Abstract
We previously found that DNA methyltransferase 3a (DNMT3a) plays an important role in regulating embryonic cardiomyocyte gene expression, morphology, and function. In this study, we investigated the role of the most abundant DNMT in mammalian cells, DNMT1, in these processes. It is known that DNMT1 is essential for embryonic development, during which it is involved in regulating cardiomyocyte DNA methylation and gene expression. We used siRNA to knock down DNMT1 expression in primary cultures of mouse embryonic cardiomyocytes. Immunofluorescence staining and multielectrode array were, respectively, utilized to evaluate cardiomyocyte growth and electrophysiology. RNA sequencing (RNA‐Seq) and multiplex bisulfite sequencing were, respectively, performed to examine gene expression and promoter methylation. At 72 h post‐transfection, reduction of DNMT1 expression decreased the number and increased the size of embryonic cardiomyocytes. Beat frequency and the amplitude of field action potentials were decreased by DNMT1 siRNA. RNA‐Seq analysis identified 801 up‐regulated genes and 494 down‐regulated genes in the DNMT1 knockdown cells when compared to controls. Pathway analysis of the differentially expressed genes revealed pathways that were associated with cell death and survival, cell morphology, cardiac function, and cardiac disease. Alternative splicing analysis identified 929 differentially expressed exons, including 583 up‐regulated exons and 308 down‐regulated exons. Moreover, decreased methylation levels were found in the promoters of cardiac genes Myh6, Myh7, Myh7b, Tnnc1, Tnni3, Tnnt2, Nppa, Nppb, mef2c, mef2d, Camta2, Cdkn1A, and Cdkn1C. Of these 13 genes, 6 (Myh6, Tnnc1, Tnni3, Tnnt2, Nppa, Nppb) and 1 (Cdkn1C) had increased or decreased gene expression, respectively. Altogether, these data show that DNMT1 is important in embryonic cardiomyocytes by regulating DNA methylation, gene expression, gene splicing, and cell function.
Keywords: DNA methylation, DNMT1, embryonic cardiomyocyte, gene expression
Knockdown of DNMT1 expression in mouse embryonic cardiomyocytes decreased promoter DNA methylation levels, altered activities of transcription factors, changed gene expression and splicing, and decreased cell viability, beating frequency, and amplitude of field action potential.

Abbreviations
- DAVID
Database for Annotation, Visualization and Integrated Discovery
- DE
differential expression
- DEU
differential exon usage
- DNMT
DNA methyltransferase
- FDR
false discovery rate
- IPA
Ingenuity Pathway Analysis
- RNA
RNA sequencing
- siRNA
small interfering RNA
Cardiomyocyte development is an orchestrated process with characteristic gene expression profiles at different stages [1]. Cardiomyocytes also respond to postnatal and pathological conditions with signature gene expression patterns [2]. Expression of these genes is tightly controlled by mechanisms including transcription factors and chromatin modifications [3, 4]. DNA methylation is also a major modulator of cardiac gene expression [5, 6]. After differentiation, cardiomyocytes acquire signature DNA methylation patterns that are distinct from other cell types [7]. DNA methylation changes are dynamic during cardiomyocyte development, maturation, and disease [5], which correlate with gene expression changes.
DNA methyltransferases (DNMTs) and TET methylcytosine dioxygenases (TETs) are responsible for the establishment and maintenance of DNA methylation patterns [8, 9]. Among the three DNMT isoforms, DNMT1 is the most abundant in gene expression. In embryonic day (E) 13.5 mouse embryonic heart, the expression of Dnmt1 mRNA is 14 times higher than that of Dnmt3a and 160 times higher than that of Dnmt3b [10]. The major role of DNMT1 is to maintain methylation patterns during cell division [11]. DNMT3a and 3b are primarily de novo DNMTs that play an important role in establishing DNA methylation patterns during early embryogenesis [11]. DNMTs are essential for development, and deletion of DNMT1 or DNMT3b is embryonic lethal [12, 13]. In general, methylation of normally unmethylated CpG sites that are located in the 5′ promoter region is associated with transcriptional inactivation of many genes [14]. Gene body methylation also contributes to gene regulation and alternative splice [15, 16, 17]. Importantly, altered DNA methylation patterns can be stably inherited during DNA replication and mediate persistent toxicological consequences in subsequent cellular and animal generations [18, 19, 20, 21, 22, 23].
More and more environmental factors or chemicals have been identified to be capable of modifying the DNA methylome via inducing DNMT1 mutation or altering DNMT1 expression [24, 25, 26, 27]. Meanwhile, a growing body of evidence demonstrates a link between aberrant DNA methylation and cardiovascular diseases (CVDs) in humans [28, 29, 30, 31, 32, 33, 34]. However, by far, the significance of DNMT1 in regulating gene expression in cardiomyocytes remains largely unknown. Thus, it is important to understand the role of DNA methylation in the control of cardiac gene expression and function. Recently, it is reported that pharmacological inhibition of DNA methylation attenuates pressure overload‐induced cardiac hypertrophy in rats [35]. In addition, it has been demonstrated that myocardial tissue‐specific DNMT1 knockout in rats protects against pathological injury induced by Adriamycin [36]. These studies suggest that decreased DNMT1 expression and the subsequent DNA hypomethylation may play a protective role against pathological cardiac changes.
Our previous studies find that DNMT3a plays an important role in regulating gene expression, cardiomyocyte function, and morphology [10]. Knockdown of DNMT3a disrupts sarcomere assembly and decreases beating frequency, contractile movement, amplitude of field action potential, and cytosolic calcium signaling of embryonic cardiomyocytes. The DNMT3a knockdown cells have abnormal gene expression and DNA methylation patterns. However, the influences of DNMT1, the most abundant DNMT, on gene expression and DNA methylation in embryonic cardiomyocytes remained unexplored.
To investigate the role of DNMT1, we used siRNAs to knock down DNMT1 expression in embryonic mouse cardiomyocytes, which were examined for viability, contractility, electrophysiology, whole‐genome transcription levels, and target gene promoter methylation patterns. We now demonstrate that disruption of DNMT1 activity directly influences cardiomyocyte promoter methylation, gene expression and splicing, cell survival, and contractility.
Materials and methods
Materials
Fibronectin and monoclonal anti‐α‐actinin (sarcomeric) antibody (#A7811) were purchased from Sigma‐Aldrich (St. Louis, MO, USA). Dulbecco's modified Eagles media (DMEM), inactivated fetal bovine serum, antibiotic‐antimycotic solution, goat anti‐mouse IgG Alexa 488 secondary antibody, 4', 6‐diamidino‐2‐phenylindole dihydrochloride (DAPI), Lipofectamine RNAiMAX, RNAqueous®‐Micro Total RNA Isolation Kit, and Power SYBR®Green PCR Master Mix were ordered from Thermo Fisher Scientific (Waltham, MA, USA). Accutase and Accumax were purchased from Innovative Cell Technologies (San Diego, CA, USA). FlexiTube GeneSolution (with 4 siRNAs) DNMT1 siRNA (#GS13433) and AllStars negative control siRNA (#1027281) were obtained from Qiagen (Valencia, CA, USA). Quick‐gDNA™ MicroPrep Kit, ZymoTaq™ PreMix (Hot start DNA Taq polymerase), and ZR‐96 DNA Clean & Concentrator™‐5 Kit were purchased from Zymo Research (Irvine, CA, USA). NEBNext® mRNA Library Prep Master Mix Set for Illumina and the NEBNext Multiplex Oligos for Illumina were ordered from New England BioLabs (Ipswich, MA, USA). iScript cDNA Synthesis Kit was ordered from Bio‐Rad (Hercules, CA, USA). Nextera XT DNA Library Preparation Kit, Nextera XT Index Kit, and 20% PhiX control libraries were obtained from Illumina (San Diego, CA, USA).
Isolation, culture, and treatment of primary embryonic cardiomyocytes
All animal experiments were approved by the Institutional Animal Care and Use Committee (IACUC) of the University of Florida. CD‐1 mice, at least 8 weeks old, were purchased from Charles River Laboratories (Wilmington, MA, USA). Mice were housed in same‐sex cages and maintained in a temperature/humidity‐controlled room with 12‐h light/dark cycle. Mice had access to food and water ad libitum. Timed mating was performed, and the day a vaginal plug was observed was designated as embryonic day 0.5 (E0.5). Primary cardiomyocytes were isolated from mouse E13.5 embryonic ventricles, as described [37]. Cardiomyocytes were cultured in DMEM supplemented with 10% inactivated fetal bovine serum, 2 mm l‐glutamine, and antibiotic‐antimycotic solution.
Cardiomyocytes were seeded at a density of 6.0 × 105 cells per well in 12‐well culture plates or at 6.0 × 106 per 12.5 mm2 flask, as described [10]. Cells were cultured for 48 h at 37 °C to reach 70–80% confluency. DNMT1 (12 nm or 24 nm) or negative control siRNA was transfected into the cells using Lipofectamine RNAiMAX.
Immunofluorescence staining and cell imaging
Cardiomyocytes were stained with α‐actinin antibody and DAPI as described [37]. A Cytation 5 Cell Imaging Multi‐Mode Reader (BioTek, Winooski, VT, USA) was used at a montage mode to scan the cardiomyocytes. The total cell number (DAPI‐positive cells), number of cardiomyocytes (α‐actinin and DAPI‐positive cells), percent cardiomyocyte (α‐actinin‐positive cells/DAPI‐positive cells), and averaged size of cardiomyocytes (α‐actinin‐positive area/number of cardiomyocytes) were calculated with the Gen5™ software (BioTek) and an in‐house R script.
