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Journal of Virology, October 2001, p. 9753-9761, Vol. 75, No. 20
0022-538X/01/$04.00+0 DOI: 10.1128/JVI.75.20.9753-9761.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Infection of Lymphoid Cells by Integration-Defective Human
Immunodeficiency Virus Type 1 Increases De Novo
Methylation
Jing-Yuan
Fang,1
Judy A.
Mikovits,2,3,
Rachel
Bagni,4
Cari L.
Petrow-Sadowski,4 and
Francis W.
Ruscetti1,*
Basic Research Laboratory, CCR,
National Cancer Institute at Frederick,1
Laboratory of Antiviral Drug
Mechanisms2 and Intramural Research
Support Program,4 SAIC Frederick, and
Developmental Therapeutics Program,
DCTP,3 Frederick, Maryland 21702
Received 21 November 2000/Accepted 13 July 2001
 |
ABSTRACT |
DNA methylation, by regulating the transcription of genes, is a
major modifier of the eukaryotic genome. DNA methyltransferases (DNMTs)
are responsible for both maintenance and de novo methylation. We have
reported that human immunodeficiency virus type 1 (HIV-1) infection
increases DNMT1 expression and de novo methylation of genes such as the
gamma interferon gene in CD4+ cells. Here, we examined the
mechanism(s) by which HIV-1 infection increases the cellular capacity
to methylate genes. While the RNAs and proteins of all
three DNMTs (1, 3a, and 3b) were detected in Hut 78 lymphoid cells,
only the expression of DNMT1 was significantly increased 3 to 5 days
postinfection. This increase was observed with either wild-type HIV-1
or an integrase (IN) mutant, which renders HIV replication defective,
due to the inability of the provirus to integrate into the host genome.
Unintegrated viral DNA is a common feature of many retroviral
infections and is thought to play a role in pathogenesis. These results
indicate another mechanism by which unintegrated viral DNA affects the
host. In addition to the increase in overall genomic methylation,
hypermethylation and reduced expression of the
p16INK4A gene, one of the most
commonly altered genes in human cancer, were seen in cells infected
with both wild-type and IN-defective HIV-1. Thus, infection of lymphoid
cells with integration-defective HIV-1 can increase the methylation of
CpG islands in the promoters of genes such as the
p16INK4A gene, silencing their
expression.
 |
INTRODUCTION |
One function widely ascribed to DNA
methylation is that of a genome defense mechanism against foreign
invaders. Retroviruses integrate randomly in the host genome,
where they are susceptible to silencing through methylation, which
depends on the local DNA environment (6, 26, 33, 87).
However, methylation of proviral DNA, which retains the ability to be
reactivated, leading to productive infection, allows the virus to
survive by escaping immune surveillance. DNA methylation is a major
modifier of the eukaryotic genome (8, 85). In mammals, DNA
methylation is essential for normal embryonic development, as it plays
an important role in the regulation of gene expression, X chromosome
inactivation, genomic imprinting, chromatin modification,
and silencing of endogenous retroviruses (2, 42, 58, 77).
Exactly how DNA methylation recognizes methylated and
nonmethylated sequences, transcriptionally represses genes,
and stably maintains these patterns during cell replication is not
clear. The packaging of the DNA template within chromatin largely
controls the transcriptional activity of a gene (85). In
1998, two groups (37, 57) showed that a methyl-binding protein (MeCP2) forms a complex with histone deacetylase
(HDAC) and a transcriptional repressor (Sin-3). This linked DNA
methylation with histone deacetylation, a universal mechanism for gene
silencing (34). To achieve stable repression, the
chromatin around the inactive gene becomes more densely
methylated and more condensed through histone
deacetylation, which can be involved in oncogenic transformation and
other pathogenic states (36).
Three enzymes responsible for DNA methylation, known as DNA
methyltransferases (DNMTs), have been identified. The carboxy-terminal domain of DNMT1 catalyzes the methylation of DNA containing
hemimethylated CpG dinucleotides more efficiently than that
of unmethylated DNA in vitro (6). DNMT1
is the enzyme mainly responsible for maintaining DNA methylation
patterns in adult mammalian tissues and also participates in de novo
methylation on C-type CpG islands in human carcinogenesis (4,
38). It has recently been shown that the noncatalytic N-terminal
domain of DNMT1 can act as a transcriptional repressor binding directly
to HDAC2 and a new corepressor, DMAP1, to form a complex at the
replication foci (73). DNMT1 also forms a complex with Rb,
E2F1, and HDAC1 to repress transcription of E2F-responsive promoters
(71), suggesting that DNMT1 has activities other
than the enzymatic function of a methyltransferase. Two other
forms of DNMTs have been isolated in mammals (62, 84). The
recently identified DNMT3a and DNMT3b are essential for de novo
methylation and for mouse development (64).
During retroviral infection, methylation is increased
throughout the viral genome, particularly the viral long
terminal repeats (LTR), suggesting that methylation can be a mechanism
of suppression of viral expression and latency for human
immunodeficiency virus type 1 (HIV-1) and human T-cell leukemia virus
type 1 (HTLV-1) (20, 39, 51, 74, 75). Previously,
we showed that acute infection of cells with HIV-1 results in an
increase in DNMT1 expression and activity, an overall increase in
methylated genomic DNA in infected cells, and the
de novo methylation of a single CpG dinucleotide in the gamma
interferon (IFN-
) gene promoter, which subsequently
down-regulated the expression of interferon (53).
However, little is known about the mechanism(s) of the methylation
changes seen after HIV-1 infection. As unintegrated circular retroviral
DNA has been implicated in the pathogenesis of several retroviral
infections, we asked whether replication of HIV-1 is necessary for the
increases in DNMT activity and the increased capacity of infected cells
to methylate genes de novo. Here, we report that
integration-defective HIV-1 could also induce increased DNMT1
expression and activity, resulting in hypermethylation and reduced
expression of the tumor suppressor gene
p16INK4A following acute HIV-1 infection
in lymphoid cell lines. This study further implicates aberrant
methylation as a mechanism of pathogenesis during HIV-1 infection and
suggests the methylation machinery as a novel target for AIDS therapy.
 |
MATERIALS AND METHODS |
Cell culture.
Hut 78, a mature CD4+
T-cell line derived from a T-cell lymphoma, was cultured at 37°C and
5% CO2, in RPMI 1640. Dulbecco's modified Eagle
Medium (DMEM) was used to culture 293 T cells. Media (Biowhittaker,
Walkersville, Md.) were supplemented with 10% heat-inactivated fetal
calf serum (HyClone, Logan, Utah), 300 µg of
L-glutamine/ml, 100 µg of penicillin/ml, and 100 µg of streptomycin/ml.
Plasmids and viral stocks.
All viral stocks were generated
by transient transfection of 293 T cells using a calcium phosphate
transfection system (Life Technologies, Inc., Gaithersburg, Md.). Cells
were plated in 100-mm tissue culture dishes 24 h before
transfection. Cells were refed fresh, complete DMEM 3 h before
transfection. The precipitate was kept on cells for 24 h prior to
replacement with fresh, complete medium and culture for an additional
24 h. Supernatants were filtered through a 0.45-µm-pore-size
filter, which collected all of the medium cell-free. The amount of
viral p24 antigen was determined using an enzyme-linked immunosorbent
assay kit (Cellular Products, Buffalo, N.Y.) with a sensitivity of 10 pg/ml. The strains used included WT NL4-3 (a full-length
molecular clone of HIV-1 [1]), D116N (containing
a mutation in the catalytic core domain; kindly provided by Alan
Engelmann, Dana-Farber Cancer Institute, Boston, Mass. [18,
19]), and a reverse transcription (RT)-negative mutant (kindly
provided by Robert Gorelick, AIDS Vaccine Program, SAIC
Frederick, Frederick, Md. [23]).
Infection of Hut 78 cells with HIV-1.
Hut 78 cells were
infected at a concentration of 107 cells in 1 ml
of total volume in a 50-ml conical centrifuge tube to which 10 to 30 ng
of p24 antigen from mutant or wild-type HIV-1 was added. After
incubation in a shaking water bath for 2 h at 37°C, cells were
washed twice, resuspended in 30 ml of RPMI complete medium in a T75
flask, and incubated at 37°C. At various times postinfection (p.i.),
DNA, RNA, and nuclear proteins were isolated. In some experiments, Hut
78 cells were pretreated overnight with the hypomethylating agent
5-azacytidine (5-AzaC) before infection. Cells (5 × 106) were seeded in a 100-mm dish 12 to 24 h
before treatment and were then exposed to 1 to 10 µM 5-AzaC or
5-deoxy-AzaC for 24 h. Control cultures (mock treated) were
treated with the same volume of phosphate-buffered saline (PBS).
Twenty-four hours after addition of 5-AzaC, the culture medium was
replaced with drug-free medium, and the cells were infected using D116N
or WT NL4-3.
Isolation and PCR analysis of HIV-1 DNA.
DNA was isolated
according to the Hirt method (30). Briefly, cells were
first washed in PBS without Ca2+ and
Mg2+ and then centrifuged at 750 × g; the pellet was resuspended in 470 µl of 10 mM EDTA, pH
7.5, and transferred to a 1.5-ml Eppendorf style centrifuge tube.
