Effect of Valproate on histone acetylation and cancer proliferation Johann Mar Gudbergsson, Katrine Konggaard Madsen, Line Brøns Jensen, Nicoline Hedemann Mortensen, Pernille Guldbæk Christensen & Stinne B. Søgaard Medicine with industrial specialization & Medicine, 4th semester, Aalborg University Abstract It has long been known that epigenetic regulation of gene expression is crucial for cell differentiation, proliferation and programmed cell death. Mutations in or disturbance of the balance of the enzymes (i.e. HDAC) that control these processes have been proved to be involved in various diseases, including cancer, and are therefore potential targets in cancer therapy. In this study we focus on methylation of cytosine residues in the DNA sequence and acetylation of histone 4(H4) in relation to cancer, which was tested in two cell lines: the malignant glioma cells U87MG and human astrocytes (HA). In accordance to this we study the effects of Valproate as a cancer therapeutic drug since Valproate contains HDAC inhibiting properties. Our results came out quite inconclusive as the primary antibody for DNA methylation from Abcam was defect. The H4 acetylation staining came out fine, although they did not turn out as expected. We found more acetylation in HA cells than in the U87MGs which is not consistent with other studies. Comparing our U87MG pictures, we detected more acetylation in the cells treated with Valproate compared to the controls, which is in accordance to the hypothesis. Keywords Histone modifications, DNA methylation, glioma, cancer, valproate, histone deacetylase inhibitors, Abbreviations CpGs: cytosine-phosphat-guanine. DMEM-F12: Dulbecco’s Modified Essential Medium and Ham’s F12. DMEM Sigma: Dulbecco’s Modified Eagle’s Medium. DNMT: DNA methyltransferase. FCS: foetal calf serum. H3K4me: H3K4 methylation. HA: human astrocytes HAT: acetyltransferases. HDAC: histone deacetylases. HDACi: Histone deacetylase inhibitors. HMT: histone methyltransferase. HP1: Heterochromatin Protein 1. KPBS: potassium phosphate buffered saline. MBD: methyl-CpG-binding domain. MeOH: methanol. miRNAs: microRNA. PBS: phosphate buffered saline. PFA: paraformaldehyde. Rb: retinoblastoma protein. R-point: restriction point. SIRT1: sirtuins1. VEGF: Vascular endothelial growth factor. VPA: valproate. Introduction occurring epigenetic events taking place in the mammalian genome (4). Epigenetic DNA methylation Genetic mutations are a fundamental cause in the initiation and progression of human cancers. It is also now apparent that epigenetic changes may be equally important in tumor development. Epigenetics refers to heritable changes in gene expression in somatic cells that are determined by factors other than alterations in the primary base sequence of DNA. Just as DNA mutations can mediate individual stages of tumor development by fostering over, or under-, function of key genes, epigenetic abnormalities can heritably allow similar gene expression aberrations (1). Failure of the proper maintenance of heritable epigenetic marks can result in inappropriate activation or inhibition of various signaling pathways and lead to disease states such as cancer (2). Epigenetic mechanisms that modify chromatin structure can be divided into four main categories: DNA methylation, covalent histone modifications, non-covalent mechanisms such as incorporation of histone variants and nucleosome remodeling and non-coding RNAs including microRNAs (miRNAs) (2). The nucleotides cytosine and adenine can undergo enzymatic methylation without affecting Watson-Crick pairing (5). The methylated cytosine residues are almost always found associated with a guanine, known as the dinucleotide CG. In the double-stranded DNA the complementary cytosine is also methylated, giving rise to: 5´ mCpG 3´ 3´ GpCm 5´ (6) DNA methylation is a covalent chemical modification (Fig. 1) (4) which affects the transcription of genes by this particular adding of a methyl-group on the fifth carbon atom of cytosine, resulting in 5-methyl cytosine. DNA methylation is generally associated with transcriptional inactive regions, which must be seen in connection with the fact that not all genes are active at the same time. Therefore, increased methylation in the promoter region of a gene leads to inhibited expression. The interplay of histone modification and DNA methylation creates an ‘epigenetic landscape’ that regulates