Skip to main content
Human Gene Therapy logoLink to Human Gene Therapy
. 2012 Jun 27;23(10):1071–1081. doi: 10.1089/hum.2012.070

The p16-Specific Reactivation and Inhibition of Cell Migration Through Demethylation of CpG Islands by Engineered Transcription Factors

Baozhen Zhang 1,*, Shengyan Xiang 1,*, Qiming Zhong 1, Yanru Yin 1, Liankun Gu 1, Dajun Deng 1,
PMCID: PMC3472532  PMID: 22738793

Abstract

Methylation of CpG islands inactivates transcription of tumor suppressor genes including p16 (CDKN2A). Inhibitors of DNA methylation and histone deacylation are recognized as useful cancer therapeutic chemicals through reactivation of the expression of methylated genes. However, these inhibitors are not target gene–specific, so that they lead to serious side effects as regular cytotoxic chemotherapy agents. To explore the feasibility of methylated gene-specific reactivation by artificial transcription factors, we engineered a set of Sp1-like seven-finger zinc-finger proteins (7ZFPs) targeted to a 21-bp sequence of the p16 promoter and found that these 7ZFPs could bind specifically to the target p16 promoter probe. Then the p16-specific artificial transcription factors (p16ATFs) were made from these 7ZFPs and the transcription activator VP64. Results showed that transient transfection of some p16ATFs selectively up-regulated the endogenous p16 expression in the p16-active 293T cells. Moreover, the transient transfection of the representative p16ATF-6I specifically reactivated p16 expression in the p16-methylated H1299 and AGS cells pretreated with a nontoxic amount of 5’-aza-deoxycytidine (20 and 80 nM, respectively). In addition, stable transfection of the p16ATF induced demethylation of p16 CpG island and trimethylation of histone H3K4, and inhibited recruitment of DNA methyltransferase 1 and trimethylation of H3K9 and H3K27 in the p16 promoter in H1299 cells without 5’-aza-deoxycytidine pretreatment. Notably, inhibition of cell migration and invasion was observed in these p16-reactivated cells induced by transient and stable p16ATF transfection. These results demonstrate that p16ATF not only specifically reactivates p16 expression through demethylation of CpG islands, but also restores methylated p16 function.


Methylation of CpG islands inactivates transcription of tumor suppressor genes including p16 (CDKN2A). In this study, Zhang and colleagues engineer a set of p16-specific artificial transcription factors (p16ATFs). They show that stable transfection of cancer cells with these p16ATFs can specifically reactivate p16 expression, which leads to inhibition migration and invasion in vitro.

Introduction

Alterations of DNA methylation have been recognized as important mechanisms of cancer development. Hypermethylation typically occurs at CpG islands in the promoter region and associates with epigenetic gene inactivation. It may become a molecular target for cancer therapy (Jaenisch and Bird, 2003). Inactivation of p16 (CDKN2A) by CpG methylation is one of the most frequent events in the development of many cancers (Herman et al., 1995; Sun et al., 2004; Jin et al., 2009). Epithelial precancerous lesions containing methylated p16 have a much higher risk of malignant transformation than the negative ones in follow-up studies (Hall et al., 2008; Cao et al., 2009). Inhibitors of DNA methylation and histone deacylation are recognized as useful cancer therapeutic agents through reactivation of the methylated genes. However, these inhibitors are not target gene–specific, so that they lead to serious side effects as common cytotoxic chemotherapy agents. Selective reactivation of methylation-silenced genes by artificial transcription factors (ATFs) may be an optimal strategy for treatment of human diseases (Beltran et al., 2007).

Cys2His2-type zinc-finger proteins (ZFPs) can bind to specific DNA fragments based on its amino acid sequence within the α-helix of each zinc finger (Pavletich and Pabo, 1991; Moore et al., 2001). A simple mode of DNA recognition by zinc-finger domains makes it possible to design artificial ZFPs with novel sequence specificities (Sera and Uranga, 2002; Carroll et al., 2006; Sander et al., 2007). However, the construction of engineered ZFPs was not always successful (Ramirez et al., 2008), although the interaction model of zinc finger-DNA became increasingly clear. Regarding the specificity of a single DNA sequence in the genome and the fidelity of the ZFP-DNA recognition, which is lower than that of the DNA-DNA recognition, seven-zinc-finger proteins (7ZFPs) may achieve gene specificity in the human genome. Moreover, the use of a scaffold of natural DNA-binding ZFP expressed in mammalian cells may assure the accessibility of artificial ZFPs. It is well known that the transcription factor Sp1 binds to a 9-bp GC box in the promoter regions through a three-zinc-finger domain (Narayan et al., 1997). Therefore, in the present study, the natural fragment of the three zinc fingers in Sp1 (Sp1-3ZF) and two designed two-zinc-finger domains based on the Sp1 finger 2 and 3 scaffolds were used to construct the 7ZFP candidates (Fig. 1A and B). We constructed a number of p16-specific ATFs (p16ATFs) through the fusion of 7ZFPs with the transcription activator VP64, and then studied their binding affinity to the p16 promoter and the effects of transient and stable transfection of these p16ATFs on the reactivation of methylated p16 through demethylation of CpG islands. The synergic effect between p16ATF and DNA methylation inhibitor 5’-aza-deoxycytidine (DAC), the changes of histone modifications and recruitment of DNA methyltransferase 1 (DNMT1) in the p16 promoter, and function restoration of methylated p16 were also investigated.

FIG. 1.

FIG. 1.

Construction and detection of affinity of 7ZFPs. (A) Illustration of the p16 promoter. CpG sites in the sequence are labeled as gray bars; the long bold line represents the fragment of the p16 promoter for the reporter assay, and the short bold lines represent locations of the 7ZFP-binding target or probes for EMSA. (B) The 21-bp 7ZFP target p16 sequence and the corresponding zinc-finger modules within the designed 7ZFPs. (C) Workflow of the synthesis of the two-zinc-finger modules by overlap PCR using various oligo DNAs (see Supplementary Tables S1 and S2). (D) Analysis of binding activity and specificity of 7ZFP to the target p16 fragment with competitive EMSA. (E) Comparison of binding affinity and specificity of 7ZFP to the unmethylated “probe-1” and methylated “Mprobe-1” in competitive EMSA.

