Abstract
Both genetic and epigenetic alterations contribute to Facio-Scapulo-Humeral Dystrophy (FSHD), which is linked to the shortening of the array of D4Z4 repeats at the 4q35 locus. The consequence of this rearrangement remains enigmatic, but deletion of this 3.3-kb macrosatellite element might affect the expression of the FSHD-associated gene(s) through position effect mechanisms. We investigated this hypothesis by creating a large collection of constructs carrying 1 to >11 D4Z4 repeats integrated into the human genome, either at random sites or proximal to a telomere, mimicking thereby the organization of the 4q35 locus. We show that D4Z4 acts as an insulator that interferes with enhancer–promoter communication and protects transgenes from position effect. This last property depends on both CTCF and A-type Lamins. We further demonstrate that both anti-silencing activity of D4Z4 and CTCF binding are lost upon multimerization of the repeat in cells from FSHD patients compared to control myoblasts from healthy individuals, suggesting that FSHD corresponds to a gain-of-function of CTCF at the residual D4Z4 repeats. We propose that contraction of the D4Z4 array contributes to FSHD physio-pathology by acting as a CTCF-dependent insulator in patients.
Author Summary
Facio-Scapulo-Humeral Dystrophy (FSHD) is the third most common myopathy with an autosomal-dominant mode of inheritance. FSHD is caused by contraction of an array of repeated sequences, D4Z4, in the terminal region of chromosome 4 (4q35 locus). This genetic disease is not caused by classical mutations within the sequence of a gene but rather is associated with a change in the organization of the chromatin fiber. Because of the complexity of the region implicated in the disease, the exact pathogenic mechanism is still unclear. Our goal was to engineer genomic tools that would reproduce the organization of the chromosomal region linked to FSHD in order to understand the biological function of the D4Z4 repeat using cellular models. We have identified a new mechanism for the regulation of the D4Z4 array depending on both the number of repeats and the presence of CTCF and A-type Lamins. Our work reveals that D4Z4 acts as a potent insulator element that protects from the influence of repressive chromatin in patient cells but not in controls. Besides the importance of these findings for the understanding of this complex muscular dystrophy, our work also uncovers a new insulator element that regulates chromatin in human cells.
Introduction
The subtelomeric regions that lie between the telomeres and the proximal gene-rich regions display a variable size distribution and contribute to genome evolution but also human disorders [1]. In the Facio-Scapulo-Humeral Dystrophy (FSHD), the contraction of an array of macrosatellite elements at the 4q35 locus is associated with pathological cases [2]. Normal 4q35 chromosome end carries 11 to up to 100–150 integral copies of the 3.3 kb D4Z4 sequence while in FSHD patients, the pathogenic allele has only 1 to 10 repeats [3],[4]. This autosomal dominant disorder is the third most common myopathy, clinically described as a progressive and asymmetric weakening of the muscles of the face, scapular girdle and upper limbs [5]. The nature and function of the genes causing the pathology are still controversial [6],[7],[8]. Indeed, the pathogenic alteration does not reside within a specific gene but the FSHD-associated gene(s) might be rather regulated in cis or trans by chromatin modifications and epigenetic alterations linked to the number of repeats [9]. Several molecular mechanisms have been proposed to explain FSHD pathogenesis [9],[10] such as the implication of position effect variegation (PEV) or telomeric position effect (TPE) [9],[10]. However, these hypotheses have never been formally demonstrated.
D4Z4 belongs to a family of repetitive DNA sequences present at different loci in the human genome including the 10qter, which is 98% homologous to the 4q35 region. The array of D4Z4 on chromosome 10 is also polymorphic but is not associated with any disease [11],[12]. Intriguingly, the main difference between the 10qter and the 4q35 locus resides in their respective subnuclear positioning [13],[14] suggesting that the FSHD pathogenesis might result from inappropriate chromatin interactions [15] depending on the number of D4Z4 elements in a particular subnuclear context.