Thirty microliters of 10% (wt/vol) sodium dodecyl sulfate was added to
this pellet and mixed by gentle inversion of the tube to prevent
shearing of chromosomal DNA. Following a 20-min incubation at room
temperature, 125 µl of 5 M NaCl was added and mixed again by gentle
inversion. After incubation overnight at 4°C, the solution was
centrifuged at 17,000 × g for 30 min at 4°C. The
supernatant was phenol-chloroform extracted at least three times until
no interface was observed. The aqueous layer was precipitated in 70%
ethanol and resuspended in 25 to 50 µl of Tris-EDTA (pH 8.0). The
viral DNA synthesis status was analyzed by PCR using primers which
amplify sequences from the 2-long terminal repeat (2-LTR)-containing
circles formed in the nuclei of infected cells. The primer
sequences were 5'-GAG ATC CCT CAG ACC CTT TTA G-3' (sense)
and 5'-GTC AGT GGA TAT CTG ATC CCT G-3' (antisense). Reaction components were mixed at room temperature and heated to 94°C
prior to addition of Taq polymerase. We performed 34 cycles of denaturation at 94°C for 45 s, annealing at 60°C for
30 s, and polymerization at 72°C for 2 min, and 1 cycle
at 72°C for 5 min. We then electrophoresed 20 µl of each reaction
mixture in 2.0% agarose gels (Novex, San Diego, Calif.). Gels were
stained with 0.5 µg of ethidium bromide per ml to visualize the DNA.
The oligonucleotide primer pair M667 (sense)-AA55 (antisense) was used
to determine the 5' R-U5 region of the LTR in HIV-1 DNA
(88). The sequence of M667 was 5'-GGC TAA CTA GGG AAC
CCA CTG-3', and the sequence of AA55 was 5'-CTG CTA GAG ATT
TTC CAC ACT GAC-3'. The PCR program was 91°C for 1 min, 65°C
for 2 min, 72°C for 1 min, and one cycle at 72°C for 5 min.
Detection of intracellular HIV cores by flow
cytometry
Cells were cultured at
106/ml for 6 h in 10 µg of brefeldin A (Sigma, St.
Louis, Mo.)/ml. After three washes in PBS, the cells were resuspended
in 1 ml of freshly prepared 2% paraformaldehyde in PBS (pH 7.2)
and incubated for 2 h at 4°C. The cells were then washed three
times in PBS, resuspended in 1 ml of PBS containing 0.1%
saponin (Sigma), and incubated for 10 to 30 min at 4°C for efficient
permeabilization, which was tested using an anti-actin antibody
(Sigma). A phycoerythrin-labeled anti-HIV core antibody (KC-57;
Beckman-Coulter, Brea, Calif.) was added, and the cells were incubated
for 45 min at 4°C in the dark. After being washed, the cells were
left undisturbed for 10 min, resuspended, and immediately analyzed by
flow cytometry using a FASCAN (Becton Dickinson, Mountain View,
Calif.). Data were analyzed using Flow Jo software (Tri Star, Inc., San
Carlos, Calif.).
RT-PCR for DNMTs.
Total cellular RNA from Hut 78 cells
infected with HIV-1 or mock infected was extracted and purified with
TRIzol Reagent (Life Technologies). RNA was resuspended in diethyl
pyrocarbonate-treated water and quantitated by the optical density at
260 or 280 nm. An agarose gel using ethidium staining also verified the
quantitation. The samples were treated with DNase I (Roche,
Indianapolis, Ind.). RT reactions using 2.5 µg of total RNA in a
total reaction volume of 20 µl were performed using Superscript II
reverse transcriptase (Life Technologies). PCR mixtures containing 2.5 mM MgCl2, 0.2 mM each deoxynucleoside triphosphate
(Boehringer Mannheim), 1 µM each primer, 2 µl of cDNA from the RT
reaction, and 2.5 U of Taq DNA polymerase (Sigma) in a
volume of 50 µl were amplified using the following PCR conditions
taken from the work of Robertson et al. (DNMT3a and
-actin)
(69) and Mizuno et al. (DNMT1 and DNMT3b)
(54). For DNMT3a and
-actin, 35 and 25 cycles,
respectively, of 94°C for 2 min, 94°C for 0.5 min, the
transcript-specific annealing temperature (65°C for DNMT3a and 60°C
for
-actin) for 1 min, and 72°C for 1 min (with one 322-bp
fragment of
-actin cDNA used as a control) were carried out. For
DNMT1 and DNMT3b, the PCR programs were 94°C for 30 s, 55°C
for 30 s, and 72°C for 1 min. Primer sequences (Life
Technologies) used were as follows: for DNMT1 (GenBank accession number
XM017218), 5'-ACC GCT TCT ACT TCC TCG AGG CCT A-3' (sense)
and 5'-CCA CAG TGT TCA CAG AGG ACT GCA AC-3' (antisense);
for DNMT3a (GenBank accession number NM022552), 5'-GGG GAC GTC CGC
AGC GTC ACA C-3' (sense) and 5'-CAG GGT TGG ACT CGA
GAA ATC GC-3' (antisense); for DNMT3b (GenBank accession number XM009449), 5'-AAT GTG AAT CCA GCC AGG AAA GGC-3'
(sense) and 5'-ACT GGA TTA CAC TCC AGG AAC CGT-3'
(antisense); and for
-actin (GenBank accession number
XM004814), 5'-GGA GTC CTG TGG CAT CCA CG-3' (sense) and
5'-CTA GAA GCA TTT GCG GTG GA-3' (antisense). The density of
each band obtained by RT-PCR in each lane was normalized to the amount
of total RNA as determined by the density of the band obtained by
RT-PCR for
-actin; i.e., if the
-actin control value was
30,000 U (pixels of brightness), then the calculation used to normalize
DNMTs to
-actin can be expressed as [30,000/(density of
-actin)] × (density of DNMTs). The RT-PCR analysis was done at
least three times.
Product analysis using real-time PCR.
Quantitative RT-PCR
(QRT-PCR) was performed on a Light Cycler (Roche Molecular Systems) by
using syber green, which fluoresces upon binding to
double-stranded DNA, according to the manufacturer's instructions, and
results were normalized to the
-actin control as described
above. To discriminate between specific products and nonspecific
products such as primer dimers, DNA melting curves were generated
(68). Fluorescence data were converted to melting peaks
using Roche data analysis software, then plotted as the negative
derivative of fluorescence with respect to temperature (
dF/dT versus T, where F
is fluorescence and T is temperature). The area of the
specific melting peak is directly proportional to the amount of
intended product (65, 68). The area under the melting peak
was determined using Gaussian Fit software (Roche Molecular Systems).
DNMT protein expression using Western blot analysis.
To
examine DNMT protein levels following acute HIV-1 infection, Western
blotting was carried out. Nuclear extracts were prepared from both
infected and uninfected Hut 78 cells by washing cells with PBS and
lysing in buffer A (10 mM HEPES [pH 7.4], 10 mM KCl, 1.5 mM
MgCl2, 0.5 mM dithiothreitol [DTT], 0.2 mM
phenylmethylsulfonyl fluoride [PMSF], 1 µg of protease
inhibitors/ml, 0.025% NP-40) for 15 min with rotation at 4°C. The
nuclear pellet was resuspended in buffer B (20 mM HEPES [pH 7.4], 420 mM NaCl, 1.5 mM MgCl2, 0.2 mM EDTA, 25%
glycerol, 0.5 mM DTT, 0.2 mM PMSF, 1 µg of protease inhibitors/ml)
for 30 min. The soluble nuclear protein was collected by
centrifugation. A 200-µg portion of each nuclear extract was boiled
in loading buffer for 5 min and then loaded onto a sodium dodecyl
sulfate-14% polyacryamide gel. After electrophoresis, proteins
were electroeluted onto a polyvinylidene difluoride membrane. A rabbit
polyclonal antibody against DNMT1 (diluted 1:500) was purchased from
New England Biolabs (Newton, Mass.). The rabbit polyclonal antibody
against DNMT3a was a gift from Keith Robertson (National Cancer
Institute [NCI], Bethesda, Md.). A mouse monoclonal antibody against
DNMT3b (diluted 1:200) was obtained from Alexis Biochemicals (San
Diego, Calif.). An antibody against
-actin (Sigma) was used as a
control for protein input.
Genomic DNA methylation analysis.
A modified
methyl-accepting assay (86) was used to determine the
methylation status of DNA isolated from infected and uninfected Hut 78 cells. DNA (200 ng) was incubated with 4 U of SssI
CpG methylase (New England Biolabs) in the presence of 1.5 µM
S-adenosyl-L-[methyl-3H]methionine
(60 to 85 Ci/mmol; TRK 581; Amersham) and 1.5 µM nonradioactive
S-adenosylmethionine (SAM) (New England Biolabs). The
reaction mixtures (20 µl) were incubated at 37°C for 4 h in a
buffer containing 10 mM Tris-HCl (pH 7.9), 50 mM NaCl, 10 mM MgCl2, and 1 mM DTT. The reactions were stopped
by addition of 5 µl of 2.5 mM nonradioactive SAM, and reaction
products were spotted on 2.4-cm2 Whatman
GF/C filter disks, which were air dried for 15 min and washed
with 6 ml of 5% (wt/vol) trichloroacetic acid and 70% (vol/vol) ethanol. Disks were counted in Econofluor in a Beckman liquid scintillation counter. Control reactions without DNA or enzyme added
were included as background, and these results never exceeded 5% of
those in the test samples. All samples were done in triplicate, and
values were obtained as disintegrations per minute per nanogram of DNA.