Materials and Methods

Construction of the p16-specific 7ZFP vectors

The 21-bp p16 promoter fragment including an Sp1-binding site (5’-GAG GAA GGA AAC GGG GCG GGG-3’; Fig. 1A) was used as the target DNA to design 7ZFPs. These 7ZFPs were engineered with the natural Sp1-3ZF module as the N-terminal domain and two kinds of Sp1-like artificial two-zinc-finger modules (mut1–6 and mutA–I) as the middle domain and C-terminal domain (Fig. 1B). The Sp1-3ZF module was amplified from the human Sp1 mRNA in the HeLa cell line by reversed transcription PCR (RT-PCR) with the forward primer containing a KpnI and an NcoI restriction site (5’-c ggt acc gcc acc atg gat cct ggc aaa aag-3’) and the reverse primer containing an XhoI and an AgeI restriction site (5’-gg ctc gag acc ggt gtg ggt ctt gat atg-3’). Two kinds of Sp1-like modules, mut1–6 and mutA–I, were designed according to the published natural or artificial zinc-finger sequences and the mode of DNA-ZFP recognition (Sera and Uranga, 2002). According to the amino acid sequence of a designed module (Supplementary Table S1; Supplementary Data are available online at www.liebertonline.com/hum), these oligos containing the coding sequence of key amino acids targeted to the triplet sequences were synthesized and overlapped complementarily at last 15 bp with each other (Supplementary Table S2). The two-zinc-finger modules were amplified from these overlapped oligos using Primer-F containing an XmaI site, and Primer-R containing AgeI and XhoI sites (Fig. 1C, Supplementary Tables S2 and S3). The Sp1-3ZF module (the finger F1–F3), Sp1-like modules mut1–6 (the finger F4 and F5), and mutA–I (the finger F6 and F7) were ligated subsequently by two restriction enzymes, XmaI and AgeI. The 7ZFPs were cloned into the optimized pET-28a vector for induction of prokaryotic expression. The 7ZFP coding sequences were fused with the sequences coding the transcription activator VP64 (VP16, DALDDFDLDMLGS; ×4) and nucleic localization signal (NLS, DPKKKRKV; ×3), and then inserted into pcDNA3.1-myc/His-a or pEGFP-N2 vector to construct p16-specific transcription activation factors p16ATFs (see Fig. 2A) (Beerli et al., 1998).

FIG. 2.

FIG. 2.

Up-regulation of endogenous p16 expression by p16ATF. (A) Construction of p16ATF using the coding sequence of 7ZFP, VP64, and 3NLS. (B) The reporter activities of the p16 promoter induced with various p16ATFs in 293T cells. (C, D) Analysis of p16 expression in the p16-active human 293T cells transiently transfected with p16ATF or control vector by western blot (using Myc antibody) and quantitative RT-PCR, respectively. (E) Analysis of binding of p16ATF to the p16 promoter by ChIP assay. (F) Quantification of P16 protein (median) in the 293T cells transiently transfected with p16ATF in the pEGFP-N2 vector. (G) Confocal fluorescence images of p16ATF/Vector-GFP (green), P16 (red), and nucleus (blue). The p16ATF-GFP–positive cell (arrows) was also the P16 strongly expressed cell.

Induction of 7ZFP expression and purification

The BL21 bacteria transformed with these pET28a-7ZFP expression vectors were cultured in LB medium overnight. After the density of the culture was adjusted to 0.5 OD600nm with fresh medium, 7ZFP expression was induced by 0.1 mM IPTG (Genview, USA) for 24 hr at 17°C. The bacteria were pelleted by centrifugation, resuspended in 2 mL of cold PBS/0.1% NP-40 per 10 mL of bacteria culture, and lysed by ultrasonication followed by centrifugation. The soluble 7ZFPs in the sonic supernatant were purified by Ni-NTA-Sepharose beads (GE Healthcare, Germany) and used in an electrophoresis mobility shift assay (EMSA).

Western blot

The primary monoclonal antibody against myc-Tag (GenScript, A00172; China), P16 (Abcam, ab50282; Cambridge, UK), GAPDH (ProteinTech, 60004-1; China), or green fluorescent protein (GFP) (ProteinTech, 50430-2-AP; China) was applied at 1:5,000 and 1:1,000 dilutions. The signals were visualized using the Enhanced Chemiluminescence kit (Pierce, USA).

Electrophoresis mobility shift assay

EMSA was carried out according to the protocol for the Light Shift Chemiluminescent EMSA Kit (Pierce). Five nanomoles of the biotin-labeled probe-1 (or probe-2) was used in the regular EMSA (Fig. 1A, Supplementary Table S4). In the competition assay, 50-, 100-, 200-, and 500-fold excesses of the corresponding unlabeled probes were preincubated with the tested proteins for 30 min prior to the addition of the labeled probes. M.SssI was used to prepare methylated probe-1 (Mprobe-1) according to the manufacturer's instructions. The probe-2 matched to the p16 5’ untranslated region (UTR) and the p16-unrelated probe-3 matched to the E-cadherin promoter were also used in the competitive assay.

Dual-luciferase reporter assay

The p16 promoter [–597 nucleotides (nt) to +155 nt] was amplified with the primer set p16-F2/R2 (Supplementary Table S4) and cloned into pGL3-Basic vector (GenBank accession no. U47295; Promega, Madison, WI) by the KpnI and XhoI sites, and was named as pGL-p16p. Transient transfection was performed with Lipofectamine 2000 (Invitrogen, Carlsbad, CA) after the human cell line 293T was plated into a 24-well culture plate at a density of 5×104 cells/well (three wells per plasmid) and cultured for 24 hr to 80% confluence. Three different plasmids were cotransfected: pGL-p16p, p16ATFs, and pRL-SV40. Statistics were performed using Student's unpaired two-tailed t test.

Transfection of mammalian cell lines with the p16ATFs

Human cell lines 293T, H1299, and AGS were obtained from laboratories at Beijing Cancer Hospital/Institute and were cultured in RPMI 1640 or F12 medium with 10% fetal bovine serum at 37°C with 5% CO2. p16ATFs were transfected into 293T, H1299, and AGS cell lines that were plated into a 24-well culture plate using Lipofectamine 2000. After 48 hr, the cells were collected to analyze the expression of p16 mRNA and protein by quantitative RT-PCR and western blot, respectively. p16ATFs in pEGFP-N2 vector were used in the H1299 cell stable transfection assay. After transfection, the pooled transfected cell line was obtained after treatment with 450 μg/mL G418 for 3 weeks and sorted for GFP-positive cells by cytoflowmeter (BD, FACSAria, USA).