Field potential recordings
Field potential was recorded as described [10]. Primary cardiomyocytes were seeded on the 60PedotMEA200/30iR‐Au multielectrode arrays (Multichannel Systems, Reutlingen, Germany) coated with 10 µg·mL−1 fibronectin, allowed to grow to 70–80% confluency, and treated with DNMT1 siRNA or negative siRNA. During 3–7 days post‐transfection, electrical activity was measured daily using a MEA2100 amplifier (Multichannel Systems) at a sampling rate at 20 KHz, with temperature kept at 37 °C. Data were recorded and analyzed with the mcrack software (Multichannel Systems).
Sorting of cardiomyocytes and isolation of RNA and DNA
Cardiomyocytes were treated with 12 nm DNMT1 or negative siRNAs, released with Accutase, and dissociated with Accumax. Cardiomyocytes were sorted as described [10]. Briefly, dissociated cells were stained with anti‐VCAM1 antibody conjugated with allophycocyanin (APC; BioLegend, San Diego, CA, USA), followed by magnetic sorting using anti‐APC microbeads and magnetic assisted cell sorting (MACS) columns (Miltenyi Biotec, Bergisch Gladbach, Germany).
Total RNA was isolated from the sorted cardiomyocytes with the RNAqueous®‐Micro Total RNA Isolation Kit. Genomic DNA was extracted with the Quick‐gDNA™ MicroPrep Kit, and DNA concentrations were quantitated with NanoDrop 2000 (Thermo Fisher Scientific).
Illumina transcriptomic RNA sequencing (RNA‐Seq)
RNA‐Seq was performed as described [10]. mRNA was isolated from total RNA using NEXTflex™ Poly(A) Beads (Bioo Scientific, Austin, TX, USA). Sequencing libraries were prepared with the NEBNext® mRNA Library Prep Master Mix Set for Illumina and the NEBNext Multiplex Oligos for Illumina. Illumina‐adapted libraries, including cardiomyocyte samples treated with negative or DNMT1 siRNA (n = 3/treatment), were pooled at equal molar ratio and sequenced with one High Output 1 × 75 cycles run on a NextSeq500 sequencer (Illumina, San Diego, CA, USA). All RNA‐Seq data were uploaded to the Gene Expression Omnibus (GEO), and the accession number is GSE81446.
RNA‐Seq data analysis for differential gene expression
RNA‐Seq data analysis was performed as described [10]. Briefly, the fastq files generated from RNA‐Seq were uploaded to the UF Research Computing Galaxy instance developed by the University of Florida. The data were cleaned with the FastQC program and mapped to the mouse genome (mm10) with the Tophat2 tool. Counting of RNA‐seq reads was performed with HTSeq [38]. Differential expression (DE) of genes between treatments was analyzed using two methods: r packages edger [39] and deseq2 [40], with Ensembl Mus_GRCm38.79.gtf as the reference annotation. Genes with false discovery rate (FDR) < 0.05 and absolute fold change > 1.5 were considered as significant. Unique DE genes were identified by combining the results generated from the two analytical methods. Functional ontology was conducted with the unique DE genes using the Database for Annotation, Visualization, and Integrated Discovery (DAVID) [41] and Ingenuity Pathway Analysis (IPA; Qiagen) [42]. The significance criterion for pathway analysis was P < 0.05.
RNA‐Seq data analysis for differential exon usage (DEU)
As described [10], DEU analysis was performed with R package DEXSeq to identify changes in the relative usage of each exon following siRNA treatments [43]. Exons with FDR < 0.05 and absolute fold change > 1.5 were considered as significant. Functional ontology analysis on DEU genes was conducted with DAVID.
DE and DEU genes were compared, and the genes affected in both expression and alternative splicing by siRNA treatments were identified.
Quantitative real‐time PCR (qPCR) analysis
Total RNA was reverse transcribed to cDNA libraries by using iScript cDNA Synthesis Kit. Power SYBR®Green PCR Master Mix was used to perform qPCR analysis in a GeneAmp 7300 Real‐Time PCR System (18). Target genes were amplified using published qPCR primer pairs (18). β‐actin primers were used as an internal control.
Sodium bisulfite PCR amplification of target gene regions
Genomic DNA was treated with sodium metabisulfite for bisulfite conversion, as described [44]. Using published bisulfite specific primers [10], 15 target genes (two promoter regions per gene) were PCR‐amplified from the bisulfite‐converted DNA with ZymoTaq™ PreMix (Hot start DNA Taq polymerase). These genes are related to cardiomyocyte morphology and proliferation and included Myh6, Myh7, Myh7b, Tnnc1, Tnni3, Tnnt2, Nppa, Nppb, mef2c, mef2d, Camta1, Camta2, Cdkn1A, Cdkn1B, and Cdkn1C. PCR products were cleaned with the ZR‐96 DNA Clean & Concentrator™‐5 Kit.
Illumina DNA library preparation and sequencing
PCR products from the same genomic DNA were pooled at equal concentration ratio and made into an indexed sequencing library with the Nextera XT DNA Library Preparation Kit and the Nextera XT Index Kit, as described [10]. Illumina‐adapted libraries, including cardiomyocyte samples treated with negative or 12 nm DNMT1 siRNA (n = 3/treatment), were pooled at equal molar ratio, spiked with 20% PhiX control libraries, and sequenced with one 1 × 150 cycles run (v3) on a MiSeq sequencer (Illumina). All bisulfite‐Seq data were uploaded to GEO, and the accession number is GSE81464.
Multiplex bisulfite sequencing data analysis
The fastq files generated from a MiSeq sequencer were uploaded to the UF Research Computing Galaxy instance, as described [10]. The data were cleaned with the FastQC program. A reference genome with the amplicon sequences was built and bisulfite‐converted in silico with Bismark Bisulfite Mapper [45]. The high‐quality sequence reads were aligned to the reference genome. Cytosine methylation (CpG) counting was performed with the Bismark methylation extractor. Differential methylation was analyzed with the Methylkit package [46]. CpG sites with FDR <0.05 and absolute percent methylation difference >5% were considered as significant.
Statistical analysis
Results were analyzed using graphpad prism 6.0 (GraphPad Software, La Jolla, CA, USA). All experiments were performed in triplicate. Data are presented as mean ± SEM. Statistical differences between treatment groups were determined using Student’s t‐test or one‐way ANOVA followed by Neuman–Keuls post hoc test. A P‐value < 0.05 was considered statistically significant.
Results
Down‐regulation of DNMT1 expression decreases the number and increases size of embryonic cardiomyocytes
To investigate the role of DNMT1 in regulating cardiomyocyte physiology, we reduced DNMT1 expression by using pooled siRNAs in cultured E13.5 cardiomyocytes. Our previous studies find that during 2–5 days post‐siRNA transfection, 12 nm DNMT1 siRNA decreases DNMT1 mRNA and protein expression by > 70%, with a transfection efficiency near 100% [10]. In this study, we also confirmed about 75% and 92% knockdown of DNMT1 mRNA at 72 h post‐transfection by 12 nm and 24 nm siRNA, respectively (data not shown).
At 72 h post‐DNMT1 siRNA transfection (12 nm), the total numbers of cells and cardiomyocytes were reduced by 24.4% and 20.8%, respectively (Fig. 1A,B), as compared to the negative control siRNA treatment. However, the percentage of cardiomyocytes in the culture remained unchanged after knockdown of DNMT1 (Fig. 1C). The average size of cardiomyocytes, as measured by α‐actinin‐positive area per cardiomyocyte, was increased by 56.9% after DNMT1 siRNA treatment (Fig. 1D).
Fig. 1.

Knockdown of DNMT1 expression reduces the number and increases the size of cardiomyocytes. At 72 h post‐siRNA transfection, the primary cardiomyocytes transfected with 12 nm DNMT1 siRNA or negative siRNA were stained with α‐actinin (green) and DAPI (blue) and imaged by a Cytation 5 Cell Imaging Multi‐Mode Reader (images not shown). Within the interrogated regions, the Gen5™ software (BioTek) and an in‐house R script were used to calculate the number of total cells (DAPI‐positive cells; A), number of cardiomyocytes (DAPI and α‐actinin‐positive cells; B), percent cardiomyocyte (α‐actinin‐positive cells/DAPI‐positive cells; C), and average green fluorescent area per cardiomyocyte (α‐actinin‐positive area/number of cardiomyocytes; D). Data are presented as mean ± SEM. n = 6, *P < 0.05, **P < 0.01, ***P < 0.001 vs. negative siRNA using Student’s t‐test.
Down‐regulation of DNMT1 reduces beating rate and amplitude of field action potential in embryonic cardiomyocytes
We next examined the contractile function and field action potential of cardiomyocytes following knockdown of DNMT1 expression. Counting cell contraction under a phase‐contrast microscope and a MEA2100 system, we found that DNMT1 siRNA at 24 nm reduced the beating rate of cardiomyocytes by 35.7–42.4% at 3–5 days post‐transfection (Fig. 2A). The beating rate gradually returned to normal by day 6 post‐siRNA transfection. The MEA2100 system also recorded reduced beating rate (Fig. 2B) and increased interspike interval (Fig. 2C) in these cells. DNMT1 siRNA treatment at 12 and 24 nm decreased the peak‐peak amplitude (Fig. 2D), maximum peak amplitude (Fig. 2E), and minimum peak amplitude (Fig. 2F) of the electrocardiogram.
Fig. 2.