Methylation-specific PCR (MSP-PCR) for
p16INK4A.
We used the bisulfite
treatment method of Clark et al. (15) with some
modifications as follows. Two micrograms of total genomic DNA
(from at least two independent infections corresponding to RT-PCR
experiments) was isolated with the QIAamp DNA Blood Mini Kit (Qiagen
Inc.) and then denatured with NaOH and modified with a freshly
prepared sodium bisulfite solution (2.35 M) containing hydroquinone (0.04 M). The bisulfite-treated DNA was desalted using the
Wizard DNA Clean Up kit (Promega). To amplify the
p16INK4A promoter, we used a 0.1-µg
aliquot of the converted DNA. Methylation of the 5' CpG island in the
p16INK4A gene was also determined in
samples from Hut 78 cells infected with wild-type or mutant HIV-1, as
well as those treated with 5-AzaC. Bisulfite-treated DNA was amplified
by PCR using primers specific (GenBank accession number X94154) for the
methylated (sense, 5'-TTA TTA GAG GGT GGG GCG GAT
CGC-3'; antisense, 5'-GAC CCC GAA CCG CGA CCG TAA-3')
or unmethylated (sense, 5'-TTA TTA GAG GGT GGG GTG GAT
TGT-3'; antisense, 5'-CAA CCC CAA ACC ACA ACC ATA A-3'
[28, 29]) CpG island. The thermocycler
program was 95°C for 5 min, 5 cycles of 95°C for 1 min, 65°C
(methylated) or 60°C (unmethylated) for 2 min, and 72°C for 3 min, and then 35 cycles of 95°C for 30 s,
65 or 60°C for 30 s, and 72°C for 30 s in a 50-µl
volume containing 100 ng of bisulfite-treated DNA, 0.1 mM
deoxynucleoside triphosphates, 2.0 mM MgCl2, and
0.5 µM primers. The PCR product was directly loaded onto 3% agarose gels and electrophoresed. The gel was stained with ethidium bromide and
directly visualized under UV illumination. Oligonucleotide primers for
a stretch of the MYOD1 gene completely devoid of CpG dinucleotides were
used for a control reaction for equal loading and amplification of
bisulfite-treated DNA (17). The sense primer was
5'-CCA ACT CCA AAT CCC CTC TCT AT-3', and the antisense
primer was 5'-TGA TTA ATT TAG ATT GGG TTT AGA GAA GGA-3'.
The PCR program for MYOD1 was 30 s at 94 °C, 1 min at 55°C,
and 72°C for 1 min. Futhermore, wild-type
p16INK4A primers were used to ensure that
complete conversion of DNA was obtained in the bisulfite reaction. A
positive control for complete methylation was also amplified. In this
control, DNA isolated from Hut 78 cells was treated with
SssI methylase (New England Biolabs) prior to bisulfite
treatment. This enzyme methylates all CpG dinucleotides.
RT-PCR of p16INK4A.
mRNA
expression of the p16INK4A gene was
determined by RT-PCR of RNA (using the same samples with which the
RT-PCR analysis of DNMTs was done) from Hut 78 cells infected with
D116N or WT NL4-3 with or without 5-AzaC treatment. The sequences
(56) of the primers (GenBank accession number L27211) used
were 5'-CCC GCT TTC GTA GTT TTC AT-3' (sense) and
5'-TTA TTT GAG CTT TGG TTC TG-3' (antisense). In PCRs, the
concentration of each primer was 0.5 µM in 50 µl. PCR amplification
was run for 35 cycles, with each amplification cycle consisting of
94°C for 1 min, 58°C for 1 min, and 72°C for 1 min. The
size of the PCR product was 355 bp. The primer sequence and PCR program
for
-actin cDNA amplification were as described for the DNMT RT-PCR.
The PCR product was visualized on 2% agarose gels.
 |
RESULTS |
Increased expression of DNMT1 in lymphoid cells infected with
integration-defective HIV-1.
We previously reported that acute HIV
infection of primary T cells and lymphoid cell lines results in
up-regulation of the expression and activity of DNMT1 and that,
consequently, infected cells have an increased capacity to
methylate genes (53). In considering
mechanisms for this increased DNMT1 expression, the presence of large
amounts of unintegrated viral DNA during HIV infection (5, 50,
78) suggested that viral integration was not needed. Therefore,
DNMT expression was examined in lymphoid cells at various time points
following acute infection with the wild type HIV-1 strain NL4-3
(1), a mutant incapable of integration (D116N [18,
19]), and a mutant incapable of RT (RT negative [23,
24]). Since these mutant proviral clones produced virus particles at lower levels than the wild type when transfected into 293 T cells, in our studies, infections were normalized to the p24 core
antigen (CA) content of the virus stock and carried out at a
multiplicity of infection which would limit the spread of the wild-type
virus. The presence of unintegrated 2-LTR circles demonstrates the
nuclear presence of viral intermediates. D116N and WT NL4-3 showed
similar levels of 2-LTR circles, while the RT-negative mutant showed no
2-LTR circle formation (Fig. 1). To
compare the number of proviral DNA molecules in infected-cell populations, we performed PCR with primers specific for HIV-1 LTR. To
estimate viral DNA amounts in this assay, we used DNA isolated from the
ACH2 cell line as the positive control (Fig. 2, lane 5). This cell line contains 1 to
2 copies per cell. Similar levels of viral DNA were seen for the D116N
and WT NL4-3 viruses, while the RT-negative mutant was essentially
negative for viral DNA formation (Fig. 2).
-Actin was used to ensure
equal loading. Despite the fact that the D116N mutant completely
abolished detectable integrase (IN) activity (reference
18; also data not shown), unintegrated D116N DNA scored
30% positive in MAGI infectivity assays. The lack of
integration is further supported by the absence of viral production as
determined by cocultivation in Hut 78 cells (data not shown).
Furthermore, we examined viral production at the single-cell level. In
cultures infected with WT NL4-3, 43 to 52% of the cells had
detectable intracellular HIV cores by day 5, while in cultures infected
with D116N, no positive cells could be detected.

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FIG. 1.
2-LTR circle formation in Hut 78 cells following HIV
infection. Lane M, 100-bp DNA ladder; lane 1, uninfected cells; lanes 2 through 4, cells infected with the IN-negative mutant D116N, the
RT-negative mutant, and WT NL4-3, respectively; lane 5, a positive
control from plasmid pBR 541-14. Virus DNA was extracted 24 h
p.i. by the Hirt method.
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FIG. 2.
Presence of the R/U5 region of HIV-1 LTR DNA in Hut 78 cells infected with HIV-1. Genomic DNA was extracted from Hut 78 cells
at day 3 p.i. (Top) HIV-1 LTR (140 bp). Lane 1, negative control;
lane 2, uninfected cells; lanes 3 through 5, cells infected with D116N,
the RT-negative mutant, and WT NL4-3, respectively; lane 6, positive-control DNA from ACH2 cells. (Bottom) -Actin.
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|
Next, the expression of DNMT1 and the recently discovered DNMT3a and
DNMT3b (
63) was examined in the human T-cell line Hut
78 at various time points following infection with wild-type and
mutant
viruses using RT-PCR, QRT-PCR, and Western analysis. Both
cells
infected with WT NL43 and cells infected with D116N showed
increased
levels of DNMT1 RNA (Fig.
3A), while
DNMT3a and -3b
showed little or no significant increase in expression
in infected
cells. The increased expression of DNMT1 was also observed
at
the protein level, as Western analysis showed increased DNMT1
protein levels in infected cells. (Fig.
3B, lanes 2 and 4). Western
blotting for

-actin demonstrates that equivalent amounts of nuclear
extracts were used in this experiment. Consistent with the RT-PCR
results, no significant difference between DNMT3a and DNMT3b protein
levels was seen after HIV-1 infection (data not shown).

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FIG. 3.
Expression of DNMTs in Hut 78 cells following HIV
infection. (A) The DNMT1 transcription level is up-regulated. RT-PCR
analysis was performed as described in Materials and Methods. The sizes
for DNMT1, DNMT3a, and DNMT3b are 335, 280, and 191 bp, respectively.
Lanes 1 to 4 show results from day 3 p.i., and lanes 5 to 8 show
results from day 5 p.i. Lanes 1 and 5, uninfected cells; lanes 2 and 6, D116N-infected cells; lanes 3 and 7, RT-negative mutant-infected
cells; lanes 4 and 8, WT NL4-3-infected cells. All samples were
normalized to -actin as described in Materials and Methods. (B)
DNMT1 protein is induced by HIV-1 infection on Hut 78 cells. Western
blot analysis was carried out using an antibody against DNMT1 (diluted
1:200) and a 1:5,000-diluted, peroxidase-conjugated secondary
antibody (anti-rabbit). Protein was isolated from Hut 78 cells on day
3 p.i. Lane 1, uninfected cells; lanes 2 through 4, cells infected
with D116N, the RT-negative mutant, and WT NL4-3, respectively.
