GENOME-WIDE ANALYSIS OF PALINDROME FORMATION AND DNA METHYLATION

Abstract
The present disclosure provides methods for detecting the genome-wide presence of methylated DNA and palindrome formation. The present disclosure also provides methods for specific enrichment of methylated DNA or DNA having a DNA palindrome. These methods have demonstrated that somatic palindromes and methylated DNA occur frequently and are widespread in human cancers. Individual tumor types have a characteristic non-random distribution of palindromes in their genome and a small subset of the palindromic loci are associate with gene amplification. The disclosed method can be used to define the plurality of genomic DNA palindromes and regions having methylated DNA associated with various tumor types and can provide methods for the classification of tumors, and the diagnosis, early detection of cancer as well as the monitoring of disease recurrence and assessment of residual disease.
Description
BACKGROUND

Cancer is a disease of impaired genetic integrity. In most cases disturbed genetic integrity is observed at the chromosome level and include a configuration called anaphase bridges, which are most likely derived from dicentric or ring chromosomes segregating into two different daughter cells in the process of the breakage-fusion-bridge (BFB) cycle. The BFB cycles have been shown to generate large DNA palindromes with structural gains and losses at the termini of sister chromatids by creating recombinogenic free ends, followed by sister chromatid fusions at each cycle. Evidence has been accumulating that the BFB cycle is a major driving force for genetic diversity generating chromosome aberrations in cancer cells. Telomere shortening in mice lacking the Telomerase RNA component (TR) results in chromosome end-to-end fusions that are enhanced by p53 deficiency. Initiation of neoplastic lesions and frequent anaphase bridges are both increased with progressive telomere shortening in mouse intestinal tumors, and human colon carcinomas show a sharp increase of anaphase bridges at the early stage of carcinogenesis. This suggests that telomere dysfunction can generate dicentric chromosomes by end-to-end fusions and trigger the BFB cycle, providing genetic heterogeneity that furthers the malignant phenotype. Spontaneous and/or ionizing radiation induced chromosome end-to-end fusions are also seen in cells that have cancer-predisposing mutations, such as a deficiency in the DNA damage checkpoint function (ATM) (Metcalf et al. Nat. Genet. 13:350-353 (1996)), non-homologous end-to-end joining (NHEJ) repair of DNA double strand breaks (DSB) (DNA-PKcs, Ku70, Ku80, Lig4, XRCC4) (Bailey et al., Proc. Natl. Acad. Sci. USA 96:14899-14904 (1999); Ferguson et al., Proc. Natl. Acad. Sci. USA 97: 6630-6633 (2000); Gao et al., Nature 404:897-900 (2000); Hsu et al., Genes Dev. 14:2807-2812 (2000)), RAD51D (Tarsounas et al., Cell 117:337-347 (2004)) and histone H2AX (Bassing et al., Proc. Natl. Acad. Sci. USA 99:8173-8178 (2002)). Moreover in mice deficient in both p. 53 and NHEJ, co-amplification of c-myc and IgH in pro B cell lymphomas is initiated by the BFB cycle after RAG-induced DSB at the IgH locus is incorrectly repaired by fusion to the c-myc gene to form a dicentric chromosome (Gao et al., supra. (2000); Zhu et al., Cell 109: 811-821 (2002)). This indicates that improper DSB repair also could trigger the BFB cycle for further chromosome aberrations.


The BFB cycle has also been implicated as a common mechanism for intrachromosomal gene amplification (Coquelle et al., Cell 89:215-225 (1997); Ma et al., Genes Dev. 7:605-620 (1993); Smith et al., Proc. Natl. Acad. Sci. USA 89:5427-5431 (1992); Toledo et al., EMBO J. 11:2665-2673 (1992)). Studies of gene amplifications selected by drug resistance in rodent cells have shown that most of the amplifications are associated with large DNA palindromes (Coquelle et al., supra. (1997); Ma et al., supra. (1993); Ruiz and Wahl, Mol. Cell. Biol. 8:4302-4313 (1988); Smith et al., Proc. Natl. Acad. Sci. USA 89:5427-5431 (1992); Toledo et al., supra. (1992)). An initial palindromic duplication of the dhfr gene induced by I-SceI-induced chromosomal DSB triggers BFB cycles and results in further dhfr amplification, where the initial formation of a palindrome appears to be the rate-limiting step for subsequent gene amplification (Tanaka et al., Proc. Natl. Acad. Sci. USA 99:8772-8777 (2002)). Various clastogenic drugs induce initial chromosome breaks at the common loci that bracket the palindromic amplification of the selected gene (Coquelle et al., supra. (1997)), suggesting the presence of specific loci in the genome susceptible to palindrome formation.


Although cytogenetic studies of cancer cells also indicate that oncogene amplifications occur as large DNA palindromes by BFB cycles (Ciullo et al., Hum. Mol. Genet. 11:2887-2894 (2002); Hellman et al., Cancer Cell 1:89-97 (2002)), little is known about how prevalent this type of chromosome aberration is in cancer cells. Given the fact that telomere dysfunction and impaired DNA damage checkpoint/repair functions can trigger BFB cycles and are major causes of chromosome instability, somatic palindrome formation might be widespread in cancer cells and provide a platform for additional gene amplification. However, our molecular analysis of the structure of amplified loci in cancer cells has been limited by the fact that the duplication covers very large regions of the chromosome.


DNA methylation in vertebrates is a well-established epigenetic mechanism that controls a variety of important developmental functions including X chromosome inactivation, genomic imprinting and transcriptional regulation. Cytosine DNA methylation in mammals predominantly occurs at CpG dinucleotides, of which more than 70% are methylated. CpG islands are clusters of CpG dinucleotides that mostly remain unmethylated and could play an important role in gene regulation. There are approximately 27,000 and 15,500 CpG islands in the human and mouse genomes respectively, among which 10,000 are highly conserved between these two organisms. CpG islands often reside in 5′ regulatory regions and exons of genes (promoter CpG islands), and recent computational analysis indicates that a significant proportion of CpG islands are in other exons and intergenic regions. Although CpG islands are generally considered to be unmethylated, a significant fraction of them can be methylated. For example, a number of studies have shown that differential methylation of promoter CpG islands leads to transcriptional repression of tumor suppressor genes in cancer cells. There also are a few CpG islands that undergo tissue specific methylation during development. However, these examples are limited in number and fail to reveal the full scope of dynamic changes in methylation status. For instance, there is general hypomethylation in cancer cells, and a genome-wide demethylation-remethylation transition occurs during normal development.


Currently, a number of genome-wide methods to determine DNA methylation states have been reported (Suzuki & Bird, Nat. Rev. Genet., 9:465-476 (2008)). Certain methods, such as Comprehensive High-Throughput Arrays for Relative Methylation (CHARM) (Irizarry et al., Genome Research 18:780-790 (2008)) and HpaII-tiny fragment Enrichment by Ligation-mediated PCR (HELP) (Khulan et al., Genome Research 16:1046-1055 (2006)), use restriction enzymes that are either sensitive, insensitive, or specific or CpG methylation to interrogate DNA methylation states. These methods can be disadvantageous because each method is dependent on the presence and optimal spacing of methylation sensitive restriction enzyme recognition sites and variable methylation patterns with similar densities can cause differential signals. Other methods are based on affinity purification of methylated DNA. One commonly used method is methylated DNA immunoprecipitation (MeDIP) (Weber et al., Nat. Genet., 37:853-862 (2005)), which uses an antibody to 5-methylcytosine to assess DNA methylation. Another set of techniques utilizes a methyl-CpG binding protein to enrich for DNA methylation. Two such techniques have been described, one using the rat MeCP2 protein (Cross et al., Nat. Genet. 6:236-244 (1994)) and another using the MBD2/MBD3L1 complex (Rauch et al., Cancer Research 66:7939-7947 (2006)). All of these techniques to assess genome-wide methylation patterns can use a variety of microarray platforms to generate ‘methylome’ datasets.


The present disclosure provides methods for the study of the genome-wide distribution of somatic palindrome formation and methylated DNA.


BRIEF SUMMARY

Genome-wide methods for analyzing palindrome formation and DNA methylation are disclosed. In certain embodiments, the methods generally include isolating genomic DNA including a DNA palindrome and a methylated DNA, fragmenting the genomic DNA, denaturing unmethylated genomic DNA, rehybridizing the denatured unmethylated DNA under suitable conditions for the DNA palindrome to form a snap back DNA, digesting the rehybridized DNA with a nuclease that digests single strand DNA, and identifying the genomic DNA including the methylated DNA and the snap back DNA including the DNA palindrome. The methods can further include identifying regions of the genomic DNA including the methylated DNA and the DNA palindrome by hybridization of the genomic DNA fragments with a human genomic DNA array.


In one embodiment, the method includes the steps of: a) isolating genomic DNA including the DNA palindrome or the methylated DNA from a population of cells; b) denaturing the isolated, unmethylated DNA; c) rehybridizing the denatured isolated DNA under suitable conditions for the DNA palindrome to form a snap back DNA and to keep the methylated DNA hybridized; d) digesting the rehybridized DNA with a nuclease that digests single strand DNA to form double stranded DNA fragments including the snap back DNA and the methylated DNA; e) digesting the double stranded DNA fragments including the snap back DNA with a nucleotide sequence specific restriction enzyme; f) adding a sequence specific linker nucleotide sequence to one end of each stand of the double strand DNA including the snap back DNA; g) amplifying the DNA fragments including the added linker using a labeled linker sequence specific primer corresponding to the sequence specific linker added in step (f); and h) hybridizing the methylated DNA and the amplified DNA fragments including the snap back DNA to a genomic DNA library and identifying the genomic DNA region including the palindrome or the methylated DNA.


The method can further include steps wherein the amplified DNA fragments include the snap back DNA are mixed and co-hybridized in step (h) with a sample of high molecular weight DNA from a normal cell population that has been digested with S1 nuclease, and the restriction enzyme of step (e), adding a linker labeled with a second single label, and amplified. As with the snap back DNA sample, the normal high molecular weight DNA will have been digested with S1 nuclease and with the same restriction enzymes of step (e) as the snap back DNA sample, have the sequence specific linker added and the DNA fragments amplified and labeled using a sequence-specific primer corresponding to the sequence specific linker added in the previous step which contains a second label, prior to mixing with the snap back DNA and co-hybridization.


Any single strand nuclease can be used in the present methods including, for example S1 nuclease. Further, the genomic DNA fragments can be digested with any restriction enzyme that specifically cuts double stranded DNA. Typically, the DNA will be digested with two or more restriction enzymes and the profiles compared. In one embodiment of the present disclosure the DNA is digested separately with MspI, TaqI, or MseI. To prepare the high molecular weight genomic DNA, total DNA from a sample of a cell population is isolated and the isolated genomic DNA is fragmented by a chemical, physical, or enzymatic method. In one embodiment the genomic DNA is digested with, for example, SalI, but any other restriction enzyme that results in high molecular weight DNA can also be used.


The present disclosure also provides methods for classifying a population of cancer cells. The methods can include identifying regions of genomic DNA including a methylated DNA and a snap back DNA having a DNA palindrome, and using the identity of genomic DNA regions including fragmenting the genomic DNA, denaturing the unmethylated genomic DNA fragments, incubating the denatured and unmethylated genomic DNA fragments under conditions conducive to the formation of snap back DNA by genomic DNA fragments including the DNA palindrome, and identifying regions of genomic DNA containing the DNA palindrome and the methylated DNA to form a profile. The method can further include comparing the profile of genomic DNA including a DNA palindrome and methylated DNA of the cancer cell population to a population of normal cells or to a profile established for another tumor type.


The present disclosure further provides methods for detecting a population of cancer cells. The methods can include isolating genomic DNA from a cell population, identifying a plurality of genomic DNA regions including methylated DNA and snap back DNA including a palindrome, and using the identity of the plurality of genomic DNA regions including the methylated DNA and palindrome to detect the population of cancer cells. The methods can further include fragmenting the isolated genomic DNA, denaturing the unmethylated genomic DNA fragments, incubating the denatured and unmethylated genomic DNA fragments under conditions conducive to formation of snap back DNA including the DNA palindrome, digesting denatured, single strand DNA, and identifying a plurality of regions of the genomic DNA containing the DNA palindrome and the methylated DNA to form a profile. The method can also include comparing the profile of the cancer cell population to a population of normal cells, wherein the cancer cell population includes genomic DNA including the DNA palindrome and the methylated DNA.


Methods for determining a region of genomic DNA that include an unmethylated CpG island are disclosed. The methods can include digesting genomic DNA with a methylation sensitive restriction enzyme, amplifying the DNA fragments using a labeled linker sequence, and hybridizing the amplified DNA fragments to a genomic DNA library and identifying the genomic DNA region including the palindrome.


The present disclosure also provides methods for identifying a region of genomic DNA including a DNA palindrome. The methods can include isolating genomic DNA including the DNA palindrome or the methylated DNA from a population of cells; denaturing the isolated, unmethylated DNA; incubating denatured isolated DNA under conditions conducive to inducing formation of a snap back DNA rather than inter-molecular hybridization, the snap back DNA including the DNA palindrome; digesting the denatured, unmethylated DNA; isolating the methylated DNA and the snap back DNA; denaturing the methylated DNA and the snap back DNA; incubating the methylated DNA and the snap back DNA under conditions conducive to inducing formation of the snap back DNA; digesting the denatured methylated DNA; and identifying one or more regions of the genomic DNA including the snap back DNA thereby identifying one or more regions of the genomic DNA including the DNA palindrome. The methods can include denaturation of methylated DNA by methods including alkaline denaturation or heating and an agent capable of lowering the melting temperature of methylated DNA, wherein such agent can include formamide.


Methods for isolating genomic DNA including a methylated DNA are disclosed. The methods can include the steps of incubating isolated genomic DNA under conditions conducive to hybridization of the methylated DNA and to denaturation of an unmethylated DNA; digesting the unmethylated DNA; and isolating the genomic DNA including methylated DNA. The methods can further include identifying regions of the genomic DNA including methylated DNA as well as additional steps including incubating the isolated genomic DNA under conditions conducive to inducing formation of a snap back DNA rather than inter-molecular hybridization, wherein the unmethylated DNA includes a DNA palindrome capable of forming snap back DNA; isolating the methylated DNA and the unmethylated DNA including the DNA palindrome; and denaturing the unmethylated DNA including the DNA palindrome. In certain embodiments, the denatured, unmethylated DNA can be digested with a single strand nuclease.


The present disclosure also includes methods for identifying CpG densities and degrees of CpG methylation in one or more regions of genomic DNA. The methods can include the steps of isolating genomic DNA; denaturing the isolated, unmethylated DNA; digesting the unmethylated DNA; isolating the genomic DNA including methylated DNA; and enriching for regions of genomic DNA having a specific CpG density and degree of CpG methylation. In certain embodiments, the methods can further include denaturing the genomic methylated DNA under a temperature, a concentration of formamide, and a concentration of NaCl tuned for hybridization of one or more regions of genomic DNA having a specific CpG density and degree of CpG methylation; digesting the denatured genomic methylated DNA; and, identifying the undigested regions of genomic DNA including methylated DNA





BRIEF DESCRIPTION OF THE DRAWINGS


FIGS. 1A through C provide results of a series of experiments with a cell line including a large palindrome of the DHFR transgene (D79IR-8 Sce2 cells, WO 03/029438, incorporated herein by reference) demonstrating that the genome-wide assessment of palindrome formation assay efficiently generate intra-molecular base pairings in large palindromic sequences (‘snap-back’ DNA or SB DNA) and that these can be used to isolate large palindromic fragments from total genomic DNA. FIG. 1A depicts the NaCl-dependent formation of ‘snap-back’ (SB) DNA. Genomic DNA obtained from the CHO DHFR-cells containing inverted duplication of the DHFR transgene was heat denatured and rapidly cooled on ice. KpnI or XbaI digestion of DNA and Southern blotting demonstrated efficient intra-strand hybridization of the duplicated region. A 5 kb fragment of KpnI digest and an 11 kb fragment of XbaI digest, respectively, each of which is the size expected for the snap back DNA, were seen on the Southern blot in a NaCl-dependent manner. Solid lines and dotted lines represent single stranded DNA that was complimentary to each other. Probe used for hybridization is indicated on the figure. FIG. 1B depicts the same genomic DNA from D79IR-8 Sce2 cells as in FIG. 1A which was digested with SalI. The SalI-digested DNA was denatured, renatured, and subjected to S1 digestion. The double-stranded DNA was then digested with MspI or TaqI and the digested DNA was amplified by ligation-mediated PCR using linker specific primers. The DNA products were analyzed by Southern blot with a probe for a fragment that contains an inverted repeat (Probe 1), or a probe to an adjacent region that did not contain an inverted repeat (Probe 2). Signals were detected exclusively with the probe to the fragment with the inverted repeat (Probe 1), indicating that DNA obtained by this method is highly enriched for genomic sequences with palindromes. FIG. 1C examines whether the measurement of somatic palindromes could minimize the effect of non-palindromic counterpart(s). SalI-digested genomic DNA from D79IR-8 Sce2 and parental cells were mixed in a variety of ratios such that the total amount of DNA was 4 μg Two micrograms of DNA were subjected to snap back and amplification by LM-PCR for PCR-Southern analysis (upper panel), and the remaining 2 μg of the mixed DNA was digested with KpnI and analyzed by genomic Southern analysis (lower panel). Both Southern analyses were hybridized with a probe specific for inverted repeat (Probe 1 from FIG. 1B). Unlike the signals on the genomic Southern blot, specific signals from the palindrome were seen even after 1/40 dilution, indicating that this approach can detect somatic palindrome formation in a subpopulation of cells.



FIG. 2 is a pictorial summary of the “Procedure of Genome-wide analysis of Palindrome Formation” (GAPF). Tumor samples were subjected to the process to produce snap back DNA, treated with single strand specific nuclease S1, digested with either MspI, TaqI or MseI, ligated with a specific linker having the appropriate complementary sequence (MspI, TaqI or MseI), and amplified by PCR with Cy5-labeled linker specific primer. Standard DNA was prepared from normal human fibroblast (HFF) DNA by the same method except for the snap back process, and labeled with Cy3. Labeled DNAs were co-hybridized onto a human spotted cDNA microarray.



FIG. 3 depicts various comparisons of GAPF features between normal human fibroblasts, normal breast epithelial cells, epithelial cancer cell lines, and the pediatric cancers medulloblastoma and rhabdomyosarcoma. FIG. 3A compares the features of three normal human fibroblast preparations. No significant difference in GAPF features between normal human fibroblasts were observed. Features of SB-DNA of three independent primary cultures of fibroblasts (HDF1 (skin biopsy), HFF2 (foreskin sample) and HFF3 (skin biopsy)) were compared with non-SB-DNA of HFF2 as the common standard, genomic DNA of HFF2 without denaturation and renaturation (non-SB-DNA). Experiments were carried out in triplicate for each set of hybridization using three different preparations of templates. For each gene in each comparison, the q-value, which is a measure of significance in terms of false discovery rate (FDR), was calculated. In these analyses, thresholding genes with q-value<0.1 calls no genes significantly different between any two normal fibroblasts samples. The values pi(0), which represents the percentage of true negatives, and the minimum q-value (qmin) indicate that two sets of SB-DNA (HDF1 and HDF3) are almost identical, while that of HFF2 was very closely related to those of HDF1 and HDF3. FIG. 3B examines cancer specific somatic palindrome formations. GAPF features from HFF2 (normal human foreskin fibroblast, three independent hybridizations on microarrays, N=3), AG32 (normal breast epithelial cell line, N=3), HDF3 (normal human fibroblast, independent from FIG. 3A, N=5), Colo320DM (colon cancer cell line, N=3), MCF7 (breast cancer cell line, N=3), RD (rhabdomyosarcoma cell line, N=3) and five independent medulloblastoma tissues were compared to a common baseline profile consisting of two triplicate data sets of SB-DNA from HDF1 and HDF3 (FIG. 3A). The data from individual genes was grouped into 521 cytogenetic bands, and bands with q<0.05 and log(fold change)>0 were called ‘significantly increased’ relative to the common baseline. Numbers between each cell line and common baseline represent the number of significantly increased cytogenetic bands relative to the common baseline in the cell line. FIG. 3C examines the overlaps in areas of palindrome formation. Significant overlaps of somatic palindrome containing bands were found among age-related epithelial cancers (Colo320DM and MCF7, p=4.4427×10−6) or pediatric cancers (medulloblastomas and RD, p=0.017). FIG. 3D examines the distribution of overlaps of palindrome containing cytogenetic bands between age-related epithelial cancers and pediatric cancers. Neither Colo320DM nor MCF7 showed significant overlap of palindrome-containing cytogenetic bands with those of medulloblastoma or RD.