Knockdown of DNMT1 expression decreases the beating rate and amplitude of field action potential of embryonic cardiomyocytes. Counting cell contraction under a phase‐contrast microscope, we did not find significant changes in beating rate in the cells treated with 12 nm DNMT1 siRNA (A). But 24 nm DNMT1 siRNA significantly reduced the beating rate (A), which recovered over time as the knockdown effect subsided. The influence of 24 nm DNMT1 siRNA on beating rate was confirmed by multielectrode array (MEA) analysis (B and C). The MEA measurement also found reduced peak to peak amplitude (D), maximum peak amplitude (E), and minimum peak amplitude (F) following DNMT1 siRNA treatment at 12 and 24 nm. Data are presented as mean ± SEM. n = 3, *P < 0.05, **P < 0.01, ***P < 0.001 vs. negative siRNA using one‐way ANOVA followed by Neuman–Keuls post hoc test.
Differential gene expression in embryonic cardiomyocytes after knockdown of DNMT1 expression
To be consistent with our previous study of using DNMT siRNAs at 12 nm [10], we performed RNA‐Seq to examine the transcriptome of the embryonic cardiomyocytes at 72 h after transfection with 12 nm DNMT1 or negative siRNA. Our earlier flow cytometry data showed that the 95% of the magnetically sorted cells were cardiomyocytes [10]. The mapping efficiency of sequencing reads was above 80%, and principal component analysis showed that the samples were well clustered by treatments (Fig. 3A). DE analysis by deseq2 and edger software revealed that 801 genes were up‐regulated, and 494 genes were down‐regulated after knockdown of DNMT1 expression for 72 h (Fig. 3B, Table 1 and Table S1). These were a combined list of DE genes identified by deseq2 and edger. Expression changes of ten genes were confirmed by qPCR (Table 2).
Fig. 3.

RNA‐Seq results. Principal component analysis (PCA) shows that the samples were well‐separated by treatment (A). The percent variability attributed to the first two principal components is displayed on the X and Y axes. The MA plot shows the expression changes of genes at 72 h following the knockdown of DNMT1 (12 nM; B). X‐axis is the mean raw counts of gene expression. Y‐axis is log2 fold change. Black dots represent nonsignificant genes, and red dots represent significant differentially expressed (DE) genes (false discovery rate [FDR] < 0.05 and absolute fold change >1.5). The percent DE and differentially exon usage (DEU) genes in each mouse chromosome are compared to the genome size (C). DE and DEU genes were distributed quite evenly across the homologous chromosomes.
Table 1.
Differentially expressed (DE) genes or exons following knockdown of DNMT1 expression for 72 h in embryonic cardiomyocytes.
| Method | # of up‐regulated genes/exons a | # of down‐regulated genes/exons a |
|---|---|---|
| DEseq2 | 619 | 432 |
| EdgeR | 776 | 481 |
| Unique DE genes b | 801 | 494 |
| DEXseq | 583 exons (488 genes) | 346 exons (308 genes) |
Genes or exons with false discovery rate (FDR) less than 0.05 and absolute fold change > 1.5 were considered as significant.
Combining the DEseq2 and EdgeR results, there were 801 unique genes that were up‐regulated and 494 unique genes that were down‐regulated.
Table 2.
qPCR validation of gene expression data obtained by RNA‐Seq.
| Symbol | Fold change (RNA‐Seq, EdgeR) a | Fold change (qPCR) |
|---|---|---|
| Dnmt1 | −4.06* | −4.23* |
| Dnmt3a | 1.18 | 1.26 |
| Dnmt3b | 1.17 | 1.20 |
| Myh6 | 2.67* | 2.67* |
| Tnnc1 | 2.51* | 2.79* |
| Tnni3 | 2.93* | 3.86* |
| Tnnt2 | 1.54* | 1.59* |
| Nppa | 3.16* | 4.22* |
| Nppb | 6.20* | 9.52* |
| Nkx2.5 | 1.75* | 1.97* |
Genes with false discovery rate (FDR) < 0.05 and absolute fold change > 1.5 were considered as significant.
P < 0.05 vs. negative siRNA treatment.
DEU genes in embryonic cardiomyocytes after DNMT1 knockdown
It is known that DNA methylation in intragenic regions contributes to alternative splicing [16]. Thus, we studied the effects of reduced DNMT1 expression on alternative splicing, as indicated by different levels of exon usage. Analysis by DEXseq identified 929 exons that had differential usage levels after knocking down of DNMT1 (DEU exons), including 583 up‐regulated exons and 346 down‐regulated exons, following knockdown of DNMT1 expression for 72 h (Table 1 and Table S2). These exons belong to 796 unique genes. Fig 4 shows the representative cardiac genes with DEU exons, including Gata4, Myh7, Tpm1, and Tpm2. However, expression of these 4 genes was not changed at the gene level.
Fig. 4.

Differential exon usage (DEU) in cardiac genes. DEXseq analysis on RNA‐Seq data revealed that knockdown of DNMT1 expression for 72 h significantly altered exon usage of Gata4 (A), Myh7 (B), Tpm1 (C), and Tpm2 (D) in embryonic cardiomyocytes. The x‐axis shows the exons within a gene, and the y‐axis represents exon usage (normalized read counts of exons). Exons highlighted in purple are significant DEU exons with false discovery rate (FDR) <0.05 and absolute fold change >1.5.
Overlap of DE and DEU genes
We next compared the genes affected by altered splicing and the genes that were differentially expressed following knockdown of DNMT1 expression. We found that 59 DEU genes overlapped with DE genes, indicating that these genes were affected at both the transcription and splicing levels.
The distribution of DE genes and DEU genes across chromosome is shown in Fig 3C. DE genes were distributed quite evenly across the homologous chromosomes. But, the Y chromosome had less DE and DEU genes in proportion to its size. Interestingly, high percentages of DEU genes were found in chromosomes 2, 4, 9, 11, and 18.
Pathway analysis of DE genes
Diseases and Bio Functions analysis of DE genes by IPA revealed that pathways related to cell death and survival, cell morphology, cell assembly and organization, and molecular transport were affected following DNMT1 siRNA treatment (Table 3). The cell death and survival pathways were predicted to be inactivated, and the assembly of intercellular junctions and organization of cytoskeleton pathways were predicted to be activated. In addition, several cardiac function and disease pathways were significantly enriched (Table 4). Interestingly, the pathways related to cardiac function were predicted to be activated, whereas the pathways related to cardiac diseases were mostly inactivated.
Table 3.
Altered cellular morphology and function pathways in embryonic cardiomyocytes following DNMT1 siRNA treatment.
| P‐value |
Activation Z‐score a |
# of molecules b | |
|---|---|---|---|
| Cell death and survival | |||
| Cell death of heart | 1.75E‐07 | −1.918 | 36 |
| Cell death | 1.41E‐16 | −1.483 | 372 |
| Proliferation of cells | 2.22E‐20 | −1.018 | 414 |
| Necrosis | 4.98E‐14 | −0.763 | 295 |
| Cell survival | 4.82E‐08 | −0.470 | 156 |
| Apoptosis | 1.46E‐14 | −0.467 | 297 |
| Cell morphology, cellular assembly, and organization | |||
| Fibrogenesis | 5.37E‐06 | 2.076 | 53 |
| Assembly of intercellular junctions | 8.12E‐06 | 1.733 | 37 |
| Organization of cytoskeleton | 1.44E‐08 | 1.386 | 160 |
| Differentiation of cells | 1.04E‐17 | 1.024 | 275 |
| Cell movement | 2.42E‐15 | 0.572 | 255 |
| Morphology of cells | 1.49E‐20 | – | 256 |
| Size of cells | 1.72E‐07 | – | 60 |
| Abnormal morphology of plasma membrane | 3.61E‐06 | – | 31 |
| Morphology of sarcomere | 1.25E‐06 | – | 9 |
| Molecular transport | |||
| Transport of ion | 1.14E‐06 | 3.248 | 62 |
| Transport of metal | 3.26E‐06 | 2.765 | 51 |
| Transport of molecule | 4.35E‐09 | 2.749 | 182 |
| Transport of cation | 8.62E‐06 | 2.643 | 49 |
| Ion homeostasis of cells | 5.69E‐06 | 1.658 | 70 |
| Release of Ca2+ | 9.96E‐06 | 1.361 | 30 |
| Quantity of Ca2+ | 8.24E‐07 | 1.231 | 54 |
Positive number means activation, and negative number means deactivation. – = the pathway was neither activated nor deactivated based on the patterns of gene expression. Z‐scores greater than 2 or smaller than −2 can be considered significant.
Genes with false discovery rate (FDR) less than 0.05 and absolute fold change > 1.5 were considered as significant.
Table 4.