DAC pretreatment

The H129 and AGS cell lines were pretreated with DAC (optimized final concentration, 20 and 80 nM, respectively; Sigma, St. Louis, MO) for 48 hr and then used in the transient p16ATF transfection experiment.

Cell proliferation assay

A 100-μL cell suspension (10,000 cells/mL) was dispensed in each well on two 96-well plates, with six wells for each treatment. The cell proliferation was analyzed by Cell Counting Kit-8 (CCK-8; Dojindo, China). In brief, 10 μL of CCK-8 solution was added to each well of the plate, the plate was then incubated for 1 hr in a 37°C incubator, and then the absorbance at 450 nm was measured using a Bio-Rad microplate reader. The cells were measured daily for 5 continuous days. The average absorbance was calculated.

Scratch wound assay

Cells were seeded onto the six-well plate and cultured at 37°C until cells reached 100% confluence to form a monolayer. Then the monolayer cells were rinsed three times with the culture medium, and three parallels were scratched with a 20-μL micropipette tip and rinsed another two times. The images were acquired from the same region that matched the reference points, after a 24-hr incubation.

Transwell migration and Matrigel invasion tests

A 150-μl cell suspension (1×105 cells/mL) in the serum-free medium was plated onto the top of a Transwell insert, whereas serum-containing media (10%) were placed in the well below. After a 24-hr incubation at 37°C in 5% CO2, the cells in the upside of the insert were erased, and the cells that moved to the lower side were fixed with 2% formalin and stained by crystal violet. For the invasion test, the Transwell insert was laid with 80 μL of Matrigel (diluted with RPMI 1640 medium at 1:2) (BD Bioscience, San Jose, CA) to solidify before the cell suspension plated, and stained at 36 hr. Triplicate Transwell inserts were used for each treatment.

Cell-cycle analysis

The cells were harvested at 48 hr after transfection, resuspended in PBS, and fixed with absolute ethanol to a final concentration of 75%. Then the cells were pelleted and resuspended in PBS containing 100 μg/mL RNase A and 50 μg/mL propidium iodide and incubated at 37°C for 1 hr in the dark. Then the samples were analyzed by cytoflowmetry.

RT-PCR

The total RNA of transfected cells was extracted by TRIzol (Invitrogen) and reverse-transcribed using a first-cDNA synthesis kit (Transgen Co., Beijing, China). The quantitative RT-PCR for p16, Arf, and five other control genes, including three genes (Cdk6, Ets2, and Ezh2) containing the Sp1-binding site and two genes (Cdk4 and Suz12) without the Sp1-binding site, were analyzed using primer sets shown in Supplementary Table S4. GAPDH was used as reference. The quantitative RT-PCR reactions were amplified with Power SYBR Green PCR Master Mix (Fermentas, Glen Burnie, MD) and an ABI-7500 or ABI-7500 Fast Instrument.

Analysis of p16 methylation

The methylation status of p16 CpG island was detected by the 150/151-bp methylation-specific PCR (MSP), 392-bp denatured high-performance liquid chromatography (DHPLC), or clone sequencing as described (Herman et al., 1996; Luo et al., 2006). In brief, the bisulfite-modified genomic DNA was amplified using the methylated/unmethylated p16-specific primer sets in the MSP assay or using the CpG-free universal primer set in the DHPLC and sequencing assays (Supplementary Table 4S). All the PCR products were amplified with HotStarTaq DNA polymerase (QIAGEN GmbH, Hilden, Germany).

Confocal microscope examination

Cells grown on the cover glass were fixed in 4% polyformaldehyde for 10 min at room temperature, treated with 1% Triton X-100 in PBS for 10 min, blocked with 5% nonfat milk for 1 hr, and then hybridized by mouse monoclonal antibody against P16 (1:100; Abcam, UK) overnight at 4°C. The rhodamine-labeled second antibody was incubated for 1 hr at room temperature, followed by nucleus dyeing with DAPI. The fluorescence images were acquired by using a Leica inverted fluorescence microscope under an oil objective. The intensity of rhodamine fluorescence of 200 GFP-positive or -negative cells was determined and used to represent levels of P16 protein expression in cells with different transfections. Wilcoxon tests were performed to examine the difference between cells transfected with p16ATF and vector control. Mouse IgG antibody was used as a negative control for each cell.

Chromatin immunoprecipitation (ChIP) assay

ChIP assays were performed and analyzed essentially as described (Shang et al., 2000; Li et al., 2010). The antibodies used were rabbit anti-trimethylated H3K4 (H3K4me3; no. 9132; Cell Signaling, Beverly, MA), rabbit anti-trimethylated H3K9 (H3K9me3; no. 07–442; Millipore, Billerica, MA), rabbit anti-trimethylated H3K27 (H3K27me3; no. 07–449; Millipore), goat anti-Myc (AB9132; Abcam, UK), rabbit anti-GFP (AB290; Abcam, Hong Kong), and mouse anti-Dnmt1 (AB13537; Abcam, Hong Kong). Anti-Myc and anti-GFP antibody was used to precipitate exogenous p16ATF protein. Each ChIP experiment was performed in triplicate and repeated at least three times. The primer sets used are listed in Supplementary Table S4. PCR reactions were amplified with HiFi polymerase (Transgen, China) at 95°C for 5 min, (95°C for 30 sec, 56°C for 30 sec, 72°C for 30 sec)×35 cycles, followed by 72°C for 10 min. Quantitative PCR reactions were amplified with Power SYBR Green PCR Master Mix (Fermentas, USA) and ABI-7500 Fast Instrument.

Results

Analysis of affinity and specificity of 7ZFPs to p16 promoter

To obtain the p16 promoter–specific 7ZFPs with a high binding affinity, we designed and constructed coding sequences of 28 kinds of 7ZFPs targeted to a 21-bp fragment within the p16 core promoter [−170 nt to −150 nt; transcription start site (TSS), +1 nt; Fig. 1A–C]. The affinity and specificity of these designed 7ZFPs were detected by EMSA using the purified prokaryotic expression products. It showed that 18 of 28 tested 7ZFPs (64%) could bind to the biotin-labeled target DNA probe-1 (Supplementary Table S4). The p16-binding activity of these 7ZFPs was inhibited concentration-dependently by the unlabeled probe-1, but by neither the probe-2 matched to another Sp1-binding site within the p16 5’-UTR nor the p16-unrelated probe-3 control (Fig. 1D). These results indicate that most of these selected 7ZFPs could specifically bind to their target DNA in vitro.

