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ABSTRACT Intrauterine growth restriction (IUGR) lin resistance (5–12). Though moderately controver-
decreases serum insulin growth factor-1 (IGF-1) levels. sial, the positive relationship between growth retarda-
IGF-1 is an epigenetically regulated gene that has two tion and adult morbidities, including insulin resistance,
promoters, alternative exon 5 splicing, and multiple appears to be stronger in men than in women (5, 6,
termination sites. The regulation of gene expression 12). Growth and insulin sensitivity are modulated by
involves the whole gene, as evidenced by the aforemen- hepatic IGF-1.
tioned IGF-1 paradigm. We hypothesized that IUGR in In humans and rodents, absence of IGF-1 leads to
the rat would affect hepatic IGF-1 expression and alter poor prenatal growth (13). Moreover, multiple investi-
the epigenetic characteristics of the IGF-1 gene along gators find that human IUGR infants have lower fetal or
its length. IUGR was induced through a bilateral uter- cord IGF-1 concentrations when compared with appro-
ine artery ligation of the pregnant rat, a well-character- priately sized infants (13–15). Postnatally, IUGR de-
ized model of IUGR. Pups from anesthesia and sham- creases serum IGF-1 levels in human infants during the
operated dams were used as controls. Real-time RT- first 9 mo of life (16). Furthermore, IUGR also de-
PCR and ELISA was used to measure expression at day creases serum IGF-1 levels in preadolescent children
of life (DOL) 0 and 21. Bisulfite sequencing and who do not exhibit significant “catch-up” growth (17).
chromatin immunoprecipitation (ChIP) quantified Finally, adults that lack IGF-1 suffer from decreased
IGF-1 epigenetic characteristics. A nontranscribed insulin sensitivity (18).
intergenic control was used for ChIP studies. IUGR Fetal and newborn rats with induced IUGR also
decreased hepatic and serum IGF-1. Concurrently, suffer from decreased serum levels of IGF-1, and the
IUGR modified epigenetic characteristics, particularly organization of the rat IGF-1 gene is remarkably similar
the histone code, along the length of the hepatic IGF-1 to the human IGF-1 gene (19, 20). Both human and rat
gene. Many changes persisted postnatally, and the IGF-1 genes are large and contain 6 exons separated by
postnatal effect of IUGR on the histone code was 5 introns (21, 22). Extensive nucleotide and amino acid
gender-specific. We conclude that IUGR modifies epi- conservation exist between the IGF-1 genes of both spe-
genetic characteristics of the rat hepatic IGF-1 gene cies, as well as comparable expression of multiple mRNA
along the length of the whole gene.—Fu, Q., Yu, X., variants (22). These mRNA variants are useful markers of
Callaway, C. W., Lane, R. H., McKnight, R. A. Epige- altered transcriptional regulation and may function to
netics: intrauterine growth retardation (IUGR) modi- modulate translational efficiency and cell growth.
fies the histone code along the rat hepatic IGF-1 gene. In the rat (Fig. 1A), exon 1 and exon 2 encode two
FASEB J. 23, 2438 –2449 (2009) different leader sequences and involve multiple tran-
scription start sites with multiple inframe ATGs. Either
Key Words: chromatin 䡠 DNA methylation 䡠 Barker hypothesis exon 1 or exon 2 is spliced to the exon 3, which
䡠 chromatin immunoprecipitation 䡠 insulin resistance encodes the N terminus of the mature peptide (23–25).
Exon 1-derived [promoter 1 (P1)] transcripts predom-
inate in every tissue expressing the IGF-1 gene, with the
The early nutritional milieu of the fetus influences exception of the liver, in which relatively high levels of
the adult phenotype. A relevant marker for this phe- Exon 2-derived [promoter 2 (P2)] transcripts are pro-
nomenon is intrauterine growth restriction (IUGR) duced (26, 27).
(1). IUGR is a significant cause of human morbidity Another variable that occurs with hepatic IGF-1
and mortality that is associated with many of the most
common complications of pregnancy, such as pre- 1
These authors contributed equally to this work.
eclampsia and other hypertensive disorders of preg- 2
Correspondence: Division of Neonatology, P.O. Box 581289,
nancy (2– 4). Multiple studies demonstrate that IUGR Salt Lake City, UT 84158, USA. E-mail: robert.lane@hsc.utah.
predisposes human infants toward several postnatal edu
morbidities, including poor postnatal growth and insu- doi: 10.1096/fj.08-124768
mRNA transcripts involves the inclusion or exclusion of while me3K36 is associated with actively transcribed
exon 5, which changes the translational reading frame regions.
