an integrative analysis reveals coordinated reprogramming of the ... · an integrative analysis...

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An integrative analysis reveals coordinated reprogramming of the epigenome and the transcriptome in human skeletal muscle after training Francesco Marabita a1 , Maléne E Lindholm b1 , David Gomez-Cabrero a , Helene Rundqvist c , Tomas J Ekström d , Jesper Tegnér a1 & Carl Johan Sundberg b1 ABSTRACT - Regular endurance exercise training induces beneficial functional and health effects in human skeletal muscle. The putative contribution to the training response of the epigenome as a mediator between genes and environment has not been clarified. Here we investigated the contribution of DNA methylation and associated transcriptomic changes in a well-controlled human intervention study. Training effects were mirrored by significant alterations in DNA methylation and gene expression in regions with a homogeneous muscle energetics and remodeling ontology. Differential DNA methylation predominantly occurred in enhancer regions, where known binding motifs of MRF, MEF2 and ETS proteins were identified. A transcriptional network analysis revealed modules harboring distinct ontologies, and interestingly the overall direction of the changes of methylation within each module was inversely correlated to expression changes. In conclusion, we show that highly consistent and associated modifications in methylation and expression, concordant with observed health-enhancing phenotypic adaptations, are induced by a physiological stimulus. a) Unit of Computational Medicine – Center for Molecular Medicine, Karolinska University Hospital, Stockholm b) Molecular Exercise Physiology, Department of Physiology and Pharmacology, Karolinska Institute, Stockholm c) Department of Cell and Molecular Biology, Karolinska Institutet, Stockholm d) Center for Molecular Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm 1) Equal contribution Methods Paired samples from healthy volunteers. 17 young, healthy subjects, males and females, performed 3 months of supervised one-legged knee extension training (four 45-min sessions/week). Maximal performance was assessed and biopsies were obtained from the vastus lateralis muscle before (T1) and after (T2) the training period. DNA and RNA were extracted Training induces gene expression and DNA methylation changes E-mail and website: [email protected] [email protected] www.compmed.se Skeletal muscle has high degree of plasticity during adaptive response to physical exercise Part of the variability may be explained by differences in gene expression Goal: provide a map of the molecular changes occurring in skeletal muscle after endurance exercise Does DNA methylation control genomic transcriptional response after physical exercise? ? In summary With a fully supervised human one-legged exercise training study and the paired design we excluded potential influence of diet, seasonal changes or unknown environmental factors. The training intervention reshapes the DNA methylation profile in muscle biospies. The absolute changes were however small (maximum mean change 9%) Changes in DNA methylation were enriched in enhancer regions. Functional categories related to muscle biology (e.g. regulation of cellular carbohydrate metabolism and structural remodeling) were overrepresented among differentially methylated sites. A coordinated transcriptional and epigenetic response was identified through network analysis. Exercise induces coordinate changes in gene expression and DNA methylation GREAT analysis retrieved functional categories associated with DMPs which increased or decreased methylation after training (up to top 5 categories are shown). We tested the presence of known enriched motif on a symmetrical 200bp window around each DMP, using HOMER (p<10 -10 , consensus motif shown). Known profiles were clustered and a familial logo is drawn. (B) A starburst plot illustrates the relationship between DNA methylation and expression changes. X-axis: gene expression; y-axis: DNA methylation. Green dots correspond