Altered cardiac function and disease pathways in embryonic cardiomyocytes following DNMT1 siRNA treatment. At the molecular level, IPA analysis revealed that knockdown of DNMT1 expression altered many canonical pathways that are related to regulation of cardiac function (Table 5). Specifically, the calcium signaling, protein kinase A signaling, Wnt/Ca2+ pathway, catecholamine biosynthesis, endothelin‐1 signaling, cAMP‐mediated signaling, and cardiac β‐adrenergic signaling were predicted to be activated based on the gene expression patterns.
| P‐value |
Activation Z‐score a |
# of molecules b | |
|---|---|---|---|
| Cardiac function | |||
| Heart rate | 2.18E‐20 | 3.254 | 65 |
| Function of heart | 9.60E‐11 | 3.135 | 43 |
| Function of cardiovascular system | 2.90E‐15 | 2.892 | 69 |
| Cardiogenesis | 1.11E‐17 | 2.445 | 92 |
| Cardiac output | 9.74E‐04 | 2.425 | 8 |
| Contraction of cardiac muscle | 6.25E‐18 | 2.217 | 34 |
| Formation of myofibrils | 1.61E‐15 | 1.710 | 25 |
| Proliferation of cardiomyocytes | 4.16E‐02 | 1.480 | 9 |
| Organization of sarcomere | 1.17E‐14 | 1.114 | 20 |
| Morphology of cardiovascular system | 4.23E‐19 | – | 108 |
| Cardiac disease | |||
| Left ventricular dysfunction | 4.47E‐10 | −3.254 | 26 |
| Congestive heart failure | 3.76E‐08 | −2.759 | 22 |
| Fibrosis of heart | 1.89E‐10 | −2.694 | 36 |
| Hypertrophy of heart chamber | 1.01E‐10 | −2.105 | 29 |
| Supraventricular arrhythmia | 4.54E‐09 | −2.000 | 27 |
| Failure of heart | 2.10E‐07 | −1.940 | 39 |
| Congenital heart disease | 6.93E‐04 | −1.903 | 26 |
| Dysfunction of heart | 3.44E‐06 | −1.842 | 16 |
| Necrosis of cardiac muscle | 1.30E‐06 | −1.800 | 33 |
| Arrhythmia | 3.23E‐12 | −1.421 | 43 |
| Mass of heart | 4.98E‐10 | −1.166 | 29 |
| Familial heart disease | 2.60E‐14 | −1.159 | 42 |
| Infarction | 1.35E‐08 | −0.748 | 54 |
| Hypertrophy of heart cells | 5.39E‐07 | −0.082 | 27 |
| Dilated cardiomyopathy | 1.23E‐11 | 0.089 | 40 |
| Diastolic dysfunction | 1.78E‐06 | – | 10 |
Positive number means activation, and negative number means deactivation. – = the pathway was neither activated nor deactivated based on the patterns of gene expression. Z‐scores greater than 2 or smaller than −2 can be considered significant.
Genes with false discovery rate (FDR) < 0.05 and absolute fold change > 1.5 were considered as significant.
DAVID analysis on the DE genes also identified significantly altered pathways, with the heatmaps of gene expression patterns of the altered pathways shown in Fig. 5. Following DNMT1 siRNA treatment, the genes were most up‐regulated in the pathways related to formation of contractile fiber, heart development, and hypertrophy or dilated cardiomyopathy.
Fig. 5.

DNMT1 knockdown results in differential expression (DE) of genes in cell death and cardiac pathways. Heatmaps show the expression patterns of DE genes involved in the pathways of regulation of cell death (A), contractile fiber (B), heart development (C), and hypertrophy or dilated cardiomyopathy (D). Gene expression data (normalized raw counts) were centered and scaled by ClustVis before generating the heatmaps (orange, up‐regulated; blue, down‐regulated).
Pathway analysis of DEU genes
DAVID analysis on the DEU genes demonstrated that they are involved in the pathways related to cell cycle, apoptosis, calmodulin binding, sarcomere, heart development, hypertrophic cardiomyopathy, etc. (Table 6).
Table 6.
Predicted activation or suppression of transcription factors following knockdown of DNMT1 expression for 72 h in embryonic cardiomyocytes.
| Transcription factor | Fold change a | Predicted activation state | Activation z‐score b | P‐value of overlap | # of target genes |
|---|---|---|---|---|---|
| TRIM24 | 1.646 | Activated | 5.807 | 1.23E‐21 | 35 |
| MEF2C | – | Activated | 4.602 | 2.20E‐20 | 33 |
| TBX5 | – | Activated | 4.132 | 2.34E‐15 | 24 |
| GATA4 | – | Activated | 4.001 | 8.70E‐20 | 42 |
| HAND2 | – | Activated | 3.880 | 3.71E‐14 | 20 |
| SRF | – | Activated | 3.219 | 2.90E‐12 | 49 |
| MYOCD | 1.516 | Activated | 2.889 | 2.41E‐17 | 28 |
| MEF2A | – | Activated | 2.760 | 7.99E‐13 | 15 |
| NKX2‐5 | 1.754 | Activated | 2.735 | 1.05E‐10 | 15 |
| SPDEF | – | Activated | 2.449 | 4.77E‐02 | 7 |
| YAP1 | – | Activated | 2.425 | 5.66E‐03 | 9 |
| ARNT2 | – | Activated | 2.400 | 1.20E‐03 | 21 |
| SIM1 | – | Activated | 2.400 | 1.71E‐03 | 21 |
| PPARGC1A | 2.146 | Activated | 2.344 | 1.97E‐05 | 26 |
| CREBBP | – | Activated | 2.286 | 1.70E‐08 | 46 |
| MYOD1 | – | Activated | 2.269 | 1.74E‐09 | 31 |
| NKX2‐3 | – | Activated | 2.253 | 2.06E‐13 | 40 |
| GLIS2 | – | Activated | 2.236 | 1.39E‐03 | 5 |
| GATA5 | – | Activated | 2.219 | 9.61E‐06 | 6 |
| RB1 | – | Activated | 2.178 | 2.78E‐03 | 31 |
| IRF4 | – | Activated | 2.177 | 7.86E‐06 | 21 |
| STAT5B | – | Activated | 2.046 | 1.86E‐09 | 29 |
| NFKB1 | – | Activated | 2.032 | 4.98E‐05 | 27 |
| FOS | 1.644 | Inhibited | −2.076 | 6.30E‐05 | 47 |
| SNAI1 | −1.531 | Inhibited | −2.171 | 7.12E‐03 | 11 |
| TBX3 | – | Inhibited | −2.219 | 4.58E‐05 | 6 |
| Foxp1 | – | Inhibited | −2.449 | 2.04E‐05 | 9 |
| SMAD3 | – | Inhibited | −2.494 | 4.74E‐04 | 23 |
| STAT2 | −1.681 | Inhibited | −2.589 | 7.37E‐05 | 10 |
| NRIP1 | – | Inhibited | −2.621 | 2.70E‐03 | 9 |
| KDM5A | – | Inhibited | −2.668 | 2.02E‐04 | 17 |
| PML | – | Inhibited | −2.751 | 3.47E‐02 | 11 |
| STAT1 | – | Inhibited | −2.861 | 1.04E‐12 | 45 |
| NFATC2 | 1.730 | Inhibited | −2.982 | 8.76E‐06 | 21 |
| ATF4 | – | Inhibited | −3.272 | 4.21E‐08 | 24 |
| HTT | – | Inhibited | −3.325 | 3.52E‐10 | 74 |
| IRF5 | – | Inhibited | −3.477 | 1.57E‐07 | 16 |
| IRF1 | – | Inhibited | −3.676 | 1.44E‐03 | 17 |
| IRF3 | – | Inhibited | −3.931 | 7.66E‐10 | 30 |
| IRF7 | −3.370 | Inhibited | −4.738 | 1.64E‐14 | 36 |
Genes with false discovery rate (FDR) < 0.05 and absolute fold change > 1.5 were considered as significant.
Z‐scores greater than 2 or smaller than −2 can be considered significant.
Upstream transcription factors of DE genes
One mechanism for DNA methylation to inactivate gene expression is to suppress the binding of transcription factors to gene promoters. [14]. By analyzing the DE genes with the IPA software, we identified the transcription factors that may have increased or suppressed activities after knockdown of DNMT1 expression, even though they may not necessarily be altered at the transcription level (Table 7). The analysis predicted activation of transcription factors known to be related to cardiac gene regulation, including MEF2C, TBX5, GATA4, HAND2, MYOCD, MEF2A, NKX2.5, MYOD1, NKX2.3, and GATA5. Fig 6 shows the expression changes of target genes potentially mediated by MEF2C, TBX5, GATA4, HAND2, NKX2.5, and SMAD3. These transcription factors are linked to development of congenital heart disease [47, 48, 49].
Table 7.
Methylation changes in promoter CpGs following knockdown of DNMT1 expression for 72 h.
