Abstract
Epigenetic modifications have been associated with etiology of hormonal related diseases such as breast cancer and prostate cancer. In this chapter, the epigenetic status of a less studied hormonal related disease, uterine leiomyoma, was investigated and its application in potential therapeutic was further discussed. Differential methylation status, the most studied epigenetic signatures, is associated with differential gene expression. Here we investigate whether there are differential epigenetic signatures and their involvement in differential gene expression, apoptosis between two uterine stable cell lines, uterine leiomyoma UtLM-hT (LM) and normal uterine smooth muscle cell lines UtSM-hT (SMC). We first analyzed DNA methylation status using a cancer methylation panel bead array and our data showed that there are differential methylation patterns between the two cell lines. We then selected nine genes with significant differential methylation patterns from the bead array and verified that eight of the nine selected genes show significant differential gene expression between the two cell lines. Additionally, four of the eight genes that demonstrate differential gene expression respond to treatment with a demethylation agent, 5-Aza-2′-deoxycytidine (DAC). Cellular retinol binding protein 1 (CRBP-1) and Tumor necrosis factor super family 10 (TNFSF10) are genes that shows significant differential methylation patterns, gene expression, and responses to DAC between LM and SMC. Altered extracellular matrix (ECM) genes and reduced apoptosis are found in LM and are associated with epigenetic silenced CRBP-1 and TNFSF10 genes.
This chapter showed a systemically investigation from a methylation bead array to explore the possible role of epigenetic changes and their associated biological impacts and potential epigenetic therapy in uterine leiomyoma.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Abu J et al (2005) Retinoic acid and retinoid receptors: potential chemopreventive and therapeutic role in cervical cancer. Lancet Oncol 6(9):712–720
Ahn WS et al (2003) Targeted cellular process profiling approach for uterine leiomyoma using cDNA microarray, proteomics and gene ontology analysis. Int J Exp Pathol 84(6):267–279
Arslan AA et al (2005) Gene expression studies provide clues to the pathogenesis of uterine leiomyoma: new evidence and a systematic review. Hum Reprod 20(4):852–863
Aschelter AM et al (2012) Genomic and epigenomic alterations in prostate cancer. Front Endocrinol (Lausanne) 3:128
Ashkenazi A (2002) Targeting death and decoy receptors of the tumour-necrosis factor superfamily. Nat Rev Cancer 2(6):420–430
Baird DD, Newbold R (2005) Prenatal diethylstilbestrol (DES) exposure is associated with uterine leiomyoma development. Reprod Toxicol 20(1):81–84
Barker KT et al (2006) No evidence for epigenetic inactivation of fumarate hydratase in leiomyomas and leiomyosarcomas. Cancer Lett 235(1):136–140
Bestor TH (2000) The DNA methyltransferases of mammals. Hum Mol Genet 9(16):2395–2402
Burroughs KD et al (1997) Regulation of apoptosis in uterine leiomyomata. Endocrinology 138(7):3056–3064
Campan M, Weisenberger DJ, Laird PW (2006) DNA methylation profiles of female steroid hormone-driven human malignancies. Curr Top Microbiol Immunol 310:141–178
Carney SA et al (2002) Immortalization of human uterine leiomyoma and myometrial cell lines after induction of telomerase activity: molecular and phenotypic characteristics. Lab Invest 82(6):719–728
Catherino WH, Malik M (2007) Uterine leiomyomas express a molecular pattern that lowers retinoic acid exposure. Fertil Steril 87(6):1388–1398
Catherino WH et al (2003) Strategy for elucidating differentially expressed genes in leiomyomata identified by microarray technology. Fertil Steril 80(2):282–290
