Systemic steroid exposure is associated with differential methylation in chronic obstructive pulmonary disease

Emily S. Wan, Weiliang Qiu, Andrea Baccarelli, Vincent J. Carey, Helene Bacherman, Stephen I. Rennard, Alvar Agustí, Wayne H. Anderson, David A. Lomas, Dawn L. DeMeo

Research output: Contribution to journalArticle

37 Scopus citations

Abstract

Rationale: Systemic glucocorticoids are used therapeutically to treat a variety of medical conditions. Epigenetic processes such as DNA methylation may reflect exposure to glucocorticoids and may be involved in mediating the responses and side effects associated with these medications. Objectives: To test the hypothesis that differences in DNA methylation are associated with current systemic steroid use. Methods: We obtained DNA methylation data at 27,578 CpG sites in 14,475 genes throughout the genome in two large, independent cohorts: the International COPD Genetics Network (ndiscovery = 1,085) and the Boston Early Onset COPD study (nreplication = 369). Sites were tested for association with current systemic steroid use using generalized linear mixed models. Measurements and Main Results: A total of 511 sites demonstrated significant differential methylation by systemic corticosteroid use in all three of our primary models. Pyrosequencing validation confirmed robust differential methylation at CpG sites annotated to genes such as SLC22A18, LRP3, HIPK3, SCNN1A, FXYD1, IRF7, AZU1, SIT1, GPR97, ABHD16B, and RABGEF1. Functional annotation clustering demonstrated significant enrichment in intrinsic membrane components, hemostasis and coagulation, cellular ion homeostasis, leukocyte and lymphocyte activation and chemotaxis, protein transport, and responses to nutrients. Conclusions: Our analyses suggest that systemic steroid use is associated with site-specific differential methylation throughout the genome. Differentially methylated CpG sites were found in biologically plausible and previously unsuspected pathways; these genes and pathways may be relevant in the development of novel targeted therapies.

Original languageEnglish (US)
Pages (from-to)1248-1255
Number of pages8
JournalAmerican Journal of Respiratory and Critical Care Medicine
Volume186
Issue number12
DOIs
StatePublished - Dec 15 2012

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Keywords

  • Chronic obstructive pulmonary disease
  • DNA methylation
  • Glucocorticoids

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine

Cite this

Wan, E. S., Qiu, W., Baccarelli, A., Carey, V. J., Bacherman, H., Rennard, S. I., Agustí, A., Anderson, W. H., Lomas, D. A., & DeMeo, D. L. (2012). Systemic steroid exposure is associated with differential methylation in chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine, 186(12), 1248-1255. https://doi.org/10.1164/rccm.201207-1280OC