the way the mammalian genome manifests itself in different cell types, developmental stages and disease states, including cancer (2). Most epigenetic changes only occur within the course of one individual organism’s lifetime and are thereby independent of heredity, but if a mutation in the DNA has been caused in sperm or egg cell that results in fertilization, then some epigenetic changes are inherited from one generation to the next (3). Epigenetics can be described as a stable alteration on gene expression potential that takes place during development and cell proliferation, without any change in gene sequence. DNA methylation is one of the most commonly Fig. 1: DNA Methylation (7) DNA is not uniformly methylated and contains unmethylated regions intermixed by methylated segments. In humans about 50% of all genes possess what is called CpG-islands in the region of their promoter, and these are present in both housekeeping genes and genes with tissue-specific patterns of expression (4). In contrast to the rest of the human genome, CpG-islands which are ranging from 0, 5 to 5 kb and occurring on average every 100 kb are unmethylated. The mechanisms that control DNA methylation carry out the inactivation of genes at higher rates per cell generation than those involving somatic mutations. This leads to the obvious conclusion that the functions of tumor suppressor genes and DNA repair genes are likely to be lost more frequently through DNA methylation than mutation, a notion that is borne out by extensive studies of the genomes of human tumor cells (1). The methylation of CpGislands can cause specific pathological cases and cancer. The initiation of DNA methylation, its maintenance, and its role in transcriptional repression are all dependent on its interaction with chromatin (1). The methylation is carried out by specific enzymes called DNA methyltransferase (DNMT). The DNMTs known to date are DNMT1, DNMT1b, DNMT1o, DNMT1p, DNMT2, DNMT3a, DNMTb with its isoforms and DNMT3L (4). DNA methylation can be de novo or maintenance The DNA methylation pattern is erased in the early embryo and then re-established in each individual at approximately the time of implantation (8). De novo methylation is a significant change which initially methylates DNA sequences on both DNA strands and occurs in early development. This repression occurs at the time of gastrulation – when the embryo begins to separate into germ layers and con- comitantly loses the ability to maintain a pluripotent state (8). Soon after the daughter strand is formed, “maintenance” DNA methylase DNMT1 recognizes the hemi-methylated DNA and attaches a methyl group to the recently formed CpG residue, thereby ensuring that both CpGs are now methylated (1). DNMT1 has de novo as well as maintenance methyltransferase activity , and DNMT3a and DNMT3b are powerful de novo methyltransferases (4). DNMT3a and DNMT3b are complexed with DNMT3L, a closely related homologue that lacks methyltransferase activity, but recruits the methyltransferases to DNA (8). In addition, a series of proteins, called methylCpG-binding domain (MBDs), and the protein complexes in which they reside, can bind to methylated CpG sites to help relay a silencing signal (1). These MBD proteins can then recruit repressors or co-repressors which often contain histone deacetylases (HDACs) leading to histone deacetylation and repression of transcription, which will be elaborated later (9). The DNMTs also interact with HDACs to help target these enzymes to sites of DNA methylation (1). The MBDs can also recruit histone methyltransferases (HMTs), which methylate histones thereby further repressing transcription (9). Consequently, the MBDs contribute to further repression of gene transcription through histone deacetylation or histone methylation. Moreover, it is believed that DNA methylation and histone methylation are tied together in a reinforcing loop where one modification depends on the other (10). The DNA methylation can be brought to an unbalanced state by hypomethylation or hypermethylation. Hypomethylation of the promoter regions of oncogenes can activate these oncogenes and possibly result in carcinogenesis. Contrary to this, hypermethylation can be linked to methylation of CpGs in the promoter region of tumor suppressor genes silencing these tumor suppressor genes and possibly result in carcinogenesis. Several studies suggest that the