Chegini N et al (2003) Gene expression profile of leiomyoma and myometrium and the effect of gonadotropin releasing hormone analogue therapy. J Soc Gynecol Investig 10(3):161–171
Chiang TC (2009) Differential epigenetic signatures between normal uterine smooth muscle cells (SMC) and leiomyoma cells (LM) and their association with estrogen responses. New Orleans, Louisiana, Tulane University, PhD, p 125
Choudhry H, Catto JW (2011) Epigenetic regulation of microRNA expression in cancer. Methods Mol Biol 676:165–184
Cook JD et al (2005) Interaction between genetic susceptibility and early-life environmental exposure determines tumor-suppressor-gene penetrance. Proc Natl Acad Sci U S A 102(24):8644–8649
Crews D, McLachlan JA (2006) Epigenetics, evolution, endocrine disruption, health, and disease. Endocrinology 147(6):s4–s10
Dal Cin P, Van den Berghe H (1997) Ten years of the cytogenetics of soft tissue tumors. Cancer Genet Cytogenet 95(1):59–66
Decensi A et al (2003) Breast cancer prevention trials using retinoids. J Mammary Gland Biol Neoplasia 8(1):19–30
Egger G et al (2004) Epigenetics in human disease and prospects for epigenetic therapy. Nature 429(6990):457–463
Esteller M (2005) Dormant hypermethylated tumour suppressor genes: questions and answers. J Pathol 205(2):172–180
Evans P, Brunsell S (2007) Uterine fibroid tumors: diagnosis and treatment. Am Fam Physician 75(10):1503–1508
Fan H et al (2014) Low-dose decitabine-based chemoimmunotherapy for patients with refractory advanced solid tumors: a phase I/II report. J Immunol Res 2014:371087
Frommer M et al (1992) A genomic sequencing protocol that yields a positive display of 5-methylcytosine residues in individual DNA strands. Proc Natl Acad Sci U S A 89(5):1827–1831
Fukuno K et al (2003) Genital ulcers during treatment with ALL- trans retinoic acid for acute promyelocytic leukemia. Leuk Lymphoma 44(11):2009
Ghyselinck NB et al (1999) Cellular retinol-binding protein I is essential for vitamin A homeostasis. EMBO J 18(18):4903–4914
Glasspool RM et al (2014) A randomised, phase II trial of the DNA-hypomethylating agent 5-aza-2′-deoxycytidine (decitabine) in combination with carboplatin vs carboplatin alone in patients with recurrent, partially platinum-sensitive ovarian cancer. Br J Cancer 110(8):1923–1929
Goessl C et al (2000) Fluorescent methylation-specific polymerase chain reaction for DNA-based detection of prostate cancer in bodily fluids. Cancer Res 60(21):5941–5945
Griffiths AE, Gore DS (2008) DNA methyltransferase and histone deacetylase inhibitors in the treatment of myelodysplastic syndromes. Semin Hematol 45(1):23–30
Hellebrekers DM et al (2007) Identification of epigenetically silenced genes in tumor endothelial cells. Cancer Res 67(9):4138–4148
Herman JG, Baylin SB (2003) Gene silencing in cancer in association with promoter hypermethylation. N Engl J Med 349(21):2042–2054
Hervouet E et al (2013) Epigenetic regulation of estrogen signaling in breast cancer. Epigenetics 8(3):237–245
Hess CJ et al (2008) Concurrent methylation of promoters from tumor associated genes predicts outcome in acute myeloid leukemia. Leuk Lymphoma 49(6):1132–1141
Hoffman PJ et al (2004) Molecular characterization of uterine fibroids and its implication for underlying mechanisms of pathogenesis. Fertil Steril 82(3):639–649
Hunter DS et al (2002) Aberrant expression of HMGA2 in uterine leiomyoma associated with loss of TSC2 tumor suppressor gene function. Cancer Res 62(13):3766–3772
Jahr S et al (2001) DNA fragments in the blood plasma of cancer patients: quantitations and evidence for their origin from apoptotic and necrotic cells. Cancer Res 61(4):1659–1665
Jeronimo C et al (2004) Aberrant cellular retinol binding protein 1 (CRBP1) gene expression and promoter methylation in prostate cancer. J Clin Pathol 57(8):872–876
Kaminskas E et al (2005) FDA drug approval summary: azacitidine (5-azacytidine, Vidaza) for injectable suspension. Oncologist 10(3):176–182
