Chromosomal domains of gene expression dysregulation in Down syndrome Audrey Letourneau1, Federico Santoni1, Ximena Bonilla1, M.Reza Sailani1, David Gonzalez2, Jop Kind3, Youssef Hibaoui4, Emilie Falconnet1, Maryline Gagnebin1, Corinne Gehrig1, Anne Vannier1, Michel L. Guipponi1, Laurent Farinelli5, Daniel Robyr1, Marco Garieri1, Eugenia Migliavacca1,6, Christelle Borel1, Anis Feki4, Yann Herault7, Bas van Steensel3, John A. Stamatoyannopoulos8, Roderic Guigo2, Stylianos E. Antonarakis1,9 1. Department of Genetic Medicine and Development, University of Geneva Medical School, 1211 Geneva, Switzerland. 2. Center for Genomic Regulation, University Pompeu Fabra, Barcelona, Spain 3. Division of Molecular Biology, Netherlands Cancer Institute, 1066 CX Amsterdam, The Netherlands. 4. Stem Cell Research Laboratory, Department of Obstetrics and Gynecology, Geneva University Hospitals, Switzerland 5. FASTERIS SA, Plan-les-Ouates, Switzerland 6. Swiss Institute of Bioinfomatics, Switzerland. 7. AneuPath 21, IGBMC, Illkirch, France 8. Department of Genome Sciences, University of Washington, Seattle, USA 9. iGE3 Institute of Genetics and Genomics of Geneva, Switzerland. 1 ABSTRACT Down syndrome (DS) results from trisomy 21 (T21) and is the most frequent genetic cause of mental retardation. In order to assess the perturbations of gene expression in trisomic cells, we studied the transcriptome of fibroblasts derived from a pair of monozygotic twins discordant for T21. The use of these samples eliminates the genomic variability and identifies changes related to the T21 per se. Surprisingly, we found that the differential expression between the twins is organized in domains along the chromosomes. We identified 237 of those large regions that are either up- or downregulated in the trisomic twin. We found that those gene expression dysregulation domains (GEDDs) can be partially defined by the expression level of their gene content. Interestingly, the domains are well conserved in induced pluripotent stem (iPS) cells derived from the twins’ fibroblasts. We also compared the transcriptome of the Ts65Dn mouse model of DS and wild-type littermates. Remarkably, we found that the expression changes are also organized in domains along the mouse chromosomes and that those domains correlate with the syntenic regions in human. Interestingly, the GEDDs correlate with the lamina-associated domains (LADs) and replication domains already described in mammalian cells. The investigation of the LADs position in the twins’ fibroblasts revealed that the overall genome topology is not altered in trisomic cells. We thus examined the epigenetic profile within the GEDDs. Interestingly, while the cytosine DNA methylation is not dramatically changed between the twins, we found that the H3K4me3 profile of the trisomic fibroblasts is modified and follows the GEDD pattern. All together, our results suggest that the nuclear compartments of trisomic cells undergo modifications of the chromatin environment influencing the overall transcriptome and that GEDDs may therefore contribute to some T21 phenotypes. 2 INTRODUCTION Down syndrome (DS) results from total or partial trisomy of human chromosome 21 (T21). It is the most frequent live-born aneuploidy affecting 1/750 newborns and a leading cause of mental retardation. DS patients are characterized by a cognitive impairment together with other manifestations such as muscle hypotonia, dysmorphic features, Alzheimer disease neuropathology or congenital heart defects [1-3]. Importantly, the severity and the incidence of those phenotypes are highly variable within the DS population [3]. Among the possible causes, the genetic (or epigenetic) background of each individual may largely contribute to this phenotypic variability. It is likely that most of the DS phenotypes are related to alteration of gene expression due to the extra-copy of chromosome 21 (HSA21). According to the “gene dosage effect” hypothesis, some DS features could be directly explained by the dosage imbalance of individual genes on HSA21 [4-7]. Additionally, the phenotypes may also be linked to a general disturbance of the cellular homeostasis due to the presence of extra DNA material in the nucleus [5, 6, 8]. The understanding of these genomic determinants constitutes one of the main goals in DS research. Several DS mouse models have been created in order to mimic the gene expression changes observed in humans. Those models are based on the duplication of syntenic regions between HSA21 and mouse chromosomes (MMUs) 10, 16 and 17. Among them, the Ts65Dn mouse model has been commonly used to study the molecular mechanisms responsible for the DS features [9]. Those mice harbor a segmental triplication of MMU16 and exhibit some of the DS phenotypes [10-13]. Other mouse models are based on the triplication of single candidate genes such as SIM2 or DYRK1A. In accordance with the gene dosage hypothesis, these models have 3 emphasized the role of individual HSA21 genes in specific phenotypes, in particular the cognitive impairment [14-17]. Since DS is likely to be due to gene expression disturbances, the investigation of the molecular mechanisms that underlie the phenotypic consequences requires the understanding of the transcriptome differences in trisomic cells and tissues. Several studies have explored the changes of gene expression between trisomic individuals and control populations [18-24]. However, the natural gene expression variation occurring in both normal and DS individuals [25-28] complicates the identification of changes related to the T21 per se. In order to assess the perturbations of gene expression in DS without the genetic variation among the samples, we studied a pair of monozygotic (MZ) twins discordant for T21 [29]. For the first time, the use of these samples eliminates the bias of genome variability and thus most of the transcriptome differences observed are likely related to the supernumerary HSA21. Interestingly, we have found that the differential gene expression between the discordant twins is organized in domains along the chromosomes. We show that those domains are conserved in the Ts65Dn mouse model and correlate with the previously described lamina-associated domains and replication time domains. The study of histone mark profiles confirmed the role of chromatin modifications in the gene expression changes observed between the twins. All together, our results suggest a new molecular mechanism in the regulation of gene expression in trisomic cells. 