organization of the DNA methylation profile throughout early development may be carried out by histone modifications. According to this theory, the pattern of methylation of H3K4, including mono-, di- and trimethylation (H3K4me), across the genome might be formed in the embryo before de novo DNA methylation. Sequence-directed RNA polymerase II might direct H3K4 methylation through specific H3K4 methyltransferases. In the early embryo RNA polymerase II particually binds to CpG-islands, whereby these sections are marked by H3K4me, while the rest of the genome is en- folded around unmethylated H3K4 nucleosomes. All types of H3K4 methylation will inhibit the contact between DNMT3L and the nucleosome. As a consequence to this, de novo methylation in the embryo is situated at the majority of CpG sites, but may be inhibited and prevented at CpG-islands given the presence of H3K4me (8) Histone acetylation and deacetylation Histones consist of two H2a/H2b dimers and one H3/H4 tetramer, which construct an octamer that enfolds DNA around its structure. This complex is called a nucleosome. The Nterminal tails of each histone protruding the nucleosome contain lysine residues, which are targets of posttranslational modifications such as methylation and acetylation, and are particularly found on H3 and H4 (Fig. 2) (6). K9, K14, K18, K23, K27 on H3 and K5, K8, K12, K16 on H4, are well examined lysine residues in the context of acetylation (11), (8). Fig. 2: Shows the difference between an acetylated transcriptionally active nucleosome and a deacetylated inactive nucleosome (12). DNA is linked to histones by a negatively charged phosphate group, which binds to a positively charged lysine residue on the Nterminal of histones. When the histones are acetylated the positive charge of the lysines is neutralized whereas the attraction to the negative phosphate group decline and consequently makes DNA exposed for transcription by loosening the structure of the chromatin, thus forming euchromatin. The enzymes responsible for acetylation are histone acetyltransferases (HAT). In the contrary situation when the histones are deacetylated the chromatin condenses into heterochromatin, which impedes transcription factors to access the promoter region, and thereby resulting in gene silencing occurs. This process is catalyzed by the enzyme HDAC. There are eighteen different HDAC enzymes classified in four main groups based on their homology to yeast proteins. Class I, II and Fig. 3. The role of histone methylation in formation of heterochromatin. G9a is a histone methyltransferase which methylates H3K9 (8). Generally in human cancer DNA methylation and posttranslational histone modifications are misregulated, especially histone acetylation, which in turn represses gene transcription. Studies indicate that an upregulation of SIRT1 occurs in many cancer types. SIRT1 belongs to HDAC class III and is the key regulator of the acetylation of H4K16 and H3K9. Increased SIRT1 would therefore result in loss of monoacetylated H4K16 (13). One of the effects of IV HDACs contain zinc in their catalytic site, whereas class III (Sirtuins, SIRT1-7) requires NAD+ as a cofactor (13). As mentioned in the passage above, there are several ways in which gene expression is modified. Methylation of CpG complexes is performed by DNMT. DNMT recruit HDACs that remove the acetyl groups from the histones thus repressing transcription. DNMT can also recruit HMT that methylates H3K9 and this newly methylated site binds to Heterochromatin Protein 1 (HP1) and forms heterochromatin (Fig. 3). Gene repression is a consequence of the dense heterochromatin. When the cytosine residues on DNA are methylated, MBDs recruit HMT, which methylates H3K9. Once again this results in the binding of HP1 and the formation of heterochromatin. In addition to this, MBD also recruits HDAC (8). increased SIRT1 is the deacetylation of the tumor suppressor p53. This particular deacetylation inhibits stress induced cell death and allows long-term survival of irreparable cancer cells (13). HDAC1 and HDAC2 interact with transcription factors, e.g. E2F, mediated by physical binding of the retinoblastoma protein (Rb) to E2F, which is a cell-cycle regulating transcription factor bound to specific promoters (13). The binding of Rb to E2F recruits HDACs and represses gene transcription and apoptotic functions. HDAC inhibitors Histone deacetylase