Aberrant endometrial DNA methylome of homeobox A10 and catechol-O-methyltransferase in endometriosis

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This study analyzed DNA methylation of HOXA10 and COMT in ectopic and eutopic endometrial tissues from Chinese women, finding significant differences in their promoter regions between the two tissue types.

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This study examined DNA methylation patterns of HOXA10 and catechol-O-methyltransferase (COMT) in 120 women with endometriosis from Xinjiang, China, comparing ectopic versus eutopic endometrial tissues using a DNA methylation array followed by pyrosequencing for specific sites. The authors found five differentially methylated CpGs in the COMT promoter region with higher methylation in ectopic endometrium, and two CpGs in the HOXA10 promoter region that were significantly lower (about half) in ectopic tissue. The paper frames this as the first investigation of HOXA10 and COMT methylation together with their linkage to endometriosis in this population, with the main limitation being that the analysis focuses on promoter CpG methylation differences rather than broader functional mechanisms. This paper is centrally about endometriosis — it links aberrant ectopic versus eutopic HOXA10 and COMT promoter DNA methylation to endometriosis in Chinese patients.

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Abstract

PurposeDifferential methylation of both HOXA10 and catechol-O-methyltransferase (COMT) has been reported in different endometrium disorders, and the two genes are linked through the estrogen pathway. The current study investigates the DNA methylation of HOXA10 and COMT in ectopic and eutopic endometrial tissues and its correlation with and the occurrence of endometriosis in women from Xinjiang province in China.MethodsIn the current study, 120 patients with endometriosis were recruited from our hospital between January 2011 and June 2014. The DNA methylation sites of HOXA10 and COMT were detected using a DNA methylation array. The methylation levels of specific sites were compared between ectopic and eutopic endometrial tissues via pyrosequencing.ResultsFive differentially expressed CpGs were localized in the promoter region of the COMT gene and expressed significantly higher in the ectopic endometrium than the eutopic endometrium (P < 0.001). Two out of the five differentially expressed CpGs in the HOXA10 gene located in the promoter region were both significantly lower (nearly half) in the ectopic endometrium than the eutopic endometrium (P < 0.001).ConclusionsTo summarize, significant differential methylation of HOXA10 and COMT promoter regions was found between the ectopic and eutopic endometrial tissues. This is the first study investigating the methylation of HOXA10 and COMT genes and their linkage to endometriosis in Chinese patients.
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Abstract

Purpose Differential methylation of both HOXA10 and catechol-O-methyltransferase (COMT) has been reported in different endometrium disorders, and the two genes are linked through the estrogen pathway. The current study investigates the DNA methylation of HOXA10 and COMT in ectopic and eutopic endometrial tissues and its correlation with and the occurrence of endometriosis in women from Xinjiang province in China.

Methods

In the current study, 120 patients with endometriosis were recruited from our hospital between January 2011 and June 2014. The DNA methylation sites of HOXA10 and COMT were detected using a DNA methylation array. The methylation levels of specific sites were compared between ectopic and eutopic endometrial tissues via pyrosequencing.

Results

Five differentially expressed CpGs were localized in the promoter region of the COMT gene and expressed significantly higher in the ectopic endometrium than the eutopic endometrium (P < 0.001). Two out of the five differentially expressed CpGs in the HOXA10 gene located in the promoter region were both significantly lower (nearly half) in the ectopic endometrium than the eutopic endometrium (P < 0.001).

Conclusions

To summarize, significant differential methylation of HOXA10 and COMT promoter regions was found between the ectopic and eutopic endometrial tissues. This is the first study investigating the methylation of HOXA10 and COMT genes and their linkage to endometriosis in Chinese patients. Similar content being viewed by others