4 RESULTS Differential expression is organized in chromosomal domains We sought to investigate the gene expression changes in DS by comparing a pair of MZ twins discordant for T21. We used mRNA-Sequencing to study the transcriptome of fetal skin primary fibroblasts derived from both the trisomic (T1DS) and the normal (T2N) twin. In total, 107-315 million 100bp paired-end reads were generated from each sample and mapped against the reference genome using GEM [30]. All the data were further confirmed using TopHat [31] (data not shown). The normalized gene expression (RPKM, Reads Per Kilobase per Million) was then compared between the twins. We first used EdgeR [32] to evaluate the differences of gene expression between the samples and found nine genes significantly differentially expressed between the twins (False discovery rate FDR<0.05). In total, 1816 genes showed a modified expression of at least 4 fold in T1DS compared to T2N (737 with a decreased expression and 1079 with an increased expression) (data available to the reviewers, see Appendix 1). Next, we assessed the genome-wide differential expression between the discordant twins by looking at the distribution of gene expression fold changes along the chromosomes. Surprisingly, this comparison revealed well-defined chromosomal domains composed of neighboring genes sharing the same differential expression profiles. Indeed, in most of the chromosomes, large regions of upregulated genes alternate with large downregulated domains (Figures 1a, 1b and S1). This observation suggests that the differential expression between T1DS and T2N is not randomly organized but follows a specific pattern along the chromosomes. We used a smoothing function to define more precisely the domain borders and identified a total of 237 gene expression dysregulation domains (GEDDs) in the discordant twins (Figure S2a and Table S1). Those domains vary greatly in size 5 (from 70kb to 114Mb, median size of 5.5Mb) and can contain up to 813 genes with a median number of 46. An independent replicate experiment confirmed the existence of the GEDDs in the discordant twins (Figure S2b). We also compared the gene expression profiles of fibroblasts derived from a healthy pair of monozygotic twins (MZ1/MZ2) as a control (Figure S2c). The absence of domains in this comparison suggests that the domain organization observed in the discordant twins can be mainly attributed to the supernumerary chromosome 21. We then wanted to verify if this domain organization could be identified when comparing T21 to normal samples from unrelated individuals. We hypothesized that the natural genetic variability between unrelated individuals would mask the domains. Therefore, we sequenced the mRNA from fibroblasts of 8 trisomic individuals and 8 sex-matched controls and averaged the expression values within each group in order to reduce the influence of individual genetic backgrounds. We calculated the expression fold change between the two groups but this comparison did not reveal chromosomal domains (Figure S2d). We concluded that the natural gene expression variation occurring between unrelated individuals is too strong and cancels the effects observed with the discordant twins. Weakly and highly expressed genes contribute differently to the domains Next, we investigated the expression level of the genes within the domains. We classified the genes according to low (0.1<rpkm<10), medium (10<rpkm<100) or high (rpkm>100) expression level and looked at their position along the chromosomes (Figures 2a and S3). For each category, we compared the expression fold change distribution with the expected distribution given by the healthy MZ twins (Figure 2b). Interestingly, we found that the highly expressed genes contribute substantially to the 6 downregulated domains in the discordant twins (p<2.2e-16 and p=1.4e-15 for medium and high expression, respectively). On the contrary, the genes expressed at lower levels are mainly associated to the upregulated regions (p=4.4e-04). All together, these data show that the expression fold change between trisomic and normal cells is organized in chromosomal domains and that those domains can be partially defined by the expression level of their gene content. GEDDs are conserved in induced pluripotent stem cells We then wanted to verify in the domain organization observed in the twins’ fibroblasts could be maintained when we de-differentiate the cells into induced pluripotent stem (iPS) cells. We derived iPS cells from each of the fibroblast lines by using a lentiviral vector expressing the OCT4, SOX2, KLF4 and C-MYC genes (Hibaoui et al, submitted). We performed mRNA-sequencing on both iPS lines and compared the normalized gene expression values along the chromosomes, similarly to the fibroblasts analysis. Interestingly, for most of the chromosomes, we found that the differential expression patterns in iPS cells are highly similar to the ones observed in the twins’ fibroblasts (Figures 3 and S4). These results suggest that the GEDDs are conserved after dedifferentiation and that the iPS cells retain a specific memory of their origin. GEDDs are conserved in mouse Ts65Dn fibroblasts In order to verify if the domain structure of gene expression dysregulation described in the twins’ fibroblasts is conserved in other organisms, we performed a similar transcriptome analysis in the partial trisomy 16 Ts65Dn mouse model of DS. We analyzed the differential expression pattern between Ts65Dn mouse fibroblasts