inhibitors (HDACi) are currently under investigation for their potential anti-cancer effects. It is acknowledged that HDACi changes the acetylation balance of chromatin and other non-histone proteins (14), which induces modification of tumor cells, apoptosis and growth arrest (15). As mentioned earlier an increase in HDAC levels leads to hypoacetylation of target proteins e.g. histones. This hypoacetylation represses transcription of the DNA. An increase in HDACi results in hyperacetylation and thereby enhances the transcription. HDACis have an impact on 5 % to 20 % of genes expressed. HDACis only influences a minor part of these per cents, whereas the rest of the 5 % to 20 % are affected by the secondary effects of HDACis (16). HDACi affects Zn2+-dependent HDACs. The HDAC has an active site forming a tubular pocket that consists of amino acids and a Zn2+ion. HDACi binds to the Zn2+-ion at the bottom of this pocket. A cap group on the HDACi interacts with the external surface of the HDAC and thereby blocking the active site. Depending on their chemical Zn2+-binding group, HDACi belong to different classes (16). At present seven structural distinct classes of inhibitors are identified but only four of them are used in clinical trials. These four structural groups are categorised as hydroxamic acids, cyclic tetrapeptides, carboxylic acids and benzamides (15). HDACis’ isoform selectivity is a topic that is examined, however not yet fully understood. The question of whether HDACis are selective for HDAC class I only or selective for all Zn2+dependent HDACs remains unanswered (16). Valproate (VPA) (Fig. 4) is a carboxylic acid selective to HDAC class I and IIa with relatively weak inhibitory effects on HDACs (17). Originally VPA is used as treatment of epilepsy, mi- graine headaches and as a mood stabilizer, but has recently shown effects as a HDAC inhibitor (15). Although VPA is a weak inhibitor, it is an interesting inhibitor to investigate because of its already known adverse effects and toxicity rates. Fig. 4 Valproate (14) It has been shown that VPA and HDACi in general induces reversible acetylation of histones, thus upregulating gene transcription (18) and cell cycle arrest in G1 and/or G2 phase (14). HDACi stimulate apoptosis and besides Burgess et al (19) suggests that HDACi kill nonproliferating tumor cells, thereby preventing relapse (14). Transformed cells express higher sensitivity to HDACi-induced cell death than normal cells. Normal cells are relatively resistant to the inhibitors (17). In a study by Osuka et al VPA inhibited angiogenesis in glioma by two mechanisms: an indirect pathway and a direct pathway (20). Vascular endothelial growth factor (VEGF) secretion is inhibited by the indirect pathway of VPA, which leads to a decrease in angiogenesis and in that way decreasing the metastatic spread (14). The direct pathway affects the proliferation and tube formation of the endothelial cells (20). HDACi have furthermore immunomodulatory effects, which stimulate upregulation of major histocompatibility complex (MHC) I and II and surface antigens, thereby resulting in recognition of malignant cells (14). Clinical trials investigating the effects of VPA indicate that use of this inhibitor in cancer combination therapy may possibly be the best therapeutic method (20). Cancer Weinberg et al 2007 presents the characteristics of cancer cells as the six hallmarks of cancer. Those characteristics are 1) the cells resistance to inhibitory growth signals, 2) the cells ability to stimulate their own growth, 3) their immunity to apoptosis and thereby 4) their immortality, 5) their ability to stimulate angiogenesis and 6) their ability to invade other tissues by metastasis (21). All these hallmarks are interesting factors in the search of possible cancer treatments and several studies suggest that cancer characteristics are potential targets for treatment. The majority of normal cells are at arrest in G0 phase, while cancer cells always are in the active phases of the cell cycle. During cell division the cells are more sensitive to treatment. The restriction point (R point) regulates proliferation in cells and deregulation of this accompanies the formation of most cancer cells. At the R point the cell decides whether it is going to stay in G1 phase, go to the non-active G0 phase or will continue to the S phase (1). Gene silencing in cancer selectively occurs