Heil Sandra G, Riksen Niels P, Boers Godfried H, Smulders Yvo, Blom Henk J
Laboratory of Pediatrics and Neurology, Radboud University Nijmegen Medical Centre, 6500 HB Nijmegen, The Netherlands.
Mol Genet Metab. 2007 May;91(1):55-60. doi: 10.1016/j.ymgme.2007.01.008. Epub 2007 Mar 2.
Cystathionine beta-synthase (CBS) deficiency is an inborn error of metabolism that is biochemically characterized by severe hyperhomocysteinemia and homocystinuria. In tissues of mice deficient for CBS it has been demonstrated that global DNA methylation and DNA methylation of the H19 differentially methylated region (DMR) were impaired. In this study we aimed to investigate whether DNA methylation is disturbed in patients with hyperhomocysteinemia due to CBS-deficiency.
Genomic DNA was isolated from heparin blood from nine CBS deficient patients that were treated with homomcysteine-lowering therapy and eight healthy controls. Global DNA methylation was measured by liquid chromatography-electrospay ionization-tandem mass spectrometry and gene-specific DNA methylation of the H19 DMR was determined by bisulphite-sequencing.
Homocysteine, AdoMet and AdoHcy levels were significantly elevated, whereas no differences in AdoMet:AdoHcy ratio were observed in plasma of treated CBS deficient patients compared with controls. Global DNA methylation and gene-specific DNA methylation of the H19 DMR was not different between CBS deficient patients and controls.
We demonstrate that DNA methylation is not impaired in treated CBS deficient patients. Further studies are necessary to investigate the precise role of homocysteine-lowering therapy in relation to DNA methylation in patients with homocystinuria.
胱硫醚β合酶(CBS)缺乏症是一种先天性代谢缺陷,其生化特征为严重的高同型半胱氨酸血症和同型胱氨酸尿症。在CBS缺乏的小鼠组织中已证明,整体DNA甲基化以及H19差异甲基化区域(DMR)的DNA甲基化均受到损害。在本研究中,我们旨在调查由于CBS缺乏导致的高同型半胱氨酸血症患者的DNA甲基化是否受到干扰。
从9名接受降低同型半胱氨酸治疗的CBS缺乏患者的肝素化血液以及8名健康对照者中分离基因组DNA。通过液相色谱-电喷雾电离-串联质谱法测量整体DNA甲基化,并通过亚硫酸氢盐测序确定H19 DMR的基因特异性DNA甲基化。
与对照组相比,接受治疗的CBS缺乏患者血浆中的同型半胱氨酸、腺苷甲硫氨酸(AdoMet)和腺苷高半胱氨酸(AdoHcy)水平显著升高,而AdoMet:AdoHcy比值未见差异。CBS缺乏患者与对照组之间的整体DNA甲基化以及H19 DMR的基因特异性DNA甲基化并无差异。
我们证明,接受治疗的CBS缺乏患者的DNA甲基化未受损。有必要进一步研究以调查降低同型半胱氨酸治疗在同型胱氨酸尿症患者中与DNA甲基化相关的确切作用。