and 7 wild-type littermates. Importantly, we found that the expression fold change is also organized in domains along the Ts65Dn mouse chromosomes (Figures 1c and S5). The comparison of the largest syntenic blocks (>1Mb) between mouse and human revealed that the domains and the associated gene expression fold changes are well conserved between the discordant twins’ fibroblasts and the mouse fibroblasts and that the direction of dysregulation is maintained between the two species (Figure 4a). Importantly, this conservation seems to be independent of the genomic context since the fragments can be located in different chromosomes in the mouse. Human and mouse orthologous genes show rather similar expression fold changes when comparing both experiments (Whole genome Spearman correlation 0.44) (Figure 4b, upper panel). The same comparison using the healthy MZ twins did not show a correlation between human and mouse fold changes (Whole genome Spearman correlation -0.13) (Figure 4b, lower panel). Those results demonstrate that the GEDDs observed between T1DS and T2N are conserved in the Ts65Dn mouse model for DS. This remarkable conservation between human and mouse syntenic regions suggests a functional role for those domains of co-regulated genes. Correlation with previously described chromosomal domains The domain organization of the mammalian chromosomes has been previously reported with the identification of the lamina-associated domains (LADs) [33-35]. Those genomic regions are defined by their interaction with the nuclear lamina and are characterized by repressive chromatin marks and low gene expression levels. We looked at the correlation between those LADs and the GEDDs identified in the discordant twins’ fibroblasts. We first compared the distribution of gene expression fold changes within and outside the LADs. We observed that the genes located within 8 the LADs were in average overexpressed in the T1DS as opposed to the genes located outside of those regions (in inter-LADs = iLADs) (p = 8.9e-16) (Figure 5a). A similar significant shift was observed in the Ts65Dn fibroblasts when we compared the mouse gene expression fold changes inside and outside the LADs described in mouse [34] (p = 4.61e-07) (Figure 5b). The healthy MZ twins did not show any expression differences between LADs and iLADs (p = 0.54) (Figure 5c). The LADs are known to constitute a strong repressive environment and are mostly associated with a repression of gene expression [33, 36-38]. In our experiment, the increased fold change in LADs suggests a derepression of the genes in the LADs of trisomic cells. Therefore, we hypothesized that the interaction of the genome with the nuclear lamina might be disturbed in trisomic nuclei. We used the DamID method [39] to define the position of the LADs in the twins’ fibroblasts. The lamin B1 interaction scores along the chromosomes revealed identical profiles between T1DS and T2N (Pearson correlation 0.75, Hidden Markov modeling concordance of 94% => van Steensel’s lab: is there a better way of showing this?) (Figures 5d, 5e and S6). We concluded that the overall topology of LADs is not perturbed by the presence of an extra chromosome 21 in the T1DS cells. Interestingly, the LADs have been shown to correlate with another type of chromosomal regions known as replication domains [40]. During the S-phase, the DNA replication occurs in a specific temporal order. Some regions of the chromosomes replicate first (early replication) whereas other regions always replicate later (late replication). Thus, the chromosomes can be physically divided in time zones defined as replication time domains [41-43]. Early replicating domains contain mostly active genes and tend to localize centrally in the nucleus as opposed to late replicating domains that mainly contain less active genes at the nuclear periphery [44- 9 46]. We assessed the correlation between the replication time domains described in human fetal fibroblasts [47, 48] and our GEDDs. Most chromosomes show a striking correlation between both profiles, suggesting that the gene expression is increased in late replication domains and decreased in early replication domains of the T1DS cells (Figures 6a and S7). These data suggest that the replication time domains of trisomic fibroblasts undergo specific modifications leading to the alteration of gene expression. Alternatively, the GEDDs may also be linked to a shift in the replication time itself in the T1DS cells. Modification of the chromatin environment in the GEDDs Since we showed that the genome topology is not changed in T1DS fibroblasts, we hypothesized that the alterations of gene expression might be related to epigenetic modifications within the chromosomal domains of trisomic cells. Thus, we first decided to explore the DNA methylation changes in T1DS compared to T2N and to investigate a possible link with the GEDDs. We performed Reduced Representation Bisulfite-Sequencing (RRBS) on DNA extracted from the twins’ fibroblasts and evaluated the methylation percentage for each CpG dinucleotide in the genome. We then compared the methylation level of each gene between T1DS and T2N by considering the CpGs included either in the gene body or in the promoter region. The profiles of gene methylation differences along the chromosomes were compared to the GEDDs. We observed a weak correlation between both patterns for some chromosomes when using CpGs in the gene body (Figure S8a) or in the promoter region (Figure S8b). However, this degree of concordance between methylation and gene expression was not sufficient to elucidate the GEDDs. We 10 concluded that the alteration of gene expression cannot be fully explained by domainwide changes of cytosine methylation in the trisomic fibroblasts. The cellular transcription activity can also be influenced by the modification of the chromatin environment through changes of histone marks. Among them, H3K4me3 (histone 3 lysine 4 trimethylation) has been associated to active promoters and is known