at sites coding for tumor suppressor genes but do not necessarily occur at other sites of the DNA, thereby not turning off the oncogenes. This induces uncontrolled proliferation of cancer cells (21). Hypothesis The article is based upon the academic and scientific literature on DNA methylation and histone acetylation in connection to the pathological state of cancer. In the light of the attained knowledge, an experimental setup was prepared in order to test and study the effects of VPA on histone acetylation and the associa- tion to DNA methylation. VPA is added to two diverse cell cultures, HA and U87MG. The hypothesis is that dissimilarity amongst the two cell lines concerning DNA methylation, histone 4-acetylation and cell growth will be detectable. VPA is expected to inhibit the proliferation and gene transcription of cancer cells. The hypothesis is based on previous studies. Materials and methods Culture of HA The majority of the cells in the human brain consist of astrocytes, which are a subset of glial cells. They modulate synaptic activity in combination with providing structural, metabolic and trophic support to neurons. The HA are isolated from human cerebral cortex and delivered by ScienCell Research Laboratories (22). HA were received frozen in passage 5 and were afterwards thawed. On day 1, the cells were passaged to two T75 bottles (Sarstedt) coated with poly-l-lysine and a basic medium was added (10 % foetal calf serum (FCS) and 1 % penicillin-streptomycin mixed with Dulbecco’s Modified Essential Medium and Ham’s F12 (DMEM-F12) (Biochom AG)). At day 3 the cells were 50 % confluent. Medium was changed every day. At day 9 the medium was removed from one of the T75 bottles and the cells were washed three times with phosphate buffered saline (hyclone HYCL SH30258.01 - VWR). Trypsin (10X) (Gibco) was then added in order to detach the cells from the bottle surface and the cells were then incubated for five minutes at 37C. Afterwards medium was added with the purpose of inactivating the trypsin. The cells from the T75 bottle were distributed into one T75 bottle and one T25 bottle (Sarstedt). Basic medium was added. On day 13, the cells in the T25 bottle were 100 % confluent and the cells were detached by the process of trypsi- nation (see procedure above). One fourth of the T25 bottle was sowed in a new T75 bottle with new medium and the remains from both the T25 bottle and the T75 bottle were pooled in a centrifuge tube. A cell count was performed and the cells were seeded in two 24-well plates, containing a poly-l-lysine coated coverslip in each well, in a suspension of 33,000 cells per well. On day 16, 1 mM VPA was added to nineteen wells in a 24-well plate (1mL in each well) and incubated for 24 hours at 37C. The remaining five wells were used as controls and were added the basic medium. On day 17, the cells were chemically fixed. The fixatives used were 4 % paraformaldehyde (PFA) and methanol (MeOH). First, medium was removed from all wells. Then, all the wells were washed three times with PBS. Twelve wells in each plate were fixed in five minutes with 250 l 4 % PFA and twelve were fixated in five minutes with 250 l 100 % MeOH. Fixation process situates the cells in an irreversible enzymatic arrest without damaging the permeability of the cell membrane and thereby maintaining the morphology. The fixatives were removed from the wells and the wells were washed once again three times with PBS. The last quantity of PBS was left in overnight in the refrigerator, now ready for immunocytochemistry. Culture of U87MG The malignant cells used in this study are U87MG (malignant gliomas) and are a highly differentiated type of human astrocytic brain tumor cells. They derive from a grade IV cancer patient and have epithelial-like morphology. The cells are used to study potential cancer treatment in vitro (ATCC) (23). The cells were received at passage 11 in a T75 bottle and basic medium was added. The basic medium was a mixture of 10 % FCS and 1 % penicillin-streptomycin mixed with Dulbecco’s Modified Eagle’s Medium (DMEM Sigma) (Sigma-Aldrich). First, the medium was removed and then trypsin (10X) (Gibco) was added in order to detach the cells from the bottle surface and then the cells were incubated for five minutes at 37C. Afterwards medium was added to inactivate the trypsin. The U87MGs were counted and seeded on coverslips in a 24-well plate in