Interestingly, we found that the 7ZFPs had a higher binding affinity to the methylated probe-1 (Mprobe-1) than to the unmethylated probe-1. The binding of 7ZFP to the unmethylated probe-1 was almost completely competed by the unlabeled Mprobe-1, whereas the binding to the Mprobe-1 was only weakly competed by the unlabeled and unmethylated probe-1 (Fig. 1E).

Up-regulation of endogenous p16 expression in mammalian cells by p16ATFs

To investigate whether these 7ZFPs could be used to engineer p16ATFs, we selected three active 7ZFPs with the p16-binding affinity (1F, 2F, and 6I) and four inactive 7ZFPs without the binding affinity (2A, 1G, 2G, and 6G) in the above EMSA as the representative proteins (Supplementary Table S1), and fused them with a 3×NLS and the transcription activator VP64 in the mammalian expression vector pcDNA3.1-myc/His A (Fig. 2A). In the p16 promoter luciferase reporter assay, the promoter activity of three active 7ZFP-derived p16ATFs was significantly higher than that of four inactive 7ZFP-derived p16ATFs in the p16-active 293T cells transiently transfected with these p16ATFs (Fig. 2B). Thus, the most active p16ATF-6I was used as the representative in the following studies.

Results of western blot and quantitative RT-PCR showed that transient transfection of p16ATF-6I did increase endogenous p16 expression in 293T cells (Fig. 2C and D). Results of the ChIP assay showed that the representative p16ATF-6I specifically bound to the p16 promoter (Fig. 2E). Moreover, confocal examination showed that the P16 protein level was increased in the GFP-positive cells transiently transfected with the p16ATF-6I in the pEGFP-N2 vector, but not in the cells transfected with the empty control vector (Fig. 2F and G). To study whether the effect of the p16ATF-6I is p16-specific, we analyzed transcription levels of Arf at the same locus (sharing the same exon-2 and exon-3 with p16) and did not find a significant change of Arf transcription (Supplementary Fig. S1a). This result suggests that p16ATF-6I could selectively up-regulate endogenous p16 expression.

Furthermore, we also analyzed transcription changes of five p16 expression–related genes, including activators (Cdk4, Cdk6, and Ets2) and repressors (Ezh2 and Suz12), whether containing an Sp1-binding site (Cdk6, Ets2, and Ezh2) or not (Cdk4 and Suz12) in their promoter regions. We saw that the mRNA level of the activator Ets2 was slightly increased. In contrast, the transcription level of the repressor Suz12 was significantly decreased (Supplementary Fig. S1a). However, the p16ATF-6I bound to the Ets2 or Suz12 promoter was not observed in the ChIP assay (Supplementary Fig. S1b). These results indicate that these genes were affected by the ATF indirectly.

Transient transfection of p16ATF-6I selectively reactivates methylated p16 expression in the DAC-pretreated cell lines

To investigate whether these p16ATFs are able to activate the methylated p16, the most active p16ATF-6I and inactive p16ATF-2G were transiently transfected into the p16-methylated cell lines H1299 and AGS, respectively. Neither p16 transcription nor demethylation of p16 CpG island was detected in these cell lines at 48–72 hr after the transfection (data not shown). It is interesting that when H1299 cells were pretreated with DNA methylation inhibitor DAC at the optimized nontoxic concentration (20 nM) for 48 hr, p16ATF-6I significantly increased transcription of p16 in these cells at 48 hr after the subsequent transfection (Fig. 3A). Reactivation of methylated p16 by p16ATF-6I was also observed in the 80 nM DAC-pretreated AGS cells (Fig. 3C). Transcription of Arf was not changed in the p16ATF-6I transfected H1299 or AGS cells (Fig. 3B and D).

FIG. 3.

FIG. 3.

Transcription derepression of methylated p16 by transient transfection of representative p16ATFs in DAC-pretreated cells. (A, B) p16 and Arf mRNA levels in each group of H1299 cells at 48 hr after transfection, determined with quantitative RT-PCR. (C, D) p16 and Arf mRNA levels in each group of AGS cells at 48 hr after transfection, determined with quantitative RT-PCR.

To study the stability of p16 reactivation, we dynamically detected p16 mRNA level in the AGS cells, and found that at day 9 after transfection, the enhancement of p16 transcription by p16ATF-6I and 2G was reached to the maximum level, and then gradually decreased along with the cell passages. At experimental day 20, p16 mRNA was not detectable in the DAC-pretreated cells transfected with vector control, but still detectable in the DAC-pretreated cell with the p16ATF-6I transfection (Fig. 4).

FIG. 4.

FIG. 4.

Dynamic restoration of p16 repression in the AGS cells pretreated with DAC for 2 days and subsequently transfected with p16ATF transiently 1 day after DAC treatment (defined as experimental day 1). The p16 mRNA level was detected with quantitative RT-PCR at 48 hr after the transfection on experimental day 3, and so on.

Stable transfection of p16ATFs specifically induces p16 reactivation and demethylation of CpG island

To investigate the long-term effects of p16ATF expression on the epigenetic repression of p16 expression, we analyzed the p16 expression status in the pooled H1299 cells stably transfected with p16ATF-6I and 2G. Western blot and quantitative RT-PCR assays showed that p16 was significantly reactivated in H1299 cells stably transfected with the p16ATF-6I (Fig. 5A and B). Fully demethylated CpG islands in 82% of p16 alleles were detected in the p16ATF-6I transfected cells by DHPLC and confirmed by bisulfite sequencing (Fig. 5C and D). A weak p16 reactivation and demethylation could also be induced by the p16ATF-2G. Under fluorescence confocal microscopy, it was observed that cells expressing p16ATF-6I expressed P16 proteins simultaneously (Fig. 5E). The amount of P16 protein in the p16ATF-6I stably transfected GFP-positive cells was significantly higher than that in these cells transfected with p16ATF-2G or control vector (median, 11.3 vs. 4.5 or 3.6; p<0.001; Fig. 5E, left column). Dynamic analysis of the proportion of the demethylated p16 CpG islands and p16 reactivation in the p16ATF stably transfected cells showed that p16 demethylation and reactivation were simultaneously and gradually increased along with the cell passages (Supplementary Fig. S2).