References

Olive DL, Schwartz LB. Endometriosis. N Engl J Med. 1993;328:1759–69. Giudice LC. Clinical practice. Endometriosis. N Engl J Med. 2010;362:2389–98. Bulun SE. Endometriosis. N Engl J Med. 2009;360:268–79. Yuan Z, Wang Y, Cragun J, Chambers S, Zheng W. Cell origin of endometriosis: contribution by the fallopian tube epithelium. Am J Clin Exp Obstet Gynecol. 2013;1:37–42. El-Mahgoub S, Yaseen S. A positive proof for the theory of coelomic metaplasia. Am J Obstet Gynecol. 1980;137:137–40. Redwine D. Mülleriosis: the single best-fit model of the origin of endometriosis. J Reprod Med. 1988;1:915–20. Kralickova M, Losan P, Vetvicka V. Endometriosis and cancer. Womens Health (Lond Engl). 2014;10:591–7. Reik W, Dean W, Walter J. Epigenetic reprogramming in mammalian development. Science. 2001;293:1089–93. Ehrlich M. Expression of various genes is controlled by DNA methylation during mammalian development. J Cell Biochem. 2003;88:899–910. Dyson MT, Roqueiro D, Monsivais D, Ercan CM, Pavone ME, Brooks DC, et al. Genome-wide DNA methylation analysis predicts an epigenetic switch for GATA factor expression in endometriosis. PLoS Genet. 2014;10:e1004158. Kim JJ, Taylor HS, Lu Z, Ladhani O, Hastings JM, Jackson KS, et al. Altered expression of HOXA10 in endometriosis: potential role in decidualization. Mol Hum Reprod. 2007;13:323–32. Lee B, Du H, Taylor HS. Experimental murine endometriosis induces DNA methylation and altered gene expression in eutopic endometrium. Biol Reprod. 2009;80:79–85. Hevir N, Ribic-Pucelj M, Lanisnik RT. Disturbed balance between phase I and II metabolizing enzymes in ovarian endometriosis: a source of excessive hydroxy-estrogens and ROS? Mol Cell Endocrinol. 2013;367:74–84. Christofolini DM, Teles JS, Vilarino FL, Andre GM, Bianco B, Barbosa CP. COMT polymorphism and the risk of endometriosis-related infertility. Gynecol Endocrinol. 2011;27:1099–102. Tong X, Li Z, Wu Y, Fu X, Zhang Y, Fan H. COMT 158G/A and CYP1B1 432C/G polymorphisms increase the risk of endometriosis and adenomyosis: a meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2014;179:17–21. Parente Barbosa C, Bentes De Souza AM, Bianco B, Christofolini DM. The effect of hormones on endometriosis development. Minerva Ginecol. 2011;63:375–86. Taylor HS, Arici A, Olive D, Igarashi P. HOXA10 is expressed in response to sex steroids at the time of implantation in the human endometrium. J Clin Invest. 1998;101:1379–84. Wu Y, Halverson G, Basir Z, Strawn E, Yan P, Guo SW. Aberrant methylation at HOXA10 may be responsible for its aberrant expression in the endometrium of patients with endometriosis. Am J Obstet Gynecol. 2005;193:371–80. Zhang L, Wan Y, Jiang Y, Ma J, Liu J, Tang W, et al. Upregulation HOXA10 homeobox gene in endometrial cancer: role in cell cycle regulation. Med Oncol. 2014;31:52. Wieser F, Wenzl R, Tempfer C, Worda C, Huber J, Schneeberger C. Catechol-O-methyltransferase polymorphism and endometriosis. J Assist Reprod Genet. 2002;19:343–8. Sasaki M, Kaneuchi M, Sakuragi N, Dahiya R. Multiple promoters of catechol-O-methyltransferase gene are selectively inactivated by CpG hypermethylation in endometrial cancer. Cancer Res. 2003;63:3101–6.

Acknowledgements

This study was supported by the National Natural Science Foundation of China (81160077). The funders did not play any role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. Author information Authors and Affiliations Corresponding authors Ethics declarations The study was conducted under the regulation of the research ethics committee of the Department of Gynecology, The First Affiliated Hospital of Xinjiang Medical University. Conflict of interest The authors declare that they have no conflict of interests. Additional information Fei Ji and Xinhua Yang contributed equally to this work. Rights and permissions About this article Cite this article Ji, F., Yang, X., He, Y. et al. Aberrant endometrial DNA methylome of homeobox A10 and catechol-O-methyltransferase in endometriosis. J Assist Reprod Genet 34, 409–415 (2017). https://doi.org/10.1007/s10815-016-0862-6 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s10815-016-0862-6

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endometriosis

MeSH descriptors

Catechol O-Methyltransferase DNA Methylation Endometriosis Homeodomain Proteins Adult Catechol O-Methyltransferase China DNA Methylation Endometriosis Endometriosis Endometrium Endometrium Endometrium Estrogens Estrogens Female Homeobox A10 Proteins Homeodomain Proteins Humans Middle Aged

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