to correlate positively with the gene expression [49]. Thus, we used chromatin immunoprecipitation coupled to high throughput sequencing (ChIP-Seq) to compare the level of H3K4me3 in the discordant twins. We first used HOMER to identify the genomic regions enriched for H3K4me3 in T1DS and T2N. We then investigated the differences of signal intensity between all the peaks common to both twins. Each of those peaks was assigned to the closest gene in order to obtain one H3K4me3 fold change value per gene and to establish chromosomal profiles comparable to the gene expression dysregulation domains. Remarkably, this comparison revealed a striking correlation between both patterns for all chromosomes except HSA13 and HSA18 (Figures 6b and S9). We explain the lack of correlation in those chromosomes by the absence of a clear domain pattern due to the overall overexpression of the genes. We concluded that the changes of gene expression between the trisomic and the normal twins can be attributed to the modification of the chromatin environment and more specifically to the modification of H3K4me3 in trisomic cells. Interestingly, the H3K4me3 mark at active promoters has been associated to other genomic features representing open chromatin. Among them, the DNase I hypersensitivity has been widely studied to identify the sites of open chromatin in the genome. We decided to explore the DNase I hypersensitivity profiles of both twins to 11 verify if the changes of chromatin structure in trisomic fibroblasts could be seen at the DNase hypersensitivity level. DNase I HS data from Stamatoyannopoulos’ lab 12 DISCUSSION The transcriptome analysis of MZ twins discordant for T21 highlighted the existence of chromosomal domains of gene expression dysregulation between trisomic and normal fibroblasts. We attributed this discovery to the use of samples from MZ twins that reduced the influence of individual genetic backgrounds. Indeed, we hypothesize that the natural gene expression variation occurring between unrelated individuals masks this domain organization when we compare the transcriptome of individuals from totally different genetic contexts. Moreover, the effect could be mainly attributed to the additional HSA21, as confirmed by the absence of domains in the healthy twins comparison. The conservation of this transcriptome pattern in iPS cells raises the idea that the mechanisms responsible for the dysregulation domains are not specific to fibroblasts but can be maintained in other cell types or tissues. It also suggests that iPS cells can keep memory of the transcriptomic state of the parental cells. We have demonstrated that the GEDDs are conserved in the Ts65Dn mouse model for DS. This conservation is remarkable because the domains can occur in different chromosomes and thus in a genomic context that is different in human and in mouse. This observation emphasizes the functional importance of the clustering of coregulated genes. The conservation in mouse also suggests that the domain organization may be the consequence of the overexpression of one or more HSA21 gene(s) whose mouse orthologs are found on MMU16 syntenic region. Alternatively, and in agreement with the hypothesis of a general perturbation of the cellular homeostasis, the domains could be related to the physical presence of extra DNA material in the nucleus. 13 We have shown that the GEDDs correlate with the previously described laminaassociated domains and replication domains. The sites of nuclear lamina interaction and the late replicating regions show a remarkable correlation [40] and are known to contain mostly constitutive heterochromatin associated to a strong gene repression. On the contrary, early replicating domains tend to localize inside the nucleus (iLADs) and contain more actively transcribed genes. Our results suggest that trisomic cells undergo a derepression of the genes located at the nuclear periphery together with the repression of the early replicating active genes. Our data reveal that the LADs topology is not disturbed in trisomic cells, indicating that the overall genome architecture is not modified by the presence of the additional HSA21. We therefore hypothesized that the change of gene expression is related to epigenetic modifications of the chromatin environment. This hypothesis was validated by the changes of H3K4me3 marking observed between T1DS and T2N. We have demonstrated that these changes follow a pattern highly similar to the one observed for the gene expression dysregulation, confirming the idea of a general modification of the chromatin within the domains. The alteration of H3K4me3 suggests that other histone marks may also be disturbed in the trisomic cells. Interestingly, it was shown that the histone hypoacetylation plays an important role in the maintenance of the late replicating domains. More importantly, the artificial acetylation of those regions by inhibition of histone deacetylases was associated to advanced replication time in the early S phase [50]. In this context, several HSA21 genes emerge as potential candidates for the epigenetic modification of chromosomal domains. The HLCS (holocarboxylase synthetase) 14 protein, encoded on HSA21 and triplicated in the Ts65Dn mouse model, is known to catalyze the binding of biotin to histones, participating to chromatin condensation and gene repression [51-54]. Interestingly, HLCS is associated to the nuclear lamina [55] and can physically interact with chromatin modifying proteins such as DNMT1 (DNA methyltransferase 1) or MeCP2 (methyl CpG binding protein 2) [56]. The HSA21 protein HMGN1 (high mobility group N1) is also a potential candidate. This nucleosome-binding protein, also triplicated in the Ts65Dn mice, influences the structure and the function of the chromatin through histone modifications [57]. The loss of HMGN1 alters for instance the level of H3K14ac (acetylation of lysine 14 in Histone H3) [58] or histone H3 phosphorylation [59]. Consequently, HMGN proteins are also known as