FIG. 5.

FIG. 5.

Reactivation and demethylation of p16 by p16ATFs. (A, B) Analysis of derepression of p16 expression in the p16-inactive human H1299 cells stably transfected with two representative p16ATFs (6I and 2G; passage 11) and vector control by western blot and quantitative RT-PCR, respectively. (C, D) Detection of demethylated p16 alleles in the p16ATF stably transfected H1299 cells by DHPLC and bisulfite clone sequencing, respectively. Genomic DNA of the p16-hemimethylated cell line HCT116 was used as the positive control of unmethylated and methylated p16 alleles by DHPLC. (E) Results of derepression of p16 expression in H1299 cells stably transfected with two p16ATF-6I and 2G in the confocal assay. The amount (median) of P16 in the p16ATF transfected cells was significantly higher than that in the vector control transfected cells, as illustrated on the left column.

To investigate the possible mechanism for reactivation and demethylation of p16, we analyzed the binding status of DNMT1 to p16 CpG island and found a significant decrease of DNMT1 binding to the p16 promoter in the p16ATF-6I stably transfected cells (Fig. 6A). In addition, formations of histone H3K27me3 and H3K9me3 were significantly decreased in the p16ATF-6I transfected cells (Fig. 6B and C). In contrast, formation of histone H3K4me3, an active transcription marker, was significantly increased in these cells (Fig. 6D).

FIG. 6.

FIG. 6.

Inhibition of DNMT1 binding and inactive histone modifications (H3K27me3 and H3K9me3) and induction of the active histone modification (H3K4me3) within the p16 promoter in H1299 cell stably transfected with p16ATFs. (A) Result of DNMT1 ChIP assay. (B) Result of H3K27me3 ChIP assay. (C) Result of H3K9me3 ChIP assay. (D) Result of H3K4me3 ChIP assay. The amplicon for the p16 ChIP assay is the same as illustrated in Fig. 2E.

Transient and stable transfection of p16ATFs inhibits cancer cell migration

To investigate the functional significance of the reactivation of p16 expression in the p16ATF transiently transfected cells, we compared their migration ability using the scratch wound tests, and found that the p16ATF transfection inhibited migration of the DAC-pretreated H1299 cells (Supplementary Fig. S3). Results of Transwell tests also showed the marked inhibition of migration of the DAC-pretreated H1299 and AGS cells with the transient p16ATF-6I transfection (Fig. 7A and B).

FIG. 7.

FIG. 7.

Transient and stable transfection of p16ATF-6I inhibits cell migration and invasion in Transwell tests. (A, B) Images of DAC-pretreated H1299 and AGS cells transiently transfected with the p16ATF-6I and empty control vectors, respectively. (C, D) Transwell-migration and Matrigel-invasion images of H1299 cells stably transfected with the p16ATF-6I (100×). Color images available online at www.liebertpub.com/hum

We further analyzed characteristics of morphological appearance, proliferation, cell cycle, and migration of the p16ATF stably transfected H1299 cells, and found that more elongated cells were observed in the p16ATF-6I and p16ATF-2G transfected cells (Supplementary Fig. S4). A significant difference of cell proliferation was not induced by the p16ATFs (Supplementary Fig. S5). However, the cell migration and invasion ability of the p16ATF-6I transfected cells was much lower than that of the control cells transfected with the empty vector in the scratch wound, Transwell, and Matrigel tests (Fig. 7C and D, Supplementary Fig. S6).

Discussion

Artificial ZFPs are becoming novel and powerful biotechnological tools for gene-specific regulation and manipulation (Beerli et al., 1998; Tan et al., 2003; Sera, 2009). The engineered ZFPs composed of several Cys2His2 zinc-finger scaffolds perform the DNA binding activity and play different biological functions when fused with a transcriptional regulation domain or cleavage domain of an endonuclease (Li et al., 2007; Shamim et al., 2011). Here we explored the approach to selectively reactivate methylation-silenced genes using engineered ATFs composed of designed ZFPs and the transcription activator domain VP64. We demonstrated for the first time, to our knowledge, that the p16ATF made from 7ZFP with the p16 promoter-specific affinity could reactivate methylated p16 expression through demethylation of p16 CpG islands and restore its function.

The activity of engineered ATFs in vivo is dependent on their successful accessibility to endogenous target promoter sites within chromatin. It is well known that most genes containing CpG islands around TSS contain GC box(es), and hence are regulated by the transcription factor Sp1. To obtain a p16ATF with specific accessibility to a methylated p16, we selected a natural Sp1-binding site (GGG GCG GGG) and its 5’-flank sequence (GAG GAA GGA AAC) within the p16 core promoter that is located near the linker DNA sequence in p16-active cells as the binding target to design 7ZFP candidates (Lu et al., 2012). It is also reported that Sp1 is favored to bind to the methylated DNA targets (Jane et al., 1993). Thus, it is reasonable to expect that the Sp1-like 7ZFPs made from Sp1 scaffold may be favorable to bind the methylated DNA target. As expected, results of the in vitro competitive EMSA in the present study showed that the designed 7ZFPs had a higher affinity to the methylated target probe than to the unmethylated probe. These 7ZFPs could be used to construct p16-specific transcription factors to reactivate methylated p16.

DNA demethylation of methylated CpG sites within the maspin gene by ATF was reported recently in NCI-H157 cells (Beltran and Blancafort, 2011), although ATFs were used previously to reactivate methylated H19 or maspin genes in vitro (Jouvenot et al., 2003; Beltran et al., 2007). Because normal NCI-H157 cells (without ATF treatment) can express a low level of maspin, it is uncertain whether the reported maspin up-regulation resulted from the demethylation of these CpG sites. In addition, there are only 13 CpG sites within the 300-bp region around its TSS (–150 nt to +150 nt; the ratio of observed CpG/expected CpG=0.37). Thus, maspin is generally not considered to contain a typical CpG island (the ratio of observed CpG/expected CpG ≥0.65). In the present study, we demonstrated that p16ATF could not only up-regulate endogenous p16 expression in the p16-active 293T cells, but also specifically promote methylated p16 expression in the DAC-pretreated AGS and H1299 cells. Furthermore, we found that the stable transfection of p16ATFs alone could induce the methylated p16 gene expression and demethylation of p16 CpG islands.