| Gene a | CpG location in amplicon | FDR of methylation change | % methylation difference | Fold change in gene expression (RNA‐Seq) b | FDR of fold change b |
|---|---|---|---|---|---|
| Myh6_1 | 43 (#1) | 0 | −9.51 | 2.67 | 6.83E‐15 |
| Myh6_1 | 71 (#2) | 0 | −5.15 | ||
| Myh6_1 | 132 (#3) | 0 | −5.02 | ||
| Myh6_1 | 362 (#4) | 0 | −17.45 | ||
| Myh6_2 | 68 (#1) | 0 | −20.39 | ||
| Myh6_2 | 170 (#2) | 0 | −23.06 | ||
| Myh6_2 | 202 (#3) | 0 | −20.38 | ||
| Myh7_1 | 66 (#1) | 0 | −16.57 | 1.16 | 0.761 |
| Myh7_1 | 102 (#2) | 0 | −12.29 | ||
| Myh7_1 | 118 (#3) | 0 | −13.64 | ||
| Myh7_1 | 127 (#4) | 0 | −13.86 | ||
| Myh7_1 | 202 (#5) | 0 | −9.80 | ||
| Myh7_1 | 234 (#6) | 0 | −11.66 | ||
| Myh7_1 | 285 (#7) | 0 | −17.79 | ||
| Myh7_1 | 290 (#8) | 0 | −16.61 | ||
| Myh7_1 | 308 (#9) | 0 | −17.47 | ||
| Myh7_2 | 225 (#4) | 0 | −5.30 | ||
| Myh7b_1 | 145 (#2) | 0 | −21.23 | 1.16 | 0.825 |
| Myh7b_1 | 161 (#3) | 0 | −14.75 | ||
| Myh7b_2 | 122 (#1) | 0 | −13.09 | ||
| Myh7b_2 | 167 (#2) | 0 | −15.01 | ||
| Myh7b_2 | 248 (#3) | 0 | −9.11 | ||
| Myh7b_2 | 352 (#4) | 0 | −14.69 | ||
| Tnnc1_1 | 46 (#1) | 0 | −14.12 | 2.51 | 4.00E‐15 |
| Tnnc1_1 | 114 (#2) | 0 | −15.63 | ||
| Tnnc1_1 | 198 (#3) | 0 | −22.16 | ||
| Tnnc1_1 | 240 (#4) | 0 | −7.28 | ||
| Tnnc1_1 | 243 (#5) | 0 | −6.97 | ||
| Tnnc1_1 | 255 (#6) | 0 | −7.72 | ||
| Tnnc1_2 | 107 (#4) | 0 | −17.23 | ||
| Tnnc1_2 | 196 (#5) | 0 | −5.21 | ||
| Tnnc1_2 | 272 (#6) | 0 | −10.44 | ||
| Tnnc1_2 | 299 (#7) | 0 | −11.86 | ||
| Tnnc1_2 | 340 (#8) | 0 | −12.16 | ||
| Tnnc1_2 | 365 (#9) | 0 | −13.99 | ||
| Tnni3_1 | 66 (#1) | 0 | −15.13 | 2.93 | 2.60E‐10 |
| Tnni3_1 | 103 (#2) | 0 | −14.92 | ||
| Tnni3_1 | 171 (#3) | 0 | −7.67 | ||
| Tnni3_1 | 194 (#4) | 0 | −12.04 | ||
| Tnni3_1 | 244 (#5) | 0 | −11.00 | ||
| Tnni3_1 | 355 (#6) | 0 | −13.10 | ||
| Tnni3_1 | 409 (#7) | 2.70E‐08 | −13.92 | ||
| Tnni3_2 | 49 (#1) | 7.68E‐14 | −25.14 | ||
| Tnni3_2 | 62 (#2) | 4.36E‐11 | −18.97 | ||
| Tnni3_2 | 200 (#4) | 0 | −11.31 | ||
| Tnni3_2 | 321 (#5) | 0 | −12.93 | ||
| Tnni3_2 | 354 (#6) | 0 | −11.39 | ||
| Tnni3_2 | 398 (#7) | 0 | −18.29 | ||
| Tnnt2_1 | 94 (#1) | 0 | −12.21 | 1.54 | 1.36E‐04 |
| Tnnt2_1 | 118 (#2) | 0 | −14.66 | ||
| Tnnt2_1 | 195 (#3) | 0 | −24.45 | ||
| Tnnt2_1 | 201 (#4) | 0 | −16.42 | ||
| Tnnt2_1 | 350 (#5) | 0 | −12.36 | ||
| Tnnt2_1 | 420 (#6) | 3.28E‐15 | −5.45 | ||
| Tnnt2_2 | 58 (#1) | 0 | −13.55 | ||
| Tnnt2_2 | 66 (#2) | 0 | −13.72 | ||
| Tnnt2_2 | 209 (#3) | 0 | −21.33 | ||
| Tnnt2_2 | 224 (#4) | 0 | −11.15 | ||
| Tnnt2_2 | 233 (#5) | 0 | −16.13 | ||
| Tnnt2_2 | 240 (#6) | 0 | −11.96 | ||
| Tnnt2_2 | 263 (#7) | 0 | −15.42 | ||
| Tnnt2_2 | 288 (#8) | 0 | −25.92 | ||
| Nppa_1 | 125 (#3) | 0 | −8.03 | 3.16 | 9.12E‐19 |
| Nppa_1 | 133 (#4) | 0 | −5.36 | ||
| Nppa_1 | 233 (#5) | 0 | −11.81 | ||
| Nppa_1 | 296 (#6) | 0 | −10.91 | ||
| Nppa_1 | 303 (#7) | 0 | −9.71 | ||
| Nppa_1 | 310 (#8) | 0 | −16.30 | ||
| Nppa_1 | 352 (#9) | 0 | −14.00 | ||
| Nppa_1 | 405 (#10) | 0 | −10.50 | ||
| Nppb_2 | 51 (#1) | 0 | −19.68 | 6.20 | 1.82E‐44 |
| Nppb_2 | 238 (#2) | 0 | −12.03 | ||
| Nppb_2 | 312 (#3) | 0 | −19.09 | ||
| Nppb_2 | 328 (#4) | 0 | −12.86 | ||
| Nppb_2 | 341 (#5) | 0 | −17.78 | ||
| Nppb_2 | 381 (#6) | 1.82E‐16 | −8.28 | ||
| Mef2c_1 | 64 (#1) | 0 | −15.92 | 1.01 | 0.973 |
| Mef2c_1 | 115 (#2) | 0 | −17.19 | ||
| Mef2c_1 | 166 (#3) | 0 | −24.23 | ||
| Mef2c_1 | 268 (#4) | 0 | −26.42 | ||
| Mef2c_1 | 315 (#5) | 0 | −19.21 | ||
| Mef2c_1 | 348 (#6) | 0 | −19.07 | ||
| Mef2d_1 | 26 (#1) | 9.15E‐05 | −11.30 | 1.14 | 0.271 |
| Mef2d_2 | 50 (#1) | 4.58E‐15 | −11.22 | ||
| Mef2d_2 | 82 (#2) | 0 | −11.16 | ||
| Mef2d_2 | 261 (#5) | 0 | −6.93 | ||
| Camta2_2 | 185 (#2) | 0 | −6.35 | 1.27 | 0.038 |
| Camta2_2 | 196 (#3) | 0 | −8.96 | ||
| Camta2_2 | 247 (#4) | 0 | −7.84 | ||
| Camta2_2 | 299 (#5) | 0 | −6.04 | ||
| Cdkn1A_1 | 84 (#1) | 0 | −23.45 | 1.14 | 0.348 |
| Cdkn1A_1 | 124 (#2) | 0 | −19.09 | ||
| Cdkn1A_1 | 222 (#3) | 0 | −18.23 | ||
| Cdkn1A_1 | 374 (#4) | 1.07E‐10 | −5.33 | ||
| Cdkn1A_1 | 393 (#5) | 0 | −20.13 | ||
| Cdkn1C_1 | 24 (#1) | 0.008009 | −5.04 | −1.84 | 0.003 |
| Cdkn1C_1 | 33 (#3) | 5.07E‐06 | −7.34 | ||
| Cdkn1C_1 | 40 (#4) | 2.37E‐12 | −9.71 | ||
| Cdkn1C_1 | 60 (#7) | 4.95E‐07 | −6.36 | ||
| Cdkn1C_1 | 66 (#8) | 9.49E‐14 | −8.01 | ||
| Cdkn1C_1 | 69 (#9) | 3.10E‐10 | −8.33 | ||
| Cdkn1C_1 | 96 (#10) | 1.73E‐08 | −6.80 | ||
| Cdkn1C_1 | 104 (#11) | 1.96E‐12 | −8.85 | ||
| Cdkn1C_1 | 106 (#12) | 6.15E‐12 | −8.30 | ||
| Cdkn1C_1 | 108 (#13) | 1.00E‐06 | −5.78 | ||
| Cdkn1C_1 | 113 (#15) | 1.25E‐10 | −7.12 | ||
| Cdkn1C_1 | 115 (#16) | 1.09E‐11 | −7.99 | ||
| Cdkn1C_1 | 123 (#18) | 2.86E‐14 | −9.28 | ||
| Cdkn1C_1 | 213 (#29) | 0 | −6.22 | ||
| Cdkn1C_1 | 258 (#34) | 0 | −5.05 | ||
| Cdkn1C_1 | 265 (#36) | 0 | −7.73 | ||
| Cdkn1C_1 | 269 (#37) | 0 | −6.74 | ||
| Cdkn1C_1 | 273 (#38) | 0 | −7.19 | ||
| Cdkn1C_1 | 287 (#40) | 0 | −9.94 | ||
| Cdkn1C_1 | 291 (#41) | 0 | −7.40 | ||
| Cdkn1C_1 | 313 (#45) | 0 | −5.61 | ||
| Cdkn1C_1 | 340 (#48) | 3.20E‐11 | −6.52 | ||
| Cdkn1C_1 | 391 (#53) | 0.044921 | 5.71 |
These target genes were selected because they are important genes related to cardiomyocyte morphology and proliferation.
Genes with false discovery rate (FDR) < 0.05 and absolute fold change > 1.5 were considered as significant.
Fig. 6.

Cardiac transcription factors predicted to be activated or inhibited following knockdown of DNMT1 expression. Ingenuity pathway analysis (IPA) predicted that knockdown of DNMT1 expression activated Myocyte Enhancer Factor 2C (MEF2C; A), T‐Box Protein 5 (TBX5; B), GATA‐Binding Protein 4 (GATA4; C), Heart and Neural Crest Derivatives Expressed 2 (HAND2; D), and NK2 Homeobox 5 (NKX2.5; E) in primary cardiomyocytes. In contrast, transcription factor SMAD Family Member 3 (SMAD3) was predicted to be inhibited (F). Red or green represents a gene that was up‐ or down‐regulated, respectively, as detected by RNA‐Seq (Genes with false discovery rate [FDR] less than 0.05 and absolute fold change > 1.5 were considered as significant). Orange or blue means that the interaction between transcription factor and gene expression was predicted to be activated or inhibited, respectively. Yellow lines show the inconsistencies between our gene expression data and IPA predictions.
DNA methylation changes in embryonic cardiomyocytes after DNMT1 knockdown
Previously, we found that global cytosine methylation level is significantly reduced by DNMT1 siRNA at 72 h post‐siRNA transfection [10]. In this study, we specifically examined the DNA methylation changes in target genes following knockdown of DNMT1 using multiplex targeted bisulfite sequencing.