In order to understand the molecular mechanisms leading to FSHD, we investigated the functional properties of the D4Z4 subtelomeric repeat by engineering different cellular models that mimic the basic organization of the 4q35 locus. We found that a single D4Z4 behaves as a potent insulator interfering with enhancer-promoter communication and shielding from chromosomal position effect (CPE). This last property depends upon CTCF and A-type Lamins. Intriguingly, both CTCF binding and insulation activity are lost upon multimerization of the repeats suggesting that FSHD results from an inappropriate insulation mechanism and a CTCF-gain of function. The implication for FSHD pathogenesis is discussed.
Results
D4Z4 Behaves as an Insulator Element
In order to investigate the function of the D4Z4 subtelomeric repeat in the protection against CPE or TPE, we first asked whether a single repeat interferes in cis with the expression of an eGFP reporter gene using constructs stably integrated into the C33A human cells either randomly or at chromosome ends after telomeric fragmentation (Figure S1A). Chromosomal or Telomeric position effects (CPE or TPE respectively) are monitored by flow cytometry analysis (FACS) and manifest as variability from population to population in the percentage of cells expressing the eGFP reporter. In cells stably transfected with the T construct, telomere proximity reduces the percentage of eGFP positive cells compared to the pCMV vector that integrates randomly (Figure 1A, Figure S1B) both in polyclonal populations of transfected cells and in isolated clones as previously published [16],[17]. When inserted between a de novo formed telomere and eGFP, a single D4Z4 has little effect on the expression of the reporter gene as indicated by the slight increase in eGFP positive cells in the population of cells carrying the T1X compared to cells containing the T construct (Figure 1A, Figure S1B). By contrast, D4Z4 significantly increases the expression of the reporter construct inserted randomly in the genome (C1X vs pCMV, Figure 1A, p<0.0001 using a Student's t-test, Figure S1B). This effect is not attributable to an increased distance between the genomic environment at the site of integration and the reporter gene since progressive silencing is also observed after insertion of 3.5 kb of heterologous DNA (data not shown). Importantly, this potent effect of D4Z4 on the expression of eGFP is not dependent upon the cell type since similar results were obtained in human rhabdomyosarcoma cells (TE671) and mouse myoblasts (C2C12) (Figure S1C). This first observation suggests that D4Z4 acts either as an enhancer or an insulator by activating the eGFP reporter gene or protecting its expression from surrounding sequences. By cloning the D4Z4 element upstream of the eGFP reporter or upstream of the HyTK resistance gene, we showed that D4Z4 does not enhance the eGFP expression and concluded that it may act as an insulator (Figure S2).
Insulators are DNA sequences with two distinct properties. They can protect expression from the spreading of silent chromatin and CPE and they can uncouple promoter transcriptional activity from silencer and enhancer elements when inserted in between [18]. In order to discriminate between chromatin insulation and enhancer blocking activity for D4Z4, we performed enhancer blocking assays [19] by cloning D4Z4 in sense (pNI-D4Z4-S) and antisense (pNI-D4Z4-AS) orientation into the pNI vector between the enhancer and the reporter (Figure 1B). D4Z4 reduced the colony number in an orientation-independent way suggesting that it interferes with transcriptional enhancement. In order to distinguish insulation from repression, the right β-globin insulator (5′HS4) protecting from the influence of regulatory elements at the site of integration was replaced by D4Z4 (p-E-D4Z4-S). In this configuration, the number of G418-resistant colonies is similar to the control indicating that D4Z4 is not a repressor but showing that it protects the γ-Neo gene from the influence of repressive chromatin at the site of integration also in this context. Lastly, we tested the ability of D4Z4 to enhance gene expression by removing the 5′ HS2 enhancer (E) in sense (pD4Z4-S) and antisense (pD4Z4-AS) constructs. In this assay, D4Z4 does not activate γ-Neo expression. We conclude from these experiments that a single D4Z4 is unable to activate or repress the expression of a reporter gene in a sense or antisense orientation, while it is able to block enhancer-promoter communications (Figure 1B). Overall, our findings indicate that D4Z4 acts both as a transcriptional insulator (boundary element) protecting against the repressive influence of various chromosomal contexts and as an enhancer insulator interfering with enhancer-promoter communication. The 5′ HS4 insulator of the chicken b-globin locus [19] behaves similarly in our randomly integrated construct settings, albeit at a lower efficiency against CPE (Figure 1A).