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|
QRT-PCR has the advantage that PCR amplification and product analysis
can occur simultaneously, conferring a higher level
of specificity
on quantitation. To discriminate between specific
products and
nonspecific products such as primer dimers, DNA melting
curves were
generated. Fluorescence data were converted to melting
peaks using the
manufacturer's software, then plotted as the negative
derivative of
fluorescence with respect to temperature (
dF/
dT versus
T) (
65,
68). The area of the specific
melting peak
is directly proportional to the amount of specific product
(Table
1). Using QRT-PCR to quantify the
changes in DNMT expression
that we observed by semiquantitative RT-PCR
and Western analysis,
we showed that by day 5 p.i., the amounts of

-actin RNA present
were remarkably similar in control and
virus-infected cultures.
Both DNMT3a (Table
1) and DNMT3b (data not
shown) had less RNA
in infected than in control cultures. In contrast,
by day 5, DNMT1
RNA amounts were 22% greater in D116N-infected
cultures and 44%
greater in WT NL4-3-infected cultures (Table
1).
Increased overall genomic methylation in lymphoid cells
acutely infected with integration-defective HIV-1.
To determine
the functional consequences of increased DNMT1 expression in the
lymphoid cell line, we examined the overall methylation status of
genomic DNA using a methyl acceptor assay as described in
Materials and Methods. The assay takes advantage of the ability of
bacterial SssI methylase to methylate all
unmethylated CpG dinucleotides. By using radiolabeled SAM
as a substrate, a quantitative measure of overall genomic
methylation was obtained. If the DNA is more methylated in
infected cell lines, then less SAM will be incorporated. Data were
expressed relative to SAM uptake in uninfected Hut 78 cells. As shown
in Table 2, the uptake of radiolabeled
SAM in WT NL-43-infected cells was 55% of that for the control at day
3 and 80% at day 7, demonstrating significantly more methylation of
CpG dinucleotides in the genomic DNA of infected cells than in
that of uninfected cells. Viral infection of Hut 78 cells with the
D116N mutant showed smaller but still significant increases in overall
genomic methylation (20 to 25% [Table 2]), while infection
with the RT-negative virus showed no significant change. These results
correlated with the increases seen in DNMT expression. Since knowledge
of the genes that either are regulated by methylation or contain CpG
islands in their promoters has been steadily increasing, particularly
with sequencing of the human genome and array technology using
CpG islands (32), it seems likely that numerous genes that
have altered methylation status following HIV-1 infection will be
identified.
Increased methylation in the
p16INK4A promoter in lymphoid cell
lines acutely infected with HIV-1 and mutant viruses.
The
cyclin-dependent kinase inhibitor p16 normally inhibits the
phosphorylation of RB by cyclin D and cyclin-dependent kinases 4 and 6. This gene is frequently altered in neoplasia, including hematological
malignancies, which often result from homozygous deletion or promoter
region hypermethylation (29). Since hypermethylation of
p16INK4A has recently been demonstrated in
HTLV-1-infected cell lines (79) and since
p16INK4A is frequently
methylated in non-Hodgkin's lymphoma (29),
commonly seen in AIDS patients, we examined the methylation status of
p16INK4A following acute infection with
wild-type HIV-1 and mutant viruses using MSP-PCR (28).
Bisulfite treatment converts the cytosine residues in the
genomic DNA to uracil, which are amplified as thymine during
subsequent PCR.
As shown in Fig.
4, Hut 78 cells showed
positive 150- and 151-bp bands for methylated and
unmethylated specific primer sets
for
p16INK4A, respectively, indicating that
the
p16INK4A gene is partially
methylated in this cell line. The methylated
bands for the
p16INK4A gene in D116N- and
WT NL4-3-infected Hut 78 cells were consistently
stronger than the
products of uninfected Hut 78 cells or of Hut
78 cells infected with
RT-negative mutant virus (Fig.
4 and Table
3). As a control for equal loading, a
sequence from the MYOD1
gene lacking methylatable CpG dinucleotides
(
17) was used for
normalization instead of

-actin as
described in Materials and
Methods. Thus, unmethylated
product levels were significantly
lower, and methylated
product levels were correspondingly higher,
in HIV-infected cells.
Further, bisulfite genomic sequencing of
eight CpG islands in
the
p16INK4A gene promoter revealed 80 to
90% methylation in Hut 78 cells
infected with WT NL4-3 or D116N.
Partial (30 to 40%) but not complete
methylation of the
p16INK4A gene promoter was detected in
uninfected Hut 78 cells and those
infected with the RT-negative mutant
(data not shown).

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[in a new window]
|
FIG. 4.
Methylation status of the
p16INK4A gene promoter in Hut 78 cells
following HIV infection. Lanes 1 to 4, uninfected cells and cells
infected with D116N, the RT-negative mutant, and WT NL4-3,
respectively, shown at day 3; lanes 5 to 8, uninfected cells and cells
infected with D116N, the RT-negative mutant, and WT NL4-3,
respectively, shown at day 5; lanes 9 to 11, 5-AzaC-treated Hut 78 cells that were uninfected or infected with D116N or WT NL4-3,
respectively, shown at day 3; lanes 12 to 14, 5-AzaC-treated Hut 78 cells that were uninfected or infected with D116N or WT NL4-3,
respectively, shown at day 5. Hut 78 cells were first treated with 1 µM 5-AzaC for 24 h and then infected with D116N or WT
NL4-3. Lane 15, DNA that was completely methylated using
SssI methylase, as a control for methylation level. Lane
16, unmodified DNA and wild-type primers as a positive control for
bisulfite DNA treatment. MSP-PCR was performed with the specific
primers described in Materials and Methods.
|
|
These results suggest that the
p16INK4A gene is a target of the increased
DNMT activity in HIV-1-infected Hut 78 cells. To further
examine this,
we decreased methylation of the
p16INK4A
gene using 5-AzaC. Three days after treatment of uninfected Hut
78 cells with 1 µM 5-AzaC, MSP-PCR revealed a significant increase
in
the amount of unmethylated product (Fig.
4, lane 9), while
a significantly more intense methylated 150-bp band was
seen for
DNA treated with 5-AzaC and infected with either D116N or WT
NL4-3
(Fig.
4, lanes 10 and 11). By day 5, there was partial
remethylation
of this gene (Fig.
4, lane 12) that was markedly
accelerated by
HIV-1 infection (Fig.
4, lanes 13 and
14).
Decreased expression of the
p16INK4A gene in lymphoid cells
acutely infected with integration-defective HIV-1.
To correlate
increased methylation of the p16INK4A gene
promoter with expression of the gene, we examined the expression
of p16INK4A RNA in Hut 78 cells, using
semiquantitative RT-PCR (Fig. 5; Table 4). Decreased levels of
p16INK4A expression were seen in Hut 78 cells infected with D116N or WT NL4-3 (Fig. 5, lanes 2 and 4; Table 4)
but not in cells infected with the RT-negative mutant (Fig. 5, lane 3;
Table 4). Hut 78 cells treated with 5-AzaC had a four- to fivefold
increase in p16INK4A expression (Fig. 5,
lanes 9 and 12; Table 4). Furthermore, infection of Hut 78 cells
previously treated with 5-AzaC for 24 h, using either D116N or WT
NL4-3, markedly decreased expression (50 and 90%, respectively) at 5 days p.i. (Fig. 5, lanes 12 to 14; Table 4). In addition, we found that
p16INK4A mRNA levels were decreased in Hut
78 cells chronically infected with HIV-1 strain 3B, and
hypermethylation in the p16INK4A promoter
was present (data not shown). These data suggest that methylation of
the p16INK4A gene is one of the mechanisms
for silencing of p16INK4A expression in
Hut 78 cells and that HIV-1 infection can modulate the methylation
status of the CpG island in the promoter of
p16INK4A, leading to decreased
transcription.

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[in a new window]
|
FIG. 5.
Expression of p16INK4A
mRNA in Hut 78 cells following HIV infection. RT-PCR was performed as
described in Materials and Methods. Lanes 1 to 4, uninfected cells and
cells infected with D116N, the RT-negative mutant, and WT NL4-3,
respectively, shown at day 3 p.i.; lanes 5 to 8, uninfected cells
and cells infected with D116N, the RT-negative mutant, and WT NL4-3,
respectively, shown at day 5 p.i.; lanes 9 to 11, Hut 78 cells
treated with 5-AzaC and either left uninfected or infected with D116N
or WT NL4-3, respectively, shown at day 3 p.i.; lanes 12 to 14, Hut 78 cells treated with 5-AzaC and either left uninfected or infected
with D116N or WT NL4-3, respectively, shown at day 5 p.i.
-Actin was used as a loading and amplification control.
|
|
 |
DISCUSSION |
Insertion of foreign invaders into the eukaryotic genome can occur
naturally, e.g., during viral infections or under experimental conditions such as microinjection or transfection of DNA for
immunization purposes. It has long been suggested that de novo
methylation is one mechanism by which the cell or genome is protected
from expression of foreign DNA such as viruses (7, 33).