important modulators of gene expression [60]. Alteration of HMGN1 level was shown to affect the behavior of mice and emphasized the possible role of this protein in neurodevelopmental diseases [61]. The function of the DNMT3L (DNA (Cytosine-5-)-Methyltransferase 3-Like) protein suggests that it may also be a candidate. First, it participates to de novo DNA methylation by interacting with the DNA methyltransferases DNMT3A and DNMT3B [62]. Second, it was shown to contribute to histone modification and transcriptional repression through the histone deacetylase HDAC1 [63, 64]. However, we found that DNMT3L is not expressed in the MZ twins’ fibroblasts and is not located in the triplicated region of Ts65Dn mice, excluding it from the list of potential candidates for any chromatin modification in our study. Other HSA21 proteins are directly or indirectly involved in epigenetic mechanisms. Among them, DYRK1A (Dual-specificity tyrosine-(Y)-phosphorylation regulated kinase 1A), BRWD1 (Bromodomain and WD repeat-containing protein 1) and RUNX1 (Runt-related transcription factor 1) may influence the epigenetic 15 architecture of the nucleus, in particular through their interaction with the SWI/SNF chromatin remodeling complex [65-67]. All together, those data suggest that some candidate genes on HSA21 may explain the gene expression changes observed in the discordant twins by the modification of the chromatin environment. Additionally, the correlation with the replication domains raises the hypothesis of a modified replication time in trisomic cells. Several studies have shown that the cell cycle is extended in trisomic nuclei, mainly through the elongation of the G2 phase [68, 69]. This perturbation of the cell cycle may influence the DNA replication time and the associated gene expression in trisomic cells. This hypothesis is not incompatible with a modification of the chromatin landscape. It was shown for instance that the binding of HMGN proteins to the chromatin is cell cycle dependant [70]. Here, we propose that the overexpression of one or more HSA21 candidate gene(s) (or the additional DNA material in the nucleus) modifies the chromatin environment of the nuclear compartments in trisomic cells. These modifications would lead to a general perturbation of the transcriptome that could explain some of the DS phenotypes. 16 MATERIAL & METHODS Cell culture and RNA preparation Primary fetal skin fibroblasts were collected post mortem from the T1DS and T2N discordant twins. The replicate experiment was performed from an independant culture of the same fibroblasts. Primary fibroblasts from MZ1 and MZ2 healthy monozygotic twins were derived from umbilical cord tissue collected as part of the GenCord project in the University Hospitals of Geneva. Primary skin fibroblasts from T21 and normal unrelated individuals were taken from [25] (GM08447, GM05756, GM00969, GM00408, GM02036, GM03377, GM03440, PM9726F, GM04616, AG07409, AG06872, AG06922, GM02767, AG08941, AG08942, D-S99124M). All primary fibroblasts were grown in DMEM GlutaMAX™ (Life Technologies #31966) supplemented with 10% fetal bovine serum (Life Technologies #10270) and 1% penicillin/streptomycin/fungizone mix (Amimed, BioConcept #4-02F00-H) at 37°C in a 5% CO2 atmosphere. Mouse fibroblasts => Herault’s lab: could you please add details on the way mouse fibroblasts were collected and cultured ? Induced pluripotent stem cells (iPS) => Youssef: could you please add some details on the iPS culture conditions ? Total RNA was collected using the TRIzol® reagent (Life Technologies #15596) following the manufacturer’s instructions. RNA quality was verified on the Agilent 2100 Bioanalyzer (RNA 6000 Nano Kit, #5067) and quantity was measured on a Qubit® instrument (Life Technologies). mRNA sequencing, mapping and normalization mRNA-Seq libraries were prepared from 5 to 10μg of total RNA using the Illumina mRNA-Seq Sample Preparation kit (#RS-100-0801), following the manufacturer’s instructions. Libraries were sequenced on the Illumina HiSeq 2000 instrument using paired-end sequencing 2x100bp. Reads were mapped against the human (hg19) or mouse (mm9) genomes using the default parameters of the GEM mapper (Guigo’s 17 lab: is it necessary to add more details on the mapping method?) [30]. An independent mapping was performed using the default parameters of TopHat. Quantile normalization was performed on the RPKM data (Reads Per Kilobase per Million) for all the human samples on one side and for the mouse samples on the other side. Differential expression analysis was performed on the raw read counts using the default parameters of EdgeR on the genes expressed in at least two samples [32]. Definition of chromosomal domains For each gene, we determined the log2 expression fold change (log2FC) by calculating the ratio of normalized expression values (after quantile normalization) between the trisomic and the euploid samples (i.e. a positive log2FC reflects the overexpression of the gene in the trisomic sample). For the healthy MZ twins the log2FC was based on the ratio between MZ1 and MZ2. For the unrelated individuals, the log2FC was based on the ratio between the mean value of all T21 individuals and the mean value of all normal individuals. For all the comparisons, only the genes with at least 0.1 rpkm in the normal individual(s) (T2N, average value of MZ1 and MZ2 or average value of the normal unrelated individuals) were conserved. The log2FC values were plotted equidistantly based on the gene positions along the chromosomes. We used the lowess function in R (http://www.r-project.org) to smooth the log2FC data (smoother span 1/20) and identify upregulated and downregulated domains. An upregulated domain was defined as a set of at least 2 consecutive genes with positive smoothed log2FC values. On the contrary, a downregulated domain was defined as a set of at least 2 consecutive genes with negative smoothed log2FC values. Expression level analysis The genes were classified according to their expression