to pairs with FDR<0.05. Numbers show the percentage of positions (black) or genes (red) on each region. Examples are given on separate inserts. Color code: training = T1, black or T2, red; gender = M, blue or F, red. The correlation for the significant pairs is visually explained by the training, while the correlation obtained for non-significant cases may be explained because of the individual levels of methylation and gene expression being correlated at the subject level. A mutual information transcriptional network reconstructed using DEGs shows three major domains. The whole network is shown at the bottom of the figure. The three major domains (A,B,C) are zoomed and only genes with corresponding significative changes in DNA methylation are labeled. The overall direction of the methylation changes within each module is opposite to the expression changes. (A) Most DMPs occur outside CpG islands, and preferentially in gene bodies, intergenic regions The relative fraction of positions located within each feature type is calculated for DMPs, non-DMPs and the entire position on the array. Significance codes: * p<0.05; *** p<0.001; Fisher’s exact test. p-value and logFC Correlation analysis Network reconstruction 1 Illumina Human Methylation 450k arrays 2 QC, normalization, probe bias (BMIQ) and batch effect (ComBat) correction 3 Identification of Differentially Methylated Positions – DMP (limma) 4 Annotation and ontology analysis (GREAT) DNA Methylation Gene expression INTEGRATION Results Results 1 Illumina HiSeq2000 2x100bp 2 QC, trimming, mapping (TopHat2) and summarization 3 Identification of Differentially Expressed Genes – DEGs (edgeR) 4 Ontology and pathway analysis (goseq),and network reconstruction (ARACNE) Trained leg Untrained leg 0 10 20 30 40 mmol/kg*min * # Trained leg Untrained leg 0 10 20 30 40 Average watts/min * # * A: Phenotypic changes Methylation Expression Before After 0 2 4 6 8 10 12 14 1.0 0.0 1.0 DEG at FDR<0.05 Average logCPM logFC ●● ●● ●● ●● ●● ●● ●● ●● ●● 2 1 0 1 2 0 2 4 6 8 DMP at FDR<0.05 M log10(P) T2 T1 F M D: clustering B: DNA methylation DMP non-DMP Illumina 450K -1.5 -1 -0.5 0 0.5 1 1.5 Active promoter Weak Promoter Inactive/poised Promoter Strong Enhancer Weak Enhancer Insulator Transriptional Elongation Weak Transcribed Polycomb-repressed Heterocrom/repetitive/CNV log2(Fold Enrichment) HSMM Island N_Shelf N_Shore S_Shelf S_Shore Outside Relation to CpG Islands Fraction 0.0 0.1 0.2 0.3 0.4 0.5 *** *** *** 1stExon 3'UTR 5'UTR Body TSS1500 TSS200 Intergenic Relation to Genes Fraction 0.0 0.1 0.2 0.3 0.4 0.5 *** *** * *** *** *** Enhancers H3K4me1 H3K27ac H3K4me1 H3K27ac Relation to Enhancers Fraction 0.0 0.1 0.2 0.3 0.4 0.5 0.6 *** *** *** *** DMP UP Molecular Function Biological Process Cellular Component DMP DOWN AACAGCTG BAACAGCTGT VCAGCTGYTG RRCAGCTGYTSY VNRVCAGCTGGY YTGCCAAG CYTGGCABNSTGCCAR YCWGGAATGY CCWGGAATGY CYAAAAATAG DCYAAAAATAGM GKVTCADRTTWC ACAGGAAGTG AACCGGAAGT NRYTTCCGGH ATTTCCTGTN AGAGGAAGTG VACAGGAAAT RACCGGAAGT MACAGGAAGT ACVAGGAAGT MADS box (MEF-2A, MEF-2C) ETS family bHLH (MyoD, MyoG, Myf5, …) Known enriched motifs (p 10e-10) 0 5 10 15 titin binding collagen binding regulation of generation of precursor metabolites and energy adipose tissue development regulation of cellular carbohydrate catabolic process regulation of glycolysis substrate adhesion-dependent cell spreading contractile fiber myofibril contractile fiber part sarcomere actomyosin -log10(P) 0 5 10 15 20 25 30 transcription regulatory region sequence-specific DNA binding RNA pol II core promoter proximal region sequence-specific DNA binding TF activity embryonic morphogenesis embryonic organ morphogenesis regionalization cytokine-mediated signaling pathway interferon-gamma-mediated signaling pathway MHC protein complex actomyosin -log10(P) Known enriched motifs (p 10e-10) 0.5 1.0 1.5 2.0 2.5 30 40 50 60 70 80 90 KANSL2 cg20643444 methylation (M value) expression (normalized cpm) 1T1 1T2 4T1 4T2 5T1 5T2 12T1 12T2 13T1 26T1 26T2 7T1 7T2 9T1 9T2 11T1 11T2 15T1 15T2 16T1 16T2 18T1 18T2 20T1 20T2 22T1 22T2 23T1 23T2 24T1 24T2 27T1 27T2 