We analyzed promoter methylation of 15 genes that are related to cardiomyocyte morphology and proliferation. Two proximal promoter (< 3000 bp from transcription start site) regions of each gene were interrogated. Consistent with global DNA demethylation, decreased promoter methylation was identified in the target genes. Following knockdown of DNMT1 for 72 h, decreased methylation was observed in the promoter CpG sites of 13 target genes, including Myh6, Myh7, Myh7b, Tnnc1, Tnni3, Tnnt2, Nppa, Nppb, mef2c, mef2d, Camta2, Cdkn1A, and Cdkn1C (Table 8). Of these 13 differentially methylated genes, 6 (Myh6, Tnnc1, Tnni3, Tnnt2, Nppa, Nppb) had increased gene expression, 1 (Cdkn1C) had decreased gene expression, and 6 (Myh7, Myh7b, mef2c, mef2d, Camta2, Cdkn1C) had no change in gene expression in the DNMT1 knockdown cells when compared to the control cells. Therefore, methylation may be one of multiple functions contributing to expression regulation of these cardiac genes.
Table 8.
PROMO software analysis identified IPA‐predicted transcription factor binding sites in the proximal promoter of cardiac genes.
| Gene | Transcription factor (TF) binding sites in proximal promoter (< 3000 bp upstream of transcription start site) | |
|---|---|---|
| TFs predicated to be activated a | TFs predicated to be inhibited a | |
| Myh6 | SRF, NKX2‐5, ARNT, MYOD | c‐FOS, SMAD3, STAT1, IRF1, IRF3 |
| Tnnc1 | MEF2C, SRF, NKX2‐5, ARNT, MYOD | c‐FOS, IRF1, IRF3 |
| Tnni3 | SRF, NKX2‐5, ARNT, MYOD | c‐FOS, STAT1, IRF1, IRF3, IRF7 |
| Tnnt2 | SRF, NKX2‐5, ARNT, MYOD | c‐FOS, SMAD3, STAT1, IRF1, IRF3 |
| Nppa | MEF2C, SRF, NKX2‐5, ARNT, MYOD | c‐FOS, SMAD3, STAT1, IRF1, IRF3, IRF7 |
| Nppb | SRF, NKX2‐5, ARNT, MYOD, STAT5B | c‐FOS, SMAD3, STAT1, IRF1, IRF3 |
| Camta2 | MEF2C, SRF, NKX2‐5, ARNT, MYOD, STAT5B | c‐FOS, SMAD3, STAT1, IRF1, IRF3 |
Prediction is based on the Ingenuity pathway analysis (IPA) of the RNA sequencing data.
To predict the effect of decreased promoter methylation on transcription factor binding, we used the promo software to identify the transcription factor binding sites in the promoter regions of the target genes that had altered methylation. We next investigated the activation status of these transcription factors by using the IPA upstream analysis results. The altered cardiac genes, namely Myh6, Tnnc1, Tnni3, Tnnt2, Nppa, Nppb, and Camta2, shared several common transcription factors in their promoters (Table 9). Of these transcription factors, SRF, NKX2.5, ARNT, MYOD, MEF2C, and STAT5B were predicted to be activated following DNMT1 siRNA treatment. These results suggested that decreased methylation levels in these promoter sequences may facilitate transcription factor binding and trigger downstream gene expression.
Table 9.
Altered canonical cardiac pathways in embryonic cardiomyocytes following DNMT1 siRNA treatment.
| Ingenuity canonical pathways | P‐value | Ratio (%) a |
Activation Z‐score b |
|---|---|---|---|
| ILK signaling | 1.12E‐04 | 12.4 | 2.558 |
| Wnt/Ca+ pathway | 2.40E‐03 | 16.1 | 2.333 |
| cAMP‐mediated signaling | 4.07E‐02 | 8.2 | 2.183 |
| Actin cytoskeleton signaling | 2.69E‐05 | 12.5 | 1.886 |
| Calcium signaling | 5.50E‐08 | 16.3 | 1.604 |
| Protein kinase A signaling | 1.58E‐04 | 9.8 | 1.461 |
| PAK signaling | 7.41E‐04 | 14.6 | 1.387 |
| Regulation of actin‐based motility by Rho | 2.09E‐02 | 11.0 | 1.265 |
| Endothelin‐1 signaling | 1.95E‐02 | 9.3 | 1.155 |
| Cardiomyocyte differentiation via BMP receptors | 3.16E‐03 | 25.0 | 1.000 |
| Cardiac β‐adrenergic signaling | 4.79E‐02 | 9.0 | 1.000 |
| Nitric oxide signaling in the cardiovascular system | 6.17E‐03 | 12.0 | −0.302 |
| Ephrin receptor signaling | 1.05E‐02 | 9.8 | −1.414 |
| Interferon signaling | 2.40E‐03 | 19.4 | −2.646 |
| Tight junction signaling | 7.08E‐03 | 10.2 | – |
| Factors promoting cardiogenesis in vertebrates | 8.91E‐03 | 12.0 | – |
| G‐protein coupled receptor signaling | 8.91E‐03 | 9.0 | – |
| Ephrin A signaling | 1.23E‐02 | 14.6 | – |
| Catecholamine biosynthesis | 1.55E‐02 | 50.0 | – |
| eNOS signaling | 1.74E‐02 | 9.9 | – |
Percent of genes in the pathway that were changed in expression. Genes with false discovery rate (FDR) < 0.05 and absolute fold change > 1.5 were considered as significant.
Positive number means activation, and negative number means deactivation. – = the pathway was neither activated nor deactivated based on the patterns of gene expression. Z‐scores greater than 2 or smaller than −2 can be considered significant.
Discussion
DNMTs are important enzymes to establish and maintain DNA methylation patterns, deletion of which may cause embryonic lethality [13, 50]. To date, the role of DNMTs in the heart remains largely unknown. Recently, DNMT1 is found to be up‐regulated in the atrium of rats with isoproterenol‐induced heart failure [51]. Myocardial tissue‐specific DNMT1 knockout in rats protects against pathological injury induced by Adriamycin [36]. These findings suggest that DNMT1 plays an important role in the development and progression of heart diseases and decreased DNMT1 expression may protect the heart function. However, the direct effect of DNMT1 expression on cardiomyocytes remains unclear. We now show that knockdown of DNMT1 causes significant changes in DNA methylation patterns, gene expression (including deactivation of the heart disease pathways), and function of embryonic cardiomyocytes.
One of our previous studies found that knockdown of DNMT3a alters gene expression and decreases beating frequency, contractile movement, amplitude of field action potential, and cytosolic calcium signaling of embryonic cardiomyocytes [10]. We also found that down‐regulation of DNMT1 by siRNA markedly increases cytotoxicity and apoptosis, resulting in decreased cell viability [10]. Consistent with our early findings, the data from the present study reveal that DNMT1 siRNA treatment for 72 h significantly reduces the number of cardiomyocytes as compared to the control siRNA. Other reports also show that inhibition of DNMT1 decreases cell numbers and promotes apoptosis in other cell types [52, 53, 54]. The RNA‐Seq results demonstrate that the cell survival and proliferation pathways are deactivated following DNMT1 siRNA treatment, which may explain the reduced cell numbers (Table 3). Interestingly, the cell apoptosis and necrosis pathways are also deactivated (Table 3), which may be a compensatory change to inhibit cell death in response to the reduction in cell number. Furthermore, DNMT1 siRNA treatment increases the size of cardiomyocytes, which may be due to the changes in gene expression involved in fibrogenesis, size of cells, and morphology of sarcomere (Table 3). Functionally, DNMT1 siRNA significantly reduces the beating rate of cardiomyocytes and decreases the amplitude of field action potential. However, the genes involved in the contractile fiber are mostly up‐regulated by DNMT1 siRNA (Fig. 5B), which may be a cellular compensatory effort to synthesize contractile fibers in response to the decreased contractility.
The above results show that DNMT1 plays an essential role in regulating the cell cycle, size, and function of cardiomyocytes, and therefore, deregulation of DNMT1 may contribute to the onset of cardiovascular diseases (CVD). It is known that many CVD risk factors, such as stress, pollution, smoking, in utero undernutrition, and circadian rhythm, have been associated with modification of DNA methylation marks [55]. Patients with atherogenesis, coronary artery disease, dilated cardiomyopathy, and heart failure have abnormal patterns of DNA methylation [28, 29, 30, 31, 32, 33, 34]. Therefore, proper DNMT1 activity and DNA methylation patterns are key to the health of cardiomyocytes.
We previously found that down‐regulation of DNMTs, including DNMT1, in embryonic ventricles by in utero caffeine exposure correlates with altered DNA methylation patterns, gene expression profiles, and cardiac function in adult mice [37]. In utero caffeine exposure up‐regulates the expression of cardiac genes, including Myh6, Tnni3, Nppa, and Nppb, which are also increased following the knockdown of DNMT1 in this study. Therefore, DNMT1 may be involved in mediating the in utero caffeine effects on gene expression in the embryonic heart.
Our RNA‐Seq results predicted the activation of pathways related to cardiac function (Table 4). These predictions are based on the expressional changes of genes involved in the molecular pathways including but not limited to the activation of the cAMP‐mediated signaling, calcium signaling, endothelin‐1 signaling, and cardiac β‐adrenergic signaling (Table 5). The gene expression patterns seem to be contradictive to the observed decreased beating rate and amplitude of field action potential, and therefore, these changes may be the compensatory mechanisms in the cardiomyocytes to overcome the reduced function following DNMT1 siRNA treatment. Our RNA‐Seq results also predicted deactivation of the cardiac disease pathways, which may explain the protective effects against Adriamycin‐induced pathological injury in the heart of myocardial tissue‐specific DNMT1 knockout rats [36].
Table 5.