FIGS. 4A through 4C depict the clustering of somatic palindromes at specific regions of the genome in Colo320DM and MCF7. Genes from each loci and the surrounding region were plotted on the physical map and fold change of the GAPF and CGH (comparative genomic hybridization) features relative to HDF and are shown. Arrows indicate significant increases (q<0.05) either in Colo (black) or MCF7 (grey). FIG. 4A depicts the profiles of a 32 mega-base regions of the long arm of chromosome 8. The somatic palindromes commonly clustered in two regions at 8q24.1. Palindromes commonly cluster at the MYC gene and 5 MB centromeric to MYC. Note that palindrome formation was associated with the copy number increase of MYC, but not the genes at 5 MB centromeric in Colo320DM. FIG. 4B depicts the profiles of the 18 MB region at 1q21 and a detailed profile of the 4 MB clustered region. The data demonstrate a common cluster of somatic palindromes at a 600 kb region at 1q21. FIG. 4C depicts the palindrome profile of the region corresponding to the common fragile site Fra7I at 7q35.



FIGS. 5A and 5B depict a comparison of the snap back DNA profiles for a human foreskin fibroblast cell population and the human colon cancer cell line Colo320DN. FIG. 5A. The human colon cancer cell line Colo320DM contains an inverted duplication of the c-myc gene. Left panel; Southern blotting analysis of genomic DNA from either Colo320DM or human foreskin fibroblast (HFF). DNA rearrangement is seen in the Colo320DM. Denaturation and rapid renaturation (snap back, SB) of HFF DNA shows loss of the EcoRI fragment. Right panel; Genomic DNA from Colo320DM was either: (a) digested with EcoRI and then subjected to snap-back (EcoRI→SB); or, (b) subjected to snap-back and then digested with EcoRI (SB→EcoRI). Digesting with EcoRI prior to snap-back disrupts the inverted repeat following denaturation and results in fragments that will remain single stranded following snap-back and will be sensitive to S1 nuclease. In contrast, when snap-back is performed prior to EcoRI digestion, the intact inverted repeat will efficiently form double stranded DNA through intra-strand pairing, producing S1 nuclease resistant fragments following EcoRI digestion. Southern hybridization was done using a human c-myc cDNA probe. FIG. 5B. The ECM1 gene was amplified as an inverted repeat and was subjected to snap back. Southern analysis of SB-DNA from Colo320DM shows a half-size EcoRI fragment relative to that of non-SB-DNA, indicating a palindromic amplification of ECM1. Right panel; A human myogenin probe was cohybridized as a control. Left panel; no fragment was seen on the SB-DNA from Colo320DM DNA by hybridizing with the myogenin probe only.



FIG. 6 depicts the hierarchical clustering of the GAPF profile of 5 medulloblastomas and three normal fibroblasts (HDF3). A high degree of similarity among five individual medulloblastomas was seen, which is clearly separable from normal fibroblasts.



FIG. 7 is an idiogram showing genome wide distribution of somatic palindromes. Palindrome-containing cytogenetic bands are shown on the right side of chromosome (Colo320DM, left column of circles, and MCF7, right column of circles) or on the left side (medulloblastoma, right column of circles, or RD, left column of circles). The cytogenetic bands with palindromes that are identified in both Colo and MCF7 cluster at 1q21, 8q24.1, 12q24, 16p12-13.1 and 19q13.



FIGS. 8A and 8B provide a schematic and data for using ligand-mediated methylation PCR to amplify DNA fragments enriched for unmethylated CpG islands. FIG. 8A provides a schematic for the process of ligand-mediated methylation PCR for amplification of unmethylated CpG islands. FIG. 8B provides a blot showing the amplification of small (<500 base pair) HpaII DNA fragments.



FIG. 9 provides a general schematic of the genome-wide analysis of palindrome formation (GAPF) assay, also alternatively depicted in FIG. 2. Genomic DNA was first digested with either KpnI or SbfI, and then these reactions were combined. Palindromic sequences can rapidly anneal intramolecularly to form ‘snap-back’ DNA under conditions that do not favor intermolecular annealing. This snap-back property was used to enrich for palindromic sequences in total genomic DNA by denaturing the DNA at 100° C., rapidly renaturing it in the presence of 100 mM NaCl, and then digesting the mixture with the single-strand specific nuclease S1. Snap-back DNA formed from palindromes was double-stranded and resistant to S1, whereas the remainder of genomic DNA is single-stranded and thus was sensitive to S1 digestion. Ligation-mediated PCR was performed, and then the DNA was labeled and hybridized to a microarray for analysis.



FIG. 10 illustrates exemplary results from a genome-wide analysis of palindrome formation (GAPF) assay that can identify DNA palindromes. FIGS. 10A and 10B illustrate a tiling array analysis of GAPF-positive regions in Colo320DM (Colo) cells compared to primary skin fibroblasts (HDF). Graphically displayed are signal (log2(signal ratio); top graph and dark gray), and p-values (−10 log10; bottom graph and light gray). The solid dark gray bars below the top graph depict log2(signal ratio)>1.5 where Colo>HDF, and the solid light grey bars below the bottom graph depict (−10 log10) p-values>30 (=p<0.001). FIG. 10A depicts a GAPF-positive signal of the known palindrome at the CTSK locus. Signal was observed to within approximately 300 by of the known junction between one of the palindromic arms and the nonpalindromic center (junction depicted by double-headed arrow). FIG. 10B depicts a GAPF-positive signal at the known palindrome at ECM1.



FIG. 11 illustrates that nonpalindromic GAPF-positive loci were recalcitrant to a second round of GAPF but denature in the presence of 50% formamide. FIG. 11A shows a PCR-based enrichment assay after one round (GAPF×1) or two rounds (GAPF×2) of GAPF in Colo320DM (Colo). The assay was performed in duplicate. PCR products using unprocessed genomic DNA (gDNA) were included for comparison. As a negative control, the PCR product labeled as Tel amplified a region on chromosome 1 that does not contain a DNA palindrome, and primers to generate this fragment were added for multiplex PCR in each of the loci evaluated. The palindrome at the CTSK locus was enriched after one round of GAPF, but did not survive the second round. Seven non-palindromic loci (CDH2, DNAJA4, HAND2, KCNIP4, NRG1, OPCML and PHOX2B) survived the second round of GAPF. FIG. 11B illustrates that formamide addition during denaturation optimized the assay for DNA palindromes. PCR-based enrichment assay is shown. GAPF was performed in Colo cells with either no modification (GAPF) or with 50% formamide (50% Form) in the denaturation step. Both the palindrome at the CTSK locus and a naturally occurring inverted repeat (IR6-107.3) present in the human reference genome were enriched. Signal from two non-palindromic loci (HAND2 and OPCML) were largely abolished with the addition of 50% formamide. The assay was performed in duplicate. The PCR product marked Tel served as a negative control.



FIG. 12 generally provides results depicting that formamide can enhance GAPF specificity for DNA palindromes, as provided by a tiling array analysis of GAPF-positive regions in Colo320DM (Colo) cells compared to primary skin fibroblasts (HDF). Each panel graphically displays p-values (−10 log10; top graph and light gray) and signal (log2(signal ratio); bottom graph and dark grey). The solid bars below the top and bottom graph depict (−10 log10) p-values>30 (=p<0.001) and log2(signal ratio)>1.5 where Colo>HDF, respectively. The top pair of light gray and dark gray graphs depict the results from the original GAPF method, and the bottom pair of lightdepicts the results from GAPF with the addition of 50% formamide. FIG. 12A depicts tiling array data shown for nonpalindromic loci. The addition of 50% formamide abolished these signals. FIG. 12B illustrates that the palindromes at CTSK and ECM1 were enhanced by the addition of 50% formamide. FIG. 12C depicts a putative palindromic region on chromosome 13 encompassing the genomic region between PDX1-PRHOXNB.



FIG. 13 shows that nonpalindromic GAPF-positive loci identify regions of CpG DNA methylation. A bisulfite DNA sequence analysis is shown for individual clones from either Colo320DM (Colo) or primary fibroblasts (HDF). Black circles represent CpG methylation, and white circles depict unmodified CpG dinucleotides.



FIG. 14 depicts an exemplary schematic of an analysis used to assay the genome for methylation. In this assay the regions of methylated DNA do not denature while unmethylated DNA denature; upon rehybridization under rapid renaturation conditions the unmethylated DNA failed to rehybridize and is digested with a nuclease specific for single strand nucleotide sequences. The double stranded methylated DNA regions are not digested. In this embodiment, linkers are added to the double stranded methylated DNA regions, and the regions are amplified by PCR, biotin labeled and used to hybridize to a DNA arranged on microarray for detection.



FIG. 15 illustrates that differential denaturation can identify CpG methylation at previously described loci in HCT116 cells, as shown by a promoter tiling array analysis of positive regions in HCT116 compared to DKO cells. Each panel graphically displays signal (log2(signal ratio; top graph and dark grey)) and p-values (−10 log10; bottom graph and light grey). The solid bars below the top dark gray graph depict log2(signal ratio)>1.2 where HCT116>DKO. The solid bars below the bottom light gray graph depict (−10 log10) p-values>30 (=p<0.001).



FIG. 16 illustrates that differential denaturation can be used to identify common loci among primary medulloblastoma samples. FIG. 16A depicts methylation-positive gene detection. FIG. 16B depicts methylation-negative genes from four primary medulloblastoma samples (R123, R147, R160 and R162), as identified on the Affymetrix™ Promoter Array. Cerebellum from one normal individual was used as a control. Total number of methylation-positive or methylation-negative loci for each sample is shown, and common regions between the four samples are depicted on the Venn diagram. FIG. 16C depicts a bisulfite sequence analysis of the PTCH1-1C methylation-positive promoter region for one of the medulloblastoma samples (R 160) and the normal cerebellum control.





DETAILED DESCRIPTION

The present disclosure describes methods for conducting analyses of DNA methylation and DNA palindrome formation. For example, the disclosed methods can be used for genome-wide analyses of DNA methylation and DNA palindrome formation at different regions of genomic DNA. The parent application, U.S. patent application Ser. No. 11/142,091, to the present disclosure includes the description of a novel method described as Genome-wide Analysis of Palindrome Formations (GAPF). These methods were believed to identify genomic DNA including a DNA palindrome. The present disclosure is based in-part on the unexpected discovery that the genomic DNA resulting from practicing the GAPF method as disclosed in the parent application can result in a population of genomic DNA including a palindrome but also includes a population of genomic DNA having regions of methylated DNA. The result is based on the unexpected property of methylated DNA to not fully denature under what has been believed to be standard conditions capable of denaturing all genomic DNA, e.g., heating to 100° C. in 100 mM salt. In particular, although the presence of 5-methylcytosine is known to increase the melting temperature (TO of DNA, it has been generally accepted that all DNA, even methylated DNA, fully denatures under such conditions. In accordance with this unexpected discovery, the present disclosure describes methods for the enriching for genomic DNA including methylated DNA and a DNA palindrome.


Alternatively, some of the disclosed methods can be used to enrich for genomic DNA including a DNA palindrome. In other embodiments, methods are disclosed that can be used to enrich for genomic DNA including methylated DNA. Still further, methods are disclosed that comprise differential denaturation that can enrich for varying levels of DNA methylation that is generally referred to as Methylation Analysis by Differential Denaturation (MADD). In addition, the disclosed methods can be adapted to amplify DNA enriched for unmethylated CpG islands. The methods further provide procedures to identify chromosomal regions susceptible to subsequent gene amplification associated with cancer and other conditions. Such methods can serve as sensitive techniques to detect early stages of tumorigenesis since in many cases chromosome aberration are early manifestations of malignant transformation.


Certain methods described herein offer advantages over other existing methods for identifying regions of DNA methylation. For example, the method designated as Methylated DNA Immunoprecipitation (MeDIP) can be problematic because the antibodies used in the method only recognize single-stranded DNA and thus may miss regions of the genome that are heavily methylated and resistant to efficient DNA denaturation. In certain embodiments, the disclosed methods can enrich for methylated DNA because such DNA remains double-stranded while the unmethylated (or less methylated) DNA sequence denature, and the denatured DNA is sensitive to digestion with a single strand nuclease such as 51 nuclease. The denaturation conditions used for MeDIP are similar, if not less stringent, than those used in the disclosed methods. Thus, the disclosed methods can advantageously identify a subset of CpG-methylated loci that is likely never detected using standard MeDIP protocols.


Another potential advantage for the detection of DNA methylation using the disclosed methods is that the methods are qualitative, rather than quantitative in nature like some of the existing genome-wide DNA methylation assays. This gives the presently disclosed methods the potential to sensitively detect aberrant DNA methylation associated with disease-specific DNA methylation changes from very few cells in a background of normal cells or tissue. It is also possible to ‘tune’ the disclosed methods to enrich for different amounts of DNA methylation across the genome. At the most stringent practice, the disclosed methods can efficiently identify heavily methylated loci. In addition, by adjusting salt concentration, denaturation temperature, and formamide concentration, the methods can identify a gradient of CpG methylation densities.


In addition to bettering understanding of the process of carcinogenesis, the loci identified by the disclosed methods can serve as useful biomarkers of disease. By generating disease-specific DNA methylation signatures, the development of clinical assays based on the disclosed methods can aid in: early detection of disease, disease diagnosis, measurement of response to treatment, and evaluation of minimal residual disease monitoring for disease recurrence. For each of these applications, an initial loci or set of loci can be identified by the disclosed methods or any other genome-wide assay. The low cost and high sensitivity of the disclosed methods, however, suggests one or several of the methods could be a method for clinical applications to determine the methylation status of informative loci in patient samples.


Generally, the nomenclature used herein and many of the laboratory procedures in regard to cell culture, molecular genetics and nucleic acid chemistry and hybridization, which are described below, are those well known and commonly employed in the art. (See generally Sambrook et al., Molecular Cloning: A Laboratory Manual, 3d Ed., Cold Spring Harbor Laboratory Press, New York (2001), which is incorporated by reference herein). Standard techniques are used for recombinant nucleic acid methods, preparation of biological samples, preparation of cDNA fragments, PCR, and the like. Generally enzymatic reactions and any purification and separation steps using a commercially prepared product are performed according to the manufacturers' specifications. Although specific enzymes and other recombinant nucleic acid methods and products are described and used, other enzymes and recombinant nucleic acid methods and products are well known in the art and are available for use in the described methods.


The methods described herein generally use genomic DNA from any cell population, tissue sample, and the like. Cell populations or tissue samples that can be used in the methods include any normal tissue, such as skin, blood, bladder, lung, prostate, brain, ovary, and the like, a tumor, such as a melanoma, leukemia, bladder tumor, lung tumor, prostate tumor, brain tumor, ovarian tumor, and the like, or any other tissue or organ at a particular point in development.


Methods for Enrichment of DNA Palindromes and Methylated DNA

Loss of chromosome integrity in human cancers generates numerous gains and losses of chromosome segments. Large DNA palindromes caused by Breakage-Fusion-Bridge (BFB) cycles might facilitate gene amplification in human cancers, however, the prevalence of initial palindrome formation is largely unknown. In the present disclosure, novel methods are used to demonstrate that somatic palindrome formation and methylated DNA are widespread and non-random in human cancers. Individual tumor types appear to have a characteristic distribution of palindromes in their genome and only a subset of these palindromic or methylated loci are associated with gene amplification. The present disclosure identifies widespread palindrome formation and methylated DNA in human cancer that can provide a platform for subsequent gene amplification and indicates that tumor specific mechanisms determine the locations of palindrome formation and/or DNA methylation. A method for rapidly identifying the genomic DNA locations of palindrome formation and/or methylated DNA in various populations of cells is provided herein, as well as applications of the methods for characterizing tumor types, palindrome and/or methylated regions susceptible to gene application and their association with cancer diagnosis and early cancer detection, assessment of residual disease, and monitoring for disease recurrence.


Provided herein is a novel microarray based approach to assay palindromes and/or DNA methylation in genomic DNA. By using this approach it has been found that somatic palindrome formation is in fact a common form of chromosome instability and that these palindrome formations tend to cluster at specific loci in the genome, “hotspots for palindrome formation.” In addition, the methods have been found to efficiently detect regions of DNA methylation using assay conditions previously thought to destroy the double-strandedness of such regions. Surprisingly, use of the methods disclosed herein has revealed that individual tumor types appear to have a characteristic distribution of palindromes and/or methylated DNA in their genome, indicating that tumor specific mechanisms determine the locations of palindrome formation and/or DNA methylation. Somatic palindromes are not always associated with significant gene amplification, whereas loci with high-level amplifications are usually accompanied by somatic palindromes. These data indicate that the somatic formation of palindromes broadly alters the cancer genome and provides a platform for subsequent gene amplification. DNA methylation on the other hand is known to be a characteristic of tumorigenesis. The present methods provide a simple efficient means to detect and localize DNA methylation.


In certain embodiments of the present disclosure, the methods can be used for identifying genomic DNA including methylated DNA and/or a DNA palindrome. For example, the methods can include steps of isolating genomic DNA, fragmenting the genomic DNA, and denaturing the genomic DNA. Due to the discovered higher melting temperature of methylated DNA, certain denaturation conditions can be used to selectively denature unmethylated DNA. For example, unmethylated DNA fragments can include DNA fragments having a DNA palindrome and other DNA fragments that do not include a DNA palindrome or methylation (e.g., nonpalindromic DNA). Genomic DNA can be isolated using any of a variety of methods known generally in the art. In certain embodiments of the present disclosure, genomic DNA can be isolated from a population of cells, such as normal or cancerous cells. Fragmentation methods are similarly well known in the art and can include chemical, physical, or enzymatic methods. Methods for denaturing the genomic DNA can depend on the desired purpose of a given method. Generally, denaturation can be achieved through specific temperature conditions, such as heating to about 100° C., and with or without addition of a salt, such as NaCl. Salt concentrations can range from approximately 1-500 mM, and more typically from approximately 1-100 mM. Denaturation conditions can also include addition of other agents that can affect the melting temperature of DNA, such as a DNA helix destabilizing agent, e.g., formamide. Previous studies, for example, have shown that for every 1% of formamide, the DNA melting temperature can be reduced by approximately 0.6-0.72° C. (Hutton, Nucleic Acids Research, 4:3537-3555 (1977); McConaughy et al., Biochemistry 8:3289-3295 (1969)).


Following a denaturation step, the genomic DNA can be incubated under conditions that disfavor intermolecular hybridization and instead favor formation of snap back DNA by DNA fragments having a DNA palindrome. For example, the genomic DNA can be denatured by boiling and then rapidly cooled, or renatured, in the presence of 100 mM NaCl by cooling in an ice water bath. Subsequently, the methylated DNA, which does not denature under such conditions, and DNA having a DNA palindrome will be double-stranded and thus resistant to digestion by a single strand nuclease, such as S1 nuclease. Addition of a single strand nuclease can then digest the remaining single strand DNA, leaving intact the genomic DNA including methylated DNA and a DNA palindrome.


Known methods in the art, such as micro-array techniques, can be used to further identify regions of the genomic DNA that include a methylated DNA and/or a DNA palindrome. For example, human genomic DNA arrays can be used to quantitatively and qualitatively analyze the genomic DNA. These arrays can include, for example, DNA hybridization assays including high-density oligonucleotide arrays, such as Affymetrix™ GeneChip® Human Tiling Arrays, that can have probes tiled at an average resolution of 35 basepairs across the genome. Such arrays can sample a large genome DNA library to qualitatively analyze the regions of genomic DNA that include methylated DNA (e.g., contain CpG islands) and/or regions that include a DNA palindrome.