T1 T2 2.0 2.5 3.0 3.5 4.0 4.5 5.0 15 20 25 MIPEP cg17843665 methylation (M value) expression (normalized cpm) 1T1 1T2 4T1 4T2 5T1 5T2 12T1 12T2 13T1 26T1 26T2 7T1 7T2 9T1 9T2 11T1 11T2 15T1 15T2 16T1 16T2 18T1 18T2 20T1 20T2 22T1 22T2 23T1 23T2 24T1 24T2 27T1 27T2 T1 T2 1.0 0.8 0.6 0.4 12 14 16 18 20 22 24 26 GRK5 cg26759179 methylation (M value) expression (normalized cpm) 1T1 1T2 4T1 4T2 5T1 5T2 12T1 12T2 13T1 26T1 26T2 7T1 7T2 9T1 9T2 11T1 11T2 15T1 15T2 16T1 16T2 18T1 18T2 20T1 20T2 22T1 22T2 23T1 23T2 24T1 24T2 27T1 27T2 T1 T2 30 20 10 0 10 20 30 3 2 1 0 1 2 3 All probes and genes log 10 (FDR) sign(log 2 (FC)) log 10 (FDR) sign(M) ●● ●● ●● ●● ●● ●● ●● ●● ●● ●● ●● ●● ●● 350 pairs 262 pairs 349 pairs 89 pairs 255 genes 203 genes 273 genes 70 genes 0 1 2 3 4 20 40 60 80 THNSL2 cg04051697 methylation (M value) expression (normalized cpm) 1T1 1T2 4T1 4T2 5T1 5T2 12T1 12T2 13T1 26T1 26T2 7T1 7T2 9T1 9T2 11T1 11T2 15T1 15T2 16T1 16T2 18T1 18T2 20T1 20T2 22T1 22T2 23T1 23T2 24T1 24T2 27T1 27T2 F M * p<10 -4 T2 vs. T1 # p<10 -4 trained vs. untrained leg The physiological changes ( A ) are mirrored by modifications in DNA methylation (B) and gene expression (C). The sample clustering is shown in D using either DNA methylation or gene expression. A segment connects to measurements from the same subject. Training and gender are the major sources of variability DNA methylation changes are primarily localized in enhancers Transcriptional network analysis confirms the coordinated alternations in methylation and gene expression. TBRG4 EIF3K IDH2 NEXN C17orf104 TRDN CUL3 MDM2 CSDE1 CLIP1 CKB TARBP1 SDHB MDH1 DECR1 C21orf33 CKMT2 MRPL16 HADHB SLC25A20 ECHDC3 ACSL1 NDUFS2 NDUFA8 MAP3K11 TSPO GPT UQCRC1 SLC25A4 NUDT8 TMEM143 NDUFS6 MRPL2 FLYWCH2 EPS15 TTC37 PPP1R12A CACNA2D1 CAST CLDN5 CLEC14A CD34 ECSCR EPB41L1 CDH5 COL3A1 COL6A3 ARHGAP31 CAV1 FYN DOCK1 LXN LRRC8C ERG ELTD1 NEURL1B ARHGDIB LY6E LASP1 SIPA1 CRIP2 TAGLN2 GNAI2 COL4A1 NID2 CLIC1 EPHB4 NDUFA4L2 PDGFRB ESAM ROBO4 COL4A2 LAMA4 B: Cellular energetics C: Morphological changes A: Transcriptional and cell cycle regulation log2(FC) + gene has DMP gene has DMP gene has DMP 1.0 0.5 0.0 0.5 1.0 0.0 0.5 1.0 1.5 2.0 Spearman Correlation rho Density All DMP and DEG ( A) Spearman correlation between DNA methylation and gene expression calculated either including all pairs of genes/methylation positions or only pairs formed by a DMP and a DEG. The two distributions are strongly different (p< 1e-16 KS test) and peaks of non-zero correlation are highlighted after selecting changing sites after training and stratified according to the genomic location of the DMP. C: Gene expression 15 min test Citrate synthase activity A: Illumina annotation (B) DMPs were enriched in enhancer regions, defined using external annotation sources (Encode, Roadmap Epigenomics). The log2 fold enrichment for DMPs vs. the array was calculated for the relative fraction of probes falling in each category; data from chromatin segmentation in HSMM cells B: External annotation Functional annotation of DNA methylation changes indicates a clear muscle ontology A: Integration through correlation B: Integration through p-value and logFC 3 months endurance training DNA/RNA from muscle biopsies DNA methylation RNA expression R T U 3 R T U 5 TSS1500 TSS200 1 st exon Gene body Transcription start site (TSS) a b c d 1.0 0.5 0.0 0.5 1.0 0.0 0.5 1.0 1.5 2.0 TSS200 rho Density 1.0 0.5 0.0 0.5 1.0 0.0 0.5 1.0 1.5 2.0 TSS1500 rho Density 1.0 0.5 0.0 0.5 1.0 0.0 0.5 1.0 1.5 2.0 5'UTR+1stExon rho Density 1.0 0.5 0.0 0.5 1.0 0.0 0.5 1.0 1.5 2.0 Gene body + 3'UTR rho Density Significance Regular endurance training induces extensive beneficial effects contributing to prevention and treatment of a multitude of the globally most common diseases (cardiovascular disease, type II diabetes and several forms of cancer). This human study provides novel insights about the mechanisms underlying the massive functional and health benefits of regular, long-term exercise, supporting the role of the epigenome to the training response, as a mediator between genes and environment.

