF MDS AND CMML PATIENTS WITH LOWER-GRADE FEATURES. IMMUNOHISTOCHEMICAL STUDIES CONFIRMED THAT MYELOMONOCYTIC CELLS OVEREXPRESS ARG1. ADDITIONALLY, MUTATIONS IN THE EPIGENETIC REGULATORS TET2 AND DNMT3A CORRESPONDED TO HIGH ARG1 EXPRESSION AND ACTIVITY. THESE FINDINGS SUGGEST ARG1 IS A BIOMARKER OF IMMUNE DYSREGULATION IN EARLY MDS AND CMML. RECENT MURINE FINDINGS HAVE IMPLICATED TET2 AND DNMT3A IN REGULATION OF INNATE IMMUNITY. OUR STUDY SUGGESTS SIMILAR CHANGES MAY BE DRIVEN BY HUMAN TET2 AND DNMT3A MUTATIONS. 2018 18 5975 31 TET1 IS AN IMPORTANT TRANSCRIPTIONAL ACTIVATOR OF TNFALPHA EXPRESSION IN MACROPHAGES. ACTIVATION OF MACROPHAGES AND OVEREXPRESSION OF TNFALPHA IS ASSOCIATED WITH THE PATHOGENESIS OF CHRONIC INFLAMMATORY DISEASES. HOWEVER, THE MECHANISMS LEADING TO TNFALPHA OVEREXPRESSION ARE STILL UNKNOWN. 5-METHYLOCYTOSINE (5-MC) IS AN EPIGENETIC MODIFICATION THAT IS ASSOCIATED WITH SILENCED GENES. RECENT STUDIES SHOWED THAT IT IS CONVERTED TO 5-HYDROXYLMETHYLOCYTOSINE (5-HMC) AND REACTIVATES GENE EXPRESSION THROUGH THE ACTION OF THE FAMILY OF TEN-ELEVEN-TRANSLOCATION (TET1-3) ENZYMES. IN THIS STUDY, WE SHOW THAT 5-HMC LEVELS ARE INCREASED GLOBALLY AND SPECIFICALLY IN THE TNFALPHA PROMOTER DURING THE DIFFERENTIATION OF MONOCYTES TO MACROPHAGES. IN ADDITION, THE LEVELS OF 5-HMC ARE INCREASED UPON LPS STIMULATION OF MACROPHAGES. FURTHERMORE, CRIPSR STABLE KNOCKOUT OF TET1 DECREASES THE EXPRESSION OF TNFALPHA AND OTHER PRO-INFLAMMATORY CYTOKINES. IN CONCLUSION, WE SHOWED THAT TET1 CONTRIBUTES TO THE ACTIVATION OF MACROPHAGES POSSIBLY THROUGH REGULATION OF 5-HYDROXYMETHYLATION IN THE PROMOTER OF PRO-INFLAMMATORY CYTOKINE GENES. THE TET1 ENZYME COULD BE A PROMISING THERAPEUTIC TARGET TO INHIBIT THE PERSISTENT INFLAMMATION CAUSED BY MACROPHAGES IN CHRONIC INFLAMMATORY DISEASES. 2019 19 3132 39 GLOBAL DISTRIBUTION OF DNA HYDROXYMETHYLATION AND DNA METHYLATION IN CHRONIC LYMPHOCYTIC LEUKEMIA. BACKGROUND: CHRONIC LYMPHOCYTIC LEUKEMIA (CLL) HAS BEEN A GOOD MODEL SYSTEM TO UNDERSTAND THE FUNCTIONAL ROLE OF 5-METHYLCYTOSINE (5-MC) IN CANCER PROGRESSION. MORE RECENTLY, AN OXIDIZED FORM OF 5-MC, 5-HYDROXYMETHYLCYTOSINE (5-HMC) HAS GAINED LOT OF ATTENTION AS A REGULATORY EPIGENETIC MODIFICATION WITH PROGNOSTIC AND DIAGNOSTIC IMPLICATIONS FOR SEVERAL CANCERS. HOWEVER, THERE IS NO GLOBAL STUDY EXPLORING THE ROLE OF 5-HYDROXYMETHYLCYTOSINE (5-HMC) LEVELS IN CLL. HEREIN, USING MASS SPECTROMETRY AND HMEDIP-SEQUENCING, WE ANALYSED THE DYNAMICS OF 5-HMC DURING B CELL MATURATION AND CLL PATHOGENESIS. RESULTS: WE SHOW THAT NAIVE B-CELLS HAD HIGHER LEVELS OF 5-HMC AND 5-MC COMPARED TO NON-CLASS SWITCHED AND CLASS-SWITCHED MEMORY B-CELLS. WE FOUND A