In some embodiments, the disclosed methods can also include amplification of the genomic DNA prior to genome-wide analyses. For example, samples containing genomic DNA fragments including methylated DNA and/or a DNA palindrome can be prepared for amplification by digesting the double stranded DNA fragments including a DNA palindrome with a nucleotide sequence specific restriction enzyme, such as MspI, TaqI, or MseI. A sequence specific linker nucleotide can then be added to the end of double stranded DNA. The DNA fragments including the added linker can be amplified using a labeled linker sequence specific primer that corresponds to the sequence specific linker. In certain embodiments, the amplified DNA fragments can be further mixed and co-hybridized with a sample of high molecular weight DNA from a normal cell population that has been digested with single strand nuclease, such as S1 nuclease, and the restriction enzyme, has added linkers labeled with a second single label, and has been amplified. In each of these embodiments, the amplified DNA fragments can then be hybridized to a genomic DNA array as described above to identify regions of the genomic DNA having methylated DNA and/or a DNA palindrome.


Methods for Enrichment of Genomic DNA Having a DNA Palindrome

The present disclosure includes methods for enrichment of genomic DNA including a DNA palindrome. In certain embodiments, the disclosed methods can further be used to identify regions of genomic DNA including a DNA palindrome. In an exemplary embodiment, genomic DNA can be isolated and fragmented using methods described herein and known to one of ordinary skill in the art. Generally, the fragmented genomic DNA includes methylated DNA and unmethylated DNA that includes non-palindromic DNA and DNA having a DNA palindrome. Enrichment for palindromes can be achieved by denaturing the fragmented DNA and subsequently incubating the denatured, fragmented DNA under conditions that disfavor intermolecular hybridization and instead favor formation of snap back DNA by DNA having a DNA palindrome. The denaturation conditions can, also, be adjusted to lower the melting temperature of methylated DNA. The addition of a DNA helix destabilizer, for example, formamide, to a solution including the DNA during denaturation can lower the melting temperature by approximately 0.6-0.72° C. for approximately every about 1% of formamide that is added. Thus, methylated DNA can be denatured under certain conditions that depend on the density of DNA methylation. For example, lightly methylated DNA can denature under lower concentrations of the DNA helix destabilizer, whereas more heavily methylated DNA can require a higher concentration of the DNA helix destabilizer. Accordingly, in a specific embodiment, a range of concentrations of the DNA helix destabilizer formamide, such about 0-50% or more can be used. Furthermore, temperature and salt concentration can be tuned to target certain densities of DNA methylation. In one exemplary embodiment, the denaturation step can include boiling in water at about 100° C. in the presence of about 50% formamide to lower the DNA melting temperature by approximately 30° C. Under these conditions, methylated DNA can be denatured, remain single-stranded when rapidly cooled, and then subsequently digested by a single-stranded nuclease, such as S1 nuclease. Similarly, denatured non-palindromic DNA can be digested by a single-stranded nuclease. DNA having a DNA palindrome, in contrast, will still form snap-back DNA in the presence of formamide, and when rapidly cooled, will remain S1-resistant. Given that non-palindromic DNA and methylated DNA have been digested, the isolated genomic DNA will be enriched for genomic DNA including one or more DNA palindromes. This genomic DNA can then be assayed using methods described herein to determine regions of the genome that contain a DNA palindrome.


In an alternative embodiment, denaturation of methylated DNA can be achieved by other methods besides heat and formamide, such as alkaline denaturation, with for example, NaOH or KOH (Ageno et al., Biophysic. J. 9:1281-1311, 1969; Levinson et al., Am. J. Med. Genet. 51:527-534, 1994). After neutralization and rehybridization under snap back conditions, methylated DNA would remain single-stranded and thus S1-sensitive, while the intramolecular annealing of palindromic DNA would still occur and produce an S1-resistant species. Upon enrichment of DNA having a DNA palindrome, the regions of genomic DNA including such palindromes can be identified using the methods described herein.


Methods for Enrichment of Methylated Genomic DNA

The present disclosure also includes methods for the enrichment of methylated DNA. The differential denaturation methods that can be used to analyze CpG DNA methylation as described herein are generally referred to as Methylation Analysis by Differential Denaturation (MADD). These methods can include certain steps as described above. In an exemplary embodiment, methylated DNA can be enriched by performing two successive cycles of denaturation/renaturation/single-strand nuclease digestion. The first cycle can enrich for both palindromic and methylated DNA, while the second cycle enriches for methylated DNA. Methylated DNA that was resistant to denaturation during the first cycle will remain double-stranded (and thus, e.g., S1-resistant) during the second cycle of denaturation. In contrast, palindromic DNA will not survive the second denaturation/renaturation cycle, since the initial non-palindromic DNA loop holding the arms of the palindrome together is digested by the single-strand endonuclease in the first round. During the second denaturation step, intramolecular annealing of the palindrome is not possible because of the loss of the physical connection provided to the arms of the palindrome by the non-palindromic loop region. Accordingly, the palindromic DNA is subsequently digested by a single strand nuclease, such as S1 nuclease, thereby leaving only the methylated DNA. In certain embodiments, an additional purification step can be performed by removing the DNA helix destabilizer, e.g., formamide, and performing a denaturation/renaturation/S1 digestion cycle to clean-up the reaction, thereby also enriching for the methylated DNA.


An alternative embodiment that enriches for methylated DNA can take advantage of the relative stability of S1 nuclease to both temperature and formamide. S1 retains its nuclease activity up to approximately 65° C. and approximately 50% formamide. In certain embodiments, the single-strand specific endonuclease, such as S1 nuclease, retains activity at higher temperatures and formamide concentrations. Under these conditions, most of the genomic DNA will become single-stranded, or at the least, the DNA double-helix will ‘breathe’ to form regions of single-strandedness. Palindromic DNA will also have these characteristics, and thus will be degraded in the presence of a single strand specific nuclease. Methylated DNA, because of its increased melting temperature in comparison to the palindromic DNA, will remain double-stranded and thus resistant to digestion by the endonuclease.


Embodiments that enrich for methylated DNA can further be used to identify genomic regions including methylated DNA. Given that unmethylated DNA is digested by the above methods, the genomic DNA isolated will be enriched for fragments that are methylated. This genomic DNA can then be assayed to determine which regions of the genome contain the methylated DNA using the methods described herein.


In certain embodiments of the methods disclosed herein, genomic DNA from a cell population or tissue sample is digested with a methylation sensitive restriction enzyme. Methylation sensitive restriction enzymes useful in the present disclosure include, for example, HpaII, and the like. Prior to digestion the genomic DNA can be fragmented by known physical, chemical or enzymatic means to form high molecular weight DNA. The high molecular weight DNA can then be further digested with the methylation sensitive restriction enzyme.


Methods for Enriching Methylated DNA with Varied Degrees of Methylation


In certain embodiments of the present disclosure, methods can be used to enrich for methylated DNA having varied degrees of methylation or in combination with varied degrees of CpG densities. For example, the disclosed methods can be modified to affect the thermal denaturation kinetics of DNA in order to ‘tune’ the assay to enrich for different degrees of DNA methylation and CpG content. These modifications can include performing the denaturation at a range of formamide concentrations, a range of salt (e.g., NaCl) concentrations, and at a range of different temperatures. In some embodiments, varying the concentration of formamide over a small window (0.1% to 1% final concentration) at 100° C. can enhance the melting temperature difference between different degrees of DNA methylation at regions of relatively high CpG content, e.g., CpG islands.


In addition, the range of CpG content and degree of CpG methylation differentially detected can be extended by varying the NaCl and/or formamide concentrations, while heating the DNA over a range of temperatures below 100° C. For example, a range between 90-100° C. in very low salt conditions, for example, 0 to about 10 mM, can be used to distinguish methylation differences in regions of lower CpG content or regions that have a lower percentage of CpG methylation when compared to denaturation conditions that distinguish unmethylated from heavily methylated CpG islands, for example, at about 100° C. and about 100 mM NaCl.


In other embodiments, the methods disclosed herein can be extended to identify a broad range of differences in the degree of CpG methylation at regions with a broad range of CpG content, e.g., regions that are not CpG islands. For example, the amount of salt and formamide concentrations can be varied to achieve a differential DNA melting temperature for a range of CpG content and methylation. In certain embodiments, DNA can be incubated at about 65° C. (or at a range of temperatures) and at different concentrations of formamide in which identical DNA sequences will have different melting temperatures based on CpG methylation. Theoretically, conditions can be set to distinguish any desired degree of difference in overall DNA methylation. In addition to distinguishing differences in the overall degree of methylation at a broad range of CpG content, the methods can be further adjusted to determine the methylation state of CpG residues in a given DNA context (e.g., in the context of a transcription factor or insulator factor binding site) on a genome-wide basis. Such methods can be achieved, for example, by adding a single strand nuclease, such as S1, at the time of heating the DNA in the presence of a concentration of salt and formamide designed to distinguish the melting temperature of an unmethylated and a methylated sequence.


In certain embodiments, the methods disclosed herein can be used to interrogate the genome for varying degrees of methylation at regions of varying CpG content relative to a reference sample (e.g., cancer to non-cancer). To achieve detection of differential methylation at a broad range of CpG content, a series of DNA samples can be assayed over a range of salt, formamide, and temperatures. For example, under the relatively stringent conditions (e.g., about 100° C. with about 100 mM NaCl) regions with a “high” CpG content and relatively heavy methylation can be distinguished from regions with low methylation. At lower stringencies (e.g., temperatures lower than about 100° C. with varying amounts of salt and formamide), regions with lower CpG content can be interrogated for methylation status. Under these lower stringency conditions, regions with “high” CpG content cannot be distinguished based on methylation because neither will denature.


In other embodiments, the stringency of the conditions can be modified in either a step-function or as a continuous gradient to identify regions with different CpG densities and degrees of CpG methylation. DNA enriched under different stringency conditions can be differentially labeled (e.g., with different fluorochromes or quantum dots) and hybridized to the same array of nucleotides, e.g., DNA fragments. By these methods, methylation status can be identified by reading which label (corresponding to a given condition) hybridizes to a given locus. Alternatively, DNA prepared under different conditions can be labeled or segregated and queried using other methods (e.g., sequencing). In these manners, genome-wide assessment of varying degrees of DNA methylation at regions with a broad range of CpG content can be obtained.


In yet other embodiments, the disclosed methods can also identify areas of the genome with different degrees of methylation and CpG density. Bisulfite sequencing has been performed on the regions of genomic DNA giving the strongest positive signals confirming that indeed the identified areas of the genome contained methylated DNA. There are many other statistically significant positive loci (>200) that have been identified using the methods of the present disclosure and tiling arrays comprising genomic DNA that map to regions of the genome with varying degrees of CpG density. It is quite possible that the degree of DNA methylation will also be varied among these loci.


Methods for Analyzing a Population of Cancer Cells

The methods described in the present disclosure can be used to study populations of cells and, for example, to compare cancer cells to normal cells. In one embodiment of the present disclosure, the methods described herein can be used to classify a population of cancer cells. For example, certain methylated DNA or DNA palindromes can be associated with a certain cancer cell and not present in normal cells. Once one or more regions of genomic DNA are identified to have methylated DNA and a snap back DNA including a DNA palindrome, these marker regions can be used to classify the population of cancer cells.


In another embodiment of the present disclosure, the methods described herein can be used to detect a population of cancer cells, for example, by comparing a profile of methylated DNA and DNA palindromes identified in cancer cells versus a profile characteristic of normal cells. In certain embodiments, a profile can include analyzing one or more regions of genomic DNA that indicate a positive or negative result for the presence of a DNA palindrome. Other embodiments can include profiling one or more regions of genomic DNA including methylated DNA. In yet another embodiment, profiles can be associated with cancer cells or normal cells based on the analysis of one or more regions of genomic DNA including methylated DNA and a DNA palindrome. As described herein, the methods for detecting a population of cancer cells can include steps described elsewhere in the present disclosure, such as isolating genomic DNA from a cell population, identifying one or more genomic DNA regions including methylated DNA and snap back DNA including a palindrome, and using the identity of the one or more genomic DNA regions including methylated DNA and a palindrome to detect the population of cancer cells.


Methods for Enrichment of Unmethylated CpG Islands

Ligation-mediated PCR (LM-PCR) can also be used to amplify DNA enriched for unmethylated CpG islands. The method can be used, for example, to study differential methylation between cancer and normal cells, and tissue specific methylation during differentiation. The method generally can use genomic DNA from any cell population, tissue sample, and the like. The cell population or tissue samples that can be used in the method include any normal tissue, such as skin, blood, bladder, lung, prostate, brain, ovary, and the like, a tumor, such as a melanoma, leukemia, bladder tumor, lung tumor, prostate tumor, brain tumor, ovarian tumor, and the like, or any other tissue or organ at a particular point in development. Genomic DNA from a cell population or tissue sample is digested with a methylation sensitive restriction enzyme. Methylation sensitive restriction enzymes useful in the present disclosure include, for example, HpaII, and the like. Prior to digestion the genomic DNA can be fragmented by known physical, chemical or enzymatic means to form high molecular weight DNA. The high molecular weight DNA can then be further digested with the methylation sensitive restriction enzyme.


EXAMPLES
Example 1

The following example describes a process for genome-wide assessment of palindrome formation.


Methods
Cell Lines and Cancer Tissues

D79IR-8 and D79IR-8-Sce 2 cells were previously described (Tanaka et al., Proc. Natl. Acad. Sci. USA 99:8772-8777 (2002)). Colo320DM and RD were obtained from American Type Culture Collection. MCF7 and AG 1113215 were from the University of Washington. Skin biopsy derived fibroblasts HDF1 and HDF3 were obtained from the University of Washington and human foreskin fibroblasts HFF2 from the Fred Hutchinson Cancer Research Center (FHCRC) as anonymous cell lines. DNA samples stripped of identifying information from five primary medulloblastomas were provided by the Fred Hutchinson Cancer Research Center. All samples were obtained after Fred Hutchinson Cancer Research Center Institutional Review Board review and approval for use of anonymous human DNA samples and human cell lines.


Linkers and Oligonucleotides

Oligonucleotides were synthesized by QIAGEN™ Genomics. For ligation mediated PCR, two oligonucleotides were annealed in the presence of 100 mM NaCl; for MspI digested DNA, JW102 g -5′-GCGGTGACCCGGGAGATCTGAATTG-3′ (SEQ ID NO:1) and JW103 pc2-5′-[Phosp]CGCAATTCAGATCTCCCG-3′ (SEQ ID NO:2), for TaqI digested DNA, JW102-5′-GCGGTGACCCGGGAGATCTGAATTC-3′ (SEQ ID NO:3) and JW103p2 5′-[Phosp]CGGAATTCAGATCTCCCG-3′ (SEQ ID NO:4), and for MseI digested DNA, JW102 g- and JW103 pcTA -5′-[Phosp]TACAATTCAGATCTCCCG-3′ (SEQ ID NO:5). To label DNA for microarray, the following linker specific primers were end-labeled either with Cy3 or Cy5 and used for PCR; for MspI linker ligated DNA, JW102gMSP -5′-GCGGTGACCCGGGAGATCTGAATTGCGG-3′ (SEQ ID NO:6), for TaqI linker ligated DNA, JW102Taq -5′-GCGGTGACCCGGGAGATCTGAATTCCGA-3′ (SEQ ID NO:7), for MseI linker ligated DNA, JW102gMse -5′-GCGGTGACCCGGGAGATCTGAATTGT AA-3′ (SEQ ID NO:8).


To make a probe for Southern analysis, human genomic DNA was amplified by PCR and a fragment was cloned (TOPO TA Cloning® Kit (Invitrogen™)). Oligonucleotides used for PCR were; for ECM1, ECM15154, 5′-ACACCTTTCACACCTCGCTTCTC-3′ (SEQ ID NO:9) and ECM15851 5′-GGCAGATAAAGAAGAGACAGTGGTTG-3′ (SEQ ID NO:10).


Microarray Analysis

To make a snap-back DNA, 2 μg of high molecular weight genomic DNA in 50 μl with 100 mM NaCl was boiled for 7 minutes and transferred on ice to cool it down quickly. 6 μl of S1 nuclease buffer, 4 μl of 3 M NaCl and 100 Units of S1 nuclease (Invitrogen™) was added to the DNA and incubated at 37° C. for about one hour. S1 nuclease was inactivated by 10 mM EDTA and phenol/chloroform extraction. DNA was precipitated by ethanol and dissolved in water and digested with 40 U of MspI, TaqI or MseI for 16 hours. DNA was precipitated, dissolved into 21 μl of water and ligated to a MspI, TaqI or MseI specific linker by adding 5 μl of 20 mM linker, 3 μl of T4 DNA ligase buffer and 400 U of T4 DNA ligase at 16° C. for about 16 hours. DNA was precipitated and dissolved into 200 μl TE, followed by being applied onto a centrifugal filter unit (MICROCON YM-50; Millipore™) to remove any excess of linker. DNA was recovered in 20 μl water. Thus for each cell line or tumor tissue, templates with three different linkers were prepared. For PCR, 2 μl of DNA, 0.5 μl of Taq DNA polymerase (FASTSTART Taq DNA polymerase; Roche™), 2.5 μl of 2 mM dNTP, 5 μl of 10×PCR buffer, 2 μM of a Cy3 or Cy5 labeled linker-specific primer were mixed with water to a total of 50 μl reaction. PCR was performed at 96° C. for 6 minutes followed by 30 cycles of 96° C. for 30 sec, 55° C. 30 sec and 72° C. 30 sec on a 9600 Thermal Cycler (Perkin-Elmer™). PCR reactions for the same template from different linker specific primer were mixed and purified (PCR purification Kit; QIAGEN). Human Cot-1 DNA (100 μg), poly polydA/dT (20 μg), and yeast tRNA (100 μg) were added for hybridization to a 18 k human cDNA array. For primary medulloblastoma, each tumor sample was processed as a singleton and the GAPF profiles from the five independent samples were compared to the human foreskin cell sample (HDF) GAPF profile. To prepare template DNA for array-CGH analysis, genomic DNA was digested with MspI, TaqI or MseI, and ligated with a linker specific for each restriction enzyme. Three independent preparation of template DNA were amplified either by Cy3 or Cy5 labeled linker-specific primer. Triplicated co-hybridization of either Cy3-labeled cancer (Colo320DM or MCF7) DNA with Cy5-labeled normal (HFF2) DNA or Cy5-labeled cancer DNA with Cy3-labeled normal DNA was performed. Oligonucleotides were synthesized by QIAGEN Genomics.


Southern Blotting

Southern blotting was performed as described previously. Briefly, 2 μg of high molecular weight human genomic DNA was digested with restriction enzyme, run on 0.8% agarose gel and blotted to nylon membrane. Snap-back DNA was prepared as follows; 2 μg of genomic DNA in 50 μl water with 100 mM NaCl was boiled for 7 minutes and immediately transferred on ice to be cooled down. DNA was precipitated by ethanol, and digested with restriction enzyme. 2.5 kb Molecular Ruler (BIO-RAD), 1 kb DNA ladder and 100 by DNA ladder (New England Biolabs™) were used as size markers. To make a probe for Southern analysis, human genomic DNA was amplified by PCR and a fragment was cloned by TOPO TA Cloning Kit® (Invitrogen™) as described above.


Statistical Analysis

Array data was normalized in the GeneSpring™ Analysis Package, version 6.2 (Silicon Genetics™, Redwood City, Calif.) using Lowess normalization (an intensity-dependent algorithm). The data was then transformed into logarithmic space, base 2. Data was annotated by cytogenetic band or by UniGene cluster using NCBI databases current as of February, 2004. Welch's t-test was performed for each cytogenetic band or UniGene cluster comparing replicate data sets. Storey's q-value was used to control for multiple testing error and each p-value was transformed to a q-value, which is an estimate of the false discovery rate.


Results

A method to obtain a genome-wide assessment of palindrome formation is disclosed herein based on the efficient generation of intra-molecular base pairing in large palindromic sequences. (Ish-Horowicz et al., J. Mol. Biol. 142:231-245 (1980); Ford and Fried, Cell 45:425-430 (2986). Palindromic sequences can rapidly anneal intramolecularly to form “snap-back” (SB) DNA under conditions that do not favor inter-molecular annealing. Snap-back DNA formation can be demonstrated from an endogenous palindrome after heat denaturation and rapid cooling of genomic DNA from cells that contain a few copies of a large palindrome of the DHFR transgene (D79-8 Sce2 cells) (FIG. 1A). The decreased size of the restriction length fragment—the 11 kb KpnI fragment becomes 5.5 kb and the 24 kb XbaI fragment becomes 12 kb, respectively—indicates that renaturation occurs through intramolecular base-pairing.