DNA methylation is considered a deep-epigenetic silencing event and is associated with a compact chromatin structure. We hypothesize that the p16ATFs approach the methylated p16 promoter at first, then gradually alter the recruitment status of histone and DNA methyltransferases to the chromatin, and finally reactivate p16 expression. As expected, both a decrease of DNA maintenance methylation enzyme DNMT1 recruitment and formation of histone H3K27me3 and H3K9me3, and an increase of transcription active marker H3K4me3 were observed in the p16 promoter in the p16ATF stably transfected cells, which may account for the reactivation of p16 and demethylation of this CpG island. It is reported that H3K4me3 may be a potential inhibitor of DNMT3a for de novo DNA methylation (Li et al., 2011). The present study suggests that H3K4me3 may also be involved in DNA demethylation.

Polycomb group (PcG) proteins and other factors play important roles in the regulation of p16 expression (Gil and Peters, 2006; Deng et al., 2010; Li et al., 2010). In the 293T cells transiently transfected with p16ATF-6I, we found that the transcription level of the p16 activator Ets2 gene was slightly increased and that of the repressor Suz12 gene was significantly decreased. As the p16ATF did not bind to the Ets2 and Suz12 promoters, we considered that the expression changes of Ets2 and Suz12 might be indirect feedback effects due to the up-regulation of p16, because p16ATF binding may decrease the accessibility of the p16 promoter to the PcG proteins and recruit more coactivators to the p16 promoter.

It is reported that aberrant methylation of p16 is initiated after gene silencing (Hinshelwood et al., 2009). To investigate whether demethylation of CpG island is the prerequirement condition for further reactivation of methylated p16, we analyzed the proportion of the demethylated p16 and p16 reactivation in the p16ATF stably transfected cells dynamically, and found that p16 demethylation and reactivation were increased simultaneously and gradually along with the cell passages. This result implies that demethylation maybe a necessary step for reactivation of methylated p16 by p16ATFs. As transient p16ATF transfection alone does not lead to demethylation of p16 CpG islands, the process of stable p16ATF transfection inducing p16 demethylation may be a passive demethylation through inhibition of remethylation of the daughter DNA strands by DNMT1 at the replication forks, as observed in Xenopus oocytes by others (Matsuo et al., 1998; Stünkel et al., 2001). The decreased binding of DNMT1 to p16 CpG island in the p16ATF transfected H1299 cells supports this hypothesis.

Although transient p16ATF transfection did up-regulate endogenous p16 expression in the p16-active 293T cells, the reactivation and demethylation of p16 gene were not observed in the p16ATF transiently transfected p16-methylated H1299 cells. These results illustrate that the methylation-inactivation of genes is so solid that short-term binding of transcription factors could not rapidly reverse the epigenetic repression of this gene.

A synergic effect of the inhibitor of DNA methylation on ATF to reactivate maspin was reported recently (Beltran et al., 2008; Beltran and Blancafort, 2011). In the present study, we also found that the transient transfection of p16ATF-6I significantly increased the transcription level of p16 in the H1299 and AGS cells pretreated with DNA methylation inhibitor DAC at nontoxic concentration (20–80 nM), which is much lower than the regularly used concentration (500–5,000 nM) to reactivate methylated genes or damage DNMT1 (Bender et al., 1998; Ghoshal et al., 2005). Such a phenomenon could not be observed for the Arf gene located upstream of the p16 locus. Together, these phenomena illustrate that low-dose DAC pretreatment can improve the ATFs' efficiency to reactivate methylated genes and that DNA methylation obstructs efficient reactivation of gene expression by administration of only transcription factors. Most importantly, these results also suggest that ATFs could be used not only to enhance the demethylation effect of DAC, but also to enable DAC to reactivate methylated genes specifically and persistently for a longer time.

It is well recognized that p16 is one of the most important tumor suppressor genes and P16 controls G1→S phase transition in the cell cycle, which may play important roles in normal cell senescence and inhibition of cancer cell proliferation. The expression level of P16 is very low in normal tissues. We observed that a higher proportion of p16ATF transfected cells was suspended in the culture medium compared with the control vector transfected cells, and that p16 expression was detected earlier in the suspended cells than in the adherent cells (data not shown). However, the growth of the adherent cells was not affected by the p16ATF-6I stable transfection. These results suggest that up-regulation of p16 expression by the p16ATF might result in cell senescence, but not a visible change of cell proliferation nor the cell cycle (data not shown). This may also account for why a sharp increase of p16 expression is not obtained in the p16ATF transfected cells.

Although it is reported that p16 inactivation by deletion or methylation is positively associated with metastasis of many cancers (Luo et al., 2006; Ignatov et al., 2008; Su et al., 2010), whether P16 directly inhibits cancer metastasis has not been reported before. In the present study, we found that reactivation of p16 expression by p16ATFs significantly and consistently inhibited cancer cell migration in vitro. It is well known that elongation of cells may inhibit cell migration (Ridley et al., 2003). We found that more elongated cells could be observed in the p16ATF stably transfected H1299 cells. Together, these phenomena imply that p16 may function as a cell migration/metastasis inhibitor gene. An in vivo validation study is expected to confirm the biological function of P16 protein in cancer metastasis.

In conclusion, this study showed that the representative p16ATF could specifically reactivate methylated p16 expression through demethylation of CpG islands, enable DAC p16-specific targeting, and restore function of p16 gene to inhibit cell migration. These suggest the potential applications of p16ATFs in transcriptional therapy of methylated p16 related diseases.

Supplementary Material

Supplemental data
Supp_Table1.pdf (33.3KB, pdf)
Supplemental data
Supp_Table2.pdf (30.6KB, pdf)
Supplemental data
Supp_Table3.pdf (25KB, pdf)
Supplemental data
Supp_Table4.pdf (28.1KB, pdf)
Supplemental data
Supp_Fig1.pdf (118.3KB, pdf)
Supplemental data
Supp_Fig2.pdf (59KB, pdf)
Supplemental data
Supp_Fig3.pdf (228.2KB, pdf)
Supplemental data
Supp_Fig4.pdf (160.5KB, pdf)
Supplemental data
Supp_Fig5.pdf (49.8KB, pdf)
Supplemental data
Supp_Fig6.pdf (95.2KB, pdf)

Acknowledgments

We would like to acknowledge grant support for our laboratory from National Natural Science Foundation of China (grant nos. 30471996, 30873016, and 30701000) and National Basic Research Program of China (grant no. 2005CB522403).