of the peptide coding region of exon 6. The IGF-1A The location of a modification is tightly regulated
transcript lacks exon 5, while IGF-1B contains exon 5 and is crucial for its effect on transcriptional regula-
(23, 28, 29). Unfortunately, little evidence ties specific tion, and these marks affect transcription within the
promoter usage to a specific IGF-1A or IGF-1B tran- context of the neighboring histone codes (37– 40).
script, respectively. Finally, multiple polyadenylation Furthermore, histone modifications at one site have
sites in the 3⬘ untranslated region (UTR) of the IGF-1 been known to influence modifications at additional
gene generates different lengths of mRNAs, ranging sites (41).
from 0.8 to 7.5 kb. The high-molecular-weight species Because IUGR affects IGF-1 serum levels in humans
represents ⬍50% of total IGF-1 mRNA in liver, in and rats, we hypothesized that IUGR in rats would
contrast to most other tissues. decrease serum levels of postnatal IGF-1, alter hepatic
The above IGF-1 variants are likely examples of IGF-1 mRNA species levels, affect postnatal DNA meth-
epigenetic regulation, which denotes an inherited state ylation in the hepatic IGF-1 5⬘ flanking region, and
of gene regulation that is independent of the genetic modify multiple markers of the postnatal histone code.
information encoded within the DNA itself (30 –32). To understand the effect of IUGR on the hepatic IGF-1
Epigenetic regulation involves covalent modification of epigenetic characteristics, we would also need to deter-
DNA and histones (33–35). DNA methylation within a mine the histone code along the entire gene.
promoter and 5⬘ transcribed region usually represses To test this hypothesis, we used a model of uteropla-
gene transcription, whereas DNA methylation toward cental insufficiency and subsequent IUGR that has
the 3⬘ end often signifies gene activation (36). A been well characterized by multiple groups (42– 44). In
dynamic relationship exists between DNA methylation this model, bilateral uterine artery ligation is per-
and the associated histone code (histone covalent formed on d 19 of gestation in the pregnant Sprague-
modifications that determine how DNA and histones Dawley rat. IUGR pups in this model are ⬃25% smaller
interact). These histone covalent modifications affect than control pups, and IUGR pups are predisposed to
transcriptional regulation and include histone acetyla- develop both growth failure and insulin resistance early
tion and methylation. For example, histone H3 acety- in life, as well as overt diabetes relatively late in life (44,
lation (ac) at lysine (K) 9 and 14 and trimethylation 45). Interestingly, gender-specific responses to IUGR
(me3) at K4 are often associated with gene activation, become evident for multiple processes by day of life 21
Transcript Sequence
Transcript Sequence
P1 For 5⬘ CAGGTCTGGCTCATTTCCATC
Rev 5⬘ GCGCTTTCCATGGCTGTC
Probe 5⬘ 6FAM-CCCCTGGGAAAGCACACCTGGA
P2 For 5⬘ GCCGGAGGGCTTAATTCATAA
Rev 5⬘ GGAAGCATTTGAAAGCAGCAC
Probe 5⬘ 6FAM-AGATCCCAGTCAAAGAGTGCAGCGTTTC
Exon 5 For 5⬘ GCCCCTATCGACACACAAGAA
Rev 5⬘ TCCTGGGTGTGCCTTTGAC
Probe 5⬘ 6FAM-CACCTTTCCTTCTCCTTTGCAGCTTCCT
Proximal 3⬘ UTR For 5⬘ GACCTACAGAATGTAGGAGGAGCC
Rev 5⬘ GATGTTTTGCAGGTTGCTCAAG
Probe 5⬘ 6FAM-ATGCCACGTCACCGCAAGATCCTTT
Distal 3⬘ UTR For 5⬘ ACAATAGAGGTGGCCTTCTCCA
Rev 5⬘ CACTGGGAATCATCGAAGCC
Probe 5⬘ 6FAM-ATCGGTGGGCTTCCTGCCATGG
Intergenic region For 5⬘ AAGTGGCAACTCCATGACTCAA
Rev 5⬘ GCCTGGTGTCACACCCAAA
Probe 5⬘ 6FAM-ATGCCTTCCAGAGAGGTTTGGTACTGCC
Transcript Sequence
P1 For 5⬘ gctctagaCAGGTCTGGCTCATTTCCATC
Rev 5⬘ cgggatccGCGCTTTCCATGGCTGTC
P2 For 5⬘ cgggatccGCCGGAGGGCTTAATTCATAA
Rev 5⬘ gtctgcagcGGAAGCATTTGAAAGCAGCAC
Exon 5 For 5⬘ gtctgcagcGCCCCTATCGACACACAAGAA
Rev 5⬘ ccaagcttTCCTGGGTGTGCCTTTGAC
Proximal 3⬘ UTR For 5⬘ ccaagcttGACCTACAGAATGTAGGAGGAGCC
Rev 5⬘ ccggtcgacGATGTTTTGCAGGTTGCTCAAG
Distal 3⬘ UTR For 5⬘ ccctcgagACAATAGAGGTGGCCTTCTCCA
Rev 5⬘ gtggtacctCACTGGGAATCATCGAAGCC
70% 70%
*
* *
% of CpG methylation
% of CpG methylation
60% Con 60% Con
in DOL0 females
in DOL0 males
*
50% 50%
40% 40%
30% 30%
20% 20%
0% 0%
28 23 70 02 60 31 43 -86 -31 -29 3
+1 +2
2 28 23 70 02 60 31 43 -86 -31 -29 3
+1 +2
2
-5 -5 -4 -3 -2 - 2 -1 -5 -5 -4 -3 -2 -2 -1
% of CpG methylation