To determine whether the efficient formation of snap-back DNA could be used to isolate large palindromic sequences from total genomic DNA, genomic DNA from D79-8 Sce2 cells was digested with SalI, followed by denaturation, rapid-renaturation, and digestion with the single strand specific nuclease S1. The snap-back DNA formed by palindromes should be relatively resistant to S1 nuclease, whereas the remainder of the genomic DNA will not efficiently re-anneal and should be S1 sensitive (FIG. 1B). S1 resistant double-stranded DNA was amplified by ligation-mediated (LM) PCR using linker-specific primers after digestion with MspI or TaqI and detected by Southern blotting with either a probe within the inverted repeat (probe 1) or a probe in an adjacent non-palindromic fragment (probe 2). A signal was detected exclusively with the probe to the palindromic fragment, indicating that the genomic DNA obtained by this method was highly enriched for palindromic sequences. This also demonstrated that the enrichment depended on the structure of the DNA, not the copy number of the gene, because the copy number was the same for the fragment with the inverted repeat and the adjacent non-palindromic fragment.


A dilution experiment was performed to demonstrate that this technique can identify genomic palindromes that exist in a sub-population of cells, such as might occur in a tumor with a heterologous population of genetically altered cells, such as provided by an intratumoral heterogeneity. Genomic DNA from D79IR-8 Sce2 cells was serially diluted with DNA from the parental cells that contained a single non-palindromic copy of the transgene. The DNA mixes were analyzed by standard genomic Southern analysis (FIG. 1C, lower panel) or subjected to snap-back, amplification by LM-PCR, and then Southern analysis (FIG. 1C, upper panel). Using a probe specific to the inverted repeat (probe 1 from FIG. 1B), specific signal from the palindrome was seen even after a 1/40 dilution, demonstrating that this approach can detect a somatic palindrome in a sub-population of cells.


With this technique, genome-wide analysis of palindrome formation (GAPF) can be assessed using DNA array hybridization. Initially, genomic DNA was used from primary cultures of human fibroblasts derived from three different individuals (HDF1 (skin biopsy), HFF2 (foreskin sample) and HDF3 (skin biopsy)). It was assumed that somatic DNA palindrome formation was related to genetic instability and that normal fibroblasts would not have many differences between them. Genomic DNA from each of the fibroblasts was subjected to denaturation and rapid-renaturation (snap-back, or SB DNA); digested with S1 nuclease and restriction enzymes (MspI, TaqI or MseI); ligated to a linker specific for each enzyme; and amplified by PCR amplification with Cy-5 labeled linker specific primers (FIG. 2). For the common standard competitor DNA, genomic DNA was used from similarly processed HFF2 fibroblasts but without denaturation (non-SB DNA) and amplified using Cy-3 labeled linker specific primers. Cy-3 labeled non-SB HFF2 DNA was competitively hybridized against Cy-5 labeled SB DNA from HFF2, HDF1, or HDF3 on spotted arrays containing 18,000 (18k) human cDNAs, generating comparable GAPF profiles of fibroblasts from each individual. For each fibroblast DNA, three independent preparations of SB DNA were processed for hybridization. The Storey's q-value, a measure of significance in terms of false discovery rate (FDR), was calculated for each gene in each comparison between fibroblasts to control for multiple testing errors. At a threshold of q<0.1, no features showed a significant difference between any two of the normal fibroblast samples (FIG. 3A).


To determine whether GAPF can detect palindromes formed in cancer cells, the Colo320DM human colon cancer cell line (Colo) that has a large inverted repeat of the cMyc gene was used initially. SB DNA from Colo was labeled with Cy-5 and co-hybridized with the Cy-3 labeled non-SB DNA of HFF2 fibroblast. Experiments were performed in triplicate and the GAPF profile was compared to a ‘common baseline’ GAPF profile consisting of two triplicate data sets of SB DNA from the HDF1 and HDF3 fibroblasts (FIG. 3B). For this analysis, the data from individual genes was grouped into 521 cytogenetic bands that ranged in size from 1 to 132 genes with an average of 18 genes per cytogenetic band. Locating each gene on a physical map of cytogenetic bands helped to identify regions susceptible to palindrome formation. Based on a criteria of a q-value<0.05 and a log-fold change>0, there were no differences between the common baseline and the HFF2 GAPF, whereas 81 cytogenetic bands were increased in the Colo GAPF (FIG. 3B), indicating increased numbers of palindromes in the Colo DNA when compared to normal fibroblast DNA. As predicted, the cytogenetic band that includes cMyc, 8q24.1, showed a significant increase in Colo (q=0.024). This band covers 18 genes in a 13 Mb region and the increased features show a bimodal distribution: cMyc is GAPF-positive and there was also a cluster of three genes (ZHX2, MGC21654, and annexin A13) in an approximately 900 kb region located 5 MB centromeric to cMyc that are also GAPF-positive (FIGS. 4A and 5A), which is consistent with a previous report that cMyc is amplified as a large inverted repeat in this cell line. A similar clustering of GAPF increased genes was also identified at 1q21 (FIG. 4B). This cytogenetic band was significantly increased in Colo (q=5.53×10−5), with three individual genes (Histone 2 (HIST2H2BE), vacuolar protein sorting 45A (VPS45A) and extracellular matrix protein 1 (EMC1), CKIP1 and FLJ23221) clustering within 600 kb (FIGS. 4B and 5B). Two additional genes (CK2 interacting protein 1 and FLJ23221) with a significant increase are also assigned to this region, indicating that this subregion of a cytogenetic band was a hotspot for palindrome formation.


For comparison, a GAPF profile was obtained for a breast cancer cell line, MCF7, a normal breast epithelial cell line (AG 11132), and a rhabdomyosarcoma cell line, RD. No cytogenic bands were GAPF-positive in the comparison of AG 11132 with the normal HDF fibroblast baseline, whereas eighty-three cytogenetic bands and 73 bins were significantly increased in MCF7 relative to the HDFs (FIG. 3B), including both 8q24.1 (q=0.035) and 1q21 (q=0.0056). At 8q24.1, the increased genes were the same four as are increased in the Colo cells (FIG. 5A). At 1q21, the increased genes include three that were also increased in Colo (Histone 2 (HIST2H2BE), Vacuolar protein sorting 45A (VPS45A) and Extracellular matrix protein 1 (ECM1)) (FIG. 4B). Overall, there was a significant overlap of the palindrome containing cytogenetic bands in Colo and MCF7 (28 bands, p=3.4427×10−6 and 20 bins, p=4×10−6) (FIG. 3C), indicating that these epithelial tumor cell lines from age-related cancers have common hotspots of palindrome formation. Similar to the analyses based on cytogenic bands or bins, there is also a significant overlap of GAPF-positive genes between Colo (150 genes) and MCF7 (388 genes) (40 genes in common, p<1×10−99).


The GAPF profile of the RD cell line, derived from an embryonal rhabdomyosarcoma, identified 11 palindrome-containing cytogenetic bands. These 11 bands do not show significant overlap with those of Colo (p=0.29) or MCF7 (p=0.29), indicating that distinct GAPF patterns were associated with different types of tumor cells. It is interesting that the 2q35 band was identified as containing a palindrome in RD cells and the PAX3 gene in this region was enriched but did not meet the preset statistical criteria to be independently called elevated. Alveolar rhabdomyosarcomas are characterized by a t(2; 13)(q35; q14) translocation that fuses the PAX3 gene with the FKHR gene on chromosome 13, whereas embryonal rhabdomosarcomas do not carry this translocation; however, the association of this region with a somatic palindrome formation in an embryonal rhabdomosarcoma indicates that PAX3 resides in a GAPF hotspot in this cell type and suggested that the alternative resolutions of a double-stranded break at this hotspot might determine the subtype of rhabdomyosarcoma generated.


Interestingly, the formation of palindromes at the GAPF hotspots was not always associated with an increase in gene copy number, as measured by comparative genomic hybridization (array-CGH). For example, at both 8q24.1 and 1q21, palindrome formation was associated with a significant increase (more than two-fold) in copy number in Colo but not in MCF7. In Colo, the cMyc associated palindrome at 8q24.1 was amplified, whereas the cluster of palindrome embedded genes in the adjacent region 5 MB centromeric to cMyc was not amplified. This discrepancy between the GAPF profile and array-based CGH indicates that the two approaches are measuring different features in the cancer cells: GAPF measures a structural feature (palindrome) and CGH measures the average copy number. In fact the majority of the genes that are significantly increased by GAPF in Colo were not identified as increased by CGH; however, GAPF genes were significantly more likely to be amplified than other loci, indicating that a subset of GAPF loci were selected for amplification. These data suggest that BFB cycles drive tumor progression by forming somatic palindromes at the specific loci, some of which are selected for gene amplification. For example, two of the three Colo loci (8q24.1 and 1q21) that include genes with more than a three-fold increase in copy number by CGH were associated with palindrome formations by GAPF. Also, the DUSP22 gene, another gene that shows more than three-fold amplification at 6p25 by array-CGH was associated with palindrome formation at the gene level, although 6p25 itself was not identified as a palindrome-containing cytogenetic band based on our predetermined statistical criteria. In contrast, at 7q35, where a common fragile site (FRA7I) is implicated as a chromosome break site in the palindromic amplification of the PIP oncogene in a breast cancer cell line, a gene (Contactin associated protein-like 2) has a palindrome formation in both Colo and MCF7 with a low-level increase in copy number in Colo, whereas two other genes (Zinc finger protein 289 and potassium voltage-gated channel, subfamily H) demonstrated palindromes in Colo with a low-level decrease in copy number. These data indicated that unstable hotspots in the cancer genome resulted in clustered areas of palindrome formation that serve as a platform for gene amplification.


Colo, MCF7, and RD are cell lines derived from primary tumors and it is possible that the widespread palindrome formation revealed by GAPF might be secondary to multiple passages in culture. To examine somatic palindrome formation in primary tumors, GAPF analysis was performed on DNA isolated from five independent primary medulloblastomas, the most common central nervous system malignancy of childhood. Each tumor sample was processed as a singleton and the GAPF profiles from the five independent samples compared to the HDF GAPF profile. Somatic palindrome formation was detected at 29 cytogenetic bands in the primary human medulloblastomas (q<0.05) (FIG. 3B) and hierarchical clustering showed a high degree of similarity among individual medulloblastomas, which have a GAPF pattern that was clearly similar to each other and distinct from Colo and MCF7 (FIG. 6 and FIG. 3D). These palindrome-containing loci include 6q (6q12, 6q14), 4q (4q24, 4q25) and 7q (7q21.1, 7q22.1 and 7q31), which were commonly amplified in medulloblastoma tissues. Other GAPF-positive loci, such as 1p34.2, 5p15.2, 5p15.3 and 13q34, have been identified as highly amplified loci in a subset of medulloblastomas, suggesting a link between gene amplification and palindrome formation. The fact that five independent primary tumors have common loci of somatic palindrome formation indicates a shared mechanism of palindrome formation and indicated that tumor specific mechanisms determine their genomic location. It was interesting to note that the palindromic regions contained genes that likely contribute to tumor progression: Skp2 at 5p13 encodes a subunit of ubiquitin ligase complex that regulates entry into S phase by inducing the degradation of the cyclin dependent kinase inhibitors p21 and p27; Fzd1 at 7q21.1 encodes a receptor for the Wnt signaling pathway that is often dysregulated in medulloblastomas; and, Tert, telomere reverse transcriptase at 5p15.3 is often amplified in medulloblastomas.


In contrast to the similarity of the Colo and MCF7 GAPF profiles, there was no significant overlap of cytogenetic bands between medulloblastomas and Colo320DM (p=0.08) or between medulloblastomas and MCF7 (p=0.09); however, significant overlap was evident between medulloblastomas and RD (p=0.01) (FIG. 3C), despite the much smaller number of palindrome containing cytogenetic bands in RD. These results indicated a different distribution of somatic palindromes in pediatric tumors (medulloblastomas and rhabdomyosarcomas) and age-related cancers (colon and breast), suggesting that the mechanisms responsible for palindrome formation at specific loci might reflect fundamental properties of tumor cell biology.


Discussion

These results identify widespread somatic palindromes that occur in characteristic patterns in specific cancer types. Unlike conventional array-CGH (comparative genomic hybridization) analysis that measures the average gene dosage in cell populations, GAPF provides a qualitative measurement of a structural chromosomal aberration (palindromes) that has previously been examined only by cytogenetic studies. Detailed mapping of the palindromes on the physical genome reveals that palindrome formations tend to cluster at specific regions, some of which undergo gene amplification. In addition, the pattern of genome wide palindrome formation appears to be different among different types of cancers, indicating that the palindrome formation reflects specific differences in the biology of each cancer type.


The clustering of somatic palindromes could be due to clustering of chromosome breakage sites in the genome, since chromosome breakage is required for palindrome formation. Cytogenetic studies have shown that clastogenic drug-induced fragile sites are involved in inverted duplications and gene amplifications in rodent cells (Coquelle et al., Cell 89:215-225 (1997)), and aphidicolin-induced fragile sites are involved in oncogene amplification in human cancer cells (Ciullo et al. Hum. Mol. Genet. 11:2887-2894 (2002); Hellman et al., Cancer Cell 1:89-97 (2002)). In fact, the GAPF-positive cytogenetic bands detected in both the Colo320DM human colon cancer cell line and the MCF7 breast cancer cell line were co-localized at 1q21, 8q24.1, 12q24, 16p12-13.1 and 19q13, which all harbor common fragile sites (FIG. 7). Although the majority of the common fragile sites remain to be characterized at the molecular level, the fact that palindromes cluster at these loci suggests a role for common fragile sites in palindrome formation. Stability of common fragile sites is controlled, in part, by the replication checkpoint kinase ATR (Casper et al., Cell 111:779-789 (2002)). In yeast, impaired function of the ATR homologue Mce1 leads to stalled replication forks and chromosome breaks in specific regions of the genome (Cha and Kleckner, Science 297:602-606 (2002) that can result in gross chromosome rearrangement (Myung et al., Cell 104:397-408 (2001)). Compromised checkpoint function might generate similar chromosome breaks and somatic palindromes in specific regions of the genome in cancer cells. In addition to common fragile sites, topoisomerase cleavage sites might determine sites of initial DNA double strand breakage, which have been shown to initiate disease-associated chromosomal translocations (Domer et al., Proc. Natl. Acad. Sci. USA 90:7884-7888 (1993); Dong et al., Genes Chrom. Cancer 6:133-139 (1993); Hirai et al., Genes Chrom. Cancer 26:92-96 (1999); Lovett et al., Proc. Natl. Acad. Sci. USA 98:9802-9807 (2001); Obata et al., Genes Chrom. Cancer 26:6-15 (1999)). It is also interesting that a number of GAPF positive genes are associated with translocations in some tumor types, such as T-cell leukemia/lymphoma 1A (TCL1A) (Davey et al., Proc. Natl. Acad. Sci. USA 85:9287-9291 (1998); Erickson et al., Science 229:784-786 (1985); Hecht et al., Science 226:1445-1447 (1984)); Synovial sarcoma, X-breakpoint 4 (SSX4) (Skytting et al., J. Natl. Cancer Inst. 91:974-975 (1999), and Myeloid leukemia factor 1 (MLF1) (Yoneda-Kato et al., Oncogene 12:265-275 (1996)). Therefore, it is possible that chromosome breaks at these genes might be resolved either as a palindrome or as a translocation with significantly different consequences to the progression of the tumor.


In RD, 2q35 was identified as GAPF-positive and the PAX3 gene in this region was enriched by GAPF, although not meeting the present statistical criteria to be independently call elevated as a single gene. Alveolar rhabdomyosarcomas are characterized by a t(2; 13)(q35; q14) translocation that fuses the PAX3 with the FKHR gene on chromosome 13, whereas embryonal rhabdomyosarcomas do not carry this translocation (Anderson et al. Genes Chrom. Cancer 26:275-285 (1999)); however, the association of this region with a somatic palindrome formation in an embryonal rhabdomyosarcomas indicates that PAX3 resides in a GAPF hotspot in this cell type and suggests that the alternative resolutions of a double-stranded break at this hotspot might determine the subtype of rhabdomyosarcoma generated. For medulloblastoma, it is also interesting to note that the palindromic regions contain genes that might contribute to tumor progression: Skp2 at 5p13 encodes a subunit of ubiquitin ligase complex that regulates entry into S phase by inducing the degradation of the cyclin dependent kinase inhibitors p27 (Carron et al., Nat. Cell Biol. 1:193-199 (1999)); Fzd1 at 7q21.1 encodes a receptor for Wnt signaling pathway that is often dysregulated in medulloblastomas (Yokota et al., Int. J. Cancer 101:198-201 (2002)); and Tert, telomere reverse transcriptase at 5p15.3 is often amplified in medulloblastomas (Fan et al., Am. J. Pathol. 162:1763-1769 (2003)).


In addition to the requirement for a double-strand break, other cis-acting sequences might determine where palindromes can form. In the simple eukaryotes Tetrahymena (Butler et al., Mol. Cell. Biol. 15:7117-7126 (1995); Yao et al., Cell 63:763-772 (1990); Yasuda and Yao, Cell 67:505-516 (1991)), yeast, e.g., S. pombe (Albrecht et al., Mol. Biol. Cell 11:8730886 (2000)), and Leshmania (Grondin et al. Mol. Cell. Biol. 16:3587-3595 (1996)), palindrome formation is mediated by a pair of short inverted repeats that naturally exist in the genome. In S. cervisiae, exogenous short inverted repeats consisting of human Alu repeats inserted in the chromosome can induce chromosome breaks and palindrome formation in an Mre11 mutant background (Lobachev et al., Cell 108:183-193 (2002)). In CHO cells, it has been directly shown that short inverted repeats can mediate palindrome formation following an adjacent double-strand break, which leads to subsequent BFB cycles and gene amplification (Tanaka et al., Proc. Natl. Acad. Sci. USA 99:8772-8777 (2002)). Short inverted repeats are common in the human genome and are often involved in disease-related DNA rearrangements (Kurahashi and Emanuel, Hum. Mol. Genet. 10:2605-2617 (2002); Kurahashi et al., Am. J. Hum. Genet. 72:733-738 (2003)). Further studies might determine whether naturally occurring short inverted repeats facilitate the widespread palindrome formation that has been characterized in cancer cells.


Alveolar rhabdomyosarcomas are characterized by a t(2; 13)(q35; q14) translocation that fuses the PAX3 and FOXO1A genes on chromosome 13, whereas embryonal rhabdomyosarcomas do not carry this translocation; however, the association of this region with a somatic palindrome formation in an embryonal rhabdomyosarcoma RD implies that PAX3 also resides in a region susceptible to DSBs and suggests that the alternative resolutions of a DSB might determine the subtype of rhabdomyosarcoma generated.


Surprisingly, most of the loci with palindromes are not associated with an increase in gene copy number. In addition, the cancer cells from age-related epithelial cancers form palindromes at similar locations, whereas five different primary medulloblastomas have their own distinct pattern of palindrome distribution, which is similar to a pediatric rhabdomyosarcoma derived cancer cell line. It appears, therefore, that sets of cancer types share common profiles of palindrome formation. Subsequent gene amplification might occur at subsets of these loci given tumor-specific selective pressure for growth. For example, palindromes cluster at 1q21 and 8q24 in both Colo320DM and MCF7, however, copy number is increased only in Colo320DM. This indicates that palindrome formation might be an early and fundamental step in cancer formation, providing a platform for subsequent gene amplification at a restricted set of loci. In this model, different tumor types might have a common set of palindromes, but the selective advantage of a given locus would determine its subsequent amplification in the cancer. The identification of widespread palindrome formations specific to different types of cancers provides a new opportunity to develop sensitive assays for detection of residual disease, early detection, and tumor classification. Ultimately, preventing the underlying mechanisms that lead to widespread palindrome formation might prevent tumor initiation.


Example 2

The following example demonstrates the use of ligation-mediated PCR to isolate a DNA fragment enriched in unmethylated CpG islands in a mammalian cell. A schematic of the process is provided as FIG. 8A.