Retroviruses, which are essentially movable genetic elements, integrate
randomly in the host genome and, depending on the local DNA
environment, are susceptible to DNA methylation. A relationship among
DNA methylation, retroviral replication, and pathophysiology was first
shown for murine leukemia virus (MuLV) (26). The MuLV LTRs
became hypermethylated, silencing viral expression that
could be reactivated to produce active virus by several means.
Methylation has been shown to be a mechanism of suppression of viral
expression and latency for both disease-causing human retroviruses,
HIV-1 and HTLV-1 (52, 53, 74, 75). The ability of the
provirus to become latent through methylation and escape the
immune response is a two-edged sword for the host that is
clinically relevant to human disease and therapy, e.g., HIV
latency after highly active antiretroviral therapy (14,
20). It is possible that primary retroviral virulence (direct
viral replicative pathogenesis) is inversely related to the number of
proviral CpG dinucleotides available for nuclear methylation and
silencing by the vertebrate host. If true, the most
pathogenic retroviruses would be those with the lowest frequency of CpGs (39). Interestingly, as in the human genome, CpG
dinucleotides are underrepresented in retroviral genomes. To
counteract the host defense system of methylation and silencing,
HIV-1 evolved or is evolving to decrease the number of methylatable
CpGs in its genome, thereby escaping the host's capacity to
inactivate viral DNA through methylation. The methylatable-CpG
content in the HIV-1 genome is lower than that
encountered in the many viruses elsewhere in the animal kingdom
(61).
In addition to de novo methylation of foreign viral DNA, the
methylation patterns of cellular genes and DNA structures can be
profoundly altered (27, 65) by viral infection. These
virus-induced changes are likely a reflection of more general
alterations in chromatin structure. Compelling evidence for the role of
methylation in chromatin structure and vice versa has been published
(42, 48, 67). Exactly how DNA methylation silences gene
expression has been further elucidated by the observation that methyl
binding proteins form complexes with other proteins, such as HDAC, that affect chromatin structure and gene regulation, and complexes such as
Sin-3, which are transcriptional repressors (37, 57, 58, 82,
83). There seem to be several levels of stable gene silencing.
The chromatin of an inactive gene can be densely methylated by de novo methylation, and additional chromatin condensation can occur
through histone deacetylation (46).
Previous studies from our laboratory showed that acute infection of
cells with HIV-1 results in increased DNMT1 expression and activity, an
overall increase in methylation DNA in infected cells, and de novo
methylation of a CpG dinucleotide in the IFN-
gene promoter,
resulting in the subsequent down-regulation of expression of this
cytokine (53). However, little is known about the
mechanism(s) of increased methylation and DNMT1 activity during HIV
infection. DNMT1 is the chief enzyme responsible for maintaining methylation patterns in adult mammalian cells. Disruption of the Dnmt1 gene results in embryonic lethality (45).
DNMT1 is a large enzyme (193.5 kDa) composed of a C-terminal catalytic
domain, which transfers methyl groups from SAM to cytosines in CpG
nucleotides, and a large N-terminal regulatory domain with several
functions, including targeting to replication foci (13,
44). Forced overexpression of DNMT1 or cleavage between the
N-terminal regulatory domain and the C-terminal catalytic domain has
been shown to result in increased de novo methylation activity
(6, 80) and cellular transformation (86).
Other forms of DNMTs have been isolated in mammals (62,
84), and two recently identified DNA methyltransferases, DNMT3a
and DNMT3b, are thought to be essential for de novo methylation (31, 64, 69). Moreover, it has recently been shown that in
addition to its capacity to methylate CpG sites, DNMT1 can play
other roles in transcriptional regulation. DNMT1 can bind HDAC2 and
novel corepressors to form a complex at replication foci
(73). DNMT1 also forms a complex with Rb, E2F1, and HDAC1, repressing transcription from E2F-responsive promoters
(71).
Is HIV-1 replication necessary for increases in DNMTs and
genomic methylation? The integration process is the keystone of retroviral replication. Once integrated into the chromosome, the provirus will remain stable throughout the life span of the target cell
(12). Integration of retroviral DNA into the host cell genome is required for virus replication and is mediated by viral IN
(11). IN function is essential for HIV-1 replication in
T-cell lines (9, 43, 76). Mutational analyses of HIV-1 IN
indicate that the protein consists of three functional domains: the
N-terminal, core (catalytic domain), and C-terminal domains (18,
19). A mutation in the catalytic domain (present in the D116N
mutant used in this study) completely abolishes 3' processing, DNA
strand transfer, and disintegration in vitro (18).
Although the D116N mutant shows a significant titer in a
CD4+ indicator cell assay, it is clearly
integration and replication defective (19). As reported
for other tissues (69), DNMT1 was expressed at the highest
level of the three DNMTs in lymphoid cells. QRT-PCR and Western
analysis also showed that acute infection of Hut 78 cells with
wild-type or integration-negative HIV-1 markedly up-regulates DNMT1
mRNA and protein expression, respectively. The RT-negative mutant
showed no significant ability to regulate DNMT1 expression and no
detectable effect on methylation. In contrast to DNMT1, DNMT3a and -3b
showed no significant increase in expression following acute HIV-1 infection.
In addition to our previous demonstration that HIV infection can result
in the aberrant methylation of single CpG dinucleotides in the
IFN-
promoter (53), we show here that genes which have CpG-rich regions of 1 kb of DNA, termed "CpG islands," and are usually hypomethylated can be aberrantly
methylated in HIV-1-infected cells. In malignant cells,
these CpG island regions become methylated and expression
of the associated gene is silenced (16, 35). The
p16INK4A gene, which encodes a specific
inhibitor of cyclin-dependent kinases 4 and 6, is located at the 9p2/1
chromosomal region. Loss of p16INK4A gene
expression is a frequent molecular alteration involved in tumorigenesis. Recently, changes of expression and methylation status
of the p16INK4A gene have been
demonstrated in tumor cell lines and a variety of cancers
(3, 21, 22, 25, 40, 49, 54, 60, 81). The hypothesis that
expression of the p16INK4A gene may be
regulated in part by changes in the methylation status of this
CpG island has been substantiated in several tumor models (21,
47, 59). Partial or complete promoter methylation rather than
deletion of the p16INK4A gene has been
observed in some HTLV-1-infected T-cell lines (79) and
here in Hut 78 cells. However, by using completely
methylated and unmethylated controls,
increased methylation of the p16INK4A gene
in HIV-1-infected cells was shown. The
p16INK4A gene is frequently
methylated in non-Hodgkin's leukemia, a malignancy common
in AIDS patients (29), suggesting that HIV-induced
aberrant methylation could play a role in disease development.
What is the mechanism of increased DNMT1 expression and
hypermethylation which results from infection with
integration-defective HIV-1? Infection with the HIV-1
mutant D116N results in accumulation of unintegrated 2-LTR
circles in the nucleus, a sensitive indicator of a recent
infection. In contrast to wild-type HIV-1, infection with D116N
resulted in more 2-LTR circle formation in Hut 78 cells, as previously
reported (18, 19). This increased DNMT1 expression is not
caused by the mere presence of foreign DNA (RT-negative HIV had no
effect). Unintegrated DNA can serve as a template for HIV tat
expression (18, 19), a transactivator of many genes, which
could stimulate DNMT1 expression in trans. Moreover, it has
been shown that 2-LTR circles produce large amounts of tat, which
stimulates the
-galactosidase readout in the MAGI assay and
leads to p24 production (10). On the other hand, since the N terminus of DNMT1 has recently been shown to form complexes with
HDAC, transcription factors, and corepressors to silence transcription
of specific genes (70, 71, 73), the effect of HIV-1 on
DNMT1 may be due to an as yet unknown effect of viral proteins on a
non-DNA methyltransferase function of DNMT1. For example viral
proteins, such as tat, could interrupt the normal complex formation. We
are currently studying this and other hypotheses to determine how HIV
infection might alter these DNMT1 functions.
As nonintegrated circular DNA has long been implicated in the
pathogenesis of retroviral infections, the ability to aberrantly methylate genes and/or alter chromatin structure could play a role in such pathogenesis. Examples of such pathogenesis are the association of cell killing with nonintegrated spleen necrosis virus
(41), disease-specific production of unintegrated
feline leukemia virus DNA in feline AIDS (55), and
avian leukosis-virus induced-osteoporosis (72). In AIDS,
circular forms of unintegrated HIV have been associated with
dementia and giant cell formation (78) and may play a role
in neuropathogenesis. Although unintegrated viral DNA has been linked
to cell killing during HIV infection, it is not always associated with
cytopathology (5, 50). Regardless of the mechanism, this
study shows that integration-defective HIV-1 can alter the DNA
methylation patterns of infected cells, further implicating aberrant
methylation as a mechanism of pathogenesis in AIDS and AIDS-associated
malignancies and suggesting that the methylation machinery can be a
novel target for AIDS therapy.
 |
ACKNOWLEDGMENTS |
J.-Y.F. and J.A.M. contributed equally to this report.
We thank Weimin Zhu, Paula Roberts, Angela Brennan, and
Dorjbal Dorjsuren for technical assistance. We also thank
Robert Gorelick for providing HIV-1 wild-type and RT mutant plasmids
and for useful discussions and Howard Young for review of the manuscript.