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An integrative analysis reveals coordinated reprogramming of the epigenome and the transcriptome in human skeletal muscle after training

Francesco Marabitaa1, Maléne E Lindholmb1, David Gomez-Cabreroa, Helene Rundqvistc, Tomas J Ekströmd, Jesper Tegnéra1 & Carl Johan Sundbergb1

ABSTRACT - Regular endurance exercise training induces beneficial functional and health effects in human skeletal muscle. The putative contribution to the training response of the epigenome as a mediator between genes and environment has not been clarified. Here we investigated the contribution of DNA methylation and associated transcriptomic changes in a well-controlled human intervention study. Training effects were mirrored by significant alterations in DNA methylation and gene expression in regions with a homogeneous muscle energetics and remodeling ontology. Differential DNA methylation predominantly occurred in enhancer regions, where known binding motifs of MRF, MEF2 and ETS proteins were identified. A transcriptional network analysis revealed modules harboring distinct ontologies, and interestingly the overall direction of the changes of methylation within each module was inversely correlated to expression changes. In conclusion, we show that highly consistent and associated modifications in methylation and expression, concordant with observed health-enhancing phenotypic adaptations, are induced by a physiological stimulus.

a) Unit of Computational Medicine – Center for Molecular Medicine, Karolinska University Hospital, Stockholm!b) Molecular Exercise Physiology, Department of Physiology and Pharmacology, Karolinska Institute, Stockholm!c) Department of Cell and Molecular Biology, Karolinska Institutet, Stockholm!d) Center for Molecular Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm!1) Equal contribution !

Methods!Paired samples from healthy volunteers. 17 young, healthy subjects, males and females, performed 3 months of supervised one-legged knee extension training (four 45-min sessions/week). Maximal performance was assessed and biopsies were obtained from the vastus lateralis muscle before (T1) and after (T2) the training period. DNA and RNA were extracted !

Training induces gene expression and DNA methylation changes!

E-mail and website:[email protected][email protected]!www.compmed.se!

Skeletal muscle has high degree of plasticity during adaptive response to physical exercise

Part of the variability may be explained by differences in gene expression

Goal: provide a map of the molecular changes occurring in skeletal muscle after endurance exercise

Does DNA methylation control genomic transcriptional response after physical exercise? ?

In summary!•  With a fully supervised human one-legged exercise training

study and the paired design we excluded potential influence of diet, seasonal changes or unknown environmental factors. !

•  The training intervention reshapes the DNA methylation profile in muscle biospies. The absolute changes were however small (maximum mean change 9%)!

•  Changes in DNA methylation were enriched in enhancer regions. Functional categories related to muscle biology (e.g. regulation of cellular carbohydrate metabolism and structural remodeling) were overrepresented among differentially methylated sites.!

•  A coordinated transcriptional and epigenetic response was identified through network analysis.!

Exercise induces coordinate changes in gene expression and DNA methylation !

GREAT analysis retrieved functional categories associated with DMPs which increased or decreased methylation after training (up to top 5 categories are shown). We tested the presence of known enriched motif on a symmetrical 200bp window around each DMP, using HOMER (p<10-10, consensus motif shown). Known profiles were clustered and a familial logo is drawn. !

(B) A starburst plot illustrates the relationship between DNA methylation and expression changes. X-axis: gene expression; y-axis: DNA methylation. Green dots correspond to pairs with FDR<0.05. Numbers show the percentage of positions (black) or genes (red) on each region. Examples are given on separate inserts. Color code: training = T1, black or T2, red; gender = M, blue or F, red. The correlation for the significant pairs is visually explained by the training, while the correlation obtained for non-significant cases may be explained because of the individual levels of methylation and gene expression being correlated at the subject level.!

A mutual information transcriptional network reconstructed using DEGs shows three major domains. The whole network is shown at the bottom of the figure. The three major domains (A,B,C) are zoomed and only genes with corresponding significative changes in DNA methylation are labeled. The overall direction of the methylation changes within each module is opposite to the expression changes.!

(A) Most DMPs occur outside CpG islands, and preferentially in gene bodies, intergenic regions The relative fraction of positions located within each feature type is calculated for DMPs, non-DMPs and the entire position on the array. Significance codes: * p<0.05; *** p<0.001; Fisher’s exact test. !

p-value and logFC

Correlation analysis Network reconstruction

1!•  Illumina Human Methylation

450k arrays!

2!•  QC, normalization, probe bias

(BMIQ) and batch effect (ComBat) correction!