Briefly, mouse genomic DNA was digested with a methylation sensitive restriction enzyme (for example, HpaII). The MspI linkers used above in Example 1 were used to ligate the HpaII fragments. The ligated DNA was amplified by PCR using the MspI primer from Example 1 (SEQ ID NO: 6). The method resulted in the specific amplification of HpaII digested genomic DNA of less than 500 base pairs (FIG. 8B). Random cloning and sequencing of the PCR products revealed that more than 50% of clones were at the CpG islands as defined using stringent criteria. (Takai and Jones, Proc. Natl. Acad. Sci. USA 99:3740-3745 (2002); incorporated herein by reference). In contrast, amplification of DNA digested with methylation-resistant isoschizomer MspI gave no clones near CpG islands.









TABLE 1







Results of random sequencing.











n
GC content
CpG Island
















HpaII
20
56.2%
11 (55%)





(43-68%)



MspI
11
50.6%
0 (0%)





(43-59%)










A systematic study of the methylation status of CpG islands throughout the genome becomes possible by combining this approach with human or mouse CpG island microarrays. For example, the labeled unmethylated DNA fragments can use to interrogate a microarray DNA library constructed from a particular organism or tissue from a particular organism. The result with this library can be compared to a DNA library constructed from a different tissue or the same tissue from a different developmental period. The differences between the methylation patter determined from each tissue sample can indicate changes in DNA methylation associate with, for example, tumorigenesis, or development.


Example 3

The following example describes methods used to identify palindromes and methylated DNA.


Above is described a method to obtain a genome-wide analysis of palindrome formation (GAPF) based on the efficient intrastrand base pairing in large palindromic sequences (Tanaka et al., Nat. Genet. 37:320-327 (2005)). Palindromic sequences can rapidly anneal intramolecularly to form ‘snap-back’ DNA under conditions that do not favor intermolecular annealing. This snap-back property was used to enrich for palindromic sequences in total genomic DNA by denaturing the DNA at 100° C. in the presence of 100 mM NaCl, rapidly renaturing it by snap cooling, and then digesting the mixture with a single-strand specific nuclease. Snap-back DNA formed from palindromes was double-stranded and resistant to the single-strand specific nuclease, whereas the remainder of genomic DNA was single-stranded and thus was sensitive to digestion (FIG. 9). Using this assay, de novo palindromes were shown to form in cancers (Tanaka et al., Mol. Cell. Biol. 27:1993-2002 (2007)), and that the GAPF-positive signal at the CTSK locus in Colo320DM cells represents a DNA palindrome that defines the border of an amplicon (Tanaka et al., Mol. Cell. Biol. 27:1993-2002 (2007)).


To facilitate the detailed mapping of DNA palindromes, the GAPF assay was performed as described in Example 1 on genomic DNA from Colo320DM cells (Colo) and control primary human diploid fibroblasts (HDF) and applied to high-density oligonucleotide arrays. The previously identified Colo-specific palindrome at CTSK was used as a positive internal control, and pairwise comparisons between Colo and HDF revealed a robust positive signal within approximately 300 by of the known junction of the palindromic arm and non-palindromic spacer (FIG. 10A). Another previously confirmed DNA palindrome at the ECM1 locus (Tanaka et al., Nat. Genet. 37:320-327 (2005)) also showed a strong GAPF-positive signal on the tiling array (FIG. 10B), demonstrating that GAPF applied to whole-genome tiling arrays can accurately detect and map palindromic rearrangements.


When the GAPF data from the Colo and HDF cells was analyzed on a genome-wide scale, 120 GAPF-positive regions (Colo>HDF; log2(signal ratio)>1.5; p<0.001; >100 kb between signals; filtered for c-MYC double minute amplification signal) were identified. Using these same statistical criteria, 9 GAPF-negative signals (i.e., HDF>Colo) were identified. These data support the above initial studies that GAPF-positive signals are more prevalent in cancer cells compared to normal cells. To verify that these newly identified GAPF-positive regions contained palindromes, a subset of these signals were chosen for analysis by Southern. Even though these loci were consistently identified as GAPF-positive in independent experiments, evidence was not found for DNA palindrome formation or genomic rearrangement at these loci.


The nonpalindromic signals identified by GAPF were postulated to be due to regions of incomplete denaturation of genomic DNA that would remain S1 nuclease resistant. To initially test this possibility, a ‘cycled’ GAPF was performed in which a second cycle of denaturation/renaturation/S1-digestion after the initial round of GAPF was repeated. DNA regions resistant to denaturation during the first round of GAPF should also survive a second round of GAPF, whereas palindromic DNA would not survive the second round of GAPF because the loop of DNA holding two palindromic arms together would be digested by S1 in the first round of GAPF. Indeed, the palindromic region at the CTSK locus was enriched after the first round of GAPF in Colo cells but did not survive a second round of GAPF. Interestingly, the seven other loci examined that had reproducibly scored as GAPF-positive, but without evidence of palindrome formation (CDH2, DNAJA4, HAND2, KCNIP4, NRG1, OPCML and PHOX2B), survived the second round of GAPF, implying that the DNA at these loci were resistant to denaturation and/or S1 digestion (FIG. 11A).


To directly determine whether the nonpalindromic GAPF-positive signals represented regions of incomplete DNA denaturation, formamide was added as a DNA helix destabilizer during the DNA denaturation step of the assay. Previous studies have shown that for every 1% of formamide, the DNA melting temperature (Tm) is reduced by 0.6-0.72° C. (Hutton, Nucleic Acids Research 4:3537-3555 (1977); McConaughy et al., Biochemistry 8:3289-3295 (1969)). Earlier experiments had also demonstrated that S1 nuclease is active in up to 60% formamide (Hutton & Wetmur, Biochem. Biophys. Res. Commun. 66:942-948 (1975). Therefore, a modified GAPF protocol was created by adding 50% formamide to the denaturation step, thus decreasing the Tm by about 35° C. A semi-quantitative PCR assay was used to analyze the GAPF-enrichment of two known DNA palindromes and two regions that were GAPF-positive using the original assay but were not in palindromic regions. Compared to the original GAPF procedure, the addition of 50% formamide greatly reduced the GAPF-positive signals generated by the nonpalindromic loci, whereas the GAPF-positive signals at previously identified palindromes, the CTSK locus and a naturally occurring DNA inverted repeat located on chromosome VI (Warburton et al., Genome Res. 14:1861-1869 (2004), were retained and somewhat enhanced (FIG. 11B and FIG. 12A). Thus, the lowering of the Tm by formamide eliminated GAPF-positive signals from non-palindromic regions of DNA, consistent with the hypothesis that these were caused by incomplete denaturation.


Whole genome analysis using the formamide-modified GAPF procedure identified 16 GAPF-positive regions, compared to the 120 GAPF-positive regions using the original protocol without formamide, and 8 GAPF-negative regions, compared to 9 previously. The GAPF-positive tiling array signals at loci with validated DNA palindromes, such as CTSK and ECM1 were enhanced by formamide-modified GAPF (FIG. 12B). A genomic region spanning approximately 170 kb on chromosome 13 also became more pronounced (FIG. 12C), which was a new potential DNA palindrome detected using GAPF-palindrome bordering a region of genomic amplification in Colo320DM cells. Interestingly, this region has previously been shown to be amplified in Colo320DM cells by a CGH analysis (Barrett et al., Proc. Natl. Acad. Sci. USA 101:17765-17770 (2004)). Similar to the CTSK locus, it was possible that a DNA palindrome defines the borders of the amplicons in this region and thus was enriched in the GAPF assay. In summary, the formamide-modified GAPF procedure enhanced detection of palindromes and eliminated most of the non-palindromic signals. GAPF can be used to identify regions of the genome susceptible to palindrome formation and to help understand mechanistically how gene amplification occurs in cancer (Tanaka & Yao, Nat. Rev. Cancer 9:216-224 (2009)).


The elimination of the majority of the non-palindromic signals by the addition of formamide to the original GAPF procedure indicated that these signals were secondary to incomplete DNA denaturation in the Colo DNA sample compared to the control sample. Southern and sequencing analysis did not identify primary sequence or structural differences between samples at these loci (data not shown), and therefore it was concluded that cell-specific epigenetic modification was increasing the DNA denaturation temperature at these regions in the Colo cells.


CpG DNA methylation is an epigenetic modification that has been shown to increase the Tm of DNA (Ehrlich et al., Biochim. Biophys. Acta, 395:109-119 (1975); Gill et al., Biochim. Biophys. Acta, 335:330-348 (1974)). The methylation status of a subset of the nonpalindromic GAPF-positive loci was initially assessed by the methylation sensitive restriction endonuclease HpaII or its methylation-insensitive isoschizomer MspI. While this assay only interrogates the methylation status of one CpG dinucleotide in the recognition sequence of the enzyme (CCGG), it was interesting to find that most of these loci showed more methylation in Colo cells than HDF cells (Table 2). To confirm that the GAPF-positive non-palindromic loci were indeed differentially methylated in Colo cells, bisulfite DNA sequence analysis of four selected loci was performed. Strikingly, all of these loci showed heavy DNA methylation in Colo cells compared to the HDF controls (FIG. 13). Thus, the non-palindromic GAPF-positive signals observed in cancer cells represented regions of differential methylation that altered the Tm of DNA denaturation.









TABLE 2







Methylation status of nonpalindromic loci.










Methylation status












Locus
Colo320DM
HDF







CDH2
+




CDH4





DNAJA4
+
+/−



GDF6
+
+/−



HAND2
+




KCNIP4
+




NRG1
+




OPCML





PHOX2B
+




SCXB
+




TCF15
+
+



VAV3
+




VWA1
+
+



ZNF521
+











Methylation status was determined by digesting genomic DNA with either HpaII or MspI, and then performing PCR for each locus. Primers for each locus flank the recognition site (CCGG) such that the generation of a PCR product off of HpaII digested genomic DNA indicates CpG methylation. A plus sign (+) in Table 2 represents PCR product generation, (+/−)<(+), and (−) no product observed. In each case MspI digested DNA gave no PCR product.


Given that the original GAPF protocol also identified regions of differential CpG DNA methylation, this original protocol can be generally referred to as MADD (Methylation Analysis by Differential Denaturation) when using this assay to detect CpG DNA methylation. It previously has been observed that cytosine methylation at the C-5 position increases the melting temperature of naked DNA (Ehrlich et al., Biochim. Biophys. Acta 395: 109-119 (1975); Gill et al., Biochim. Biophys. Acta 335:330-348 (1974)). It has been hypothesized that the increase in the stability of duplex DNA caused by cytosine methylation is a result of changes in base-base stacking interactions (Aradi, Biophys. Chem. 54:67-73 (1995)). This effect of methylated cytosine on duplex DNA has previously been used to detect methylation patterns of specific loci by using denaturing gradient gel electrophoresis (Collins & Myers, J. Mol. Biol. 198:737-744 (1987)), but this technique is not amenable to genome-wide studies. Differential denaturation can be used for genome wide studies and enriches for differential DNA methylation based on this increase in Tm caused by methylated cytosine. During the denaturation and rapid cooling steps described herein, conditions can be such that methylated DNA remains double stranded and S1-resistant, while an exact same sequence in a less methylated state can become single-stranded and hence digested by S1.


The following description provides exemplary methods and materials for conducting the present methods as described herein.


Genomic DNA was isolated from cells using the QIAGEN Blood and Cell Culture DNA Kit® per the manufacturer's protocol. A total of 2 μg of genomic DNA was used as starting material for the assay. The sample was split into two tubes such that 1 μg was digested with KpnI (10 Units, NEB™) and 1 μg was digested with SbfI (10 Units, NEB™) for at least 8 hours in a total volume of 20 μl for each digestion. The restriction enzymes were then heat inactivated at 65° C. for 20 minutes. The KpnI and SbfI digests were combined, and then split evenly into two tubes. To the 20 μl of the DNA mixture, 27.36 μl of water and 1.64 μl of 3M NaCl was added such that the final concentration of NaCl was 100 mM and the total volume was 49 μl. For the formamide variation of the protocol to more specifically enrich for DNA palindromes, formamide was added to a final concentration of 50% before DNA denaturing. Denaturation was performed by boiling samples in a water bath for 7 minutes followed by rapid renaturation by immersing samples in an ice-water bath for at least 3 minutes. S1 nuclease (Invitrogen™) digestion was performed by adding 6 μl 10× S1 nuclease buffer, 4 μl 3M NaCl, and 1 μl of S1 nuclease (diluted to 100 Units/μl using S1 Dilution buffer). Samples were then incubated for 60 minutes at 37° C. S1 was inactivated by extraction with phenol followed by a phenol:chloroform extraction. DNA was ethanol precipitated in the presence of 20 μg of glycogen, and the DNA pellet was resuspended in 80 μl of 1/10 TE. The sample was then divided evenly into two tubes, with one tube subjected to digestion with MseI (40 Units, NEB™) and the other tube with MspI (40 Units, NEB™) for at least 6 hours at 37° C. (final volume of each digestion was 50 μl). Restriction enzymes were subsequently heat inactivated at 65° C. for 20 minutes. For ligation-mediated PCR, linkers were first created by combining 100 μl of a 100 pmol/μl solution of each oligonucleotide with 6.9 μl of 3M NaCl (final concentration 100 mM) and boiling in a water bath for 7 minutes. The water bath was then allowed to slowly cool to 25° C. to allow for annealing. Linkers were recovered by ethanol precipitation and the DNA pellet was resuspended in 500 μl of water. For the MseI linker, JW-102 g (SEQ ID NO: 1) was annealed to JW103 pcTA (SEQ ID NO: 5). For the MspI linker, JW-102 g (SEQ ID NO: 1) was annealed to JW103 pc-2 (SEQ ID NO: 2). Linkers were then ligated onto the MseI or MspI digested DNA by adding 5 μl of the appropriate linker to the 50 μl digest, then 7 μl 10×T4 DNA ligase buffer, 1 μl T4 DNA ligase (400 Units, NEB™) and 7 μl water for a final volume of 70 μl. Ligation was performed at 16° C. for at least 8 hours and then heat inactivated at 65° C. for 10 minutes. Linkers were then removed using a YM-50 Microcon™ (Amicon™) filter by adding the 70 μl ligation mixture to the column followed by the addition of 160 μl of 1/10 TE. Columns were spun at 12000×g in a microcentrifuge for 5 minutes to almost dryness. 20 μl of 1/10 TE was then added to the membrane, incubated at room temperature for 5 minutes, and then the DNA was recovered by spinning at 1000×g for 3 minutes per the manufacturer's protocol. 4 μl of this DNA was used as template for PCR using the appropriate MseI (JW-102gMse (SEQ ID NO: 8)) or MspI (JW-102gMsp (SEQ ID NO: 6)) primer (4 μl DNA, 10 μl 10×PCR buffer, 10 μl 2 mM dNTPs, 20 μl 5×GC-rich solution, 12 μl primer (10 μmol/μl), 1 μl Taq, 43 μl water (reagents from ROCHE FastStart® Taq kit). PCR conditions were as follows: 96° C. 6 minutes, 30 cycles of 96° C. 30 seconds, 55° C. 30 seconds, 72° C. 30 seconds, with final extension of 72° C. for 7 minutes. MseI and MspI PCR products were combined and purified using a YM-30 Microcon™ (Amicon™) filter. The 200 μl of PCR reaction was placed on the column and 300 μl of 1/10 TE was added. The column was spun at 14000×g until sample was concentrated to approximately 25 μl, and DNA was recovered into a new tube (1000×g for 3 minutes). DNA was quantitated and 7.5 μg of DNA was subjected to DNA fragmentation as follows: 44 μl DNA (7.5 μg total), 5 μl 10×DNase I buffer, 1 μl DNase I (diluted to 0.017 Units in water, NEB™) for 25 minutes at 37° C. with subsequent heat inactivation at 95° C. for 15 minutes. Fragmented DNA was labeled with biotin for hybridization on Affymetrix™ Human Tiling Arrays using the Affymetrix™ GeneChip® Whole-Transcript Double-Stranded Target Kit. To 45 μl of the fragmented DNA (6.75 μg DNA) from the previous step, 12 μl 5×TdT buffer, 2 μl TdT and 1 μl DNA labeling reagent were added, incubated at 37° C. for 60 minutes, and then heat inactivated at 70° C. for 10 minutes. Samples were processed per the manufacturer's protocol.


PCR-based enrichment assay. The assay was performed as described above through the DNA precipitation step after the inactivation of 51 nuclease with the modification that the DNA pellet was resuspended in 100 μl of 1/10 TE rather than 80 μl. 5 μl of this DNA was used in a PCR as follows: 5 μl template DNA, 5 μl 10×PCR buffer, 5 μl 2 mM dNTPs, 10 μl 5×GC-rich solution, 4 μl Tel F+R primer mix (5 pmol/μl of each), 4 μl F+R primer mix to region of interest (5 pmol/μl each), 0.4 μl Taq, 16.6 μl water (reagents from ROCHE FastStart® Taq kit). PCR conditions were as follows: 96° C. 6 minutes, 30 cycles of 96° C. 30 seconds, 58° C. 30 seconds, 72° C. 45 seconds, with final extension of 72° C. for 7 minutes.












Primers. Tel










(SEQ ID NO: 11










(Forward:
CTCCTCAGTCCCCTATGACTACATTT;













(SEQ ID NO: 12))










Reverse:
GCCCAGCCAATATACAACTGTAAAGC,







CTSK2










(SEQ ID NO: 13)










(Forward:
GTCTAGGGCTCCTGCTCCTT;













(SEQ ID NO: 14))










Reverse:
GCAGGAGCTTTGGAATTACG,







mCDH2










(SEQ ID NO: 15










(Forward:
CCGGAGGGAAGCCTAGAGT;













(SEQ ID NO: 16))










Reverse:
GGCTGTTCCAGTACATCCTCA,







mCDH4










(SEQ ID NO: 17










(Forward:
GCAGAC ACTCCTGACAGCTC;













(SEQ ID NO:18))










Reverse:
CGGTCTTAGTCCGACTTCC,







mDNAJA4










(SEQ ID NO: 19)










(Forward:
AGCCCATTCATTCCTCCATT;



Reverse:
CGCTTTTATCA GGTAGGCAGT,







mGDF6 










(SEQ ID NO: 20)










(Forward:
CACGACTCCACCACCATGT;













(SEQ ID NO: 21))










Reverse:
CTACGCTGCAGCAAGAAGC,







mHAND2










(SEQ ID NO: 22)










(Forward:
AGCCCGATCTGGGTTCTT;













(SEQ ID NO: 23))










Reverse:
GAGAACCACCGCCGTCAC,







mKCNIP4










(SEQ ID NO: 24)










(Forward:
TGCATAAACAACCTCGGAAA;













(SEQ ID NO: 25))










Reverse:
GCAGACCCGTGGACAGAC,







mNRG1










(SEQ ID NO: 26)










(Forward:
AAGAAGGA CTCGCTGCTCAC;













(SEQ ID NO: 27))










Reverse:
CTCCAGTGGCAAAGCCTAAG,







mOPCML










(SEQ ID NO: 28)










(Forward:
GAGGGAAGGGGCAGAGTT;













(SEQ ID NO: 29))










Reverse:
TGACAGCTCCTGTATGTCAGAGA,







mPHOX2B










(SEQ ID NO: 30)










(Forward:
GAAGCAG GGGGAGAAAGAAG;













(SEQ ID NO: 31))










Reverse:
GCTCTTCCAGGCTCAAAGG,







mSCXB










(SEQ ID NO: 32)










(Forward:
CTGCACCTTCACATTTTCCA;













(SEQ ID NO: 33))










Reverse:
TTCTTGTGCTGTGTGGACCT,







mTCF15










(SEQ ID NO: 34)










(Forward:
CAAACACCAG TAGTTCGTTCG;













(SEQ ID NO: 35))










Reverse:
CCTTTGGCTCAGCAATTCTC,







mVAV3










(SEQ ID NO: 36)










Forward:
CCTAGTTGCCCCTAGTGGTG;













(SEQ ID NO:37))










Reverse:
GTTCTGGGGTCAAGTTCCAA,







mVWA1










(SEQ ID NO: 38)










(Forward:
AACCTCCA CGTGGCCTTC;













(SEQ ID NO: 39))










Reverse:
CCTCACAACATGAGGAAGTGG,







mZNF521










(SEQ ID NO: 40)










(Forward:
GCACAGGTATTTTGCAGTTCG;













(SEQ ID NO: 41))










Reverse:
GCGAAGTACCAGGACAAACC,







mCDH2s2










(SEQ ID NO: 42)










(Forward:
AATTTAAT GGAGATGAAGAATGG;













(SEQ ID NO: 43))










Reverse:
TCAAACTCCCAAAAAAAACA,







mCDH4s1










(SEQ ID NO: 44)










(Forward:
TTTTTAGTTTAGGTTAGGGT;













(SEQ ID NO: 45))










Reverse:
ACACCCTTTCTAAATAAAAC,







mHAND2as2










(SEQ ID NO: 46










(Forward:
ATCTCAATA CATCCATTTTCTCA;













(SEQ ID NO: 47))










Reverse:
GTTGTATATGGAGATTTTGT,







mPHOX2Bs1










(SEQ ID NO: 48)










(Forward:
AGAAATTTTTTTAGGGGGAGT;













(SEQ ID NO: 49))










Reverse:
ACTTACTCCAACCTATTAAACA,



and








PTCHl_bis










(SEQ ID NO: 50)










(Forward:
GAGGATTGTAGAAGAATATTA;









(SEQ ID NO: 51))










Reverse:
ACATTTAAATAACATA CCCC.