Next, we mapped the portion of D4Z4 responsible for this insulation activity by studying eGFP expression in constructs encompassing various truncated forms of D4Z4. Approximately half of the anti-silencing activity of D4Z4 is present within a 432-bp region (position 382 to 814, C1XΔB1-3, Figure 2, p<0.0001 compared to pCMV using a Student's t-test,) called hereafter the proximal insulator. Interestingly, in contrast to the full-length D4Z4 element, this proximal insulator also counteracts TPE suggesting an antagonistic effect between the proximal insulator and a distal silencer in a telomeric context (T1XΔB1-3, Figure 2). In agreement with this possibility, a construct containing the distal sequence (position 1549 to 3303) inserted either randomly (C1XDF) or terminally (T1XDF) is more repressed than the control eGFP. Moreover, a D4Z4 sequence deleted of a distal 623 bp fragment (DE, deletion from position 2269 to 2892) recapitulates the insulator activity of the 1–1381 proximal fragment (Figure 2).
Thus, we conclude that much of the insulator activity against CPE and TPE is concentrated in the 432-bp proximal insulator while a silencer might be present in the distal portion of D4Z4.
CTCF Binds to the Insulator Portion of D4Z4
Since in human cells, most insulators are bound by the multivalent CTCF protein [20],[21], we searched in silico for CTCF binding sites across the 3.3 kb D4Z4 sequence using the consensus binding site at the chicken β-globin locus [22],[23]. Remarkably, the best matches were found within the proximal insulator, at position 468–481 and 476–489 (Figure S3A). Gel retardation assays were carried out to determine whether the sequence containing these two overlapping sites is capable of binding to CTCF (Figure S3B). The mobility was compared to the chicken β-globin FII 5′HS4 site [22],[23] and we showed that both fragments produced a DNA-protein complex when incubated with nuclear extracts. These complexes can be disrupted by incubation with excess of unlabelled probes corresponding to the chicken b-globin FII or mouse TAD1 [24] CTCF sites suggesting that CTCF specifically binds to the 5′ end of D4Z4 (Figure S3B).
Furthermore, chromatin immunoprecipitation experiments (ChIP) reveal a nearly 8-fold enrichment for CTCF at this proximal insulator compared to an unrelated gene (Figure 3). Under these ChIP conditions, other known CTCF sites [25] on chromosomes 6 and 20 show a high level of enrichment, while no enrichment was observed for D4Z4 regions located distally to the insulator, the adjacent eGFP gene or for an unrelated region on chromosome 7 (Figure 3). Importantly, this enrichment is lost in CTCF-depleted cells (Figure S3C, D).
CTCF Is Necessary but not Sufficient for D4Z4 Insulation
Then, we tested the putative effect of CTCF on the insulator activity of D4Z4 by transfecting the cells with different siRNAs that inhibit the expression of the CTCF gene (Figure S4A). The percentage of eGFP positive cells and intensity of fluorescence decrease in C1X cells subjected to a CTCF knock-down (KD) (Figure 4A) and in cells containing short fragments encompassing the proximal D4Z4 insulator fragment either at the telomere (Figure 4B) or at random sites (Figure 4A, Figure S4C) suggesting that the knock-down of CTCF alters the anti-silencing properties of D4Z4. Of note, the effect of CTCF depletion observed with different siRNAs renders unlikely an off-target activity and does not significantly increases apoptosis in the time frame of the assay (Figure S4B). Moreover, it is also specific for CTCF since the reduced levels of another factor reported to bind to D4Z4, YY1 [7], or proteins involved in the insulation properties of the chicken 5′HS4, USF1 and 2 [26], have no effect on eGFP expression (Figure S4E). Noteworthy, at the chicken 5′ HS4 insulator, CTCF is only involved in the enhancer blocking activity [27] and consistently, CTCF depletion does not modify the expression of the eGFP reporter protected by this insulator in our system suggesting that the mechanisms involved in the regulation of the 5′HS4 insulator and D4Z4 are different.
