(A) Model of hyperglycemia using primary human vascular endothelial cells derived from nondiabetic and T1D individuals. (B) MTOR bisulfite sequencing. Data are represented as a single DNA molecule from 1 sample from each group. Open circles, unmethylated CG; solid circles, methylated CG. (C) MTOR methylation analysis using methyl–qPCR. (D) MTOR mRNA levels in human endothelial cells stimulated by chronic HG and 5adC. qRT-PCR data are shown relative to H3F3A. Significance in C and D was calculated by comparing normal glucose (NG) vs. high glucose (HG), NG vs. NG + 5-aza-2′-deoxycytidine (5adC), and NG vs. HG + 5adC (n = 3). (E) Schematic of DMRs validated in the FinnDiane cohort overlapping the CTCF and Pol2B binding motifs proximal to MTOR exon 7. CTCF and Pol2B binding was assessed by ChIP-qPCR and signals were adjusted to an IgG antibody control. Regions of interest amplified are the CTCF binding sites on MTOR. Significance was calculated by comparing to NG control (n = 3). (F) CTCF ChIP assay combined with bisulfite sequencing upstream of exon 7 of the MTOR gene. Open circles, unmethylated CG; solid circles, methylated CG. (G) MTOR exon–specific qRT-PCR assay in human vascular endothelial cells. mRNA levels reported relative to NG (n = 5). (H) MTOR qRT-PCR data from primary human aortic endothelial cells isolated from healthy and T1D individuals (n = 3). (I) MTOR methylation analysis in primary endothelial cells using methyl-qPCR. DNA methylation was further reduced in diabetic cells exposed to HG. (J) CTCF and Pol2B binding was reduced in hyperglycemic conditions. Significance in I and J was calculated by comparing healthy vs. healthy + HG, diabetic vs. diabetic + HG, and healthy vs. diabetic + HG (n = 3). Experiments were performed on cells from passages 4 to 7. *P < 0.05, **P < 0.01 by 2-tailed Student’s t test. Error bars are SEM.