Restriction enzyme-mediated methylation detection. Genomic DNA (1 μg) was digested with either MspI or HpaII (both from NEB™). This DNA (20 ng) was then used as template in a 30 cycle PCR (conditions as above) with primers that were designed to amplify across a recognition site for MspI/HpaII.


Bisulfite sequencing. Genomic DNA (1 μg) was treated with bisulfite per manufacturer's protocol (Qiagen™ EpiTect® Bisulfite Kit) and eluted in a total of 40 μl. PCR reaction: 4 μl DNA, 2.5 μl 10×PCR buffer, 2.5 μl 2 mM dNTPs, 2 μl. primer F+R mix (5 pmol/μl each), 5 μl 5×GC-rich solution, 0.2 μl Taq and 8.8 μl water (reagents from Roche™ FastStart® Taq Kit). PCR conditions: 96° C. 6 minutes, 5 cycles of 96° C. 45 seconds, 50° C. 90 seconds, 72° C. 2 minutes followed by 30 cycles of 96° C. 45 seconds, 50° C. 90 seconds, 72° C. 90 seconds followed by final extension of 72° C. for 7 minutes. PCR products were gel purified (QIAquick Gel Extraction Kit™, Qiagen™) and cloned (TOPO TA® Cloning Kit for Sequencing, Invitrogen™). Independent clones were isolated, plasmid DNA purified (QIAprep® Miniprep Kit, Qiagen™), and subjected to sequencing (Applied Biosystems™ 3730×1 DNA Analyzer per manufacturer's protocol). Sequence analysis was visualized using MethTools (Grunau et al., Nucl. Acids Res. 28:1053-1058, 2000).


Tiling Array Analysis. Affymetrix™ Human Tiling 2.0R Arrays and 1.0R Promoter Arrays were analyzed using Tiling Array Software (v 1.1.02, Affymetrix™). Raw data were scaled to a target intensity of 100 and normalized by quantile normalization. For probe analysis, a bandwidth of 250 by was used and perfect match (PM) probes were used in a Wilcoxon Rank Sum two-sided test. Two independent replicates were used for sample and control unless otherwise stated. Signal and p-value thresholds are stated for each experiment. For all experiments, a maximum gap of ≦100 and minimum run of >30 by were used. Data were visualized using the Integrated Genome Database Browser (v 5.12, Affymetrix™). For the generation of gene lists, .bed files generated in the above analysis were imported into NimbleScan® software (v 2.4), and a gene was denoted as positive if the GAPF-positive region mapped to −7 kb to +1.5 kb of the transcriptional start site.


Example 4

The following example demonstrates the identification of methylated genomic loci in the colon cancer cell line HCT116 as compared to a derivative cell line having a disruption of the methylase enzymes DNMT1 and DNMT3b (DKO).


To determine whether a differential denaturation protocol can effectively be used to identify regions of differential DNA methylation genome-wide, the signal obtained using the assay above from the colorectal cancer cell line HCT116 was compared to its double DNA methyltransferase knockout (DKO) derivative that was generated by disrupting DNMT1 and DNMT3b, reducing global DNA methylation approximately 95% (Rhee et al., Nature 416:552-556 (2002)). The DKO derivative shares the same palindromes with the parental HCT116 cell line and as such there was no difference in the signal obtained for each cell line in the assay. As such, the only differences in signal were in the regions of DNA having differences in methylation. Further, since the initial focus was on the promoter CpG DNA hypermethylation found in cancer cells, the Affymetrix™ GeneChip® Human Promoter 1.0R Array was used to interrogate a subset of the genome consisting of >25,500 promoter regions with an average coverage from −7.5 to +2.45 kb relative to the transcriptional start site. Methylation-positive signals (log2(signal ratio)>1.2 and p<0.001) were obtained that corresponded to the promoter regions of 563 genes (Table 3). When the same statistical criteria were used, no negative signal (DKO>HCT116) regions were identified.









TABLE 3





In one example, 563 genes resulted in methylation-positive signals


(HCT116 > DKO).

















ABCB4



ABCC8



ABHD1



ACAA2



ACCN1



ACOT12



ACR



ACSS1



ACTC1



ACVRL1



ADAM12



ADAMTS18



ADAMTS19



ADAMTS2



ADAMTSL3



ADCYAP1R1



ADD2



ADRA2A



AFAP1L2



AK5



AKAP5



ALDH1A2



ALPK3



ALPL



ALX3



ALX4



AMIGO1



AMPH



ANKAR



ANKRD27



ANKRD38



AP1G2



APOB



ARHGAP20



ARHGAP27



ARL10



ARNT2



ARRDC4



ATP1A3



ATP6V1C2



ATRNL1



AVP



B4GALT4



BAALC



BARX2



BASP1



BCL11B



BHLHB5



BMP6



BMP7



C12orf53



C13orf21



C14orf2



C18orf34



C1orf164



C1orf59



C1orf76



C1orf95



C1QL2



C20orf177



C20orf39



C20orf58



C21orf70



C2orf40



C4orf19



C6orf60



C6orf97



CACNA2D1



CACNA2D3



CACNG2



CASD1



CBLN1



CBS



CCDC62



CCDC67



CCM2



CCND2



CDH22



CDH23



CDK5R2



CDX1



CECR6



CELSR3



CFC1



CGNL1



CGREF1



CHN2



CHRNA3



CHST1



CHST10



CHST11



CHST2



CITED2



CLDN11



CLSTN2



CNTN4



COL11A2



COL15A1



COL19A1



COL4A1



COL4A2



COL5A1



CPEB1



CPM



CPNE9



CPT1B



CPXM2



CRHR1



CRTAC1



CSMD2



CTNNA2



CTSF



CXCL12



CYP26A1



D4S234E



DAAM2



DBX2



DEGS2



DGKZ



DKFZP566E164



DLK1



DLL1



DLX3



DLX6



DMGDH



DMN



DMRT2



DMRT3



DMRTA2



DMRTB1



DOCK10



DPP10



DPP6



DPYSL5



DRD4



DSCAML1



DSCR6



DTX4



DUSP22



EBF1



ECE2



EDEM2



EDIL3



EFEMP2



EFHD1



EFS



EGR2



ELMOD1



EMILIN2



EML2



EMX1



EPHA4



EPHA6



ERC2



ERG



ERICH1



EVX1



FAM131B



FAM132A



FAM19A4



FAM20A



FAM26F



FAM43B



FAM78B



FAM98C



FANK1



FBLN2



FBLN5



FBN1



FBN2



FBXL21



FBXO17



FEZ1



FEZF2



FGD1



FGF4



FGF8



FIGN



FLJ33790



FLJ37440



FLJ44815



FLJ45717



FLT1



FMN2



FMNL3



FNDC4



FOXA2



FOXC2



FOXD3



FOXE1



FOXF1



FOXL1



FRAT1



FRAT2



FSTL4



FZD7



FZD9



GALC



GALNT14



GALNTL1



GAS1



GATA5



GATA6



GCKR



GDF10



GDF6



GDNF



GFRA2



GFRA4



GGN



GIPC3



GJB6



GLB1L3



GLDC



GLIS1



GLRB



GLT25D2



GNAL



GNG4



GPR25



GPR62



GPRIN2



GPT



GRASP



GREM1



GRIA2



GRM8



GSC



GUCY2D



GYG1



HCN4



HEPN1



HES5



HEY2



HHIP



HIST1H4K



HMBOX1



HNT



HOM-



TES-103



HOXA1



HOXA2



HOXB2



HOXB4



HOXC12



HOXC13



HOXD1



HOXD12



HOXD13



HOXD8



HOXD9



HS3ST2



HSF5



HTRA1



HTRA3



HTRA4



HYOU1



ID3



ID4



IGFBP4



IGFBP7



IGSF21



IL12RB2



IL13



IL17RC



INA



INHA



INPPL1



IRF4



IRX3



IRX4



ISL2



ITPKB



KCNA2



KCNA3



KCNA4



KCNB2



KCNC1



KCNF1



KCNG3



KCNH2



KCNIP1



KCNK10



KCNK12



KCNK4



KCNMB3



KCNN1



KCNQ3



KCNQ5



KCNS2



KCTD12



KIAA1024



KIAA1026



KIAA1191



KIAA1614



KIF7



KLHDC7B



KLHL14



KRBA1



LAMA1



LBH



LBX1



LBXCOR1



LEF1



LGI2



LHFPL4



LHX2



LHX3



LIF



LIMD2



LIMS2



LMO1



LOC253970



LOC285016



LOC390688



LOC400451



LOR



LRFN5



LRIG1



LRP12



LRRC24



LRRN1



LRRTM1



LYL1



MAL2



MAP6



MATN3



MEST



MFSD4



MFSD7



MGC33846



MGC4655



MGC70857



MGMT



MLC1



MLLT3



MMP2



MMP21



MOV10L1



MOXD1



MTNR1A



MYH11



NAT14



NCAM2



NDRG4



NEFH



NELL1



NEURL



NEUROG2



NFASC



NFE2L3



NFIB



NKX2-2



NKX2-4



NKX3-2



NKX6-1



NOVA1



NPAS1



NPB



NPL



NPR2



NPTX1



NPTX2



NR4A3



NRCAM



NRG2



NRIP3



NRXN1



NRXN2



NSD1



NTNG1



NUDT3



NUTF2



NXPH3



OLIG2



OPRD1



OPRK1



OTX2



OXTR



P2RX2



PALM2-



AKAP2



PAQR4



PARD3B



PAX1



PCDH7



PCSK1N



PDE4D



PDGFC



PDLIM4



PDZRN3



PER3



PFKFB3



PGR



PHOX2A



PHYHIPL



PIF1



PIP5K1B



PLCB1



PLXDC1



PLXNA2



POU2F3



POU3F2



PPM1E



PRCD



PRKACG



PRKD1



PROK2



PRR16



PRR18



PRTFDC1



PTF1A



PTGER3



PTHLH



PTPRB



PTPRZ1



PUNC



PXDN



RAMP1



RAMP2



RAPGEFL1



RASL10B



RASSF5



RBP4



REEP2



RFTN1



RGS20



RGS7



RHBDL1



RNF180



RORA



RORC



RPRML



RSPO3



RSPO4



RTN1



RYR3



SALL1



SAMD14



SARM1



SCGB1C1



SCGB3A1



SCT



SCTR



SCUBE1



SCUBE3



SELV



SEMA5A



SEMA6D



SEZ6



SEZ6L



SFMBT2



SFRP1



SFRP5



SGPP2



SH3GL3



SH3MD4



SH3PXD2A



SHE



SIX2



SIX3



SIX6



SKAP1



SLC10A4



SLC15A3



SLC16A12



SLC17A7



SLC18A3



SLC1A4



SLC22A3



SLC26A1



SLC32A1



SLC35D3



SLC39A7



SLC40A1



SLC6A1



SLC6A11



SLC6A20



SLC7A10



SLC8A3



SLC9A3



SLIT3



SMO



SMPD3



SNTB1



SORBS3



SORCS3



SOX1



SOX5



SOX7



SOX9



SP8



SPG20



SPOCK1



SPSB4



SSTR4



ST5



ST6GALNAC3WNT11



ST8SIA2



STAT5A



STX16



STXBP6



SUSD4



TAC4



TACC2



TAL1



TBX21



TBX4



TDRD10



TFAP2B



TFAP2E



THNSL2



THOC5



TIAM1



TIMP3



TJP2



TMEM130



TMEM132E



TMEM163



TMEM16B



TMEM178



TMEM179



TNFAIP8



TNFRSF1B



TNS3



TP53INP1



TPM4



TPPP3



TRIM58



TRIM71



TRIM73



TRIM74



TRPM2



TRPV4



TSPAN2



TSPAN31



TTLL9



UCHL1



USP51



UTF1



UTS2R



VAMP5



VASH2



VIPR2



VLDLR



VSTM2A



VWC2



WBSCR17



WIPF1



WNK2



WNT5A



WNT9B



WT1



XKR6



YBX2



YPEL3



ZFP36L2



ZFP37



ZNF141



ZNF184



ZNF22



ZNF503



ZNF642



ZNF703










Methylation-positive signals (HCT116>DKO) showed a strong positive correlation with regions in HCT116 previously shown to be hypermethylated relative to the DKO line. The TIMP3 gene has been previously identified as methylated in HCT116 cells and unmethylated in DKO cells (Rhee et al., Nature 416:552-556 (2002), and the TIMP3 was found to be positive in the region of the promoter (FIG. 15). In addition, a number of other loci known to be methylated in HCT116 cells were also positive, such as SEZ6L (Suzuki et al., Nat. Genet. 31:141-149 (2002)), SFRP1 (Suzuki et al., Nat. Genet. 31:141-149 (2002)), SFRP5 (Suzuki et al., Nat. Genet. 31:141-149 (2002)), GATA4 (Akiyama et al., Mol. Cell. Biol. 23:8429-8439 (2003)), GATA5 (Akiyama et al., Mol. Cell. Biol. 23:8429-8439 (2003)), INHIBINα (Akiyama et al., Mol. Cell. Biol. 23:8429-8439 (2003)), NEURL (Schuebel et al., PLoS Genet. 3:1709-1723 (2007)), and HOXD1 (Schuebel et al., PLoS Genet. 3:1709-1723 (2007); Jacinto et al., Cancer Res. 67: 11481-11486 (2007)) (FIG. 15). Therefore, the above described assay and its variations can be used to identify differentially methylated loci in genome-wide screens.


Example 5

The following example provides an analysis of DNA having different CpG density and methylation. In this comparison the genes identified as having a methylation-positive signal when denatured without formamide were compared with the genes identified as having a methylation-positive signal when denatured with 0.5% formamide.


Because the melting temperature of DNA is a function of the CpG density and methylation, it was predicted that additional differentially methylated regions could be identified by varying the denaturation conditions. The denaturation step was therefore modified by adding 0.5% formamide and the differential denaturation repeated in HCT116 and DKO cells. Positive signals were obtained in the promoter region of 455 genes, 241 of which were not identified using the original denaturation conditions above (Table 4). Some of these 241 positives have been previously characterized as being methylated in HCT116 cells compared to DKO cells, such as HIC1 (Arnold et al., Int. J. Cancer 106:66-73 (2003)), CHFR (Toyota et al., Proc. Natl. Acad. Sci. USA 100:7818-7823 (2003)), and RASGRF2 (Jacinto et al., Cancer Res. 67: 11481-11486 (2007)). Thus, the total number of unique positive promoter regions identified with these two denaturation conditions encompasses 804 genes, a substantially larger number than identified using the MeDIP assay (methylated DNA immunoprecipitation) in HCT116 (Jacinto et al., Cancer Res. 67: 11481-11486 (2007)). One hundred and twenty-six candidate hypermethylated genes in HCT116 versus DKO were identified in the MeDIP study (Jacinto et al., Cancer Res. 67: 11481-11486 (2007)), with only 7 of these genes (ERG1, FANK1, HOXD1, RASGRF2, RORC, ZNF141 and ZSCAN1) overlapping with the differential denaturation data set. This suggests that the present differential denaturation assay, under the conditions used herein, identified a largely distinct set of methylated regions compared to MeDIP.









TABLE 4





Methylation-positive signals resulted for an additional 241 genes that did


not show up in original denaturation conditions, which did not include


0.5% formamide.

















ACHE



ACTN2



ADAMTS8



ADRA1D



ADRB1



AFF3



AIFM3



APCDD1



ARHGDIG



ARTN



ASTN2



ATOH7



ATP10A



AUTS2



B3GALT6



B3GAT1



BAD



BAI3



BARHL2



BEGAIN



BHLHB4



BMP2



BMP8A



BMP8B



BMPR1B



BNC1



BRUNOL4



C10orf25



C1orf69



C1QL1



C9orf4



CACNG7



CAMK2N2



CDH2



CEBPA



CELSR1



CG018



CHFR



CHRDL2



CLIP4



COL23A1



COL27A1



COLEC12



CPAMD8



CRAMP1L



CRMP1



CUGBP2



CYGB



DACT3



DCHS1



DCLK1



DGKI



DIO3



DLGAP4



DRD2



DTNA



ECEL1



EMILIN3



EN1



EN2



EPB41L3



EVC



EVC2



EVX2



EXOC3L2



FAM123C



FAM49A



FBXL11



FBXL7



FEV



FLJ45557



FLNC



FN3K



FNDC1



FOXC1



FOXD2



FOXE3



FOXG1



FOXL2



FZD10



GABRG3



GDF1



GLT1D1



GNAO1



GPR101



GPR150



GPR68



GPR88



GPX7



GRIK3



GRIN1



GRIN2C



GRIN3B



GRM6



GUCY1A2



GUCY1A3



HCN1



HDGFRP3



HERC2



HIC1



HOMER2



HOXB3



HRH3



HS3ST6



HS6ST3



HSPA12B



HUNK



IFT172



IGF2



IGF2AS



IGFBPL1



IHH



INSM1



IRS1



IRX5



ITGA9



KCNB1



KCND2



KCND3



KCNIP4



KCNK3



KCNK9



KCNMA1



KCTD21



KIAA1045



KIF1A



KIF26A



LASS1



LENG9



LOC164714



LOC285382



LOC389813



LOC401089



LOC91461



LRRC3B



MAFA



MAMDC4



MARCKS



MEIS2



MFSD3



MGAT5B



MIXL1



MLNR



MUPCDH



MYCN



NANOS1



NDN



NETO1



NETO2



NKX2-3



NLF1



NPAS3



NRG1



OLIG1



ONECUT1



ONECUT2



OPCML



PANK4



PCDH19



PCSK2



PDE8B



PELI2



PEX5L



PHOX2B



PHPT1



PID1



PKNOX2



PLD5



PLEC1



PODXL2



POLR2L



POU3F1



PPP1R3D



PRDM2



PRKCB1



PRTN3



PTPRM



PTPRT



PYGO1



RAB11FIP4



RAB42



RASGRF2



RASL10A



RBM32A



RBM32B



RELN



RET



RGMA



RGS11



RGS17



RIMS1



RPESP



RYR2



SCARF2



SCCPDH



SCUBE2



SCXB



SDF4



SHC3



SHROOM4



SLC16A8



SLC1A6



SLC24A3



SLC24A4



SLC4A4



SORCS2



SOX11



SOX21



SPRY2



STUB1



SULF2



SULT4A1



SYCE1



TBX2



TBX6



TCBA1



TCERG1L



TCF15



TCF4



THBS4



TLE4



TMEM47



TNFAIP2



TRPS1



TSHZ3



TUB



UBE2E2



UFSP1



UNCX



VAV3



VEGFC



VENTX



VGLL2



VPS13C



WIZ



WSCD1



ZAR1



ZDBF2



ZFP28



ZFPM2



ZSCAN1










Recently, a study identified CpG methylation in HCT116 cells using a genome-wide DNA methylation assay known as Methyl-seq (Brunner et al., Genome Res. published online on Mar. 9, 2009). Genomic DNA is first digested with either the methylation-sensitive restriction enzyme HpaII or its methylation-insensitive isoschizomer MspI, and then these fragment libraries are subjected to next-generation Solexa sequencing to determine CpG methylation status. When this publicly available dataset was analyzed to identify genes that have methylated CpG dinucleotides in their promoter regions, over 5500 genes are positive. Of these approximately 5500 genes identified, 84% (676/804) of the positive signal genes were represented. In contrast, of the 126 candidate hypermethylated genes in the MeDIP study of HCT116 (Jacinto et al., Cancer Res. 67: 11481-11486 (2007)), 15% (19/126) are identified using Methyl-seq. Thus, compared to MeDIP, the present assay identifies a substantially larger proportion of differentially methylated genes.


