Publications by authors named "Ryan A Hlady"

Background And Aims: Disruption of the epigenome is a hallmark of human disease, including liver cirrhosis and HCC. While genetic heterogeneity is an established effector of pathologic phenotypes, epigenetic heterogeneity is less well understood. Environmental exposures alter the liver-specific DNA methylation landscape and influence the onset of liver cancer.

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Background: Alcohol use disorders are prevalent mental disorders with significant health implications. Epigenetic alterations may play a role in their pathogenesis, as DNA methylation at several genes has been associated with these disorders. We have previously shown that methylation in the DLGAP2 gene, coding for a synaptic density protein, is associated with alcohol dependence.

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Histone-lysine N-methyltransferase SETD2 (SETD2), the sole histone methyltransferase that catalyzes trimethylation of lysine 36 on histone H3 (H3K36me3), is often mutated in clear cell renal cell carcinoma (ccRCC). SETD2 mutation and/or loss of H3K36me3 is linked to metastasis and poor outcome in ccRCC patients. Epithelial-to-mesenchymal transition (EMT) is a major pathway that drives invasion and metastasis in various cancer types.

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Article Synopsis
  • - High levels of intratumoral heterogeneity (ITH) in clear cell renal cell cancer (ccRCC) complicate treatment, with notable epigenetic mutations like SETD2, contrasting with the low occurrence of traditional driver mutations.
  • - A study utilized multi-region sampling and DNA methylation analysis to find significant differences in DNA methylation patterns between ccRCC tissues and normal kidney, indicating increased epigenetic diversity linked to cancer aggression.
  • - The results suggest that mutations in SETD2 influence the cancer's epigenomic landscape and identify potential biomarkers for assessing metastatic risk in ccRCC patients.
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  • Epigenetic changes significantly impact human diseases, especially liver disease and its progression to liver cancer, driven largely by environmental factors like viral infections, alcohol use, and obesity.
  • The epigenome regulates gene expression and can be altered by these environmental exposures, leading to long-term health risks even after the initial exposures are removed.
  • Understanding how beneficial epigenetic changes can become maladaptive is crucial; the review examines how these mechanisms work in liver disease and explores the potential for epigenetic therapies to address and modify harmful changes.
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  • Chronic hepatitis C virus (HCV) infection can lead to severe liver complications like cirrhosis and hepatocellular carcinoma (HCC), with 10-20% of the 71 million infected individuals potentially suffering serious consequences during their lifetime.
  • The study investigates the impact of HCV on the epigenome, focusing on changes in DNA methylation and histone modifications in both HCV-infected cells and those cured with treatments such as interferon-α and direct-acting antivirals.
  • Findings reveal that HCV significantly alters the epigenome, leaving lasting "scars" that contribute to a weakened immune response and a heightened long-term risk of developing HCC, even after the infection is cleared.
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Background: Despite using prognostic algorithms and standard surveillance guidelines, 17% of patients initially diagnosed with low risk clear cell renal cell carcinoma (ccRCC) ultimately relapse and die of recurrent disease, indicating additional molecular parameters are needed for improved prognosis.

Results: To address the gap in ccRCC prognostication in the lower risk population, we performed a genome-wide analysis for methylation signatures capable of distinguishing recurrent and non-recurrent ccRCCs within the subgroup classified as 'low risk' by the Mayo Clinic Stage, Size, Grade, and Necrosis score (SSIGN 0-3). This approach revealed that recurrent patients have globally hypermethylated tumors and differ in methylation significantly at 5929 CpGs.

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  • Hepatocellular carcinoma (HCC) is increasingly common, especially in patients with liver cirrhosis, and better early detection methods are needed since treatment options are limited for advanced cases.
  • Researchers discovered specific DNA methylation changes in circulating cell-free DNA (cfDNA) that can distinguish between cirrhosis and early-stage HCC, using genome-wide analysis and prior tissue data.
  • A panel of five specific DNA markers was identified, showing strong accuracy (AUROC values over 0.95) in distinguishing HCC from cirrhosis, suggesting that these markers could be useful for non-invasive early diagnosis.
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Background: The two most common repetitive elements (REs) in humans, long interspersed nuclear element-1 (LINE-1) and Alu element (Alu), have been linked to various cancers. Hepatitis C virus (HCV) may cause hepatocellular carcinoma (HCC) by suppressing host defenses, through DNA methylation that controls the mobilization of REs. We aimed to investigate the role of RE methylation in HCV-induced HCC (HCV-HCC).

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  • - The study focuses on identifying DNA methylation markers and treatment targets for advanced-stage type 2 papillary renal cell carcinoma (PRCC) since effective treatments are lacking.
  • - It analyzes progressive DNA methylation changes and copy number variation (CNV) to differentiate between localized and advanced-stage type 2 PRCC, revealing four specific CpG sites as potential biomarkers.
  • - Findings show that increased expression of the PTK7 gene, associated with copy number gain, correlates with poorer survival and may serve as a treatment target and indicator of disease progression in advanced-stage type 2 PRCC.
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  • Alpha-1 antitrypsin deficiency (AATD) liver disease shows varied symptoms and progression due to additional genetic and environmental factors, complicating diagnosis and treatment.
  • Research focused on DNA methylation patterns in liver biopsies from AATD patients revealed significant changes linked to liver cancer and fibrosis, highlighting the epigenetic differences among patients despite the same genetic mutation.
  • By combining clinical data with these methylation patterns, the study identified specific molecular signatures that could help categorize AATD patients based on their liver disease risk.
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  • Alcohol dependence (ALC) is a chronic disorder linked to increased health issues and premature death, and it may affect DNA methylation patterns associated with aging.
  • Researchers studied five different groups to examine the relationship between heavy alcohol use and epigenetic aging using DNA samples from blood, liver, and brain tissue.
  • Findings indicated that certain blood and liver tissue samples from individuals with ALC showed signs of accelerated aging, highlighting the potential for tissue-specific effects of alcohol on epigenetic aging.
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Disruption of epigenetic mechanisms has been intimately linked to the etiology of human cancer. Understanding how these epigenetic mechanisms (including DNA methylation [5mC], hydroxymethylation [5hmC], and histone post-translational modifications) work in concert to drive cancer initiation and progression remains unknown. Hepatocellular carcinoma (HCC) is increasing in frequency in Western countries but lacks efficacious treatments.