Significantly enriched cardiac and cell cycle pathways of DEU genes following DNMT1 siRNA treatment.
| Pathways (category) | Ratio (%) a | P‐value | Genes |
|---|---|---|---|
| GO:0007049~cell cycle (GOTERM_BP_FAT) | 6.20 | 3.92E‐04 | LOC630896, E2F3, GM1859, GM9385, MLH1, CDC16, GM8416, WTAP, GM4870, GM8096, GM5847, GM13337, CDC45, GM5593, GM7743, ASPM, ANAPC1, CDK1, LOC675010, DDIT3, GM7380, PRDM9, GM7308, USP22, PDCD6IP, XRN1, NEK6, GM7669, ING4, CCDC99, ANAPC13, LOC100047393, POLA1, CHEK1, ITGB1, C79407, 4922501C03RIK, NUMA1, GM8341, RB1CC1, GM7390, CAMK2D, PKD2, BUB1, TFDP1, GM9252, PDS5B, LOC674691, GM5207, GM14292, GM6756, RPL24, RACGAP1, GM7901, EHMT2, ATM, NAE1, CCNB1, LOC100045322, GM9347, PHGDH, CALM3, GAS2L1, GM9210, CIT, SMC1A, CALM2, CALM1, MYH10 |
| GO:0030017~sarcomere (GOTERM_CC_FAT) | 1.51 | 0.002 | MYO18B, ANK2, SLMAP, PDLIM5, SPNA2, MYH7, TTN, TPM2, CAPZB, TPM1 |
| GO:0005516~calmodulin binding (GOTERM_MF_FAT) | 1.66 | 0.008 | LOC100048853, INVS, MYO1C, PHKA1, CAMK2D, ATPIF1, SPNA2, MYH7, MYH14, TTN, ASPM, MYH10 |
| GO:0007507~heart development (GOTERM_BP_FAT) | 2.57 | 0.010 | PRKDC, TTN, FOXP4, ITGB1, TPM1, ATM, HDAC5, NOTCH1, MYO18B, D930049A15RIK, MYOCD, ZMIZ1, RB1CC1, GATA4, PKD2, SLC22A5, RBPJ, MYH10 |
| s‐adenosyl‐l‐methionine (SP_PIR_KEYWORDS) | 1.36 | 0.012 | PRMT1, RNMT, PRDM9, EZH2, DNMT1, SETD7, CDKAL1, EHMT2, NSUN2 |
| GO:0006915~apoptosis (GOTERM_BP_FAT) | 4.08 | 0.026 | LOC100047393, PRKDC, NFKB1, SCRIB, APLP1, RTN3, ANK2, SLK, TIA1, GM7390, TRAF7, ACIN1, CUL1, TFDP1, FAM82A2, AIMP2, LOC674691, TBRG4, MALT1, ATM, NAE1, LOC100046166, BBC3, TIAL1, LCK, TNFAIP8, SH3KBP1, MFSD10, PDCD6IP, EIF2AK2, NEK6 |
| mmu05410:Hypertrophic cardiomyopathy (KEGG_PATHWAY) | 1.21 | 0.038 | ITGB8, ITGA10, ITGA3, MYH7, TTN, TPM2, ITGB1, TPM1 |
Percent of genes in the pathway that had differentially expressed exons (DEU). Exons with false discovery rate (FDR) < 0.05 and absolute fold change > 1.5 were considered as significant.
Our previous finding has shown that knockdown of DNMT1 expression decreases global cytosine methylation level in the genomic DNA [10]. Consistently, through next‐generation sequencing, we find in this study that decreased DNMT1 expression results in reduced promoter methylation levels in 13 out of 15 target genes, which are related to cardiomyocyte morphology and proliferation. Changes in promoter methylation may have contributed to increased gene expression of 6 target genes. These data suggested that methylation may be one of multiple functions contributing to expression regulation of these cardiac genes. With the RNA‐Seq data, we predicted the impact of promoter demethylation on transcription factor activities (Table 7), the changes of which may lead to cascade effects on gene expression. Additionally, DNMT1 siRNA affects gene splicing in many genes, which may be due to the alterations in gene body methylation levels [56]. Collectively, these data demonstrate the direct effects of DNMT1 suppression on the maintenance of methylation patterns and proper gene expression and splicing.
Overall, we now demonstrate that knockdown of DNMT1 changes promoter methylation patterns, alters cardiac gene expression and splicing, and inhibits cell viability, beating frequency, and amplitude of field action potential in embryonic cardiomyocytes. Collectively, these data demonstrate that DNMT1 plays an important role in regulating cardiomyocyte DNA methylation, gene expression, and function.
Conflicts of interest
The authors declare no conflict of interest.
Author contributions
XF, CCW, and SAR conceived and designed the project, XF and RP acquired the data, XF analyzed the data, XF, LZ, and JW interpreted the data, and XF, LZ, JW, and CCW wrote the paper.
Supporting information
Table S1. DE genes supplementary table.
Table S2. DUE exons supplementary table.
Acknowledgements
We thank John Wang‐Hu for technical assistance and Children's Miracle Network for funding.
Edited by Irene Díaz‐Moreno
Data accessibility
All RNA‐Seq data were uploaded to the Gene Expression Omnibus (GEO), and the accession number is GSE81446. All bisulfite‐Seq data were uploaded to GEO, and the accession number is GSE81464.
Reference
- 1. Evans SM, Yelon D, Conlon FL and Kirby ML (2010) Myocardial lineage development. Circ Res 107, 1428–1444. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2. Siedner S, Kruger M, Schroeter M, Metzler D, Roell W, Fleischmann BK, Hescheler J, Pfitzer G and Stehle R (2003) Developmental changes in contractility and sarcomeric proteins from the early embryonic to the adult stage in the mouse heart. J Physiol 548, 493–505. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3. Chang CP and Bruneau BG (2012) Epigenetics and cardiovascular development. Annu Rev Physiol 74, 41–68. [DOI] [PubMed] [Google Scholar]
- 4. Wamstad JA, Alexander JM, Truty RM, Shrikumar A, Li F, Eilertson KE, Ding H, Wylie JN, Pico AR, Capra JA et al. (2012) Dynamic and coordinated epigenetic regulation of developmental transitions in the cardiac lineage. Cell 151, 206–220. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5. Gilsbach R, Preissl S, Gruning BA, Schnick T, Burger L, Benes V, Wurch A, Bonisch U, Gunther S, Backofen R et al. (2014) Dynamic DNA methylation orchestrates cardiomyocyte development, maturation and disease. Nat Commun 5, 5288. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6. Sim CB, Ziemann M, Kaspi A, Harikrishnan KN, Ooi J, Khurana I, Chang L, Hudson JE, El‐Osta A and Porrello ER (2015) Dynamic changes in the cardiac methylome during postnatal development. FASEB J 29, 1329–1343. [DOI] [PubMed] [Google Scholar]
- 7. Gu Y, Liu GH, Plongthongkum N, Benner C, Yi F, Qu J, Suzuki K, Yang J, Zhang W, Li M et al. (2014) Global DNA methylation and transcriptional analyses of human ESC‐derived cardiomyocytes. Protein Cell 5, 59–68. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8. Faulk C and Dolinoy DC (2011) Timing is everything: the when and how of environmentally induced changes in the epigenome of animals. Epigenetics 6, 791–797. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9. Inoue A and Zhang Y (2011) Replication‐dependent loss of 5‐hydroxymethylcytosine in mouse preimplantation embryos. Science 334, 194. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10. Fang X, Poulsen RR, Wang‐Hu J, Shi O, Calvo NS, Simmons CS, Rivkees SA and Wendler CC (2016) Knockdown of DNA methyltransferase 3a alters gene expression and inhibits function of embryonic cardiomyocytes. FASEB J 30, 3238–3255. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11. Denis H, Ndlovu MN and Fuks F (2011) Regulation of mammalian DNA methyltransferases: a route to new mechanisms. EMBO Rep 12, 647–656. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12. Lei H, Oh SP, Okano M, Juttermann R, Goss KA, Jaenisch R and Li E (1996) De novo DNA cytosine methyltransferase activities in mouse embryonic stem cells. Development 122, 3195–3205. [DOI] [PubMed] [Google Scholar]
- 13. Okano M, Bell DW, Haber DA and Li E (1999) DNA methyltransferases Dnmt3a and Dnmt3b are essential for de novo methylation and mammalian development. Cell 99, 247–257. [DOI] [PubMed] [Google Scholar]
- 14. Kass SU, Pruss D and Wolffe AP (1997) How does DNA methylation repress transcription? Trends Genet 13, 444–449. [DOI] [PubMed] [Google Scholar]
- 15. Zhou Y, Lu Y and Tian W (2012) Epigenetic features are significantly associated with alternative splicing. BMC Genom 13, 123. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16. Flores K, Wolschin F, Corneveaux JJ, Allen AN, Huentelman MJ and Amdam GV (2012) Genome‐wide association between DNA methylation and alternative splicing in an invertebrate. BMC Genom 13, 480. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17. Shukla S, Kavak E, Gregory M, Imashimizu M, Shutinoski B, Kashlev M, Oberdoerffer P, Sandberg R and Oberdoerffer S (2011) CTCF‐promoted RNA polymerase II pausing links DNA methylation to splicing. Nature 479, 74–79. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 18. Szyf M (2011) The early life social environment and DNA methylation: DNA methylation mediating the long‐term impact of social environments early in life. Epigenetics 6, 971–978. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19. Szyf M (2011) The implications of DNA methylation for toxicology: toward toxicomethylomics, the toxicology of DNA methylation. Toxicol Sci 120, 235–255. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20. Santos MS and Joles JA (2012) Early determinants of cardiovascular disease. Best Pract Res Clin Endocrinol Metab 26, 581–597. [DOI] [PubMed] [Google Scholar]