The NIH Intramural AIDS Targeted Antiviral Program provided support for
this study. Portions of this work were also supported by funds from the
NCI under contract NO1-CO-56000.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Basic Research
Laboratory, Bldg. 567, Rm. 253, National Cancer Institute at Frederick, Frederick, MD 21702-1201. Phone: (301) 846-5610. Fax: (301) 846-7034. E-mail: ruscettif{at}mail.ncifcrf.gov.
Present address: EpiGenX Pharmaceuticals, Santa Barbara, Calif.
 |
REFERENCES |
| 1.
|
Adachi, A.,
H. Gendelman,
S. Koenig,
T. Folks,
R. Willey,
A. Rabson, and M. Martin.
1986.
Production of acquired immunodeficiency syndrome-associated retrovirus in human and nonhuman cells transfected with an infectious molecular clone.
J. Virol.
59:284-291[Abstract/Free Full Text].
|
| 2.
|
Bartolomei, M. S., and S. M. Tilghman.
1997.
Genomic imprinting in mammals.
Annu. Rev. Genet.
31:493-525[CrossRef][Medline].
|
| 3.
|
Baur, A.,
P. Shaw,
N. Burri,
F. Delacretaz,
F. Bosman, and P. Chaubert.
1999.
Frequent methylation silencing of p15INK4B (MTS2) and p16INK4A (MTS1) in B-cell and T-cell lymphomas.
Blood
94:1773-1781[Abstract/Free Full Text].
|
| 4.
|
Baylin, S.
1997.
Tying it all together: epigenetics, genetics, cell cycle, and cancer.
Science
277:1948-1949[Free Full Text].
|
| 5.
|
Bergeron, L., and J. Sodroski.
1992.
Dissociation of unintegrated viral DNA accumulation from single-cell lysis induced by human immunodeficiency virus type 1.
J. Virol.
66:5777-5787[Abstract/Free Full Text].
|
| 6.
|
Bestor, T.
1992.
Activation of mammalian DNA methyltransferase by cleavage of a Zn binding regulatory domain.
EMBO J.
11:2611-2617[Medline].
|
| 7.
|
Bestor, T., and B. Tycko.
1996.
Creation of genomic methylation patterns.
Nat. Genet.
12:363-367[CrossRef][Medline].
|
| 8.
|
Bird, A.
1999.
DNA methylation de novo.
Science
286:2287-2288[Free Full Text].
|
| 9.
|
Cannon, P.,
W. Wilson,
E. Byles,
S. Kingsman, and A. Kingsman.
1994.
Human immunodeficiency virus type 1 integrase: effect on viral replication of mutations at highly conserved residues.
J. Virol.
68:4768-4775[Abstract/Free Full Text].
|
| 10.
|
Cara, A.,
A. Cereseto,
F. Lori, and M. S. Reitz, Jr.
1996.
HIV-1 protein expression from synthetic circles of DNA mimicking the extrachromosomal forms of viral DNA.
J. Biol. Chem.
27:5393-5397.
|
| 11.
|
Chen, J. C.,
J. Krucinski,
L. J. Miercke,
J. Finer-Moore,
A. Tang,
A. Leavitt, and R. Stroud.
2000.
Crystal structure of the HIV-1 integrase catalytic core and C-terminal domains: a model for viral DNA binding.
Proc. Natl. Acad. Sci. USA
97:8233-8238[Abstract/Free Full Text].
|
| 12.
|
Cherepanov, P.,
W. Pluymers,
A. Claeys,
P. Proost,
E. Clercq, and Z. Debyser.
2000.
High-level expression of active HIV-1 integrase from a synthetic gene in human cells.
FASEB J.
14:1389-1399[Abstract/Free Full Text].
|
| 13.
|
Chuang, L.,
H. Ian,
T. Koh,
H. Ng,
G. Xu, and B. Li.
1997.
Human DNA (cytosine-5)-methyltransferase-PCNA complex as a target for p21WAF1.
Science
277:1996-2000[Abstract/Free Full Text].
|
| 14.
|
Chun, T.,
R. Davey, Jr.,
M. Ostrowski,
J. Shawn,
D. Engel,
J. Mullins, and A. Fauci.
2000.
Relationship between pre-existing viral reservoirs and the re-emergence of plasma viremia after discontinuation of highly active anti-retroviral therapy.
Nat. Med.
6:757-761[CrossRef][Medline].
|
| 15.
|
Clark, S.,
J. Harrison,
C. Paul, and M. Frommer.
1994.
High sensitivity mapping of methylated cytosines.
Nucleic Acids Res.
22:2990-2997[Abstract/Free Full Text].
|
| 16.
|
Counts, J., and J. Goodman.
1995.
Alterations in DNA methylation may play a variety of roles in carcinogenesis.
Cell
83:13-15[CrossRef][Medline].
|
| 17.
|
Eads, C. A.,
K. D. Danenberg,
K. Kawakami,
L. B. Saltz,
C. Blake,
D. Shibata,
P. V. Danenberg, and P. W. Laird.
2000.
MethyLight: a high-throughput assay to measure DNA methylation.
Nucleic Acids Res.
28:e32.
|
| 18.
|
Engelman, A., and R. Craigie.
1992.
Identification of conserved amino acid residues critical for human immunodeficiency virus type 1 integrase function in vitro.
J. Virol.
66:6361-6369[Abstract/Free Full Text].
|
| 19.
|
Engelman, A.,
G. Englund,
J. Orenstein,
M. Martin, and R. Craigie.
1995.
Multiple effects of mutations in human immunodeficiency virus type 1 integrase on viral replication.
J. Virol.
69:2729-2736[Abstract].
|
| 20.
|
Finzi, D.,
M. Hermankova,
T. Pierson,
L. Carruth,
C. Buck,
R. Chaisson,
T. Quinn,
K. Chadwick,
J. Margolick,
R. Brookmeyer,
J. Gallant,
M. Markowitz,
D. Ho,
D. Richman, and R. Siliciano.
1997.
Identification of a reservoir for HIV-1 in patients on highly active antiretroviral therapy.
Science
278:1295-1300[Abstract/Free Full Text].
|
| 21.
|
Fueyo, J.,
C. Gomez-Manzano,
J. Bruner,
Y. Saito,
B. Zhang,
W. Zhang,
V. Levin,
W. Yung, and A. Kyritsis.
1996.
Hypermethylation of the CpG island of p16/CDKN2 correlates with gene inactivation in gliomas.
Oncogene
13:1615-1619[Medline].
|
| 22.
|
Garcia, J.,
R. Villuendas,
P. Algara,
A. Saez,
L. Sanchez-Verde,
J. Martinez-Montero,
P. Martinez, and M. Piris.
1999.
Loss of p16 protein expression associated with methylation of the p16INK4A gene is a frequent finding in Hodgkin's disease.
Lab. Investig.
79:1453-1459[Medline].
|
| 23.
|
Gorelick, R.,
T. Gagliardi,
W. Bosche,
T. Wiltrout,
L. Coren,
D. Chabot,
J. D. Lifson,
L. Henderson, and L. Arthur.
1999.
Strict conservation of the retroviral nucleocapsid protein zinc finger is strongly influenced by its role in viral infection processes: characterization of HIV-1 particles containing mutant nucleocapsid zinc-coordinating sequences.
Virology
256:92-104[CrossRef][Medline].
|
| 24.
|
Gorelick, R.,
W. Fu,
T. Gagliardi,
W. Bosche,
A. Rein,
L. Henderson, and L. O. Arthur.
1999.
Characterization of the lock-in replication of nucleocapsid protein zinc finger mutants from Moloney murine leukemia virus.
J. Virol.
73:8185-8195[Abstract/Free Full Text].
|
| 25.
|
Guo, S. X.,
T. Taki,
H. Ohnishi,
H. Y. Piao,
K. Yabuchi,
F. Bessho,
R. Hanada,
M. Yanagisawa, and Y. Hayashi.
2000.
Hypermethylation of p16 and p15 genes and RB protein expression in acute leukemia.
Leuk. Res.
24:39-46[CrossRef][Medline].
|
| 26.
|
Harbers, K.,
A. Schnieke,
H. Stuhlmann,
D. Jahner, and R. Jaenisch.
1981.
DNA methylation and gene expression: endogenous retroviral genome becomes infectious after molecular cloning.
Proc. Natl. Acad. Sci. USA
78:7609-7613[Abstract/Free Full Text].
|
| 27.
|
Heller, H.,
C. Kammer,
P. Wilgenbus, and W. Doerfler.
1995.
Chromosomal insertion of foreign (adenovirus type 12, plasmid, or bacteriophage lambda) DNA is associated with enhanced methylation of cellular DNA segments.
Proc. Natl. Acad. Sci. USA
92:5515-5519[Abstract/Free Full Text].
|
| 28.
|
Herman, J. G.,
J. R. Graff,
S. Myohanen,
B. D. Nelkin, and S. B. Baylin.
1996.
Methylation-specific PCR: a novel PCR assay for methylation status of CpG islands.