Author Disclosure Statement

The authors declare no conflict of interest.

References

  1. Beerli R.R. Segal D.J. Dreier B. Barbas C.F. Toward controlling gene expression at will: specific regulation of the erbB-2/HER-2 promoter by using polydactyl zinc finger proteins constructed from modular building blocks. Proc. Natl. Acad. Sci. U.S.A. 1998;95:14628–14633. doi: 10.1073/pnas.95.25.14628. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Beltran A. Parikh S. Liu Y., et al. Re-activation of a dormant tumor suppressor gene maspin by designed transcription factors. Oncogene. 2007;26:2791–2798. doi: 10.1038/sj.onc.1210072. [DOI] [PubMed] [Google Scholar]
  3. Beltran A.S. Blancafort P. Reactivation of MASPIN in non-small cell lung carcinoma (NSCLC) cells by artificial transcription factors (ATFs) Epigenetics. 2011;6:224–235. doi: 10.4161/epi.6.2.13700. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Beltran A.S. Sun X. Lizardi P.M. Blancafort P. Reprogramming epigenetic silencing: artificial transcription factors synergize with chromatin remodeling drugs to reactivate the tumor suppressor mammary serine protease inhibitor. Mol. Cancer Ther. 2008;7:1080–1090. doi: 10.1158/1535-7163.MCT-07-0526. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Bender C.M. Pao M.M. Jones P.A. Inhibition of DNA methylation by 5-aza-2'-deoxycytidine suppresses the growth of human tumor cell lines. Cancer Res. 1998;58:95–101. [PubMed] [Google Scholar]
  6. Cao J. Zhou J. Gao Y., et al. Methylation of p16 CpG island associated with malignant progression of oral epithelial dysplasia: a prospective cohort study. Clin. Cancer Res. 2009;15:5178–5183. doi: 10.1158/1078-0432.CCR-09-0580. [DOI] [PubMed] [Google Scholar]
  7. Carroll D. Morton J.J. Beumer K.J. Segal D.J. Design, construction and in vitro testing of zinc finger nucleases. Nat. Protoc. 2006;1:1329–1341. doi: 10.1038/nprot.2006.231. [DOI] [PubMed] [Google Scholar]
  8. Deng D.J. Li Q. Wang X.H. Methylation and demethylation of Ink4 locus in cancer development. Chin. J. Cancer Res. 2010;22:245–252. [Google Scholar]
  9. Ghoshal K. Datta J. Majumder S., et al. 5-Aza-deoxycytidine induces selective degradation of DNA methyltransferase 1 by a proteasomal pathway that requires the KEN box, bromo-adjacent homology domain, and nuclear localization signal. Mol. Cell. Biol. 2005;25:4727–4741. doi: 10.1128/MCB.25.11.4727-4741.2005. [DOI] [PMC free article] [PubMed] [Google Scholar] [Retracted]
  10. Gil J. Peters G. Regulation of the INK4b-ARF-INK4a tumour suppressor locus: all for one or one for all. Nat. Rev. Mol. Cell Biol. 2006;7:667–677. doi: 10.1038/nrm1987. [DOI] [PubMed] [Google Scholar]
  11. Hall G. Shaw R. Field E., et al. p16 Promoter methylation is a potential predictor of malignant transformation in oral epithelial dysplasia. Cancer Epidemiol. Biomarkers Prev. 2008;17:2174–2179. doi: 10.1158/1055-9965.EPI-07-2867. [DOI] [PubMed] [Google Scholar]
  12. Herman J.G. Merlo A. Mao L., et al. Inactivation of the CDKN2/P16/MTS1 gene is frequently associated with aberrant DNA methylation in all common human cancers. Cancer Res. 1995;55:4525–4530. [PubMed] [Google Scholar]
  13. Herman J.G. Graff J.R. Myohanen S., et al. Methylation-specific PCR: a novel PCR assay for methylation status of CpG islands. Proc. Natl. Acad. Sci. U.S.A. 1996;93:9821–9826. doi: 10.1073/pnas.93.18.9821. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Hinshelwood R.A. Melki J.R. Huschtscha L.I., et al. Aberrant de novo methylation of the p16INK4A CpG island is initiated post gene silencing in association with chromatin remodelling and mimics nucleosome positioning. Hum. Mol. Genet. 2009;18:3098–3109. doi: 10.1093/hmg/ddp251. [DOI] [PubMed] [Google Scholar]
  15. Ignatov A. Bischoff J. Schwarzenau C., et al. P16 alterations increase the metastatic potential of endometrial carcinoma. Gynecol. Oncol. 2008;111:365–371. doi: 10.1016/j.ygyno.2008.07.037. [DOI] [PubMed] [Google Scholar]
  16. Jaenisch R. Bird A. Epigenetic regulation of gene expression: how the genome integrates intrinsic and environmental signals. Nat. Genet. 2003;33(Suppl.):245–254. doi: 10.1038/ng1089. [DOI] [PubMed] [Google Scholar]
  17. Jane S.M. Gumucio D.L. Ney P.A., et al. Methylation-enhanced binding of Sp1 to the stage selector element of the human gamma-globin gene promoter may regulate development specificity of expression. Mol. Cell. Biol. 1993;13:3272–3281. doi: 10.1128/mcb.13.6.3272. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Jin Z. Cheng Y. Gu W., et al. A multicenter, double-blinded validation study of methylation biomarkers for progression prediction in Barrett's esophagus. Cancer Res. 2009;69:4112–4115. doi: 10.1158/0008-5472.CAN-09-0028. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Jouvenot Y. Ginjala V. Zhang L., et al. Targeted regulation of imprinted genes by synthetic zinc-finger transcription factors. Gene Ther. 2003;10:513–522. doi: 10.1038/sj.gt.3301930. [DOI] [PubMed] [Google Scholar]