a suspension of 35,000 cells per cm2. The rest of the cell suspension was seeded in a T75 bottle. On day 3 we fixed the 24-well plate with the identical method as the HA (see above) and used as control. On day 6 the cells in the T75 bottle were too densely packed. The cells were detached from the bottle surface by trypsin and the cells were then incubated for five minutes at 37C. Medium was added, which inactivated the trypsin and the cells could be counted and seeded on coverslips in an additional 24-well plate in a suspension of 35,000 cells per cm2. On day 8, 1 mM VPA was added to twenty wells in the 24-well plate (1mL in each well) and was incubated for 24 hours at 37C. The remaining four wells were used as controls. The 24-well plate with VPA was then fixed similarly to the control plate and the HA. Immunocytochemistry The two primary antibodies used were Anti-5methyl cytidine antibody (Abcam) for detecting DNA methylation and Anti-acetyl-Histone H4 (Millipore) for detecting acetylation of the lysine residues at the histone H4. Anti-5-methyl cytidine antibody is a monoclonal antibody binding to one specific epitope, while Antiacetyl-Histone H4 is a polyclonal antibody binding to an epitope on each lysine residue. At first the PBS was removed from the plates and potassium phosphate buffered saline (KPBS) was added to block against unspecific binding. Afterwards the plates were washed with incubation buffer (3 % pig serum in KPBS and 0,3 % Triton X-100) and placed one hour on a rocking shaker at room temperature. The incubation buffer was removed and the prima- ry antibodies were added in incubation buffer at a 1:100 and 1:200 dilution and left overnight at 4C. The antibodies were removed the following day and the plates were washed three times with washing buffer (incubation buffer diluted 1:50 in KPBS). The secondary antibodies used were Alexa Flour 350 donkey antirabbit IgG antibody (Invitrogen) and Texas Red horse anti-mouse IgG antibody (Vector Labs). These antibodies were used in a 1:200 dilution in a washing buffer and 250 l were added to each well and incubated for 30 minutes at room temperature. Once again the cells were washed with KPBS three times. To prepare the coverslips for microscopy they are placed upside down on a microscopy slide adding one drop of fluorescence mounting medium (DAKO), which will help reduce fading of immunofluorescence during microscopy. The slides were placed to dry overnight. Microscopy During the microscopy we used a Nomarski filter to study the morphology of the cells by switching on regular light. In the study of the Texas Red staining and thereby the DNAmethylation we used an additional fluorescence filter, the N2.1 (Excitation filter – BP 515-560 and supression filter LP 590) (Leica). In the study of Alexa 350 and histone H4 acetylation we used the A fluorescence filter (Excitations filter – BP 360/40 and suppression filter 470/40) (Leica). The microscopy was done with an objective at 40 times magnification. Results We wanted to demonstrate that VPA through epigenetic changes, DNA methylation and histone acetylation, would inhibit the proliferation of U87MGs. To demonstrate this we performed an experiment using both U87MGs and HA cells, some treated with VPA and some were not. The immunocytochemistry should clarify our hypothesis: that VPA would affect DNA methylation and histone acetylation in the U87MGs and thereby affect the cancer cell proliferation. We expected no influence of VPA on the HA cells. Furthermore some cells were fixed with 4 % PFA, while other cells were fixed with MeOH. As shown in fig. 5.A and fig. 6.A the two different fixatives show a difference in the morphology of the HA cells. The HA cells fixed with 4 % PFA (fig. 5.A) have a “clumpy” appearance, while the HA cells fixed with MeOH (fig. 6.A) are not “clumpy” but are far away from each other. This difference is not seen on the U87MGs (fig. 7.A and 8.A). The morphology in the HA cells treated with VPA (fig. 5.A and 6.A) is not significant different compared to the HA cells not treated with VPA (fig. 5.D and 6.D). On the other hand the U87MGs show a different morphology dependent on VPA treatment. For both fixatives, U87MGs treated with VPA (fig. 7.D and 8.D) show cells that appear more compact compared to the U87MGs without VPA (fig. 7.A and 8.A). Unfortunately the secondary antibody binding is unspecific and therefore fig. 5.B, 