3!•  Identification of Differentially

Methylated Positions – DMP (limma)!

4!•  Annotation and ontology

analysis (GREAT) !

DNA Methylation! Gene expression!

INTEGRATION!Results! Results!

1!•  Illumina HiSeq2000 2x100bp!

2!•  QC, trimming, mapping (TopHat2)

and summarization!

3!•  Identification of Differentially

Expressed Genes – DEGs (edgeR)!

4!•  Ontology and pathway analysis

(goseq),and network reconstruction (ARACNE)!

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●●● ● ●● ●● ●● ●● ● ●● ●● ●●● ●● ● ● ●● ●●● ●●● ● ● ●●● ●● ●● ●● ●●● ●●● ●● ●●● ● ● ●● ●● ●● ●● ●● ●● ●●● ●● ●● ●● ● ●●● ● ●● ●●●● ● ● ● ●● ● ●●● ● ●●●● ●● ●● ●●● ●● ●●●● ●● ●●● ● ●● ●●● ● ●● ● ●● ● ● ●●● ●● ●● ●● ●● ●● ●● ●●● ●● ●● ● ●● ●●● ●● ●● ● ●● ●● ●●●●● ●● ●● ●● ●● ●● ● ●● ●● ●●●●●●● ●●● ●●● ●● ●● ●●● ● ●● ●●●● ● ●●●●● ●●●● ●● ●●● ●● ●● ●● ● ●● ●●● ● ●● ●● ●● ●●● ●●● ●●● ●● ●●●● ●● ●● ● ●● ●●● ●● ●● ●● ●●● ● ● ● ●● ●● ● ●●● ●●● ●● ●● ●●●● ● ●● ● ●●● ● ●● ●●●●● ● ● ●● ● ●●● ●● ● ●● ●●●●●● ●● ●●● ●●● ● ●●● ●●●● ●●●● ●● ●● ●●●●● ● ●● ●●●● ●● ●●●● ●●●●● ● ● ●● ●●●●●● ●●● ●● ●● ● ● ●●● ●● ●●●● ● ●●● ●●● ●● ● ●●● ●●● ●●●● ● ● ●●● ●● ● ●● ●●● ●● ● ●●● ● ● ●● ●● ●●● ● ●● ●● ●● ●●●● ●● ● ●●● ●● ● ● ●● ●● ●● ●●● ●● ●● ●● ●● ●● ● ● ●● ●● ●●●●● ●●● ● ●●●● ●●● ●● ●●●● ● ●● ●●● ●●● ● ●● ●● ●●● ●● ● ●● ●●● ●● ● ●●●●● ● ●● ●● ● ●● ●● ●● ●●● ●● ● ●● ●●● ● ●●●● ●● ●● ● ●● ●●●● ● ● ● ●● ●●● ●●● ●●● ●● ● ● ●● ●● ●● ● ● ●● ● ●●● ● ●●● ●●● ● ●●●● ●● ●● ● ●● ●● ●● ● ●● ●● ●●● ●●●● ●●● ●●●● ●●● ●●● ●●● ●●●● ●●● ● ●

T2!

T1!

F!

M!

D: clustering

B: DNA methylation

DMP!

non-DMP!

Illumina 450K!

-1.5!

-1!

-0.5!

0!

0.5!

1!

1.5!Ac

tive

prom

oter!

Wea

k Pro

mot

er!

Inac

tive/

poise

d Pr

omot

er!

Stro

ng E

nhan

cer!

Wea

k Enh

ance

r!In

sulat

or!

Tran

sript

ional

Elon

gatio

n!W

eak T

rans

cribe

d!Po

lycom

b-re

pres

sed!

Hete

rocr

om/re

petiti

ve/C

NV!

log2

(Fol

d En

richm

ent)!

HSMM!

Island

N_Shelf

N_Shore

S_Shelf

S_Shore

Outsid

e

Relation to CpG Islands

Fraction

0.0

0.1

0.2

0.3

0.4

0.5

***!

***!

***!

1stExon

3'UTR

5'UTR

Body

TSS1500

TSS200

Intergenic

Relation to Genes

Fraction

0.0

0.1

0.2

0.3

0.4

0.5

***!

***!

*! ***!***!

***!

Enhancers

H3K4m

e1

H3K27ac

H3K4m

e1H3K27ac

Relation to Enhancers

Fraction

0.0

0.1

0.2

0.3

0.4

0.5

0.6

***!

***!***!

***!

DMP UP

Molecular Function!

Biological Process!

Cellular Component!

