Department of Pharmacotherapy and Outcomes Science.
Department of Biostatistics, School of Medicine.
Pharmacogenet Genomics. 2021 Dec 1;31(9):207-214. doi: 10.1097/FPC.0000000000000443.
Phase II drug metabolism is poorly studied in advanced age and older adults may exhibit significant variability in their expression of phase II enzymes. We hypothesized that age-related changes to epigenetic regulation of genes involved in phase II drug metabolism may contribute to these effects.
We examined published epigenome-wide studies of human blood and identified the SULT1A1 and UGT1A6 genes as the top loci showing epigenetic changes with age. To assess possible functional alterations with age in the liver, we assayed DNA methylation (5mC) and histone acetylation changes around the mouse homologs Sult1a1 and Ugt1a6 in liver tissue from mice aged 4-32 months.
Our sample shows a significant loss of 5mC at Sult1a1 (β = -1.08, 95% CI [-1.8, -0.2], SE = 0.38, P = 0.011), mirroring the loss of 5mC with age observed in human blood DNA at the same locus. We also detected increased histone 3 lysine 9 acetylation (H3K9ac) with age at Sult1a1 (β = 0.11, 95% CI [0.002, 0.22], SE = 0.05, P = 0.04), but no change to histone 3 lysine 27 acetylation (H3K27ac). Sult1a1 gene expression is significantly positively associated with H3K9ac levels, accounting for 23% of the variation in expression. We did not detect any significant effects at Ugt1a6.
Sult1a1 expression is under epigenetic influence in normal aging and this influence is more pronounced for H3K9ac than DNA methylation or H3K27ac in this study. More generally, our findings support the relevance of epigenetics in regulating key drug-metabolizing pathways. In the future, epigenetic biomarkers could prove useful to inform dosing in older adults.
在老年人群中,药物代谢的二期研究还不够完善,二期酶的表达可能存在显著的个体差异。我们假设,与年龄相关的基因表观遗传调控的变化可能导致了这些影响。
我们研究了已发表的人类血液的全基因组表观遗传研究,并确定 SULT1A1 和 UGT1A6 基因是随着年龄变化而出现表观遗传改变的前两个基因座。为了评估肝脏中年龄相关的功能变化,我们检测了来自 4-32 月龄的小鼠肝脏组织中 Sult1a1 和 Ugt1a6 同源物周围的 DNA 甲基化(5mC)和组蛋白乙酰化变化。
我们的样本显示 Sult1a1 处的 5mC 显著丢失(β=-1.08,95%CI[-1.8,-0.2],SE=0.38,P=0.011),与在同一基因座观察到的人类血液 DNA 随年龄变化的 5mC 丢失相吻合。我们还发现 Sult1a1 处的组蛋白 3 赖氨酸 9 乙酰化(H3K9ac)随年龄增加(β=0.11,95%CI[0.002,0.22],SE=0.05,P=0.04),但 H3K27ac 没有变化。Sult1a1 基因表达与 H3K9ac 水平显著正相关,解释了表达变化的 23%。我们在 Ugt1a6 处未发现任何显著影响。
Sult1a1 的表达受正常衰老过程中的表观遗传影响,在本研究中,这种影响在 H3K9ac 上比 DNA 甲基化或 H3K27ac 更为明显。更普遍地说,我们的研究结果支持了表观遗传在调节关键药物代谢途径中的相关性。在未来,表观遗传生物标志物可能有助于为老年人提供剂量信息。