Since promoter hypermethylation has been associated with decreased gene expression, RNA expression levels were correlated with signal-positive regions. A publicly available dataset (GEO GSE11173) was used comparing the RNA expression level of DKO to HCT116 (McGarvey et al., Cancer Research 68: 5753-5759 (2008)). Out of the 804 signal-positive genes, 357 genes were represented on the array and had a statistically significant change in RNA expression level (p-value<0.05), of which, 301 (84%) of these genes had a higher level of RNA expression in DKO than HCT 116 (log2(signal ratio)>0) (Table 5). These results further support the hypothesis that the majority of loci enriched by the present method identify regions of CpG hypermethylation.









TABLE 5







Expression levels of 357 genes compared between DKO and HCT116.












Log2SignalRatio
Pvalue



Gene Name
(DKO/HCT116)
Log2SignalRatio















HDGFRP3
2.46195
0.00000000



NDN
2.03393
0.00000000



CHFR
1.91729
0.00000000



NPTX1
1.89611
0.00000000



UCHL1
1.88238
0.00000000



CXCL12
1.83868
0.00000000



BNC1
1.7674
0.00000000



C1orf59
1.66003
0.00000000



ECEL1
1.59284
0.00000000



SFRP1
1.59119
0.00000000



NEFH
1.58969
0.00000000



TSPAN2
1.5789
0.00000000



PRKCB1
1.48586
0.00000000



NPTX2
1.47761
0.00000000



TSHZ3
1.46734
0.00000000



PXDN
1.43132
0.00000000



PRTFDC1
1.39522
0.00000000



ATRNL1
1.37441
0.00000000



PODXL2
1.35425
0.00000000



AK5
1.33992
0.00000000



FMNL3
1.3201
0.00000000



SLC7A10
1.28862
0.00000000



TUB
1.28677
0.00000000



VEGFC
1.28496
0.00000000



INA
1.27519
0.00000000



SYCE1
1.26451
0.00000000



EVC2
1.26024
0.00000000



COL4A2
1.25959
0.00000000



HTRA3
1.25618
0.00000000



ADD2
1.25109
0.00000000



MAL2
1.22921
0.00000000



CTSF
1.22658
0.00000000



ZFP28
1.21745
0.00000000



IGFBP4
1.21241
0.00000000



HOXD1
1.17765
0.00000000



D4S234E
1.14509
0.00000000



COL4A1
1.12417
0.00000000



DMRT2
1.10391
0.00000000



PGR
1.10109
0.00000000



LOC285382
1.09352
0.00000000



ABCC8
1.09172
0.00000000



HOM-TES-103
1.08984
0.00000000



RAB42
1.08921
0.00000000



HOXB2
1.07687
0.00000000



LEF1
1.07257
0.00000000



SLC40A1
1.05005
0.00000000



FBLN2
1.04715
0.00000000



CDH2
1.03182
0.00000000



MOV10L1
1.03027
0.00000000



BMP2
1.02554
0.00000001



FIGN
1.02195
0.00000001



CBS
1.02004
0.00000000



GDF6
1.01976
0.00000000



FLNC
1.00786
0.00000000



TBX2
1.00307
0.00000000



LOC400451
1.0005
0.00000000



MLC1
1.00049
0.00000000



EFS
0.99901
0.00000000



ID4
0.997266
0.00000000



TBX21
0.993409
0.00000000



HSPA12B
0.992986
0.00000000



FNDC1
0.985385
0.00000000



VENTX
0.975648
0.00000005



ACSS1
0.972752
0.00000000



COLEC12
0.965921
0.00000009



TBX4
0.961524
0.00000000



SPG20
0.95577
0.00000002



GDF10
0.947233
0.00000000



SULF2
0.946875
0.00000000



TIMP3
0.940942
0.00000000



HOXC12
0.927776
0.00000083



CGREF1
0.924638
0.00000000



TCF15
0.905041
0.00000001



PRKD1
0.883234
0.00000000



HTRA1
0.882529
0.00000000



NPL
0.875609
0.00000000



OLIG1
0.873375
0.00000163



WT1
0.870339
0.00000000



GATA5
0.867291
0.00000000



LRIG1
0.861875
0.00000000



NEURL
0.858916
0.00000000



LOC285016
0.853966
0.00000754



KLHDC7B
0.850641
0.00000000



EVC
0.847638
0.00000000



TLE4
0.847023
0.00000101



NRG2
0.836327
0.00002508



DCHS1
0.830064
0.00000006



FOXL2
0.822225
0.00000000



RPRML
0.819382
0.00000000



LAMA1
0.801227
0.00011983



TCF4
0.800773
0.00000000



WNT5A
0.787736
0.00006535



PDLIM4
0.785976
0.00000000



LBH
0.78528
0.00000000



STAT5A
0.782296
0.00000000



NKX2-3
0.777173
0.00024356



HES5
0.773653
0.00000000



FAM43B
0.772604
0.00000000



GRASP
0.770645
0.00000000



PER3
0.765325
0.00000000



AMPH
0.758622
0.00060387



TMEM130
0.748795
0.00000138



PKNOX2
0.744319
0.00069505



RBP4
0.74138
0.00000000



FEZ1
0.74104
0.00000000



NETO2
0.739978
0.00000000



SLC22A3
0.739132
0.00038851



HEY2
0.730564
0.00067551



GPR68
0.727836
0.00000001



CDH22
0.725277
0.00000000



GREM1
0.717244
0.00197168



SH3PXD2A
0.714474
0.00000000



GALC
0.713326
0.00200159



CHST2
0.712975
0.00000000



KCNC1
0.710469
0.00148113



VAV3
0.708528
0.00000000



PDE8B
0.705531
0.00000143



LOC91461
0.700719
0.00000000



ADAMTS2
0.693602
0.00000000



SNTB1
0.690754
0.00267747



FOXE1
0.68733
0.00000000



XKR6
0.685501
0.00191419



KCTD12
0.683722
0.00000000



HOMER2
0.679011
0.00000000



KIAA1045
0.678605
0.00125537



SLC32A1
0.67843
0.00000000



HS6ST3
0.674754
0.00441248



HOXD9
0.674416
0.00000000



TRPS1
0.667854
0.00646714



KIF7
0.664097
0.00000000



SLC15A3
0.657256
0.00000000



TPM4
0.653803
0.00000000



IL12RB2
0.651874
0.00353941



C6orf60
0.651108
0.00000000



CDH23
0.648518
0.00010794



GALNTL1
0.645102
0.00000000



GSC
0.640548
0.00000000



KCNMB3
0.634232
0.01239150



SOX7
0.625382
0.00894783



TMEM16B
0.621789
0.00000000



CPM
0.62032
0.00253372



COL5A1
0.616956
0.01593390



ATP10A
0.614604
0.00000007



GABRG3
0.611562
0.01068870



CYP26A1
0.611283
0.00000000



GPX7
0.605692
0.00000000



HOXB4
0.604514
0.00000000



TNFAIP2
0.602667
0.00000000



RAMP1
0.6019
0.00000000



SCCPDH
0.588139
0.00000005



FAM19A4
0.588125
0.00000000



USP51
0.581825
0.00811829



LIF
0.576336
0.00000000



IRX3
0.57277
0.00000000



CACNA2D3
0.571324
0.00000353



IGF2
0.569082
0.00000000



FLT1
0.567601
0.00092879



RASSF5
0.564
0.02925730



GALNT14
0.557542
0.00000000



NANOS1
0.557021
0.00000000



IGFBPL1
0.551414
0.00000000



NTNG1
0.549156
0.00046033



HOXD13
0.547516
0.00000000



CRMP1
0.546673
0.00000001



CHRDL2
0.542375
0.03815240



DLX6
0.538737
0.00968645



TNFRSF1B
0.537973
0.00000285



NRIP3
0.536296
0.00000000



LRFN5
0.532825
0.04098170



SUSD4
0.531107
0.04997800



PPM1E
0.526075
0.04957330



FBXL21
0.521842
0.00009906



EN1
0.521353
0.00000692



BASP1
0.520082
0.00000000



IRX5
0.51409
0.00000002



SMPD3
0.511393
0.00000000



ADAMTSL3
0.506411
0.00000000



TRIM58
0.504652
0.00000012



CPAMD8
0.503399
0.00000000



HOXC13
0.503319
0.00000000



ALDH1A2
0.491275
0.02546600



MGAT5B
0.483148
0.01013510



SPOCK1
0.482202
0.00026379



DSCR6
0.478995
0.00000000



FAM49A
0.476307
0.00000001



EFEMP2
0.474225
0.00000001



SOX9
0.468049
0.00000000



CACNA2D1
0.466351
0.00015036



DMRT3
0.464338
0.00643338



VLDLR
0.454224
0.00213007



WNT11
0.452474
0.00000000



ABHD1
0.450293
0.00000229



RGS11
0.443449
0.00000169



KIF1A
0.442234
0.00000002



CCND2
0.440734
0.00101199



GUCY2D
0.43814
0.00000746



AMIGO1
0.435686
0.03413680



LHX2
0.430711
0.00000000



C12orf53
0.416544
0.00677519



PDE4D
0.415289
0.01111750



HOXB3
0.414088
0.00000003



SLC24A3
0.413561
0.00563093



LRP12
0.412747
0.00000009



NFE2L3
0.40763
0.00000001



DMN
0.407168
0.00000016



ZFP37
0.406256
0.00000000



RET
0.400774
0.00001873



ST6GALNAC3
0.399489
0.00000020



C13orf21
0.387835
0.00752451



PUNC
0.386145
0.00000144



POLR2L
0.382353
0.00000013



TRPV4
0.379125
0.00024072



KCNG3
0.378218
0.00000002



FZD9
0.378163
0.00000021



DLL1
0.378141
0.00000013



SORCS2
0.377102
0.01096290



SPRY2
0.370543
0.00000006



ZNF141
0.364062
0.00001472



C1QL1
0.357152
0.00010475



CHST10
0.354426
0.00038934



SULT4A1
0.352165
0.00000079



SCUBE1
0.351607
0.00000387



HIC1
0.350797
0.00388565



NOVA1
0.336146
0.00324738



FLJ33790
0.33205
0.00010206



RAB11FIP4
0.327565
0.00090527



FOXA2
0.326804
0.00319583



VAMP5
0.323135
0.00001748



CYGB
0.316743
0.00683416



BMP7
0.316065
0.00003135



TJP2
0.315785
0.00001143



NDRG4
0.315652
0.00000624



C9orf4
0.307769
0.01988740



SLC8A3
0.304421
0.00144858



SLC10A4
0.297697
0.00003720



ZAR1
0.293082
0.01212460



STXBP6
0.291383
0.00003604



EFHD1
0.288541
0.01278810



ST5
0.286565
0.00009248



NRXN2
0.282715
0.00010214



ZFP36L2
0.282202
0.00009655



DMRTB1
0.277942
0.00032007



C4orf19
0.277766
0.02393910



PLXNA2
0.272372
0.00063342



CPEB1
0.27114
0.00115618



MGC4655
0.271023
0.00011842



CHST1
0.270797
0.00172692



CHRNA3
0.266733
0.01787250



PYGO1
0.264357
0.00073879



COL27A1
0.263535
0.00013283



GLIS1
0.261171
0.00025461



NRG1
0.259443
0.00118161



FOXF1
0.254161
0.00022717



ONECUT1
0.248013
0.00157246



DLX3
0.246384
0.00251122



NSD1
0.2433
0.00013602



DIO3
0.241827
0.00081988



NR4A3
0.241251
0.00108803



PHPT1
0.238017
0.00012666



ZNF22
0.237665
0.00024548



SLIT3
0.2369
0.00083076



ARNT2
0.227284
0.00050780



LHFPL4
0.223894
0.00155499



LIMD2
0.220789
0.00429697



FBXL11
0.219446
0.00089127



FNDC4
0.218926
0.00385914



NXPH3
0.218056
0.01195570



PALM2-AKAP2
0.213459
0.00185401



SH3GL3
0.212031
0.00051961



PRDM2
0.210747
0.00274269



CGNL1
0.209065
0.02980390



CELSR3
0.203897
0.00258390



PFKFB3
0.198755
0.01001570



FOXC1
0.196785
0.00245823



PPP1R3D
0.196573
0.00403746



ITGA9
0.196304
0.00159484



IRX4
0.192808
0.00186541



SCARF2
0.190571
0.00573162



ALPL
0.18549
0.02021600



KCNN1
0.178805
0.02582290



TRPM2
0.177768
0.00237912



ZNF703
0.173716
0.01295460



ECE2
0.171808
0.03700010



DTNA
0.171004
0.01075750



IGF2AS
0.168637
0.00850520



B4GALT4
0.1681
0.01213510



DRD4
0.166374
0.00759962



MGC33846
0.165076
0.02021740



SMO
0.163824
0.01608620



ASTN2
0.161321
0.01014720



HERC2
0.155711
0.01557060



LYL1
0.154795
0.01705970



SIX2
0.153852
0.02030770



ACCN1
0.150246
0.01717170



DUSP22
0.143777
0.02538290



BAD
0.138326
0.03198800



FOXD2
0.137433
0.02778640



SLC17A7
0.136558
0.03756310



MAMDC4
0.134781
0.04674780



KIAA1191
0.127682
0.04828040



GYG1
0.119033
0.04517560



MGMT
−0.120489
0.04436320



ACAA2
−0.12613
0.04584530



C1orf164
−0.13618
0.02674980



EMILIN2
−0.141065
0.01774390



PAQR4
−0.141228
0.03518320



INPPL1
−0.142742
0.02843300



YBX2
−0.14287
0.03062350



GLDC
−0.151476
0.01168670



STX16
−0.156361
0.01107110



FBLN5
−0.160205
0.02535800



KIF26A
−0.185448
0.00715529



HEPN1
−0.188751
0.01701620



UBE2E2
−0.194483
0.00207548



BMP8B
−0.200298
0.00220759



ZNF184
−0.201503
0.00381080



ARTN
−0.214828
0.00170586



RGS17
−0.216088
0.00321792



RORC
−0.220371
0.00233819



VPS13C
−0.223244
0.00020525



CASD1
−0.224799
0.00113099



B3GALT6
−0.233049
0.00017464



DLGAP4
−0.234303
0.00027044



HMBOX1
−0.234421
0.00040242



ARHGAP27
−0.235535
0.00218529



RGMA
−0.237438
0.00277914



TACC2
−0.241429
0.00041343



NUDT3
−0.242229
0.00024736



CITED2
−0.243734
0.00016286



MFSD3
−0.260001
0.00019352



FZD7
−0.263275
0.00007751



GATA6
−0.265431
0.00005529



HOXA2
−0.272077
0.01178820



ATP6V1C2
−0.278695
0.00001183



EGR2
−0.285223
0.00000848



THBS4
−0.293671
0.00018642



TSPAN31
−0.29535
0.00000325



NPAS1
−0.298
0.00006921



TNS3
−0.338476
0.00000152



HIST1H4K
−0.354667
0.00000015



CEBPA
−0.371838
0.00000013



TNFAIP8
−0.387377
0.00000018



TRIM73
−0.395493
0.00001903



PLCB1
−0.400098
0.00000002



NFIB
−0.404334
0.00000020



BCL11B
−0.431849
0.00000001



GNAL
−0.459042
0.00065682



FGF8
−0.46457
0.00000879



MEIS2
−0.469743
0.00000181



MLLT3
−0.477841
0.00000001



PCDH7
−0.529917
0.00000070



CG018
−0.613001
0.00225287



ARRDC4
−0.698737
0.00000000



IRS1
−0.867164
0.00000000



CCDC62
−0.949383
0.00000000



DMGDH
−1.08456
0.00000000



MARCKS
−1.27182
0.00000000










Example 6

The following example demonstrates the detection of CpG DNA methylation in primary medulloblastoma samples.


To test the hypothesis that present methods for enriching for methylated DNA can be used to identify cancer-specific methylation changes from patient samples, medulloblastoma biopsy specimens from four individual patients were analyzed using normal cerebellum as a control. In our previous study of DNA palindromes in cancer, common genomic regions between different medulloblastoma samples were found that scored as positive using the original palindrome assay (Tanaka et al., Nat. Genet. 37:320-327 (2005)). Given that the majority of signals from the assay have been found to be from differential DNA methylation, these regions were reexamined using a differential denaturation assay described above. Differential denaturation was performed using the same two denaturation conditions used in the HCT116/DKO experiments (denaturation in the presence of no formamide and in the presence of 0.5% formamide) and identified both methylation-positive and methylation-negative common regions shared between individual tumor samples (FIGS. 16A and B, and Tables 6 and 7).









TABLE 6







Methylation-positive regions among tumor samples designated R123,


R147, R160, and R162.