in DOL21 females
*
in DOL21 males
40% 40%
Con Con
*
30% * 30%
20% 20%
10% 10%
0% 0%
28 23 70 02 60 31 43 -86 -31 -29 3
+1 +2
2 28 23 70 02 60 31 43 -86 -31 -29 3
+1 +2
2
-5 -5 - 4 - 3 -2 -2 -1 -5 -5 -4 -3 -2 -2 -1
Promoter 1 CpG sites IUGR Promoter 1 CpG sites IUGR
Control methylated-CpG
IUGR unmethylated-CpG
Figure 2. Rat hepatic IGF-1 P1 CpG methylation. Graphs represent mean ⫾ se percentage of CpG methylation between ⫺528
and ⫹22. A) DOL0 male. B) DOL0 female. C) DOL21 male. D) DOL21 female. White bars indicate control values; gray bars
indicate IUGR. Right panels show methylation pattern; each horizontal row of beads represents 12 CpG sites. Open circles
represent unmethylated CpG sites; solid circles represent methylated CpG sites. *P ⬍ 0.05.
scribed covalent modifications, trimethylation of K36 concentrations of me2K4, while me3K36 decreased at
was highest at exon 5 and the 3⬘ UTR regions vs. the 5⬘ all sites, with P2 and the distal 3⬘ UTR site being
end of the hepatic IGF-1 gene. It is important to note statistically significant (Fig. 5A). At DOL21, similar to
that a similar pattern of histone code for these modifi- the DOL0 findings, IUGR significantly increased
cations was observed for control DOL0 male and fe- me2K4 and decreased me3K36 at the P2 site (Fig. 5C).
males (Fig. 4B). Furthermore, less me3K36 was also evident along the 3⬘
At DOL21 in control males, the distribution patterns end of the hepatic IGF-1 gene, with statistical signifi-
of acK9 and acK14 were essentially equivalent to DOL0, cance being reached for exon 5.
while the histone H3 methylation patterns differed In females, in contrast to the males, both hepatic
(Fig. 4C). A shift away from me2K4 and toward exten- H3 methylation and acetylation were affected by
sive accumulation of me3K4 at P2 was noted. Trimethyl IUGR. IUGR significantly increased me3K4 of the
K9 was uniformly distributed across the gene. The DOL0 female IGF-1 gene at P1, as opposed to me2K4
pattern for me3K36 was similar to that seen at DOL0 in males (Fig. 5B). Furthermore, me3K36 was also
but at a much higher level. Importantly, as was seen at decreased significantly at all five sites in DOL0 IUGR
DOL0, DOL21 females showed a pattern similar to females. In terms of acetylation, IUGR significantly
DOL21 males (Fig. 4D). increased acK14 at P1, exon 5, and 3⬘UTR distal sites
The same six histone H3 covalent modifications at of the hepatic IGF-1 gene in the DOL0 females. At
the five sites were then analyzed in IUGR rat liver and DOL21, in IUGR females me3K36 remained lower
quantified relative to the control animals, where the along the entire length of the gene, in contrast to
controls were considered to be 100%, after normaliza- males in which me3K36 was significantly decreased at
tion with the 263.8-kb intergenic region for both two sites (Fig. 5D).
groups. Data in the figures are presented as percentage
of gender- and age-matched control samples. In some
circumstances in which it appears that IUGR had a DISCUSSION
significant effect on a specific modification, the change
was not statistically significant secondary to variability in The primary finding of this study is that IUGR affects
the control animals. the epigenetic characteristics of hepatic IGF-1 along its
In males, hepatic H3 methylation was affected by entire length and that many of these changes persist
IUGR. At DOL0, P1, P2, and exon 5 had a higher postnatally within the context of decreased hepatic
IGF-1 mRNA and serum protein levels. A secondary yet IGF-1 expression. Vileisis et al. (19) used unilateral
important finding of this study relates to gender. While ligation to induce IUGR and found that fetal weight
the hepatic IGF-1 histone code does not vary between positively correlated with serum glucose (P⬍0.001),
the genders under normal conditions, the postnatal liver IGF-1 protein (P⬍0.001), and serum IGF-1 protein
effect of uteroplacental insufficiency and IUGR on the (P⬍0.001) levels (19). No correlation was evident for
hepatic IGF-1 histone code is gender specific. either serum insulin or lung IGF-1 protein, demonstrat-
In the rat, previous studies used unilateral uterine ing that the effect of IUGR is gene- and tissue-specific.