level (rpkm value after quantile normalization) in 3 categories: low (0.1<rpkm<10), medium (10<rpkm<100) or high (rpkm>100) expression. In the discordant twins comparison, we used the expression level of the normal twin (T2N) as a reference. In the healthy MZ twins comparison, we used the average value between MZ1 and MZ2 to assess the gene expression level. For each category, the distribution of log2FC was plotted (density 18 function in R). The difference of distribution between the discordant twins and the healthy MZ twins was assessed by the Wilcoxon test. Human/Mouse comparison The mouse/human syntenic blocks coordinates were downloaded from the “Comparative Genomics” track of the UCSC genome browser (http://genome.ucsc.edu). Only the largest mouse syntenic blocks (>1Mb) were conserved for the comparative analysis. Log2FC of gene expression between Ts65Dn and WT mice were plotted along the mouse chromosomes. Each gene was assigned to a syntenic block (Total overlap between the gene coordinates and the block coordinates) and colored accordingly. The corresponding blocks in human were shown with the same colors in the GEDD plots. The list of mouse and human orthologous genes was obtained from the Mouse Genome Informatics Database project, The Jackson Laboratory, Bar Harbor, Maine (ftp://ftp.informatics.jax.org/pub/reports/HMD_Human2.rpt). We compared the log2FC of expression obtained in the mouse with the values obtained for their human orthologs. The comparison was done first with the discordant twins and then with the healthy MZ twins. The degree of similitude between the 2 sets was given by the Spearman correlation. Lamina-associated domains (LADs) analysis The human LADs coordinates were taken from [33] and the mouse LADs coordinates were taken from [34] (mouse embryonic fibroblasts). A gene was assigned to a LAD if its coordinates overlap from at least 1bp with the LADs coordinates. The distribution of log2FC for the overlapping genes was compared to the distribution of log2FC for the non-overlapping genes using a Wilcoxon test. DamID 19 Method + analysis => van Steensel’s lab: could you please add details on the DamID method? Reduced Representation Bisulfite Sequencing (RRBS) Library Preparation Reduced representation bisulfite sequencing (RRBS) libraries were made according to [71] with some modifications. In short, the Qiagen DNeasy Blood and Tissue Kit was used to extract DNA from the twin fibroblast cells. We then digested 2μg genomic DNA with 2μl 20U/μl MspI restriction enzyme which cuts DNA regardless of cytosine methylation status at CCGG sequence in 5μl NEB buffer 4 in a total reaction volume of 50μl. This reaction was incubated for 18 hours at 37°C followed by heat inactivation at 80°C for 20 min to generate DNA fragments containing CpG dinucleotides at the end. Phenol extraction and ethanol precipitation steps were used to clean up DNA from enzymatic reaction. DNA fragments were subsequently endrepaired and A-tailed by adding 2μl dNTP mix (10mM), 2μl 5U/μl Klenow Fragment, and 4μl of NEB2 in a total reaction volume of 40μl. This reaction was incubated at 30°C for 20 min, followed by 20°C for 37 min. Heat inactivation was done at 75°C for 20 min. The end-repaired and A-tailed DNA was purified by phenol extraction and ethanol precipitation steps and ligated to the methylated version of Illumina adapters: ilAdap Methyl PE1 ( ACACTCTTTCCCTACACGACGCTCTTCCGATC*T) and ilAdap Methyl PE2 (GATCGGAAGAGCGGTTCAGCAGGAATGCCGA*G); all C’s are methylated, 5’ phosphate, *=phosphorothioate bond). The ligation mediated by adding 1μl T4 DNA ligase (2,000 U/μl ), 2μl T4 ligase buffer (10×), and 1μl methylated adapters (pairedend adapters) (15μM) in a total reaction volume of 20μl. The reaction was incubated at 16°C overnight. The adapter-ligated DNA was purified by phenol extraction and ethanol precipitation steps and dissolved in 15μl EB buffer. Size selection of the adapter-ligated DNA fragments (170-bp to 350-bp) was done by electrophoresing the 15μl ligation reaction in a 2.5% NuSieve GTG agarose gel (Lonza). We subsequently purified the DNA using a Qiagen Qiaquick Gel Extraction kit as described in the manufacturer’s instructions, except that we eluted the purified DNA from the column using 25μl buffer EB. We then used 20mL of this purified DNA in the sodium bisulfite conversion, which was performed using the QIAGEN Epitect Bisulfite Kit 20 (Qiagen, Valencia CA, USA) per manufacturer’s recommended protocol with the following modifications: incubation after the addition of bisulphate conversion reagents was conducted in a thermocycler with the following conditions: 95°C for 5 min, 60°C for 25 min, 95°C for 5 min, 60°C for 85 min, 95°C for 5 min, 60°C for 175 min, (95°C for 5 min and 60°C for 90 min) × 6. The bisulphate converted DNA was eluted two times in 20μl of EB buffer yielding 40μl at the end. Illumina PCR primers PE1 and PE2 were used for the final library amplification. The sequences of PCR primers are as follow: ilPCR PE1 (AATGATACGGCGACCACCGAGATCTACACTCTTTCCCTACACGACGCTCT TCCGATC*T) and ilPCR PE2 (CAAGCAGAAGACGGCATACGAGATCGGTCTCGGCATTCC TGCTGAACCGCTCTTCCGATC*T), where an asterisk indicates a phosphorothioate bond. The purified bisulphate treated DNA was then PCR-amplified in a reaction containing 100μl KAPA2G Robust DNA Polymerase mixture (Kapabiosystems), 40μl bisulphite treated DNA, 0.5mM ilPCR PE1, 0.5mM ilPCR PE2 DNA oligonucleotide primers in a total reaction volume of 200μl. The PCR mixtures were divided amongst eight PCR tubes and were incubated at 95°C for 2 min, followed by 20 cycles of (95°C for 20 sec and 65°C for 30 sec and 72°C for 30 sec) and 72°C for 7 min. The PCR products were pooled and purified by adding 360μl AMPure magnetic beads (Agencourt Bioscience, Beverly, MA). We confirmed the amplification and correct product size range by running one-fifth of the reaction on a 2% agarose gel. We quantified the purified product using the Qubit fluorometer (Invitrogen). We also checked the template size distribution by running an aliquot of the library on an Agilent Bioanalyzer (Agilent 2100 Bioanalyzer). We then diluted each library to 10nM and proceeded to sequence each library (pair-ended 100bp) in a single lane on the Illumina HiSeq 2000 according the manufacturers instructions. We also ran one lane of a standard (non-RRBS) library (Exome) in the same flow cell as the control lane and used this lane (rather than the RRBS lane) to calculate the dye matrix for base calling. Also, 5% phiX genomic DNA (control) was spiked into each lane. We also limited the cluster number for RRBS libraries to a 80% optimized cluster number per tile on Illumina HiSeq 2000. Image capture, analysis and base calling were performed using Illumina’s CASAVA 1.7. 