- 21. Skinner MK, Mohan M, Haque MM, Zhang B and Savenkova MI (2012) Epigenetic transgenerational inheritance of somatic transcriptomes and epigenetic control regions. Genome Biol 13, R91. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22. Nilsson E, Larsen G, Manikkam M, Guerrero‐Bosagna C, Savenkova MI and Skinner MK (2012) Environmentally induced epigenetic transgenerational inheritance of ovarian disease. PLoS One 7, e36129. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23. Guerrero‐Bosagna C and Skinner MK (2012) Environmentally induced epigenetic transgenerational inheritance of phenotype and disease. Mol Cell Endocrinol 354, 3–8. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24. Yun Y, Zhang Y, Li G, Chen S and Sang N (2019) Embryonic exposure to oxy‐polycyclic aromatic hydrocarbon interfere with pancreatic β‐cell development in zebrafish via altering DNA methylation and gene expression. Sci Total Environ 660, 1602–1609. [DOI] [PubMed] [Google Scholar]
- 25. Senyildiz M, Karaman EF, Bas SS, Pirincci PA and Ozden S (2017) Effects of BPA on global DNA methylation and global histone 3 lysine modifications in SH‐SY5Y cells: an epigenetic mechanism linking the regulation of chromatin modifiying genes. Toxicol In Vitro 44, 313–321. [DOI] [PubMed] [Google Scholar]
- 26. Du L, Sun W, Li XM, Li XY, Liu W and Chen D (2018) DNA methylation and copy number variation analyses of human embryonic stem cell‐derived neuroprogenitors after low‐dose decabromodiphenyl ether and/or bisphenol A exposure. Hum Exp Toxicol 37, 475–485. [DOI] [PubMed] [Google Scholar]
- 27. Parfett CL and Desaulniers D (2017) A Tox21 approach to altered epigenetic landscapes: assessing epigenetic toxicity pathways leading to altered gene expression and oncogenic transformation in vitro. Int J Mol Sci 18, 1179. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 28. Sharma P, Garg G, Kumar A, Mohammad F, Kumar SR, Tanwar VS, Sati S, Sharma A, Karthikeyan G, Brahmachari V et al. (2014) Genome wide DNA methylation profiling for epigenetic alteration in coronary artery disease patients. Gene 541, 31–40. [DOI] [PubMed] [Google Scholar]
- 29. Movassagh M, Choy MK, Goddard M, Bennett MR, Down TA and Foo RS (2010) Differential DNA methylation correlates with differential expression of angiogenic factors in human heart failure. PLoS One 5, e8564. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 30. Movassagh M, Choy MK, Knowles DA, Cordeddu L, Haider S, Down T, Siggens L, Vujic A, Simeoni I, Penkett C et al. (2011) Distinct epigenomic features in end‐stage failing human hearts. Circulation 124, 2411–2422. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 31. Koczor CA, Lee EK, Torres RA, Boyd A, Vega JD, Uppal K, Yuan F, Fields EJ, Samarel AM and Lewis W (2013) Detection of differentially methylated gene promoters in failing and nonfailing human left ventricle myocardium using computation analysis. Physiol Genomics 45, 597–605. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32. Haas J, Frese KS, Park YJ, Keller A, Vogel B, Lindroth AM, Weichenhan D, Franke J, Fischer S, Bauer A et al. (2013) Alterations in cardiac DNA methylation in human dilated cardiomyopathy. EMBO Mol Med 5, 413–429. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 33. Sharma P, Kumar J, Garg G, Kumar A, Patowary A, Karthikeyan G, Ramakrishnan L, Brahmachari V and Sengupta S (2008) Detection of altered global DNA methylation in coronary artery disease patients. DNA Cell Biol 27, 357–365. [DOI] [PubMed] [Google Scholar]
- 34. Ying AK, Hassanain HH, Roos CM, Smiraglia DJ, Issa JJ, Michler RE, Caligiuri M, Plass C and Goldschmidt‐Clermont PJ (2000) Methylation of the estrogen receptor‐alpha gene promoter is selectively increased in proliferating human aortic smooth muscle cells. Cardiovasc Res 46, 172–179. [DOI] [PubMed] [Google Scholar]
- 35. Stenzig J, Schneeberger Y, Loser A, Peters BS, Schaefer A, Zhao RR, Ng SL, Hoppner G, Geertz B, Hirt MN et al. (2018) Pharmacological inhibition of DNA methylation attenuates pressure overload‐induced cardiac hypertrophy in rats. J Mol Cell Cardiol 120, 53–63. [DOI] [PubMed] [Google Scholar]
- 36. Wu TT, Ma YW, Zhang X, Dong W, Gao S, Wang JZ, Zhang LF and Lu D (2020) Myocardial tissue‐specific Dnmt1 knockout in rats protects against pathological injury induced by Adriamycin. Lab Invest 100, 974–985. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 37. Fang X, Mei W, Barbazuk WB, Rivkees SA and Wendler CC (2014) Caffeine exposure alters cardiac gene expression in embryonic cardiomyocytes. Am J Physiol Regul Integr Comp Physiol 307, R1471–R1487. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 38. Anders S, Pyl PT and Huber W (2015) HTSeq–a Python framework to work with high‐throughput sequencing data. Bioinformatics 31, 166–169. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 39. Robinson MD, McCarthy DJ and Smyth GK (2010) edgeR: a Bioconductor package for differential expression analysis of digital gene expression data. Bioinformatics 26, 139–140. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 40. Love MI, Huber W and Anders S (2014) Moderated estimation of fold change and dispersion for RNA‐seq data with DESeq2. Genome Biol 15, 550. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 41. da Huang W, Sherman BT and Lempicki RA (2009) Systematic and integrative analysis of large gene lists using DAVID bioinformatics resources. Nat Protoc 4, 44–57. [DOI] [PubMed] [Google Scholar]
- 42. Fang X, Corrales J, Thornton C, Clerk T, Scheffler BE and Willett KL (2015) Transcriptomic changes in zebrafish embryos and larvae following benzo[a]pyrene exposure. Toxicol Sci 146, 395–411. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 43. Anders S, Reyes A and Huber W (2012) Detecting differential usage of exons from RNA‐seq data. Genome Res 22, 2008–2017. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 44. Fang X, Thornton C, Scheffler BE and Willett KL (2013) Benzo[a]pyrene decreases global and gene specific DNA methylation during zebrafish development. Environ Toxicol Pharmacol 36, 40–50. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 45. Krueger F and Andrews SR (2011) Bismark: a flexible aligner and methylation caller for Bisulfite‐Seq applications. Bioinformatics 27, 1571–1572. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 46. Akalin A, Kormaksson M, Li S, Garrett‐Bakelman FE, Figueroa ME, Melnick A and Mason CE (2012) methylKit: a comprehensive R package for the analysis of genome‐wide DNA methylation profiles. Genome Biol 13, R87. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 47. McCulley DJ and Black BL (2012) Transcription factor pathways and congenital heart disease. Curr Top Dev Biol 100, 253–277. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 48. Doyle MJ, Lohr JL, Chapman CS, Koyano‐Nakagawa N, Garry MG and Garry DJ (2015) Human induced pluripotent stem cell‐derived cardiomyocytes as a model for heart development and congenital heart disease. Stem Cell Rev 11, 710–727. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 49. Sun C and Kontaridis MI (2018) Physiology of cardiac development: from genetics to signaling to therapeutic strategies. Curr Opin Physiol 1, 123–139. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 50. Lei H, Oh SP, Okano M, Jüttermann R, Goss KA, Jaenisch R and Li E (1996) De novo DNA cytosine methyltransferase activities in mouse embryonic stem cells. Development 122, 3195–3205. [DOI] [PubMed] [Google Scholar]
- 51. Kao YH, Chen YC, Chung CC, Lien GS, Chen SA, Kuo CC and Chen YJ (2013) Heart failure and angiotensin II modulate atrial Pitx2c promotor methylation. Clin Exp Pharmacol Physiol 40, 379–384. [DOI] [PubMed] [Google Scholar]
- 52. Xu S, Ren J, Chen HB, Wang Y, Liu Q, Zhang R, Jiang SW and Li J (2014) Cytostatic and apoptotic effects of DNMT and HDAC inhibitors in endometrial cancer cells. Curr Pharm Des 20, 1881–1887. [DOI] [PubMed] [Google Scholar]
- 53. Lin N, Qin S, Luo S, Cui S, Huang G and Zhang X (2014) Homocysteine induces cytotoxicity and proliferation inhibition in neural stem cells via DNA methylation in vitro. FEBS J 281, 2088–2096. [DOI] [PubMed] [Google Scholar]
- 54. Huang MH, Chou YW, Li MH, Shih TE, Lin SZ, Chuang HM, Chiou TW, Su HL and Harn HJ (2019) Epigenetic targeting DNMT1 of pancreatic ductal adenocarcinoma using interstitial control release biodegrading polymer reduced tumor growth through hedgehog pathway inhibition. Pharmacol Res 139, 50–61. [DOI] [PubMed] [Google Scholar]
- 55. Ordovas JM and Smith CE (2010) Epigenetics and cardiovascular disease. Nat Rev Cardiol 7, 510–519. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 56. O'Neill KM, Irwin RE, Mackin SJ, Thursby SJ, Thakur A, Bertens C, Masala L, Loughery JEP, McArt DG and Walsh CP (2018) Depletion of DNMT1 in differentiated human cells highlights key classes of sensitive genes and an interplay with polycomb repression. Epigenet Chromatin 11, 12. [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
Table S1. DE genes supplementary table.
Table S2. DUE exons supplementary table.
Data Availability Statement
All RNA‐Seq data were uploaded to the Gene Expression Omnibus (GEO), and the accession number is GSE81446. All bisulfite‐Seq data were uploaded to GEO, and the accession number is GSE81464.