DMP DOWN

AACAGCTG!BAACAGCTGT!VCAGCTGYTG!RRCAGCTGYTSY!VNRVCAGCTGGY!YTGCCAAG!CYTGGCABNSTGCCAR!YCWGGAATGY!CCWGGAATGY!CYAAAAATAG!DCYAAAAATAGM!GKVTCADRTTWC!

ACAGGAAGTG!AACCGGAAGT!NRYTTCCGGH!ATTTCCTGTN!AGAGGAAGTG!VACAGGAAAT!RACCGGAAGT!MACAGGAAGT!ACVAGGAAGT!

MADS box!(MEF-2A, MEF-2C)!

ETS family!

bHLH!(MyoD, MyoG, Myf5, …)!

Known enriched motifs!(p ≤ 10e-10)!0! 5! 10! 15!

titin binding!

collagen binding!

regulation of generation of precursor metabolites and energy!

adipose tissue development!

regulation of cellular carbohydrate catabolic process!

regulation of glycolysis!

substrate adhesion-dependent cell spreading!

contractile fiber!

myofibril!

contractile fiber part!

sarcomere!

actomyosin!

-log10(P)!

0!5!10!15!20!25!30!

transcription regulatory region sequence-specific DNA binding!

RNA pol II core promoter proximal region sequence-specific DNA binding TF activity!

embryonic morphogenesis!

embryonic organ morphogenesis!

regionalization!

cytokine-mediated signaling pathway!

interferon-gamma-mediated signaling pathway!

MHC protein complex!

actomyosin!

-log10(P)!Known enriched motifs!

(p ≤ 10e-10)!

●●

●●

●●

0.5 1.0 1.5 2.0 2.5

3040

5060

7080

90

KANSL2 − cg20643444

methylation (M value)

expr

essi

on (n

orm

alize

d cp

m)

1T1

1T2

4T14T2

5T1

5T2

12T112T2

13T1

26T1

26T2

7T1

7T2

9T1

9T2

11T1

11T2

15T1

15T2

16T116T2

18T1

18T2

20T120T2

22T1

22T2

23T1

23T2

24T1

24T2

27T1

27T2

T1T2

●●

2.0 2.5 3.0 3.5 4.0 4.5 5.0

1520

25

MIPEP − cg17843665

methylation (M value)

expr

essi

on (n

orm

alize

d cp

m)

1T1

1T2

4T1

4T2

5T1

5T2

12T1

12T2

13T1

26T1

26T2

7T1

7T2

9T1

9T2

11T1

11T215T1

15T2

16T1

16T2

18T1

18T2

20T1

20T2

22T1

22T2

23T1

23T2

24T1

24T2

27T1

27T2

T1T2

● ●

−1.0 −0.8 −0.6 −0.4

1214

1618

2022

2426

GRK5 − cg26759179

methylation (M value)

expr

essi

on (n

orm

alize

d cp

m)

1T1

1T2

4T1 4T2

5T1

5T2

12T1

12T2

13T1

26T1

26T2

7T17T2

9T1

9T2

11T1

11T2

15T1

15T2

16T1

16T2

18T1

18T2

20T1

20T2

22T122T2

23T1

23T2

24T1

24T2

27T1

27T2

T1T2

−30 −20 −10 0 10 20 30

−3−2

−10

12

3

All probes and genes

− log10(FDR) ⋅ sign(log2(FC))

−lo

g 10(

FDR)⋅

sign(∆

M)