21 Methylation Computational analyses We obtained 121.7 million reads for T1DS and 104.3 million reads for T2N of which after trimming of reads for base quality and adapter contamination (trim_galore wrapper http://www.bioinformatics.babraham.ac.uk/projects/trim_galore/) 59% and 59.6% of reads were uniquely mapped against human genome hg19 using Bismark aligner (-n 3 -l 20 -I 20) [72]. We used MethylKit R package [73] to calculate methylation percentages per each CpG. Percent methylation values for CpG dinucleotides are calculated by dividing number of methylated Cs by total coverage on that base. CpGs with at least 20X read coverage and at least a Phred score threshold of 20 were retained for calling CpG methylation. 3,984,938 CpGs in T1DS and 3,690,212 CpGs in T2N met these criteria of which 2,598,760 CpGs are covered in both samples. H3K4me3 ChIP-Sequencing Primary human skin fibroblasts from both twins were grown in 10 cm dishes without reaching confluence. 21 million cells were crosslinked by adding enough formaldehyde for final concentration 0.5% to the growing media at RT. Dishes were incubated for 10 minutes and the reaction was then quenched by adding glycine to a final concentration of 125mM. The crosslinked cells were collected and stored at 80°C. For cell lysis and sonication, the pellets were resuspended in lysis buffer (1% SDS, 10mM EDTA, 50mM Tris pH8.0) and sonicated in a Covaris S2 (duty cycle 5%, intensity 5, 200 cycles per burst, 6 minutes). Chromatin from 7.5 million cells was incubated with 10μl of H3K4me3 antibody (Abcam ab8580 0.5mg/ml) coupled to IgG magnetic beads (Cell Signaling) at RT for 1 hour and subsequently at 4°C for another hour. The magnetic beads were washed 5 times with LiCl wash buffer (100mM Tris pH 7.5, 500mM LiCl, 1% NP-40, 1% sodium deoxycholate) and one time with TE buffer (10mM Tris-HCl pH 7.5, 0.1mM EDTA). Subsequently, the bound DNA was eluted at 65°C in elution buffer (1% SDS, 0.1M NaHCO3) for 1 hour and then separated from the beads with a magnetic stand. The immunoprecipitated DNA was incubated overnight at 65°C with 2μl Proteinase K 22 to reverse cross-link. The samples were then purified with the QIAquick purification kit (Qiagen). ChIP-Seq libraries were prepared using a ChIP-Seq DNA Sample Prep Kit from Illumina with the following modifications to the protocol: mRNA adapter indexes from the TruSeq RNA kit were used instead of the Adapter oligo mix. The enrichment PCR was carried out with PCR reagents from the TruSeq mRNA kit from Illumina. The enriched library was purified with AMPure magnetic beads (Agencourt), its concentration verified with Qubit (Invitrogen) and the distribution and size of fragments with a Bioanalyzer (Agilent). Four samples were pooled in equimolar proportion and sequenced in a HiSeq2500 (single read, 36bp). The obtained reads were demultiplexed with Illumina CASAVA 1.8 software and mapped to hg19 with BWA. Peaks were called using unique tags with HOMER (http://biowhat.ucsd.edu/homer/ngs/index.html). Peak comparison between twins was performed with HOMER and in house scripts. Correlation analysis between log2FC fibroblast vs. iPS log2FC, IMR90 Replication Time, DNA methylation and H3K4me3 profiles iPS log2FC chromosomal profiles have been obtained from RNA-Seq data as previously described. Replication time domains of IMR90 fetal fibroblasts were downloaded from the ReplicationDomain database (www.replicationdomain.org). Gene Replication times have been estimated for each gene considering the median of each overlapping replication time domain and ordered according to chromosomal coordinates. H3K4me3 profiles have been obtained as follows. For each gene body +/-1000bp, the overlapping H3K4me3 ChIPSeq peaks were isolated and the logFC of the size of the matching peaks (as provided by HOMER) of the trisomic and the healthy MZ twin were calculated. The median of the resulting H3K4me3 logFC for each gene was eventually retained to compose the chromosomal profiles according to gene coordinates. 23 Similarly, DNA methylation profiles in gene bodies and promoters have been obtained from averaging percent methylation values for CpG dinucleotides in gene bodies and in promoter regions encompassing Transcription Starting Sites [TSS2000bp, TSS+100bp], respectively. Locally Weighted Scatterplot Smoothing (Lowess) with 30% bandwidth has been applied to calculate the Spearman correlation between fibroblast log2FC gene expressions and iPS log2FC, Gene Replication times, DNA methylation and H3K4me3 profiles for each chromosome. Significance of each chromosomal correlation has been estimated by 106 random permutations. When the empirical pvalue is zero the theoretical one is reported. DNase I hypersensivity Method + analysis => Stamatoyannopoulos’ lab: could you please add details on the DNase HS method? 