Blood DNA methylation profiling identifies cathepsin Z dysregulation in pulmonary arterial hypertension
Ulrich, Anna; Wu, Yukyee; Draisma, Harmen; Wharton, John; Swietlik, Emilia M; Cebola, Inês; Vasilaki, Eleni; Balkhiyarova, Zhanna; Jarvelin, Marjo-Riitta; Auvinen, Juha; Herzig, Karl-Heinz; Coghlan, J Gerry; Lordan, James; Church, Colin; Howard, Luke S; Pepke-Zaba, Joanna; Toshner, Mark; Wort, Stephen J; Kiely, David G; Condliffe, Robin; Lawrie, Allan; Gräf, Stefan; Morrell, Nicholas W; Wilkins, Martin R; Prokopenko, Inga; Rhodes, Christopher J (2024-01-06)
Ulrich, Anna
Wu, Yukyee
Draisma, Harmen
Wharton, John
Swietlik, Emilia M
Cebola, Inês
Vasilaki, Eleni
Balkhiyarova, Zhanna
Jarvelin, Marjo-Riitta
Auvinen, Juha
Herzig, Karl-Heinz
Coghlan, J Gerry
Lordan, James
Church, Colin
Howard, Luke S
Pepke-Zaba, Joanna
Toshner, Mark
Wort, Stephen J
Kiely, David G
Condliffe, Robin
Lawrie, Allan
Gräf, Stefan
Morrell, Nicholas W
Wilkins, Martin R
Prokopenko, Inga
Rhodes, Christopher J
Springer
06.01.2024
Ulrich, A., Wu, Y., Draisma, H. et al. Blood DNA methylation profiling identifies cathepsin Z dysregulation in pulmonary arterial hypertension. Nat Commun 15, 330 (2024). https://doi.org/10.1038/s41467-023-44683-0
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© The Author(s) 2024. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
https://creativecommons.org/licenses/by/4.0/
© The Author(s) 2024. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
https://creativecommons.org/licenses/by/4.0/
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:oulu-202401261483
https://urn.fi/URN:NBN:fi:oulu-202401261483
Tiivistelmä
Abstract
Pulmonary arterial hypertension (PAH) is characterised by pulmonary vascular remodelling causing premature death from right heart failure. Established DNA variants influence PAH risk, but susceptibility from epigenetic changes is unknown. We addressed this through epigenome-wide association study (EWAS), testing 865,848 CpG sites for association with PAH in 429 individuals with PAH and 1226 controls. Three loci, at Cathepsin Z (CTSZ, cg04917472), Conserved oligomeric Golgi complex 6 (COG6, cg27396197), and Zinc Finger Protein 678 (ZNF678, cg03144189), reached epigenome-wide significance (p < 10−7) and are hypermethylated in PAH, including in individuals with PAH at 1-year follow-up. Of 16 established PAH genes, only cg10976975 in BMP10 shows hypermethylation in PAH. Hypermethylation at CTSZ is associated with decreased blood cathepsin Z mRNA levels. Knockdown of CTSZ expression in human pulmonary artery endothelial cells increases caspase-3/7 activity (p < 10−4). DNA methylation profiles are altered in PAH, exemplified by the pulmonary endothelial function modifier CTSZ, encoding protease cathepsin Z.
Pulmonary arterial hypertension (PAH) is characterised by pulmonary vascular remodelling causing premature death from right heart failure. Established DNA variants influence PAH risk, but susceptibility from epigenetic changes is unknown. We addressed this through epigenome-wide association study (EWAS), testing 865,848 CpG sites for association with PAH in 429 individuals with PAH and 1226 controls. Three loci, at Cathepsin Z (CTSZ, cg04917472), Conserved oligomeric Golgi complex 6 (COG6, cg27396197), and Zinc Finger Protein 678 (ZNF678, cg03144189), reached epigenome-wide significance (p < 10−7) and are hypermethylated in PAH, including in individuals with PAH at 1-year follow-up. Of 16 established PAH genes, only cg10976975 in BMP10 shows hypermethylation in PAH. Hypermethylation at CTSZ is associated with decreased blood cathepsin Z mRNA levels. Knockdown of CTSZ expression in human pulmonary artery endothelial cells increases caspase-3/7 activity (p < 10−4). DNA methylation profiles are altered in PAH, exemplified by the pulmonary endothelial function modifier CTSZ, encoding protease cathepsin Z.
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