●●●

●● ●

●●

● ●●

●●

●●

●●

●●●

●●

●●

●● ●

●●

●●●●

●●●

●●

●●

●●

●● ●

●●

●●●

● ●●

●●

●●

●●

●●

●●

● ●

●●

●●

●●

● ●

●●●●

●●

●●

●●

●●

●●

●●

●●

●●

●●●●●

●●

● ●

●●● ●

●●●●

●●

●●

●●

●●●

●●

●●

●●

●●●

●●

●●

●●●

● ●

●●●●●●

●●

●●

●●

●●

●●

●●

●●

●● ●●●

●●

● ●

●●

●●

● ●

●●

●●

● ●●

●●●

●●●

●●

●●●●●

●● ●

●●

●●

●●

●●

●●

●●

●●

●●●

●●●

●●●●

●●

●●

●●

● ●●

●●●

●●

●●

●●●●

● ●

●●

●●

●●

●●

●●

● ●

●●

●●

● ●●

●●

●●●

●● ●●

● ●

●●

●●

●●

●●

●●

●●●

●●

●●

●●

●●

●●

●●

●●

●●

●●●

●●

●●●●

●●●

● ●

●●

●●

●●●

●●

●●

● ●●

●●

●●●

●●

●●

●●

●●

●●

●●

● ●

●●●

●●●●●

●●

●●●●

●●

● ●

●●

●●●

●●●

●●

●●●

●●●

●●

●●

●●

● ●

●●●

● ●

●●●

●●

● ●

●●

●●

●●

● ●

●●

●●

●●

●●

●●

●●

●●

●●●● ●●

●●●●

●●

● ●

● ●

● ●●

●●●

●●●

● ●

●●●

●●

● ●

●●●

●●

●●

● ●

●●

●●

●●

●●

●● ●●

● ● ●

●●

●●

●●●●

●●

●●

●●

●●

●●

●●

●●●

● ●

●●●

●●●

●●

●●

●●

350 pairs 262 pairs

349 pairs89 pairs

255 genes 203 genes

273 genes70 genes

0 1 2 3 4

2040

6080

THNSL2 − cg04051697

methylation (M value)

expr

essi

on (n

orm

alize

d cp

m)

1T1

1T2

4T1

4T2

5T1

5T2

12T1

12T2

13T1

26T126T2

7T17T2

9T19T2

11T111T2

15T1

15T216T116T2

18T118T2

20T1

20T222T122T2

23T1

23T2

24T124T227T127T2

FM

* p<10-4 T2 vs. T1 # p<10-4 trained vs.

untrained leg

The physiological changes (A) are mirrored by modifications in DNA methylation (B) and gene expression (C). The sample clustering is shown in D using either DNA methylation or gene expression. A segment connects to measurements from the same subject. Training and gender are the major sources of variability!

DNA methylation changes are primarily localized in enhancers !

Transcriptional network analysis confirms the coordinated alternations in methylation and gene

expression. !

TBRG4EIF3K

IDH2

VIM

TGFBI

NEXN

C17orf104 TRDN

CUL3

MDM2

CSDE1 CLIP1

CKB

TARBP1

SDHB

MDH1

DECR1C21orf33

CKMT2MRPL16

HADHB

SLC25A20

ECHDC3

ACSL1

NDUFS2 NDUFA8

MAP3K11

TSPO

GPT

BDH1NSUN5P1

UQCRC1

SLC25A4 NUDT8

TMEM143

NDUFS6

MRPL2

FLYWCH2

EPS15

TTC37

PPP1R12A

CACNA2D1

CAST

CLDN5CLEC14A

CD34

ECSCR

EPB41L1

CDH5COL3A1

COL6A3

ARHGAP31

CAV1 FYNDOCK1

LXN

LRRC8C

ERG ELTD1

NEURL1B ARHGDIB

LY6E

LASP1

SIPA1

CRIP2

TAGLN2

GNAI2

COL4A1 NID2

CLIC1

EPHB4

NDUFA4L2

PDGFRB

ESAM

ROBO4 COL4A2 LAMA4

TBRG4EIF3K

IDH2

VIM

TGFBI

NEXN

C17orf104 TRDN

CUL3

MDM2

CSDE1 CLIP1

CKB

TARBP1

SDHB

MDH1

DECR1C21orf33

CKMT2MRPL16

HADHB

SLC25A20

ECHDC3

ACSL1

NDUFS2 NDUFA8

MAP3K11

TSPO

GPT

BDH1NSUN5P1

UQCRC1

SLC25A4 NUDT8

TMEM143

NDUFS6

MRPL2

FLYWCH2

EPS15

TTC37

PPP1R12A

CACNA2D1

CAST

CLDN5CLEC14A

CD34

ECSCR

EPB41L1

CDH5COL3A1

COL6A3

ARHGAP31

CAV1 FYNDOCK1

LXN

LRRC8C

ERG ELTD1

NEURL1B ARHGDIB

LY6E

LASP1

SIPA1

CRIP2

TAGLN2

GNAI2

COL4A1 NID2

CLIC1

EPHB4

NDUFA4L2

PDGFRB

ESAM

ROBO4 COL4A2 LAMA4

B: Cellular energetics

C: Morphological!changes

A: Transcriptional and cell cycle

regulation

log2(FC)!+!−!

gene has DMP éê!

gene has DMP ê!

gene has DMP é!

−1.0 −0.5 0.0 0.5 1.0

0.0

0.5

1.0

1.5

2.0

Spearman Correlation

rho

Den

sity

AllDMPand DEG

(A) Spearman correlation between DNA methylation a n d g e n e e x p r e s s i o n calculated either including all pairs of genes/methylation positions or only pairs formed by a DMP and a DEG. The two distributions are strongly different (p< 1e-16 KS test) and peaks of non-zero correlation are highlighted after selecting changing sites after training and stratified according to the genomic location of the DMP.