Kozaki K et al (2008) Exploration of tumor-suppressive microRNAs silenced by DNA hypermethylation in oral cancer. Cancer Res 68(7):2094–2105
Kuppumbatti YS et al (2000) Cellular retinol-binding protein expression and breast cancer. JNCI J Natl Cancer Inst 92(6):475–480
Kuppumbatti YS, Rexer B, Nakajo S, Nakaya K, Mira-y-Lopez R (2001) CRBP suppresses breast cancer cell survival and anchorage-independent growth. Oncogene 20(50):7413–7419
Laird PW (2003) The power and the promise of DNA methylation markers. Nat Rev Cancer 3(4):253–266
Lengfelder E et al (2005) Treatment concepts of acute promyelocytic leukemia. Crit Rev Oncol Hematol 56(2):261–274
Leon SA et al (1977) Free DNA in the serum of cancer patients and the effect of therapy. Cancer Res 37(3):646–650
Leppert PC et al (2004) Comparative ultrastructure of collagen fibrils in uterine leiomyomas and normal myometrium. Fertil Steril 82(Supplement 3):1182–1187
Li S, McLachlan JA (2001) Estrogen-associated genes in uterine leiomyoma. Ann N Y Acad Sci 948:112–120
Li S et al (1997) Developmental exposure to diethylstilbestrol elicits demethylation of estrogen-responsive lactoferrin gene in mouse uterus. Cancer Res 57(19):4356–4359
Li S et al (2003) DNA hypomethylation and imbalanced expression of DNA methyltransferases (DNMT1, 3A, and 3B) in human uterine leiomyoma. Gynecol Oncol 90(1):123–130
Ligon AH, Morton CC (2001) Leiomyomata: heritability and cytogenetic studies. Hum Reprod Update 7(1):8–14
Lurie S et al (2005) Age-related prevalence of sonographically confirmed uterine myomas. J Obstet Gynaecol 25(1):42–44
Malik M, Webb J, Catherino WH (2008) Retinoic acid treatment of human leiomyoma cells transformed the cell phenotype to one strongly resembling myometrial cells. Clin Endocrinol (Oxf) 69(3):462–470
Marshall LM et al (1998) A prospective study of reproductive factors and oral contraceptive use in relation to the risk of uterine leiomyomata. Fertil Steril 70(3):432–439
Martin MM (2006) Molecular characterization of immortalized human uterine leiomyoma cell lines: a fibroid model. In: Interdisciplinary program in environmental biology. Tulane University, New Orleans, pp 1–231
Maruo T et al (2004) Sex steroidal regulation of uterine leiomyoma growth and apoptosis. Hum Reprod Update 10(3):207–220
Matsuo H, Maruo T, Samoto T (1997) Increased expression of Bcl-2 protein in human uterine leiomyoma and its up-regulation by progesterone. J Clin Endocrinol Metab 82(1):293–299
McLachlan JA, Newbold RR, Bullock BC (1980) Long-term effects on the female mouse genital tract associated with prenatal exposure to diethylstilbestrol. Cancer Res 40(11):3988–3999
Meloni AM, Surti U, Contento AM, Davare J, Sandberg AA (1992) Uterine leiomyomas: cytogenetic and histologic profile. Obstet Gynecol 80(2):209–217
Mongiat M et al (2007) Regulation of the extrinsic apoptotic pathway by the extracellular matrix glycoprotein EMILIN2. Mol Cell Biol 27(20):7176–7187
Nierth-Simpson EN et al (2009) Human uterine smooth muscle and leiomyoma cells differ in their rapid 17{beta}-estradiol Signaling. Endocrinology 150:2436–2445, en.2008–0224
O’Day E, Lal A (2010) MicroRNAs and their target gene networks in breast cancer. Breast Cancer Res 12(2):201
Okano M et al (1999) DNA methyltransferases Dnmt3a and Dnmt3b are essential for de novo methylation and mammalian development. Cell 99(3):247–257
Pavicic W et al (2011) Altered methylation at microRNA-associated CpG islands in hereditary and sporadic carcinomas: a methylation-specific multiplex ligation-dependent probe amplification (MS-MLPA)-based approach. Mol Med 17(7–8):726–735
Pietras K, Ostman A (2010) Hallmarks of cancer: interactions with the tumor stroma. Exp Cell Res 316(8):1324–1331
Quade BJ et al (2004) Molecular pathogenesis of uterine smooth muscle tumors from transcriptional profiling. Gene Chromosome Cancer 40(2):97–108