24 LEGENDS Figure 1: Gene expression fold change is organized in chromosomal domains. a, Smoothed log2 fold change (log2FC T1DS/T2N) of gene expression between T1DS and T2N fibroblasts along the human genome. Numbers indicate the chromosomes delimited with vertical lines. Upregulated domains are shown in dark blue and downregulated domains in light blue. b, Log2 fold change (log2FC T1DS/T2N) of gene expression between T1DS and T2N fibroblasts along the human chromosomes 3, 11 and 19. c, Log2 fold change of gene expression between Ts65Dn and wild-type littermates along mouse chromosomes 10, 15 and 19. Genes (in blue) are sorted according to their position on the chromosome, at equidistance. The human and mouse lamina-associated domains (LADs) [33, 34] are shown in red. Figure 2: Weakly and highly expressed genes contribute differently to the domains. a, Log2 fold change (log2FC T1DS/T2N) of gene expression between T1DS and T2N fibroblasts along the human chromosomes 3, 11 and 19. Genes are sorted according to their position on the chromosome (at equidistance) and colored according to their expression level. b, Distribution of expression fold changes (log2) for low (0.1<rpkm<10, upper panel), medium (10<rpkm<100, middle panel) and high (rpkm>100, lower panel) expressed genes. Solid lines represent the log2FC between the discordant twins (T1DS/T2N) and dashed lines represent the log2FC between the healthy twins (MZ1/MZ2). p = Wilcoxon test p-value. Figure 3: GEDDs are conserved in iPS cells. Comparison of the log2 expression fold change profiles between T1DS and T2N in fibroblasts (in black) and iPS cells (in red) along human chromosomes 3, 6, 11 and 16. ρ = Spearman correlation; p = associated p-value. 25 Figure 4: GEDDs are conserved in Ts65Dn mouse model for DS. a, Log2 fold change of gene expression in the Ts65Dn fibroblasts (Ts65Dn/WT) along the mouse chromosomes 15 (MMU15, upper panel) and 19 (MMU19, lower panel). Genes are sorted according to their position on the chromosome (at equidistance). Colors represent the mouse/human syntenic blocks. The corresponding blocks on human chromosomes are shown with the same colors. b, Spearman correlation plot of log2 expression fold changes between human (T1DS/T2N in upper panel and MZ1/MZ2 in lower panel) and mouse (Ts65Dn/WT) orthologous genes. Mouse genes (in red) are ranked in the ascending order of log2FC. Human genes (in blue) are plotted in the same order. ρ = Spearman correlation. Figure 5: Correlation with lamina-associated domains (LADs). Distribution of log2 expression fold changes for genes overlapping a LAD (in red) and genes located outside of a LAD (in yellow, inter LADs = iLADs). Profiles are shown for the discordant twins (a), the Ts65Dn mice (b) and the healthy MZ twins (c). p = Wilcoxon test p-value. d, DamID map of lamin B1 (LMNB1) interaction scores for human chromosome 11 in T1DS (upper panel) and T2N (lower panel). e, Correlation plot of lamin B1 interaction scores for the entire genome between T1DS and T2N (r=0.75). Figure 6: Correlation with replication time domains and H3K4me3 mark. Comparison of the log2 expression fold change between T1DS and T2N (in black) and the replication time (a) or the H3K4me3 differences (b) (in red) profiles along human chromosomes 3, 6, 11 and 18. ρ = Spearman correlation; p = associated pvalue. 26 Table S1: List of GEDDs identified in the twins’ fibroblasts. Table gives the domain ID, the names and coordinates of the first genes at the left and right borders of each GEDD, the number of genes included in the domain and the median log2 fold change within the domain. Figure S1: Log2 fold change (log2FC T1DS/T2N) of gene expression between T1DS and T2N fibroblasts along all human chromosomes. Genes (in blue) are sorted according to their position on the chromosome, at equidistance. The laminaassociated domains (LADs) [33] are shown in red. Figure S2: Log2 fold change of gene expression between the discordant twins (First and replicate experiments on panels a and b, respectively), the healthy MZ twins (panel c) and the T21 and normal unrelated individuals (panel d). Genes are shown in grey and are sorted according to their position on the chromosomes. Blue lines represent the lowess smoothing function and define upregulated (dark blue) and downregulated (light blue) domains. LADs are shown in red. ρ = Spearman correlation relative to the first experiment (T1DS/T2N). Figure S3: Log2 fold change (log2FC T1DS/T2N) of gene expression between T1DS and T2N fibroblasts along all human chromosomes. Genes are sorted according to their position on the chromosome (at equidistance) and colored according to their expression level (rpkm value from the normal twin T2N): 0.1<rpkm<10 in green, 10<rpkm<100 in blue and rpkm>100 in red. Figure S4: Comparison of the log2 expression fold change profiles between T1DS and T2N in fibroblasts (in black) and iPS cells (in red) along all human chromosomes. ρ = Spearman correlation; p = associated p-value. Figure S5: Log2 fold change (log2FC Ts65Dn/WT) of gene expression in Ts65Dn fibroblasts along all mouse chromosomes. Genes (in blue) are sorted according to their position on the chromosome, at equidistance. The mouse lamina-associated domains (LADs) [35] are shown in red. Figure S6: Difference of lamin B1 interaction scores between T1DS and T2N for all human chromosomes. Difference signal is plotted according to the genomic location. 27 Figure S7: Correlation with replication time domains. Comparison of the log2 expression fold change (in black) and the replication time (in red) profiles along all human chromosomes. ρ = Spearman correlation; p= associated p-value. Figure S8: Correlation with DNA methylation profile. Comparison of the log2 expression fold change (in black) and the DNA methylation differences profile (in red) along all human chromosomes. Gene methylation levels are based on the CpGs located in the gene body (a) or the promoter (b). ρ = Spearman correlation; p= associated p-value. Figure S9: Correlation with H3K4me3 profile. Comparison of the log2 expression fold change (in black) and the H3K4me3 differences profile (in red) along all human chromosomes. ρ = Spearman correlation; p= associated p-value. ACKNOWLEDGMENTS We thank the Swiss National Science Foundation, the European Research Council, AnEUploidy, the Lejeune foundation and the ChildCare foundation for financial support. 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