C: Gene expression

15 min test Citrate synthase activity

A: Illumina annotation

(B) DMPs were enriched in enhancer regions, defined using external annotation sources (Encode, Roadmap Epigenomics). The log2 fold enrichment for DMPs vs. the array was calculated for the relative fraction of probes falling in each category; data from chromatin segmentation in HSMM cells !B: External annotation

Functional annotation of DNA methylation changes indicates a

clear muscle ontology!

A: Integration through correlation

B: Integration through p-value and logFC

3 months!endurance training!

DNA/RNA from muscle biopsies!

DNA methylation!RNA expression!

HumanMethylation450 loci covered with a minimum of 10 and max-imum of 121 aligned reads, resulting in a total of 189,821 and 167,996loci for comparison in the normal and tumor samples, respectively(Fig. 5A). The observed beta value correlations were 0.95 and 0.96 for

RTU’3RTU’5TSS1500 TSS200 1st exon Gene body

Transcription start site (TSS)

N Shelf (2kb) N Shore (2kb) S Shore (2kb) S Shelf (2kb) CpG Island

500 bp

1

Base Position 25,227,314 25,235,174 25,243,034 25,250,894 25,258,754 25,266,614 25,274,474 25,282,334 25,290,194

Cytogenetic Band p36.11Sequence (+) No sequence data file found for this chromosome.

CpG Islands

Methylation Prob…

RUNX3RUNX3RUNX3

RUNX3RUNX3

RUNX3AX747207 RUNX3

AML2

A

B

C

p31.1 q12 q41 q43

Fig. 2. InfiniumMethylation probe selection. 2A. Coverage of NM and NR transcripts from UCSC database. Each transcript was divided into “functional regions” — TSS200 is the regionfrom Transcription start site (TSS) to −200 nt upstream of TSS; TSS1500 covers −200 to −1500 nt upstream of TSS; 5′ UTR, 1st exon, gene body and 3″ UTR were also coveredseparately. 2B. Coverage of CpG islands and adjacent regions. CpG islands longer than 500 bp were divided into separate bins. The 2 kb regions immediately upstream anddownstream of the CpG island boundaries, or “CpG island shores”, and the 2 kb regions upstream and downstream of the CpG island shores, referred to here as “CpG island shelves,”were also targeted separately. 2C. Coverage of the RUNX3 gene by HumanMethylation450 array probes. Blue dots in the “Group methylation Profile”window represent methylationbeta values for CpG sites measured by the HumanMethylation450 array for NA17018 Coriell DNA sample. Individual assay probes are shown as black bars.

Table 2Coverage of genes and transcripts from UCSC database.

Feature type Genes mapped Percent genescovered

Number of locion array

NM_TSS200 15,957 84% 3.73NM_TS1500 18,099 96% 4.31NM_5′UTR 14,137 79% 4.68NM_1stExon 15,580 82% 2.54NM_3′UTR 13,071 72% 1.53NM_GeneBody 17,117 97% 9.92NR_TSS200 2140 71% 2.97NR_TSS1500 2723 90% 3.84NR_GeneBody 2382 79% 7.15

Table 3Coverage of CpG islands from UCSC database.

Featuretype

Featuresmapped

Percent featurescovered

Average numberof loci on array

Island 26,658 96% 5.63N_Shore 26,249 95% 2.93S_Shore 25,761 93% 2.81N_Shelf 23,965 86% 2.07S_Shelf 24,018 87% 2.03

291M. Bibikova et al. / Genomics 98 (2011) 288–295

a b c d

−1.0 −0.5 0.0 0.5 1.0

0.0

0.5

1.0

1.5

2.0

TSS200

rho

Density

−1.0 −0.5 0.0 0.5 1.0

0.0

0.5

1.0

1.5

2.0

TSS1500

rho

Density

−1.0 −0.5 0.0 0.5 1.0

0.0

0.5

1.0

1.5

2.0

5'UTR+1stExon

rho

Density

−1.0 −0.5 0.0 0.5 1.0

0.0

0.5

1.0

1.5

2.0

Gene body + 3'UTR

rho

Density

Significance!•  Regular endurance training induces extensive beneficial

effects contributing to prevention and treatment of a multitude of the globally most common diseases (cardiovascular disease, type II diabetes and several forms of cancer).!

•  This human study provides novel insights about the mechanisms underlying the massive functional and health benefits of regular, long-term exercise, supporting the role of the epigenome to the training response, as a mediator between genes and environment.!

!