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International experts gathered at the Mayo Clinic (Rochester MN, USA) on February 27th-28th, 2017 for a meeting entitled 'Basic and Translational Facets of the Epigenetics of GI Diseases'. This workshop summarized recent advances on the role of epigenetics in the pathobiology of gastrointestinal (GI) diseases. Highlights of the meeting included recent advances on the involvement of different epigenetic mechanisms in malignant and nonmalignant GI disorders and the epigenetic heterogeneity exhibited in these diseases.

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Background: Glioma stem cells (GSCs) are a subpopulation of stem-like cells that contribute to glioblastoma (GBM) aggressiveness, recurrence, and resistance to radiation and chemotherapy. Therapeutically targeting the GSC population may improve patient survival, but unique vulnerabilities need to be identified.

Results: We isolate GSCs from well-characterized GBM patient-derived xenografts (PDX), characterize their stemness properties using immunofluorescence staining, profile their epigenome including 5mC, 5hmC, 5fC/5caC, and two enhancer marks, and define their transcriptome.

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Hepatocellular carcinoma (HCC) is the most prevalent primary tumor of the liver, and is steadily becoming one of the most lethal cancers worldwide. Liver resection, which is the recommended procedure for early localized HCC, results in frequent recurrence (50-70%), while the standard of care for late-stage HCC, multikinase inhibitors, only improves survival by a few months. The lack of success for these treatment modalities is attributable, at least in part, to marked phenotypic heterogeneity within the tumor.

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While intratumor heterogeneity contributes to disease progression, metastasis, and resistance to chemotherapy, it also provides a route to understanding the evolution and drivers of disease. Defects in epigenetic landscapes are intimately linked to pathogenesis of a variety of human diseases, with epigenetic deregulation promoting tumorigenesis. Understanding epigenetic heterogeneity is crucial in hepatocellular carcinoma (HCC), where epigenetic alterations are frequent, early, and pathogenic events.

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High-fat diet consumption and sedentary lifestyle elevates risk for obesity, non-alcoholic fatty liver disease, and cancer. Exercise training conveys health benefits in populations with or without these chronic conditions. Diet and exercise regulate gene expression by mediating epigenetic mechanisms in many tissues; however, such effects are poorly documented in the liver, a central metabolic organ.

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DNA methyltransferase 3A (DNMT3A) is an enzyme involved in DNA methylation that is frequently mutated in human hematologic malignancies. We have previously shown that inactivation of Dnmt3a in hematopoietic cells results in chronic lymphocytic leukemia in mice. Here we show that 12% of Dnmt3a-deficient mice develop CD8+ mature peripheral T cell lymphomas (PTCL) and 29% of mice are affected by both diseases.

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Article Synopsis
  • DNA methyltransferase 3a (DNMT3A) is crucial for DNA methylation and is often mutated in blood cancers, leading to diseases like leukemia and lymphoma in mice with complete loss of the gene.
  • Research shows that even a single copy loss of Dnmt3a (mono-allelic loss) leads to chronic lymphocytic leukemia-like disease in 65% of mice as they age, with some also developing non-cancerous cell proliferation.
  • Analysis of changes in DNA methylation and gene expression between different forms of leukemia indicates that Dnmt3a acts as a haplo-insufficient tumor suppressor, emphasizing its critical role in maintaining proper gene regulation to prevent cancer development.
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Clear cell renal cell carcinomas (ccRCCs) harbor frequent mutations in epigenetic modifiers including SETD2, the H3K36me3 writer. We profiled DNA methylation (5mC) across the genome in cell line-based models of SETD2 inactivation and SETD2 mutant primary tumors because 5mC has been linked to H3K36me3 and is therapeutically targetable. SETD2 depleted cell line models (long-term and acute) exhibited a DNA hypermethylation phenotype coinciding with ectopic gains in H3K36me3 centered across intergenic regions adjacent to low expressing genes, which became upregulated upon dysregulation of the epigenome.

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DNA methyltransferase 3A (DNMT3A) catalyzes cytosine methylation of mammalian genomic DNA. In addition to myeloid malignancies, mutations in DNMT3A have been recently reported in T-cell lymphoma and leukemia, implying a possible involvement in the pathogenesis of human diseases. However, the role of Dnmt3a in T-cell transformation in vivo is poorly understood.

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Global patterns of DNA methylation, mediated by the DNA methyltransferases (DNMTs), are disrupted in all cancers by mechanisms that remain largely unknown, hampering their development as therapeutic targets. Combinatorial acute depletion of all DNMTs in a pluripotent human tumor cell line, followed by epigenome and transcriptome analysis, revealed DNMT functions in fine detail. DNMT3B occupancy regulates methylation during differentiation, whereas an unexpected interplay was discovered in which DNMT1 and DNMT3B antithetically regulate methylation and hydroxymethylation in gene bodies, a finding confirmed in other cell types.

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Hepatocellular carcinoma (HCC) is the second most common cause of cancer deaths worldwide. Deregulated DNA methylation landscapes are ubiquitous in human cancers. Interpretation of epigenetic aberrations in HCC is confounded by multiple etiologic drivers and underlying cirrhosis.

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