5.E, 6.B, 6.E, 7.B, 7.E, 8.B, 8.E, 9.B and 9.E do not show the DNA methylation as hoped. The histone acetylation is not significantly different in the HA cells treated with VPA and the HA cells without VPA (fig. 5.C, 5.F, 6.C and 6.F). In fig. 5.F the histone 4 acetylation of the HA cells is vague compared to the HA controls. We expected the HA cells not to be influenced by the VPA. As for the U87MGs fixed with 4 % PFA there is a noticeable difference in histone 4 acetylation. In the U87MGs controls (fig. 7.C) the nuclei are not as coloured as the U87MGs treated with VPA (fig. 7.F). This follows our hypothesis about VPA’s effect on histone 4 acetylation in cancer cells. For the U87MGs fixed with MeOH (fig. 8.C and 8.F) the differ- ence in histone 4 acetylation between the cells treated with VPA and the cell controls is the difference not as noticeable as the cells fixed with 4 % PFA (fig. 7.C and 7.F). Fig. 9 demonstrates that the secondary antibody has not bound to anything else than the primary antibody as the negative control wells do not have primary antibody added to it. Fig. 5: HA, 4 % PFA 1:100 (A) Control. Nomarski. (B) Control. N2.1-filter. Texas Red. (C) Control. A-filter. Alexa 350. (D) VPA. Nomarski. (E) VPA. N2.1-filter. Texas Red. (F) VPA. A-filter. Alexa 350. Fig. 6: HA, MeOH, 1:100 (A) Control. Nomarski. (B) Control. N2.1-filter. Texas Red. (C) Control. A-filter. Alexa 350. (D) VPA. Nomarski. (E) VPA. N2.1-filter. Texas Red. (F) VPA. A-filter. Alexa 350. Fig. 7: U87MGs, 4 % PFA, 1:100 (A) Control. Nomarski. (B) Control. N2.1-filter. Texas Red. (C) Control. A-filter. Alexa 350. (D) VPA. Nomarski. (E) VPA. N2.1-filter. Texas Red. (F) VPA. A-filter. Alexa 350. Fig. 8: U87MGs, MeOH, 1:100 (A) Control. Nomarski. (B) Control. N2.1-filter. Texas Red. (C) Control. A-filter. Alexa 350. (D) VPA. Nomarski. (E) VPA. N2.1-filter. Texas Red. (F) VPA. A-filter. Alexa 350. Fig. 9: Negative control, U87MGs, MeOH, 1:100 (A) Nomarski. (B) N2.1-filter. Texas Red. (C) A-filter. Alexa 350. Discussion Methylation As mentioned in the section of Materials and Methods the secondary antibody are marked with the fluorescence color “Texas Red”. The obtained results revealed that the primary antibody for 5-methylcytosine binds unspecifically in the cytoplasm of the cells. The producer of the primary antibody for 5-methylcytosine has admitted a defect, which explains our problems. Acetylation The results of the histone 4 acetylation are moderately inconsistent and not in accordance to our hypothesis. We expected that the effects of VPA would result in hyperacetylation and that VPA would have more significant effect on the U87MG cell line. As seen on fig. 7C compared to picture fig. 7F there is a noticeable difference in the acetylation, which explains more acetylation in the cells with the treatment of VPA. The difference is not as apparent in the cells fixed with MeOH. A possible explanation could be the fact that the MeOH can block the antibody-epitope binding, which would affect the immunostaining and thereby not give the same result as cells fixed with 4 % PFA. To make sure that the cells were not dead before ICC we could have used a live/dead viability or cytotoxicity kit. In that way we could prevent using antibodies on dead cells. The live/dead viability or cytotoxicity kit cannot be used instead of ICC in this setup. Concentrations In this experimental setup, two different concentrations of primary antibodies were tested, 1:100 and 1:200. This was done as a consequence of the fact that we in advance did not know, which of the two concentrations would end up with the best and clearest result. In the microscope it became evident that the concentration 1:100 presented the best results. This outcome created the basis of the results, whereas the concentration 1:200 is hardly relevant. Fixation The 4% PFA fixes cells by forming partiallyreversible methylene bridges between proteins and/or nucleic acids. Overfixation will result in blocking of the antibody binding to the epitope, while underfixation can cause proteolysis of target proteins. 