Finally, there is no effect of CTCF KD in cells carrying a D4Z4-less construct (pCMV), showing that depletion of this protein does not alter the expression of our eGFP reporter in general but specifically impairs the insulator activity of D4Z4 (Figure 4A).
Overall, these results show that CTCF is required for the insulation activity of D4Z4. Nevertheless, if CTCF is necessary for this property, it does not appear to be sufficient, since truncated forms of D4Z4 containing the 5′ CTCF site only partially recapitulate the anti-silencing function of the whole repeat.
A-Type Lamins Bind to D4Z4 and Contribute to Its Insulation Activity
Since the localization of the 4q35 locus at the nuclear periphery is compromised in cells carrying a homozygous mutation of the LMNA gene [13], we hypothesized that A-type Lamins may contribute to D4Z4 functions and we investigated this possibility by transfecting pools of siRNAs in different populations (Figure 4C,D). Depletion of A-type Lamins (Figure S4D) decreases the percentage of eGFP positive cells and intensity of fluorescence in cells carrying a randomly inserted eGFP reporter protected by the D4Z4 insulator (C1X, C1XDB1-3; C1XDE cells, Figure 4C, Figure S4C). Interestingly, decreased insulation is also observed in cells containing the proximal D4Z4 insulator element at chromosome ends (T1XDB1-3, T1XDE, Figure 4D) suggesting that A-type Lamins are necessary for the proper anti-silencing function of D4Z4 and participate in the protection against TPE in the absence of the distal silencer element. However, LMNA knock-down does not change the level of eGFP in the absence of D4Z4 (T construct) or in the presence of the 5′-HS4 insulator at chromosome ends (5′ HS4-T, Figure 4D). This effect is not merely the consequence of disruption of the nuclear periphery or depletion of components of the lamina since the knock-down of B-type Lamins (LMNB) or the Lamin A-associated protein, BAF1 has not effect on eGFP expression (Figure S4E). Then, we investigated by ChIP whether A-type Lamins associate with D4Z4-tagged telomeres in our cellular model. We found that Lamins A/C are specifically enriched along the D4Z4 repeat with a peak at the proximal insulator sequence where CTCF is bound (Figure 3) and concluded from this analysis that D4Z4 interacts with A-type Lamins. These results show that Lamins A/C are involved in the anti-silencing activity of D4Z4 and uncovers the involvement of both CTCF and A-type Lamins in the regulation of an insulator in human cells.
The Multimerization of D4Z4 Suppresses Protection against Silencing and CTCF Binding
Since D4Z4 is repeated in tandem at several chromosomal loci, including the 4q subtelomeres where it is linked to FSHD, we explored whether the multimerization of D4Z4 alters its properties. At telomeres, adding up to 12 copies of D4Z4 slightly weakens telomeric silencing suggesting that a large D4Z4 array may act as a fuzzy boundary shielding from the repressive effect of telomeric chromatin when D4Z4 directly abuts the telomere (Figure 5A). However, this situation might not directly reflect the natural genomic context since the distance between D4Z4 and the telomere is estimated to be around 25–50 kb and other subtelomeric sequences might also exert an effect on the D4Z4 arrays.
We showed that adding up to 8 D4Z4 elements progressively abolishes the insulation activity in randomly integrated constructs suggesting that the repeated element looses its anti-silencing activity upon multimerization (Figure 5A). Consistent with this hypothesis, loss of anti-silencing correlates with the loss of CTCF binding (Figure 5B) and a slight increase in the trimethylation of lysine 9 residues on histone H3 tails, a mark of silenced chromatin (Figure S5). Impressively, the gain in CTCF binding was also observed in myoblasts from FSHD patients compared to controls suggesting that the binding of CTCF to the D4Z4 repeats is a molecular marker of FSHD muscle (Figure 5C). We propose that reduction of the D4Z4 array in FSHD patients allows the binding of CTCF and provokes changes in the biological function of D4Z4 that switches from a repressor to an insulator protecting the expression of the FSHD gene(s).