R123 positive
R147 positive
R160 positive
R162 positive





ACR
ADCY3
ACR
ACR


AFAP1
ADCY5
ADCY3
ACSL1


ALPK3
ADCY6
ADCY6
ADCY6


ANKRD43
ADRA1D
AFAP1
ADRA2A


B3GALT6
AFF3
AFF3
AFAP1


BCL2L11
AJAP1
AJAP1
AFF3


C10orf72
AKT1
AKT1
AJAP1


C14orf2
AMFR
ANKRD12
ALDH1A3


C20orf177
ANAPC11
APCDD1
ALPK3


CPT1B
ANKH
AQP5
ALX3


CPXM2
ANKS6
ARHGDIA
AMFR


CYP3A5
APCDD1
ARHGEF7
AMH


DACT3
AQP12A
ATP1A3
AMY1B


DAZAP1
AQP5
ATP1B3
ANKRD13D


DMRTA2
ARHGDIA
B3GALT6
APCDD1


DRD4
ARHGEF7
BAG3
ARHGDIA


FAM83F
ASXL1
BAI2
ASXL1


FASTK
ATP1B3
BCL2
ATP1A3


FBXL11
AXIN2
BCR
ATP1B3


GP1BB
B3GALT6
BRD7
ATP5I


GPR17
B3GNT1
BRI3
ATXN7


GRIN2D
B4GALNT3
BRUNOL4
AXIN2


GRWD1
BAI2
BTBD14A
B3GALT6


H1FNT
BCL2
C11orf80
B4GALNT3


HIC1
BRD7
C14orf2
B4GALT4


HNRPCL1
BRF1
C1orf34
BAI2


IFT140
BRI3
C1QTNF4
BRUNOL4


KCNH2
BRUNOL4
C20orf177
C11orf9


KCTD21
BRUNOL5
C6orf146
C14orf2


LOC164714
BSN
C7orf41
C1orf34


LOC374569
BTBD14A
CABP7
C1orf69


MECR
BTBD6
CACNA1B
C1QTNF4


MLC1
C14orf2
CAMK2B
C20orf118


MOV10L1
C16orf24
CASQ2
C20orf177


NFIC
C16orf65
CBFA2T3
C2orf49


NR2F1
C16orf79
CCDC40
C6orf146


OBSCN
C19orf26
CDC34
C6orf201


PDE9A
C1orf34
CDC42BPB
CABP7


PDLIM4
C1QTNF4
CDH22
CADPS


PHOX2B
C6orf146
CDK5R1
CALM2


PRDM8
C6orf201
CDYL
CAMK2G


RHBDL3
C7orf41
CELSR1
CDC34


SCT
C9orf30
CELSR2
CDH22


SDF4
C9orf91
CHD3
CDK5R1


SLC10A4
CABP7
CHD5
CDV3


SLC7A5
CACNA1B
CHD6
CDYL


SOX1
CACNG7
CIC
CELSR2


SOX9
CAMK2B
CLMN
CENTG2


TBX4
CAMK2G
CLPTM1L
CFC1


TPPP3
CAMK2N1
COBL
CHD6


TRPV4
CAMK2N2
COL18A1
CHRD


WDR24
CBFA2T3
COLEC12
CHSY1


ZAR1
CBX2
CPT1B
CIC


ZFP36L2
CCDC40
CPXM2
CLDN9


ZNF524
CCM2
CRAMP1L
CLPTM1L




CRIP2
COL4A1




CRMP1
CORO2B




CSK
CPT1B




CSNK1G2
CPXM2




CTNNBIP1
CRAMP1L




CTSZ
CRMP1




CUL3
CRYBA2




DACT3
CSK




DDT
CTNNBIP1




DDTL
CTNND2




DIO3
CUL3




DKFZP564J102
CUL4A




DMRTB1
CYP26B1




DNAJC5
CYP3A5




DTNB
DACT3




DUSP22
DAZAP1




DVL3
DDEF2




ECOP
DMRTB1




EML2
DNAJA5




EN2
DNAJC5




FAM53B
DNMT3A




FAM83F
DOCK5




FBXL11
DPP10




FBXL16
DTNB




FGFR3
E2F5




FGFRL1
ECOP




FOXC1
EPB49




GNA12
EPHA8




GP1BB
EPHB2




GPS1
EPPK1




GPT
FAM102B




GRB10
FAM44A




GRWD1
FAM49A




H1FNT
FAM59A




HIC1
FAM83F




HOXA13
FAM83H




HS6ST1
FBXL16




HS6ST3
FDXR




HTR7
FEV




IFT140
FGFR3




INHBB
FGFRL1




ITPK1
FLJ37440




KCNH2
FOSL2




KCNIP4
FOXC1




KCNK3
FOXK1




KCTD21
GAB2




KIAA0664
GALNT10




KIAA0746
GATA6




KIAA1026
GLCCI1




KIF26A
GP1BB




LOC116236
GPR12




LOC164714
GPRIN2




LOC389813
GPT




LOC91461
GRIFIN




LPHN1
GRIN2C




LRG1
GRWD1




LRRC4
HIC1




LRRC56
HIST2H3C




LSDP5
HOMER3




LZTS2
HOXA11




MAN1C1
HOXA13




MAP3K3
HS6ST1




MAP4K2
HS6ST3




MAPK8IP2
HTRA3




MED16
IGF2BP2




MEIS3
IGF2R




METRN
INHBB




MGAT4B
INSM1




MLLT6
IRX2




MPP6
ITPK1




MUC1
JAZF1




MYRIP
JSRP1




NBL1
JUND




NFE2L3
KCNB1




NFIC
KCNF1




NLRP5
KCNH2




NPAS3
KCNJ14




NPTXR
KCNK3




NR2F1
KCNK7




NR2F6
KIAA0664




NR4A3
KIAA0746




OBSCN
KIAA1026




ODC1
KIAA1045




ONECUT2
KIAA1450




PATZ1
KIAA1618




PDE10A
KIAA1641




PHF21B
KL




PHLPP
KLF11




PHOX2B
KLF2




PHPT1
LINGO1




PIP4K2A
LOC164714




PITPNM3
LOC339123




PPP1R12C
LOC374569




PQLC3
LOC389813




PRDM8
LOC653275




PRKACG
LOC91461




PRR6
LPHN1




PTCH1
LRIG2




PTPRN2
LRP3




RAB11FIP3
LRRC14




RAB11FIP4
LYL1




RAB11FIP5
LZTS2




RAB12
MAP3K3




RAB40C
MAP4K2




RAD52
MAPK11




RANBP9
MAPK8IP2




RASSF8
METRN




RBM38
MFSD3




RBPJ
MFSD7




RERE
MLC1




RFNG
MMP17




RHBDL3
MOV10L1




SAMD4B
MPP6




SCARF2
MUC1




SDF4
NBL1




SF1
NCK2




SH2B2
NCOA2




SH3PXD2B
NFE2L3




SIX3
NFIC




SLC24A3
NFKB1




SLC9A3R2
NOPE




SMARCD3
NPAS3




SNCAIP
NPTXR




SNIP
NR2F6




SORCS2
NXPH4




SOX1
OBSCN




SOX9
ODC1




SPTBN4
ONECUT2




SSH1
OTUD4




STK11
PAQR4




SULF2
PARD6G




TBX2
PCSK6




TCERG1L
PDE10A




TCF7
PGF




TEX2
PHLPP




TFAP2E
PHOX2B




THPO
PHPT1




TMEM121
PIP4K2A




TMEM16A
PITPNM3




TMEM8
PODXL2




TNRC6B
PPP1R12C




TOX2
PPP1R3D




TPPP3
PRDM8




TRIM28
PRKACG




TRPV4
PRKAG2




TSPAN14
PTCH1




TTC7A
PWWP2




TXNDC5
QKI




UBE2F
RAB11FIP3




UBE2Q1
RAB11FIP4




UBE2S
RAB11FIP5




USP31
RAB26




WDR24
RAE1




WDR85
RANBP9




WSCD1
RBM38




ZAR1
RBPMS2




ZDHHC14
RERE




ZFP36L2
RGMA




ZMYND19
RHBDL3




ZNF282
RHOQ




ZNF395
RNF19B




ZNF524
RORC




ZNF562
RYK




ZNF592
SDF4




ZNRF1
SDK1





SF1





SH2B2





SH3BP4





SIX3





SLC15A3





SLC24A3





SLC39A13





SLC9A3R2





SMARCD3





SMYD2





SNIP





SOX1





SOX18





SP5





SPTBN2





SPTBN4





SRM





SS18L1





STAU2





STIP1





STXBP5





SUMO3





TBX2





TBX4





TCBA1





TCEA2





TCF7





TEAD4





TENC1





TEX2





TFAP2E





TFDP1





TGFBRAP1





THPO





TMEM132D





TMEM8





TMEPAI





TPPP3





TRIO





TSHZ1





TSPAN14





TSPAN33





TTC7A





TTL





TTYH3





TWIST1





TXNDC5





UBE2F





UBE2I





UBE2S





UNCX





VEGFC





WDR24





WDR85





WTIP





XKR6





XYLT1





YIF1A





ZBTB39





ZBTB8





ZDHHC14





ZFP161





ZFP36L2





ZMYND19





ZNF2





ZNF395





ZNF524





ZNF660





ZNF710





ZNRF2
















TABLE 7







Methylation-negative regions among tumor samples


designated R123, R147, R160, and R162.












R123
R147
R160
R162



negative
negative
negative
negative







ADCY9
ABCA7
ABBA-1
ADARB1



ADRA2C
ADCY9
ABCA7
AGA



ARID1B
AGA
ADARB1
ANKRD9



B4GALNT4
ATP10A
ADRBK1
AQP12B



C11orf75
B4GALNT4
AGA
B4GALNT4



CACNA1H
C11orf9
AQP12A
BARX1



CD81
C3orf32
AQP12B
BRD3



CDC42BPB
C9orf72
ARID1B
C10orf38



CLMN
C9orf86
B4GALNT4
C10orf72



CLN8
CCDC42
BARX1
C3orf32



COG1
CD81
BRD3
C9orf30



CTDSPL
COG1
C10orf38
C9orf37



DDT
DUB3
C6orf124
C9orf61



DDTL
DUSP22
C9orf61
C9orf86



DGKD
ECHDC3
C9orf72
CACNA1H



DIP2C
EXOC3
C9orf86
CAMTA1



EXOC3
GPR137B
CCDC42
CCDC42



FGD5
KIAA0467
CD81
CDRT15



GSTT2
KIR2DL3
CDYL2
CDYL2



GTF2A1
KIR2DS4
CLN8
CHD3



JDP2
KIR3DL1
CSNK1E
CLMN



KIF13A
KIR3DL2
CTDSPL
CLPTM1



KRCC1
KRTAP5-7
DIP2C
CMTM4



LOC116349
LOC116349
DVL1
CTDSPL



MFRP
LOC441956
DYRK1A
CTGLF1



MMP24
LRP5
ECHDC3
CTGLF4



NKX6-2
MEX3C
EFCBP2
DDT



PAPPA
NKX6-2
EPSTI1
DDTL



PCSK6
PER1
FBXL16
DIO3



PLXNA1
PLXND1
FNDC5
DIP2C



PLXND1
RBM38
FREQ
DUB3



PXDN
REV1
HBA2
EEF1D



RBM38
REXO1L1
HBM
EFNA2



SNN
SERPINF2
HECA
EGFL7



SPTBN2
TP53TG3
HEY1
EXOC3



SS18L1
TTLL10
HIST2H2AA3
FAM108C1



TMUB1
TUBGCP5
HIST2H2AA4
FAM75B



UBXD8
UTF1
HIST2H3C
FAM78A



ZADH2
WDR1
IL17D
FAM81A



ZCCHC14
ZDHHC11
IRF2BP2
FREQ



ZFP37
ZFP28
JPH3
FTCD



ZNF419
ZFP37
KHDRBS3
GSTT2




ZNF195
KIAA0649
HS3ST4





KIAA0692
ITPK1





KIR2DL3
JPH3





KIR2DS4
KCNC3





KIR3DL1
KHDRBS3





KIR3DL2
KIAA0467





KIR3DP1
KIAA0649





KRTAP5-7
KIF26A





LOC338328
KIF7





LOC392982
KIR2DL3





LOC440348
KIR2DS4





LOC440350
KIR3DL1





LOC441956
KIR3DL2





LOC653499
KIR3DP1





LRIG2
KRTAP5-7





MEX3C
LARGE





MGC21874
LOC116349





MUC20
LOC338328





NOMO1
LOC441956





NOPE
M-RIP





OR2A4
MAPK6





OR2A7
MED16





PCNX
METTL5





PCSK6
MLLT6





PDS5B
MRPS6





PLXND1
NEK6





POGZ
NFIL3





POU4F1
NFYB





PRDM15
NOMO1





PXDN
OR2A7





QKI
PAPPA





RAP2A
PCNX





RBM38
PHF2





RCC2
POGZ





REXO1L1
PXDN





SNF1LK
RAB11FIP4





SPTBN2
RAP2A





SYT7
RAPGEF1





TBC1D3
RBM38





TBC1D3B
RNF130





TBC1D3C
RNPEPL1





TBC1D3G
RPS6KA5





TBL1XR1
RTN4R





TCEB3C
RXRA





TCEB3CL
SAMD4B





TP53TG3
SH3PXD2B





USP22
SHC2





USP6
SNF1LK





USP7
SOHLH1





UTF1
SOLH





VEGFB
TBC1D3





WNT3A
TBC1D3B





WNT4
TBC1D3C





ZFP161
TBC1D3G





ZFP37
TBC1D9B





ZNF195
TCEB3C





ZNF419
TCEB3CL






TCL6






TMEPAI






TRAF3






UBE2E3






USF2






USP22






USP7






WSCD1






ZDHHC8






ZNF195






ZNF480






ZNRF3










Interestingly, among the loci identified were members of the Notch-Hes and Sonic hedgehog (Shh) pathways, two pathways implicated in the pathogenesis of medulloblastoma. Of the methylation-positive loci shared among all four patient samples, PRDM8, a putative negative regulator of the Notch-Hes pathway30 and HIC1, a putative tumor suppressor and negative regulator of the Shh pathway (Briggs et al., Genes & Development 22:770-785 (2008)) that is found to be frequently hypermethylated in medulloblastoma (Rood et al., Cancer Research 62:3794-3797 (2002)) were identified. In addition, in three of the four patient samples PTCH1, a negative regulator of the Shh pathway was found to be methylation-positive. Recently, PTCH1 mRNA expression was found to be absent with concomitant Shh pathway activation in a subset of medulloblastoma patient samples, and bisulfite sequence analysis of the PTCH1-1B promoter region failed to show hypermethylation (Pritchard & Olson, Cancer Genetics and Cytogenetics 180:47-50 (2008)). Interestingly, the methylation-positive signal mapped to the PTCH1-1C promoter region which was not evaluated in the previous study. When bisulfite sequence analysis was performed on this region in one of the tumors, the medulloblastoma sample was heavily methylated compared to the normal cerebellum control. Thus, differential denaturation under the conditions defined herein can identify cancer-specific common regions of differential CpG methylation in primary patient samples.


The previous examples are provided to illustrate but not limit the scope of the claimed inventions. Other variations of the disclosure will be readily apparent to those of ordinary skill in the art and encompassed by the following claims. All publications, patents and patent applications and other references cited herein are hereby incorporated by reference.

Claims
  • 1. A method for identifying genomic DNA comprising a methylated DNA and a DNA palindrome, comprising the steps of: a) isolating genomic DNA comprising the DNA palindrome and the methylated DNA;b) fragmenting the genomic DNA;c) denaturing unmethylated genomic DNA;d) rehybridizing the denatured unmethylated DNA under suitable conditions for the DNA palindrome to form a snap back DNA;e) digesting the rehybridized DNA with a nuclease that digests single strand DNA; and,f) identifying the genomic DNA comprising the methylated DNA and the snap back DNA comprising the DNA palindrome.
  • 2. The method according to claim 1, wherein the method further comprises identifying regions of the genomic DNA comprising the methylated DNA and the DNA palindrome by hybridization of the genomic DNA fragments with a human genomic DNA array.
  • 3. The method according to claim 2, wherein the method further comprises the steps of: a) isolating genomic DNA comprising the DNA palindrome or the methylated DNA from a population of cells;b) denaturing the isolated, unmethylated DNA;c) rehybridizing the denatured isolated DNA under suitable conditions for the DNA palindrome to form a snap back DNA and to keep the methylated DNA hybridized;d) digesting the rehybridized DNA with a nuclease that digests single strand DNA to form double stranded DNA fragments comprising the snap back DNA and the methylated DNA;e) digesting the double stranded DNA fragments comprising the snap back DNA with a nucleotide sequence specific restriction enzyme;f) adding a sequence specific linker nucleotide sequence to one end of each stand of the double strand DNA comprising the snap back DNA;g) amplifying the DNA fragments comprising the added linker using a labeled linker sequence specific primer corresponding to the sequence specific linker added in step (f); and,h) hybridizing the methylated DNA and the amplified DNA fragments comprising the snap back DNA to a genomic DNA library and identifying the genomic DNA region comprising the palindrome or the methylated DNA.
  • 4. The method according to claim 3, wherein the amplified DNA fragments comprising the snap back DNA are mixed and co-hybridized in step (h) with a sample of high molecular weight DNA from a normal cell population that has been digested with S1 nuclease, and the restriction enzyme of step (e), adding a linker labeled with a second single label, and amplified.
  • 5. The method according to claim 3, wherein the single strand nuclease comprises S1 nuclease.
  • 6. The method according to claim 3, wherein the restriction enzyme comprises MspI, TaqI, or MseI.
  • 7. The method according to claim 3, wherein the genomic DNA is fragmented by a chemical, physical, or enzymatic method.
  • 8. A method for classifying a population of cancer cells, comprising the steps of: a) identifying regions of genomic DNA comprising a methylated DNA and a snap back DNA comprising a DNA palindrome; and,b) using the identity of genomic DNA regions comprising the palindromes or methylated DNA to classify the population of cancer cells.
  • 9. The method according to claim 8, wherein step (b) further comprises fragmenting the genomic DNA; denaturing the unmethylated genomic DNA fragments; incubating the denatured and unmethylated genomic DNA fragments under conditions conducive to the formation of snap back DNA by genomic DNA fragments comprising the DNA palindrome; and identifying regions of genomic DNA containing the DNA palindrome and the methylated DNA to form a profile.
  • 10. The method of claim 9, further comprising comparing the profile of genomic DNA comprising a DNA palindrome and methylated DNA of the cancer cell population to a population of normal cells.
  • 11. A method for detecting a population of cancer cells, comprising the steps of: a) isolating genomic DNA from a cell population;b) identifying a plurality of genomic DNA regions comprising methylated DNA and snap back DNA comprising a palindrome; and,c) using the identity of the plurality of genomic DNA regions comprising the methylated DNA and palindrome to detect the population of cancer cells.
  • 12. The method according to claim 11, wherein the method further comprises fragmenting the isolated genomic DNA; denaturing the unmethylated genomic DNA fragments; incubating the denatured and unmethylated genomic DNA fragments under conditions conducive to formation of snap back DNA comprising the DNA palindrome; digesting denatured, single strand DNA; and identifying a plurality of regions of the genomic DNA containing the DNA palindrome and the methylated DNA to form a profile.
  • 13. The method of claim 12, further comprising comparing the profile of the cancer cell population to a population of normal cells, wherein the cancer cell population comprises genomic DNA comprising the DNA palindrome and the methylated DNA.
  • 14. A method for determining a region of genomic DNA that comprises an unmethylated CpG island, comprising: a) digesting genomic DNA with a methylation sensitive restriction enzyme;b) amplifying the DNA fragments using a labeled linker sequence; and,c) hybridizing the amplified DNA fragments to a genomic DNA library and identifying the genomic DNA region comprising the palindrome.
  • 15. A method for identifying a region of genomic DNA comprising a DNA palindrome, comprising the steps of: a) isolating genomic DNA comprising the DNA palindrome or the methylated DNA from a population of cells;b) denaturing the isolated, unmethylated DNA;c) incubating denatured isolated DNA under conditions conducive to inducing formation of a snap back DNA rather than inter-molecular hybridization, the snap back DNA comprising the DNA palindrome;d) digesting the denatured, unmethylated DNA;e) isolating the methylated DNA and the snap back DNA;f) denaturing the methylated DNA and the snap back DNA;g) incubating the methylated DNA and the snap back DNA under conditions conducive to inducing formation of the snap back DNA;h) digesting the denatured methylated DNA; and,i) identifying one or more regions of the genomic DNA comprising the snap back DNA thereby identifying one or more regions of the genomic DNA comprising the DNA palindrome.
  • 16. The method of claim 15, wherein denaturation of methylated DNA comprises alkaline denaturation or heating and an agent capable of lowering the melting temperature of methylated DNA.
  • 17. The method claim 16, wherein the agent comprises formamide.
  • 18. A method for isolating genomic DNA comprising a methylated DNA, comprising the steps of: a) incubating isolated genomic DNA under conditions conducive to hybridization of the methylated DNA and to denaturation of an unmethylated DNA;b) digesting the unmethylated DNA; and,c) isolating the genomic DNA comprising methylated DNA.
  • 19. The method of claim 18, further comprising identifying regions of the genomic DNA comprising methylated DNA.
  • 20. The method of claim 18, further comprising additional steps between steps (a) and (b) comprising, incubating the isolated genomic DNA under conditions conducive to inducing formation of a snap back DNA rather than inter-molecular hybridization, wherein the unmethylated DNA comprises a DNA palindrome capable of forming snap back DNA;isolating the methylated DNA and the unmethylated DNA comprising the DNA palindrome; and,denaturing the unmethylated DNA comprising the DNA palindrome.
  • 21. The method of claim 18, wherein the conditions in step (a) used to denature unmethylated DNA comprise a temperature and a concentration of formamide conducive to allowing for digestion of the unmethylated DNA in step (b).
  • 22. The method of claim 18, wherein the denatured, unmethylated DNA is digested with a single strand nuclease.
  • 23. A method for identifying CpG densities and degrees of CpG methylation in one or more regions of genomic DNA, comprising the steps of: a) isolating genomic DNA;b) denaturing the isolated, unmethylated DNA;c) digesting the unmethylated DNA;d) isolating the genomic DNA comprising methylated DNA; and,e) enriching for regions of genomic DNA having a specific CpG density and degree of CpG methylation.
  • 24. The method of claim 23, wherein step (e) further comprises the steps of: denaturing the genomic methylated DNA under a temperature, a concentration of formamide, and a concentration of NaCl tuned for hybridization of one or more regions of genomic DNA having a specific CpG density and degree of CpG methylation;digesting the denatured genomic methylated DNA; and,identifying the undigested regions of genomic DNA comprising methylated DNA.
CROSS-REFERENCES TO RELATED APPLICATIONS

The present application is a continuation-in-part of U.S. patent application Ser. No. 11/142,091, which claims priority to U.S. Provisional Patent Application No. 60/575,331, filed May 28, 2004, the entire disclosures of which are incorporated by reference herein.

STATEMENT AS TO RIGHTS TO INVENTIONS MADE UNDER FEDERALLY SPONSORED RESEARCH OR DEVELOPMENT

This invention was made with government support under Grant Nos. R01AR 045113, R01GM 26210, K12 HD43376 and 2T32CA009351 awarded by the National Institutes of Health. The Government has certain rights in the invention.

Provisional Applications (1)
Number Date Country
60575331 May 2004 US
Continuation in Parts (1)
Number Date Country
Parent 11142091 May 2005 US
Child 12472311 US