SIGNIFICANT DECREASE IN GLOBAL 5-MC LEVELS IN CLL PATIENTS (N = 15) COMPARED TO NAIVE AND MEMORY B CELLS, WITH NO CHANGES DETECTED BETWEEN THE CLL PROGNOSTIC GROUPS. ON THE OTHER HAND, GLOBAL 5-HMC LEVELS OF CLL PATIENTS WERE SIMILAR TO MEMORY B CELLS AND REDUCED COMPARED TO NAIVE B CELLS. INTERESTINGLY, 5-HMC LEVELS WERE INCREASED AT REGULATORY REGIONS SUCH AS GENE-BODY, CPG ISLAND SHORES AND SHELVES AND 5-HMC DISTRIBUTION OVER THE GENE-BODY POSITIVELY CORRELATED WITH DEGREE OF TRANSCRIPTIONAL ACTIVITY. IMPORTANTLY, CLL SAMPLES SHOWED ABERRANT 5-HMC AND 5-MC PATTERN OVER GENE-BODY COMPARED TO WELL-DEFINED PATTERNS IN NORMAL B-CELLS. INTEGRATED ANALYSIS OF 5-HMC AND RNA-SEQUENCING FROM CLL DATASETS IDENTIFIED THREE NOVEL ONCOGENIC DRIVERS THAT COULD HAVE POTENTIAL ROLES IN CLL DEVELOPMENT AND PROGRESSION. CONCLUSIONS: THUS, OUR STUDY SUGGESTS THAT THE GLOBAL LOSS OF 5-HMC, ACCOMPANIED BY ITS SIGNIFICANT INCREASE AT THE GENE REGULATORY REGIONS, CONSTITUTE A NOVEL HALLMARK OF CLL PATHOGENESIS. OUR COMBINED ANALYSIS OF 5-MC AND 5-HMC SEQUENCING PROVIDED INSIGHTS INTO THE POTENTIAL ROLE OF 5-HMC IN MODULATING GENE EXPRESSION CHANGES DURING CLL PATHOGENESIS. 2019 20 2762 29 EXPRESSION OF TET2 ENZYME INDICATES ENHANCED EPIGENETIC MODIFICATION OF CELLS IN PERIODONTITIS. DNA METHYLATION IS AN IMPORTANT EPIGENETIC MECHANISM INVOLVED IN THE REGULATION OF GENE EXPRESSION, AND A REDUCTION IN DNA METHYLATION INFLUENCES CELL-CYCLE PROGRESSION AND CELL DIFFERENTIATION IN INFLAMMATORY CELLS. THE AIM OF THE PRESENT STUDY WAS TO ANALYZE THE DNA-METHYLATION PATTERN AT LOCAL AND GLOBAL/SYSTEMIC LEVELS IN PATIENTS WITH PERIODONTITIS AND GINGIVITIS. TWENTY-ONE SUBJECTS WITH GENERALIZED, SEVERE PERIODONTITIS AND 17 SUBJECTS WITH GINGIVAL INFLAMMATION BUT NO ATTACHMENT LOSS WERE RECRUITED. GINGIVAL BIOPSIES AND PERIPHERAL BLOOD SAMPLES WERE COLLECTED AND PREPARED FOR IMMUNOHISTOCHEMICAL ANALYSIS OF 5-METHYLCYTOSINE (5MC), 5-HYDROXYMETHYLCYTOSINE (5HMC), TEN-ELEVEN TRANSLOCATION 2 (TET2), AND DNA METHYLTRANSFERASE 1 (DNMT1). WHILST A SIMILAR PATTERN FOR 5MC AND 5HMC DNA METHYLATION WAS FOUND IN BOTH TYPES OF LESIONS, A SIGNIFICANTLY LARGER PROPORTION OF TET2-POSITIVE CELLS WAS FOUND IN PERIODONTITIS LESIONS THAN IN GINGIVITIS LESIONS. QUANTITATIVE REAL-TIME PCR ANALYSIS SHOWED NO DIFFERENCES BETWEEN GINGIVITIS AND PERIODONTITIS LESIONS REGARDING EXPRESSION OF TET2 AND ISOCITRATE DEHYDROGENASE (IDH) GENES, WHILE THE GLOBAL LEVEL OF 5HMC WAS SIGNIFICANTLY HIGHER IN BLOOD THAN IN TISSUE IN PATIENTS WITH PERIODONTITIS. IT IS SUGGESTED THAT EPIGENETIC CHANGES ARE MORE COMMON IN PERIODONTITIS LESIONS THAN IN GINGIVITIS LESIONS AND THAT SUCH CHANGES ARE TISSUE SPECIFIC. 2016