Discussion
By analyzing the behavior of the D4Z4 subtelomeric element in various chromosomal settings, we demonstrated that this repeat behaves as a CTCF and A-type Lamins-dependent transcriptional insulator. These features are specific for D4Z4 since they are not shared by the CTCF-dependent 5′HS4 b-globin insulator where CTCF only shields against enhancer-promoter communication [27]. As a single repeat, D4Z4 binds to CTCF and A-type Lamins, behaves as a transcriptional insulator, preventing both the communication between a cis-regulatory element and a promoter (enhancer blocking activity) and protecting against chromosomal position effect (anti-silencing activity) (Figure 6). Upon multimerization of D4Z4, CTCF binding is impaired. Thus, the experiments presented here reveal a novel mode of chromatin regulation controlled by the number of D4Z4 repeats. Furthermore, our data uncover a novel property for A-type Lamins in the protection against CPE in human cells as observed in Drosophila [28],[29],[30] and suggested by the previous co-purification of A-type Lamins and CTCF in HeLa cells [31].
The association between the CTCF-dependent 5′ HS4 insulator and the nucleolus [31] and recent data showing that Cohesins [25],[32] or Emerin and B-type Lamins [33] can colocalize with CTCF throughout the genome, suggest that this protein interacts with different key components of the nuclear architecture to mediate transcriptional insulation and organization of human chromosomes. In agreement with the possible existence of different classes of CTCF-dependent insulators, we have been unable to detect a significant enrichment of Lamins A/C at the CTCF sites at chromosomes 6 and 20 (Figure 3) and the KD of nucleolin or SCC1 [25] has no effect on the antisilencing activity of D4Z4 (Figure S6). Together with a recent publication on an unrelated macrosatellite repeat on the X chromosome [34], our work further extends the notion that CTCF is implicated in the functional organization of the genome by showing that it interacts also with repeated elements and suggests a genome-wide role in the formation of chromatin boundaries at the transition between transcribed regions and silenced chromatin through the association with different specialized complexes and may thereby direct the corresponding chromosome segment to specialized subnuclear compartments.
Importantly, we showed that CTCF is specifically recruited to the 4q35 region of FSHD patients. Similar observations were made by G. Fillipova & colleagues (personnal communication). The relationship between a reduced number of D4Z4 sequences and a gain-of-function of a CTCF-dependent insulation activity suggests an alternative mechanism for FSHD physiopathology based on a switch of activity from a repressor to an insulator element (Figure 6). Indeed, most FSHD patients have less than 11 copies of D4Z4 at 4q35 and the severity of the disease negatively correlates with the number of residual repeats [35],[36]. The shortening of the array would both eliminate the silencer properties of D4Z4 [7] and unmask an insulator function that may protect the FSHD genes from silencing emanating either from the 4q terminus or the β-satellite-rich region on the 4qA allele that was reported to co-segregate with the disease [37],[38]. Noticeably, in the human genome, β-satellite elements are often found in the vicinity of D4Z4 repeats [39] raising the possibility for a role of the D4Z4 insulator as a barrier between euchromatin and heterochromatin-like sequences. Since the D4Z4 array is hypermethylated when present in high copy number [40] and since CTCF binding can be compromised by DNA methylation [22],[41] or block the spreading of this DNA modification [21], a likely hypothesis is that CTCF binding modulates the biological function of D4Z4 in cooperation with changes in the pattern of DNA methylation. However, in agreement with previous observation [42],[43], the silencing activity observed upon multimerization of D4Z4 does not seem to be associated with a massive heterochromatinization of the array of repeats (Figure S5). Therefore, we propose a model in which the loss of CTCF binding changes the spatial configuration of the region rather than the condensation of the chromatin of the locus.