artery ligation to investigate the effects of IUGR on Interestingly, serum fetal glucose concentrations corre-
Figure 4. Distribution pattern of histone modifications along the IGF-1 gene in control DOL0 and DOL21 rat livers. Six histone
modifications at 5 sites on the IGF-1 locus were analyzed by ChIP/real-time PCR. Values for 4 sites, including P2, exon 5, and
proximal and distal 3⬘ UTR, are presented as mean ⫾ se percentage of P1value (set to 100%). A) DOL0 male. B) DOL0 female.
C) DOL21 male. D) DOL21 female. *P ⬍ 0.05; **P ⬍ 0.01; ***P ⬍ 0.001; ****P ⬍ 0.0001.
lated positively with liver and serum IGF-1 protein IGF-1 proteins with either a 48-residue class-1 prepep-
levels, implicating fetal glucose delivery in the regula- tide or a 32-residue class-2 prepeptide.
tion of hepatic IGF-1 synthesis. Postnatally, both the P1 and P2 sites respond to
In our model of bilateral uterine artery ligation, we diabetes, fasting, and increased caloric intake, with the
found at DOL0 that IUGR reduced serum IGF-1 levels. P2 sites appearing to be more sensitive to the latter set
IUGR reduced hepatic IGF-1 mRNA transcripts initi- of conditions (52). Furthermore, when compared to
ated from alternative promoters as well as reduced the P1 site, P2 differentially responds to GH signaling
levels of alternative splice variants A and B in the DOL0 (54, 55). For example, increased serum levels of IGF-1
animals. At DOL0, the reduction in serum IGF-1 pro- in C3H/HeJ mice vs. C57BL/6J mice appear to result
tein levels was not as great as the reduction in mRNA. from increased transcription from the hepatic P2 pro-
One possible explanation might involve translation moter (56), while other studies have shown that GH
efficiency. It has been shown recently in yeast under stimulates both P1 and P2 transcripts equally well (57).
conditions of starvation that gene-specific translation In terms of the phenotypic significance related to the
efficiency appears to increase, particularly when multi- usage of exon 5, only limited literature is specific to the
liver. Zhang et al. (58) have demonstrated that fasting
ple upstream open reading frames (uORFs) exist
decreases levels of the IGF-1B transcript in adult rat
within the 5⬘ UTR. In the case of IGF-1 P2 transcripts,
liver without affecting levels of the IGF-1A transcript.
there are 8 uORFs (51). At DOL21, IUGR decreased
The specific transcript is important because it deter-
hepatic IGF-1 transcription initiated from P2 as well as
mines which E-peptide is produced (e.g., Ea or Eb). In
transcripts containing exon 5. The DOL21 mRNA data
the rat, the Eb peptide (or the E1 amide) has growth-
are more consistent with the lesser decrease in serum promoting effects on epithelial cells. This action is not
IGF-1. The reduction in IGF-1B transcripts in IUGR diminished significantly by competition with IGF-1,
males and females would influence Eb peptide levels insulin, or antagonist antibodies to IGF-1 receptor. In
but not circulating mature IGF-1 protein levels. humans, the synthetic hEb peptide can regulate cell
In terms of IGF-1 transcriptional regulation from growth and differentiation of several cancer cell lines in
different promoters, several groups, including Adamo a manner that is also distinct from either IGF-1 or
et al. (26, 52) and Simmons et al. (53), established the insulin (59). Furthermore, the human liver makes an
structure and start-site usage of the 5⬘ end of the rat Ec peptide that is 73% homologous to the rat Eb
hepatic IGF-1 gene. Based on combined works, multi- peptide from the IGF-1B mRNA species (60).
ple dispersed sites over a 350-bp 5⬘ region produce a P1 As suggested by these multiple mRNA species, the
transcript that includes exon 1, whereas multiple highly hepatic IGF-1 gene is regulated epigenetically. Though
localized sites within exon 2 produce the P2 transcript. studies have noted specific epigenetic changes in re-
The two different predominant IGF-1 mRNA species sponse to IUGR in other genes, the vast majority of
initiate translation at distinct AUG codons and result in these analyses have been limited to promoter regions.