Proc. Natl. Acad. Sci. USA
93:9821-9826[Abstract/Free Full Text].
|
| 29.
|
Herman, J. G.,
C. Civin,
J. Issa,
M. Collector,
S. Sharkis, and S. Baylin.
1997.
Distinct patterns of inactivation of p15INK4B and p16INK4A characterize the major types of hematological malignancies.
Cancer Res.
57:837-841[Abstract/Free Full Text].
|
| 30.
|
Hirt, B.
1967.
Selective extraction of polyoma DNA from infected mouse cell cultures.
J. Mol. Biol.
26:365-369[CrossRef][Medline].
|
| 31.
|
Hsieh, C. L.
1999.
In vivo activity of murine de novo methyltransferases DNMT3a and DNMT3b.
Mol. Cell. Biol.
19:8211-8218[Abstract/Free Full Text].
|
| 32.
|
Huang, T. H. M.,
M. R. Perry, and D. E. Laux.
1999.
Methylation profiling of CpG islands in human breast cancer cells.
Hum. Mol. Genet.
8:459-470[Abstract/Free Full Text].
|
| 33.
|
Jahner, D.,
H. Stuhlmann,
C. L. Stewart,
K. Harbers,
J. Lohler,
I. Simon, and R. Jaenisch.
1982.
De novo methylation and expression of retroviral genomes during mouse embryogenesis.
Nature
298:623-628[CrossRef][Medline].
|
| 34.
|
Johnson, C. A., and B. M. Turner.
1999.
Histone deacetylases: complex transducers of nuclear signals.
Semin. Cell Dev. Biol.
10:179-188[CrossRef][Medline].
|
| 35.
|
Jones, P. A.
1996.
DNA methylation errors and cancer.
Cancer Res.
56:2463-2467[Free Full Text].
|
| 36.
|
Jones, P. A., and P. W. Laird.
1999.
Cancer epigenetics comes of age.
Nat. Genet.
21:163-166[CrossRef][Medline].
|
| 37.
|
Jones, P. L.,
G. J. Veenstra,
P. A. Wade,
D. Vermaak,
S. U. Kass,
N. Landsberger,
J. Strouboulis, and A. P. Wolffe.
1998.
Methylated DNA and MeCP2 recruit histone deacetylase to repress transcription.
Nat. Genet.
19:187-191[CrossRef][Medline].
|
| 38.
|
Kanai, Y.,
S. Ushijima,
Y. Kondo,
Y. Nakanishi, and S. Hirohashi.
2001.
DNA methyltransferase expression and DNA methylation of CpG islands and pericentromeric satellite region in human colorectal and stomach cancers.
Int. J. Cancer
91:205-212[CrossRef][Medline].
|
| 39.
|
Karlin, S.,
W. Doerfler, and L. R. Cardon.
1994.
Why is CpG suppressed in the genomes of virtually all small eukaryotic viruses but not in those of large eukaryotic viruses?
J. Virol.
68:2889-2897[Abstract/Free Full Text].
|
| 40.
|
Kawamura, M.,
H. Ohnishi,
S. X. Guo,
X. M. Sheng,
M. Minegishi,
R. Hanada,
K. Horibe,
T. Hongo,
Y. Kaneko,
F. Bessho,
M. Yanagisawa,
T. Sekiya, and Y. Hayashi.
1999.
Alterations of the p53, p21, p16, p15 and RAS genes in childhood T-cell acute lymphoblastic leukemia.
Leuk. Res.
23:115-126[CrossRef][Medline].
|
| 41.
|
Keshet, E., and H. M. Temin.
1979.
Cell killing by spleen necrosis virus is correlated with a transient accumulation of spleen necrosis virus DNA.
J. Virol.
31:376-388[Abstract/Free Full Text].
|
| 42.
|
Keshet, I.,
J. Lieman-Hurwitz, and H. Cedar.
1986.
DNA methylation affects the formation of active chromatin.
Cell
44:535-543[CrossRef][Medline].
|
| 43.
|
Lafemina, R. L.,
C. L. Schneider,
H. L. Robbins,
P. L. Callahan,
K. LeGrow,
E. Roth,
W. A. Schleif, and E. A. Emini.
1992.
Requirement of active human immunodeficiency virus type 1 integrase enzyme for productive infection of human T-lymphoid cells.
J. Virol.
66:7414-7419[Abstract/Free Full Text].
|
| 44.
|
Lehmann, A.,
C. Arlett,
S. Harcourt,
H. Steingrimsdottir, and M. Gebara.
1989.
Mutagenic treatments result in inactivation of expression of a transfected bacterial gene integrated into a human cell line.
Mutat. Res.
220:255-262[Medline].
|
| 45.
|
Li, E.,
T. H. Bestor, and R. Jaenisch.
1992.
Targeted mutation of the DNA methyltransferase gene results in embryonic lethality.
Cell
69:915-926[CrossRef][Medline].
|
| 46.
|
Li, E.
1999.
The mojo of methylation.
Nat. Genet.
23:5-6[CrossRef][Medline].
|
| 47.
|
Lo, K. W.,
S. T. Chung,
S. F. Leung,
A. van Hasselt,
Y. S. Tsang,
K. F. Mak,
Y. F. Chung,
J. K. Woo,
J. C. Lee, and D. P. Huang.
1996.
Hypermethylation of the p16 gene in nasopharyngeal carcinoma.
Cancer Res.
56:2721-2725[Abstract/Free Full Text].
|
| 48.
|
Lubbert, M.,
C. W. Miller, and H. P. Koeffler.
1991.
Changes of DNA methylation and chromatin structure in the human myeloperoxidase gene during myeloid differentiation.
Blood
78:345-356[Abstract/Free Full Text].
|
| 49.
|
Melki, J. R.,
P. C. Vincent, and S. J. Clark.
1999.
Concurrent DNA hypermethylation of multiple genes in acute myeloid leukemia.
Cancer Res.
59:3730-3740[Abstract/Free Full Text].
|
| 50.
|
Mercure, L.,
D. Phaneuf, and M. A. Wainberg.
1993.
Detection of unintegrated human immunodeficiency virus type 1 DNA in persistently infected CD8+ cells.
J. Gen. Virol.
74:2077-2083[Abstract/Free Full Text].
|
| 51.
|
Mikovits, J. A.,
M. Raziuddin,
M. Gonda,
M. Ruta,
N. Lohrey,
H. Kung, and F. Ruscetti.
1990.
Negative regulation of HIV replication in monocytes: distinctions between restricted and latent expression in THP-1 cells.
J. Exp. Med.
171:1705-1720[Abstract/Free Full Text].
|
| 52.
|
Mikovits, J. A.,
N. C. Lohrey,
R. Schuloff,
J. Courtless, and F. W. Ruscetti.
1992.
Immune activation of HIV expression from latently infected monocytes from asymptomatic seropositive patients.
J. Clin. Investig.
90:1486-1491.
|
| 53.
|
Mikovits, J. A.,
H. Young,
P. Vertino,
J. Issa,
P. Pitha,
S. Turcoski-Corrales,
D. Taub,
C. Petrow,
S. Baylin, and F. Ruscetti.
1998.
Infection with human immunodeficiency virus type 1 upregulates DNA methyltransferase, resulting in de novo methylation of the gamma interferon (IFN- ) promoter and subsequent downregulation of IFN- production.
Mol. Cell. Biol.
18:5166-5177[Abstract/Free Full Text].
|
| 54.
|
Mizuno, S.,
T. Chijiwa,
T. Okamura,
K. Akashi,
Y. Fukumaki,
Y. Niho, and H. Sasaki.
2001.
Expression of DNA methyltransferases DNMT1, 3A, and 3B in normal hematopoiesis and in acute and chronic myelogenous leukemia.
Blood
97:1172-1179[Abstract/Free Full Text].
|
| 55.
|
Mullins, J. I.,
C. S. Chen, and E. A. Hoover.
1986.
Disease-specific and tissue-specific production of unintegrated feline leukaemia virus variant DNA in feline AIDS.
Nature
319:333-336[CrossRef][Medline].
|
| 56.
|
Nakashima, R.,
M. Fujita,
T. Enomoto,
T. Haba,
K. Yoshino,
H. Wada,
H. Kurachi,
M. Sasaki,
K. Wakasa,
M. Inoue,
G. Buzard, and Y. Murata.
1999.
Alteration of p16 and p15 genes in human uterine tumors.
Br. J. Cancer Res.
59:458-467.
|
| 57.
|
Nan, X.,
H. H. Ng,
C. A. Johnson,
C. D. Laherty,
B. M. Turner,
R. N. Eisenman, and A. Bird.
1998.
Transcriptional repression by the methyl-CpG-binding protein MeCP2 involves a histone deacetylase complex.
Nature
393:386-389[CrossRef][Medline].
|
| 58.
|
Ng, H. H., and A. Bird.
1999.
DNA methylation and chromatin modification.
Curr. Opin. Genet. Dev.
9:158-163[CrossRef][Medline].
|
| 59.
|
Ng, M. H.,
Y. F. Chung,
K. W. Lo,
N. W. Wickham,
J. C. Lee, and D. P. Huang.
1997.
Frequent hypermethylation of p16 and p15 genes in multiple myeloma.