Our results also implicate CTCF and A-type Lamins as important players in FSHD. In agreement with this notion, patients with FSHD display some clinical and transcriptional resemblances to Emery-Dreifuss, a muscular dystrophy linked to mutation in the LMNA gene [44], suggesting that the affinity of D4Z4 for A-type lamins might contribute to the epigenetic regulation of the 4q35 locus by providing the proper subnuclear environment for the regulation of the gene(s) causing the dystrophy. Together with the matrix attachment sites at the 4q35 locus [15], the subnuclear localization of the 4q35 locus at the edge of the nucleus [13],[14] and the positioning activity of D4Z4 at the nuclear periphery (Ottaviani et al., submitted), the association of D4Z4 to these two proteins might create functional domains involved in insulation mechanisms. Although one cannot exclude that soluble lamins A/C are bound to D4Z4, one can speculate that depending on the position of the locus at the nuclear periphery, the lamina may either provide a high concentration of regulatory factors or favor looping between distant sequences. With respect to FSHD, the corollary of this hypothesis is that the pathogenic 4q35 allele carrying a shortened D4Z4 array might be repositioned along the inner nuclear envelope from a repressive to a permissive compartment modulating thereby the microenvironment of the genes causing the disease.
Thus, beyond the importance of a better characterization of D4Z4 for its relevance to the peculiar Facio-Scapulo-Humeral dystrophy, this work reveals the existence of a human insulator element that depends on both CTCF and A-type Lamins. In addition, this work suggests that the mosaic nature of human subtelomeres might directly influence the higher-order organization of the corresponding chromosome end. This may serve as a paradigm for our understanding of numerous pathologies linked to subtelomeres such as idiopathic mental retardation.
Materials and Methods
Ethics Statement
This study was conducted according to the principles expressed in the Declaration of Helsinky. The study was approved by the Institutional Review Board. All patients provided written informed content for the collection of samples and subsequent analysis.
Cellular Models
The pCMV and pCMVTelo plasmids are described in Koering et al [17]. Experimental details and characterization of the cell lines are given in Text S1.
RNA Interference
We used pre-annealed small interfering RNAs (siRNAs): siGENOME SMARTpool reagent, human CTCF (M-020165-01); human LMNA (NM_170707) (Dharmacon), Silencer™ Negative Control #1 siRNA (Ambion). Transfections were performed with DharmaFECT 1™ (Dharmacon) with 200 pmoles siRNA for 2×105cells. Efficient knock-down was determined by quantitative RT-PCR or Western blot. See Text S1.
Chromatin Immunoprecipitation
In vivo protein-DNA cross-linking was carried out as described [24]. Nucleoprotein complexes were sonicated to reduce DNA fragments to 400–600 bp using a Bioruptor sonifier (Diagenode). Immunoprecipitation was performed with a rabbit polyclonal anti-CTCF (Upstate Biotechnologies, ref 07-729) or a goat polyclonal anti-Lamins A/C (Santa Cruz, ref SC6215, [45],[46]). After immunoprecipitation, DNA samples were quantified using the NanoDrop ND-1000 spectrophotometer (NanoDrop technologies) and enrichment of the immunoprecipitated fraction was quantified by Real Time Q-PCR (Text S1).
Supporting Information
Acknowledgments
We thank G. Filippova and S. van der Maarel for sharing unpublished results and for discussion. We are grateful to Ms Severine Delplace for the preparation of myoblasts and indebted to the patients for their cooperation. We thank Dr. Gary Felsenfeld for the kind gift of the pNI, pJC5-4 and pJC3-4 vectors and discussion. We acknowledge the facilities of the IFR 128 for Flow Cytometry. We are grateful to Nicolas Lévy, Gisèle Bonne, Evani-Viegas Pequignot, Rossella Tupler, the members of the FSHD consortium coordinated by the Association Française contre les Myopathies (AFM) and the members of the laboratory for helpful discussion.
Footnotes
The authors have declared that no competing interests exist.
The work in EG's lab was supported by grants from AFM, Programme Emergence de la Région Rhône-Alpes and Lyon Science Transfert (to FM) and Ligue Nationale contre le Cancer (Equipe labellisée). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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