  20. Li B.Z. Huang Z. Cui Q. Y., et al. Histone tails regulate DNA methylation by allosterically activating de novo methyltransferases. Cell Res. 2011;21:1172–1181. doi: 10.1038/cr.2011.92. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Li F. Papworth M. Minczuk M., et al. Chimeric DNA methyltransferases target DNA methylation to specific DNA sequences and repress expression of target genes. Nucleic Acids Res. 2007;35:100–112. doi: 10.1093/nar/gkl1035. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Li Q. Wang X.H. Lu Z.M., et al. Polycomb CBX7 directly controls trimethylation of histone H3 at lysine 9 at the p16 locus. PLoS One. 2010;5:e13732. doi: 10.1371/journal.pone.0013732. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Lu Z.M. Wang X.H. Guan Z.P., et al. Nucleosomes correlate with in vivo progression pattern of de novo methylation of p16 CpG islands in human gastric carcinogenesis. PLoS One. 2012;7:e35928. doi: 10.1371/journal.pone.0035928. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Luo D.Y. Zhang B.Z. Lv L.B., et al. Methylation of CpG islands of p16 associated with progression of primary gastric carcinomas. Lab. Invest. 2006;86:591–598. doi: 10.1038/labinvest.3700415. [DOI] [PubMed] [Google Scholar]
  25. Matsuo K. Silke J. Georgiev O., et al. An embryonic demethylation mechanism involving binding of transcription factors to replicating DNA. EMBO J. 1998;17:1446–1453. doi: 10.1093/emboj/17.5.1446. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Moore M. Klug A. Choo Y. Improved DNA binding specificity from polyzinc finger peptides by using strings of two-finger units. Proc. Natl. Acad. Sci. U.S.A. 2001;98:1437–1441. doi: 10.1073/pnas.98.4.1437. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Narayan V.A. Kriwacki R.W. Caradonna J.P. Structures of zinc finger domains from transcription factor Sp1. Insights into sequence-specific protein-DNA recognition. J. Biol. Chem. 1997;272:7801–7809. doi: 10.1074/jbc.272.12.7801. [DOI] [PubMed] [Google Scholar]
  28. Pavletich N.P. Pabo C.O. Zinc finger-DNA recognition: crystal structure of a Zif268-DNA complex at 2.1 A. Science. 1991;252:809–817. doi: 10.1126/science.2028256. [DOI] [PubMed] [Google Scholar]
  29. Ramirez C.L. Foley J.E. Wright D.A., et al. Unexpected failure rates for modular assembly of engineered zinc fingers. Nat. Methods. 2008;5:374–375. doi: 10.1038/nmeth0508-374. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Ridley A.J. Schwartz M.A. Burridge K, et al. Cell migration: integrating signals from front to back. Science. 2003;302:1704–1709. doi: 10.1126/science.1092053. [DOI] [PubMed] [Google Scholar]
  31. Sander J.D. Zaback P. Joung J.K., et al. Zinc finger targeter (ZiFiT): an engineered zinc finger/target site design tool. Nucleic Acids Res. 2007;35:W599–W605. doi: 10.1093/nar/gkm349. [DOI] [PMC free article] [PubMed] [Google Scholar]
  32. Sera T. Zinc-finger-based artificial transcription factors and their applications. Adv. Drug Deliv. Rev. 2009;61:513–526. doi: 10.1016/j.addr.2009.03.012. [DOI] [PubMed] [Google Scholar]
  33. Sera T. Uranga C. Rational design of artificial zinc-finger proteins using a nondegenerate recognition code table. Biochemistry. 2002;41:7074–7081. doi: 10.1021/bi020095c. [DOI] [PubMed] [Google Scholar]
  34. Shamim H.R. Morgan L.M. Joung J.K. Toni C. Zinc-finger nucleases for somatic gene therapy: the next frontier. Hum. Gene Ther. 2011;22:925–933. doi: 10.1089/hum.2011.087. [DOI] [PMC free article] [PubMed] [Google Scholar]
  35. Shang Y. Hu X. DiRenzo J., et al. Cofactor dynamics and sufficiency in estrogen receptor-regulated transcription. Cell. 2000;103:843–852. doi: 10.1016/s0092-8674(00)00188-4. [DOI] [PubMed] [Google Scholar]
  36. Stünkel W. Ait-Si-Ali S. Jones P.L. Wolffe A.P. Programming the transcriptional state of replicating methylated DNA. J. Biol. Chem. 2001;276:20743–20749. doi: 10.1074/jbc.M010967200. [DOI] [PubMed] [Google Scholar]
  37. Su P.F. Huang W.L. Wu H.T., et al. p16(INK4A) promoter hypermethylation is associated with invasiveness and prognosis of oral squamous cell carcinoma in an age-dependent manner. Oral Oncol. 2010;46:734–739. doi: 10.1016/j.oraloncology.2010.07.002. [DOI] [PubMed] [Google Scholar]
  38. Sun Y. Deng D.J. You W.C., et al. Methylation of p16 CpG islands associated with malignant transformation of gastric dysplasia in a population-based study. Clin. Cancer Res. 2004;10:5087–5093. doi: 10.1158/1078-0432.CCR-03-0622. [DOI] [PubMed] [Google Scholar]
  39. Tan S. Guschin D. Davalos A., et al. Zinc-finger protein-targeted gene regulation: genomewide single-gene specificity. Proc. Natl. Acad. Sci. U.S.A. 2003;100:11997–12002. doi: 10.1073/pnas.2035056100. [DOI] [PMC free article] [PubMed] [Google Scholar]

Associated Data

This section collects any data citations, data availability statements, or supplementary materials included in this article.

Supplementary Materials

Supplemental data
Supp_Table1.pdf (33.3KB, pdf)
Supplemental data
Supp_Table2.pdf (30.6KB, pdf)
Supplemental data
Supp_Table3.pdf (25KB, pdf)
Supplemental data
Supp_Table4.pdf (28.1KB, pdf)
Supplemental data
Supp_Fig1.pdf (118.3KB, pdf)
Supplemental data
Supp_Fig2.pdf (59KB, pdf)
Supplemental data
Supp_Fig3.pdf (228.2KB, pdf)
Supplemental data
Supp_Fig4.pdf (160.5KB, pdf)
Supplemental data
Supp_Fig5.pdf (49.8KB, pdf)
Supplemental data
Supp_Fig6.pdf (95.2KB, pdf)

Articles from Human Gene Therapy are provided here courtesy of Mary Ann Liebert, Inc.

RESOURCES