Blood
89:2500-2506[Abstract/Free Full Text].
|
| 60.
|
Nuovo, G. J.,
T. W. Plaia,
S. A. Belinsky,
S. B. Baylin, and J. G. Herman.
1999.
In situ detection of the hypermethylation-induced inactivation of the p16 gene as an early event in oncogenesis.
Proc. Natl. Acad. Sci. USA
96:12754-12759[Abstract/Free Full Text].
|
| 61.
|
Nyce, J. W.
1996.
CpG suppression in HIV-1 versus HIV-2: correlation with pathogenicity and possible implications for the design of antiretroviral vaccines, p. 561-572.
In
V. Russo, R. Martienssen, and A. Riggs (ed.), Epigenetic mechanisms of gene regulation. Cold Spring Harbor Laboratory, Cold Spring Harbor, N.Y.
|
| 62.
|
Okano, M.,
S. Xie, and E. Li.
1998.
DNMT2 is not required for de novo and maintenance methylation of viral DNA in embryonic stem cells.
Nucleic Acids Res.
26:2536-2540[Abstract/Free Full Text].
|
| 63.
|
Okano, M.,
S. Xie, and E. Li.
1998.
Cloning and characterization of a family of novel mammalian DNA (cytosine-5) methyltransferases.
Nat. Genet.
19:219-220[CrossRef][Medline].
|
| 64.
|
Okano, M.,
D. W. Bell,
D. A. Haber, and E. Li.
1999.
DNA methyltransferases DNMT3a and DNMT3b are essential for de novo methylation and mammalian development.
Cell
99:247-257[CrossRef][Medline].
|
| 65.
|
Rasmussen, R.,
T. Morrison,
M. Herrman, and C. Wittwer.
1998.
Quantitative PCR by fluorescence monitoring of a double strand DNA specific binding dye.
Biochemica
2:8-11.
|
| 66.
|
Remus, R.,
C. Kammer,
H. Heller,
B. Schmitz,
G. Schell, and W. Doerfler.
1999.
Insertion of foreign DNA into an established mammalian genome can alter the methylation of cellular DNA sequences.
J. Virol.
73:1010-1022[Abstract/Free Full Text].
|
| 67.
|
Rideout, W. M., III,
P. Eversole-Cire,
C. H. Spruck III,
C. M. Hustad,
G. A. Coetzee,
F. A. Gonzales, and P. A. Jones.
1994.
Progressive increases in the methylation status and heterochromatinization of the myoD CpG island during oncogenic transformation.
Mol. Cell. Biol.
14:6143-6152[Abstract/Free Full Text].
|
| 68.
|
Ririe, K. M.,
R. P. Rasmussen, and C. T. Wittner.
1997.
Product differentiation by analysis of DNA melting curves during the polymerase chain reaction.
Anal. Biochem.
245:154-160[CrossRef][Medline].
|
| 69.
|
Robertson, K. D.,
E. Uzvolgyi,
G. Liang,
C. Talmadge,
J. Sumegi,
F. A. Gonzales, and P. A. Jones.
1999.
The human DNA methyltransferases (DNMTs) 1, 3a and 3b: coordinate mRNA expression in normal tissues and overexpression in tumors.
Nucleic Acids Res.
27:2291-2298[Abstract/Free Full Text].
|
| 70.
|
Robertson, K. D., and P. A. Jones.
2000.
DNA methylation: past, present and future directions.
Carcinogenesis
21:461-467[Abstract/Free Full Text].
|
| 71.
|
Robertson, K. D.,
S. Ait-Si-Ali,
T. Yokochi,
P. A. Wade,
P. L. Jones, and A. P. Wolffe.
2000.
DNMT1 forms a complex with Rb, E2F1 and HDAC1 and represses transcription from E2F-responsive promoters.
Nat. Genet.
25:338-342[CrossRef][Medline].
|
| 72.
|
Robinson, H. L., and B. D. Miles.
1985.
Avian leukosis virus-induced osteopetrosis is associated with the persistent synthesis of viral DNA.
Virology
141:130-143[CrossRef][Medline].
|
| 73.
|
Roundtree, M.,
K. Bachman, and S. Baylin.
2000.
DNMT1 binds HDAC2 and a new co-repressor, DMAP1, to form a complex at replication foci.
Nat. Genet.
25:269-277[CrossRef][Medline].
|
| 74.
|
Saggioro, D.,
M. Panozzo, and L. Chieco-Bianchi.
1990.
Human T-lymphotropic virus type I transcriptional regulation by methylation.
Cancer Res.
50:4968-4973[Abstract/Free Full Text].
|
| 75.
|
Saggioro, D.,
M. Forino, and L. Chieco-Bianchi.
1991.
Transcriptional block of HTLV-1 LTR by sequence-specific methylation.
Virology
182:68-75[CrossRef][Medline].
|
| 76.
|
Shin, C.,
B. Taddeo,
W. A. Haseltine, and C. M. Farnet.
1994.
Genetic analysis of the human immunodeficiency virus type 1 integrase protein.
J. Virol.
68:1633-1642[Abstract/Free Full Text].
|
| 77.
|
Surani, M. A.
1998.
Imprinting and the initiation of gene silencing in the germline.
Cell
93:309-312[CrossRef][Medline].
|
| 78.
|
Teo, I.,
C. Veryard,
H. Barnes,
S. An,
M. Jones,
P. Lantos,
P. Luthert, and S. Shaunak.
1997.
Circular forms of unintegrated human immunodeficiency virus type 1 DNA and high levels of viral protein expression: association with dementia and multinucleated giant cells in the brains of patients with AIDS.
J. Virol.
71:2928-2933[Abstract].
|
| 79.
|
Trovato, R.,
A. Cereseto,
S. Takemoto,
A. Gessain,
T. Watanabe,
T. Waldmann, and G. Franchini.
2000.
Deletion of the p16INK4A gene in ex vivo acute adult T cell lymphoma/leukemia cells and methylation of the p16INK4A promoter in HTLV type I-infected T cell lines.
AIDS Res. Hum. Retrovir.
16:709-713[CrossRef][Medline].
|
| 80.
|
Vertino, P. M.,
R. W. C. Yen,
J. Gao, and S. B. Baylin.
1996.
De novo methylation of CpG island sequences in human fibroblasts overexpressing DNA (cytosine-5)-methyltransferase.
Mol. Cell. Biol.
16:4555-4565[Abstract].
|
| 81.
|
Vonlanthen, S.,
J. Heighway,
M. Tschan,
M. Borner,
H. Altermatt,
A. Kappeler,
A. Tobler,
M. Fey,
N. Thatcher,
W. Yarbrough, and D. Betticher.
1998.
Expression of p16INK4a/p16 and p19ARF/p16 is frequently altered in non-small cell lung cancer and correlates with p53 overexpression.
Oncogene
17:2779-2785[CrossRef][Medline].
|
| 82.
|
Wade, P.,
P. Jones,
D. Vermaak,
G. Veenstra,
A. Imhof,
T. Sera,
C. Tse,
H. Ge,
Y. B. Shi,
J. Hansen, and A. Wolffe.
1998.
Histone deacetylase directs the dominant silencing of transcription in chromatin: association with MeCP2 and the Mi-2 chromodomain SWI/SNF ATPase.
Cold Spring Harbor Symp. Quant. Biol.
63:435-445[CrossRef][Medline].
|
| 83.
|
Wade, P. A.,
A. Gegonne,
P. L. Jones,
E. Ballestar,
F. Aubry, and A. P. Wolffe.
1999.
Mi-2 complex couples DNA methylation to chromatin remodelling and histone deacetylation.
Nat. Genet.
23:62-66[Medline].
|
| 84.
|
Wilkinson, C. R.,
R. Bartlett,
P. Nurse, and A. P. Bird.
1995.
The fission yeast gene pmt1+ encodes a DNA methyltransferase homologue.
Nucleic Acids Res.
23:203-210[Abstract/Free Full Text].
|
| 85.
|
Wolffe, A. P.,
P. L. Jones, and P. A. Wade.
1999.
DNA demethylation.
Proc. Natl. Acad. Sci. USA
96:5894-5896[Free Full Text].
|
| 86.
|
Wu, J.,
J. P. J. Issa,
J. Herman,
D. E. Bassett,
B. D. Nelkin, and S. B. Baylin.
1993.
Expression of an exogenous eukaryotic DNA methyltransferase gene induces transformation of NIH 3T3 cells.
Proc. Natl. Acad. Sci. USA
90:8891-8895[Abstract/Free Full Text].
|
| 87.
|
Yoder, J. A.,
C. Walsh, and T. H. Bestor.
1997.
Cytosine methylation and the ecology of intragenomic parasites.
Trends Genet.
13:335-340[CrossRef][Medline].
|
| 88.
|
Zack, J. A.,
S. J. Arrigo,
S. R. Weitsman,
A. S. Go,
A. Haislip, and I. S. Y. Chen.
1990.
HIV-1 entry into quiescent primary lymphocytes: molecular analysis reveals a labile, latent viral structure.
Cell
61:213-222[CrossRef][Medline].
|
Journal of Virology, October 2001, p. 9753-9761, Vol. 75, No. 20
0022-538X/01/$04.00+0 DOI: 10.1128/JVI.75.20.9753-9761.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
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