Rhee I et al (2002) DNMT1 and DNMT3b cooperate to silence genes in human cancer cells. Nature 416(6880):552–556
Sandoval J, Esteller M (2012) Cancer epigenomics: beyond genomics. Curr Opin Genet Dev 22(1):50–55
Saunthararajah Y (2013) Key clinical observations after 5-azacytidine and decitabine treatment of myelodysplastic syndromes suggest practical solutions for better outcomes. Hematol Am Soc Hematol Educ Program 2013:511–521
Severino MF et al (1996) Endocrinology and paracrinology: rapid loss of oestrogen and progesterone receptors in human leiomyoma and myometrial explant cultures. Mol Hum Reprod 2(11):823–828
Shimomura Y et al (1998) Up-regulation by progesterone of proliferating cell nuclear antigen and epidermal growth factor expression in human uterine leiomyoma. J Clin Endocrinol Metab 83(6):2192–2198
Silverman LR et al (1993) Effects of treatment with 5-azacytidine on the in vivo and in vitro hematopoiesis in patients with myelodysplastic syndromes. Leukemia 7(Suppl 1):21–29
Singh P, Lee DH, Szabo PE (2012) More than insulator: multiple roles of CTCF at the H19-Igf2 imprinted domain. Front Genet 3:214
Skubitz KM, Skubitz AP (2003) Differential gene expression in uterine leiomyoma. J Lab Clin Med 141(5):297–308
Takai N et al (2005) Discovery of epigenetically masked tumor suppressor genes in endometrial cancer. Mol Cancer Res 3(5):261–269
Tsibris JC et al (2002) Insights from gene arrays on the development and growth regulation of uterine leiomyomata. Fertil Steril 78(1):114–121
Valenzuela MT et al (2002) Assessing the Use of p16INK4a promoter gene methylation in serum for detection of bladder cancer. Eur Urol 42(6):622–630
Varella-Garcia M et al (2006) Karyotypic characteristics of human uterine leiomyoma and myometrial cell lines following telomerase induction. Cancer Genet Cytogenet 170(1):71–75
Wang H et al (2003) Distinctive proliferative phase differences in gene expression in human myometrium and leiomyomata. Fertil Steril 80(2):266–276
West CP et al (1987) Shrinkage of uterine fibroids during therapy with goserelin (Zoladex): a luteinizing hormone-releasing hormone agonist administered as a monthly subcutaneous depot. Fertil Steril 48(1):45–51
Weston G et al (2003) Fibroids display an anti-angiogenic gene expression profile when compared with adjacent myometrium. Mol Hum Reprod 9(9):541–549
Wilcox LS et al (1994) Hysterectomy in the United States, 1988–1990. Obstet Gynecol 83(4):549–555
Wong IHN et al (1999) Detection of aberrant p16 methylation in the plasma and serum of liver cancer patients. Cancer Res 59(1):71–73
Xu X, Gammon MD, Zhang Y, Bestor TH, Zeisel SH, Wetmur JG, Wallenstein S, Bradshaw PT, Garbowski G, Teitelbaum SL, Neugut AI, Santella RM, Chen J (2009) BRCA1 promoter methylation is associated with increased mortality among women with breast cancer. Breast Cancer Res Treat 115(2):397–404
Yoo CB, Jones PA (2006) Epigenetic therapy of cancer: past, present and future. Nat Rev Drug Discov 5(1):37–50
Zaitseva M, Vollenhoven BJ, Rogers PA (2006) In vitro culture significantly alters gene expression profiles and reduces differences between myometrial and fibroid smooth muscle cells. Mol Hum Reprod 12(3):187–207
Acknowledgments
The author thanks Dr. Cruz Velasco for statistical analysis, Dr. Jovanny Zabaleta for technical support, and Ms. Alice LeBlanc for critical proof reading.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer-Verlag London
About this chapter
Cite this chapter
Chiang, TC. (2015). Epigenetic Changes in Hormonal Related Disease: Uterine Leiomyoma (Fibroids). In: Su, L., Chiang, Tc. (eds) Environmental Epigenetics. Molecular and Integrative Toxicology. Springer, London. https://doi.org/10.1007/978-1-4471-6678-8_3
Download citation
DOI: https://doi.org/10.1007/978-1-4471-6678-8_3
Publisher Name: Springer, London
Print ISBN: 978-1-4471-6677-1
Online ISBN: 978-1-4471-6678-8
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)