4% PFA is appropriate for fixing the majority of proteins, peptides and enzymes of low molecular weight (24), (25). Generally, the HA cells exhibit more acetylation than the U87MG’s after treatment with VPA, which is in conflict with our hypothesis. The HA cells ought to be less sensitive to VPA than U87MG and therefore HA cells should be less acetylated according other studies. MeOH replaces water molecules in tissues and instantly coagulates proteins. The replacement of water molecules results in altered conformation, which can block antibody-epitope binding. MeOH is suitable for fixing large protein antigens e.g. immunoglobulin (25). In both cell lines black spots are detected in the nuclei, which might indicate that the cells were already dead prior to the immunocytochemistry (Svend Birkelund, personal communication). Furthermore, we observed various weak acetylation in the cytoplasm of U87MG’s treated with VPA and this may indicate that the dose of VPA was toxic and induced cell apoptosis (18). Although the 4% PFA preserves the morphology of the cells better than MeOH, 4% PFA may possibly kill the cells, which is why the MeOH was used as a “back-up fixative”. Perspectives Kaiser et al. (2006) (18) have studied the effect of VPA on myoloma cell lines and found an increase of acetylated histone H3, whereas we have found a limited increase in acetylated histone H4 in the U87MGs. They also demonstrate that proliferation of myoloma cells is inhibited after 48 hours of treatment with VPA. They conclude that VPA inhibits proliferation in a dose-dependent manner, using VPA at different concentrations (0,5 mM, 2 mM and 2,5 mM). Furthermore they treated the myoloma cells with VPA for 48 hours, whereas we treated both U87MGs and HA cells for 24 hours with a concentration of 1 mM, which did not show any inhibiting effects on the cell proliferation. In relation to our study it would have been interesting to investigate the function of VPA at different doses and in different time intervals to conclude if VPA affects proliferation and apoptosis. As we were not capable of verify our hypothesis that VPA would affect U87MGs by acetylation and methylation, others have used VPA in combination therapy (14). As mentioned earlier VPA is a weak inhibitor and therefore treatment with VPA in combination with other drugs might be the best therapeutic method. Osuka et al. (2012) (20) suggest that the most potential therapy in cancer treatment would be VPA or another stronger HDACi combined with another relevant drug. In relation to our study it would have been interesting to investigate the function of VPA as a combination drug. In our study the effect of VPA on HA and U87MG cells focusing on the acetylation of histones and DNA methylation were investigated. We are incapable of concluding whether VPA as an HDACi has an effect on the acetylation of U87MG cells. The experiment is not statistically significant and the results are too diverse in order to verify our hypothesis. Acknowledgements We would like to thank associate professor Jacek Lichota for his guidance through writing this article. Also, thanks to Laboratory Techni- cian Merete Fredsgaard for her technical help and assistance in the laboratory and her general patience. Further, we want to thank the Laboratory of Neurobiology (LNB) at Aalborg University for providing the proper facilities to perform this study. Last, thanks to professor Svend Birkelund for teaching us how to use the excellent microscope for fluorescence microscopy, which he generously provided. (1) Mendelsohn J. The Molecular Basis of Cancer. Philadelphia, Pa: Philadelphia, Pa. : Saunders; 2008. (2) Sharma S, Kelly TK, Jones PA. Epigenetics in cancer. Carcinogenesis 2010 Jan;31(1):27-36. (3) The Basics of Epigenetics Available at: file:///C:/Users/Pernille/Dropbox/4. semester medis-medicin/Projekt/Litteratur/BRUGTE KILDER!/The Basics of Epigenetics.mht. Accessed 5/23/2012, 2012. (14) Wagner JM, Hackanson B, Lubbert M, Jung M. Histone deacetylase (HDAC) inhibitors in recent clinical trials for cancer therapy. Clin Epigenetics 2010 Dec;1(3-4):117-136. (15) Masoudi A, Elopre M, Amini E, Nagel ME, Ater JL, Gopalakrishnan V, et al. Influence of valproic acid on outcome of high-grade gliomas in children. Anticancer Res 2008 Jul-Aug;28(4C):2437-2442. (4) Das PM, Singal R. DNA methylation and cancer. J Clin Oncol 2004 Nov 15;22(22):4632-4642. (16) Delcuve GP, Khan DH, Davie JR. Roles of histone deacetylases in epigenetic regulation: emerging paradigms from studies with inhibitors. Clin Epigenetics 2012 Mar 12;4(1):5. (5) Vanyushin B, Vanyushin B. Adenine Methylation in Eukaryotic DNA. Mol Biol (N Y ) 2005;39(4):473481. (17) Dokmanovic M, Clarke C, Marks PA. Histone deacetylase inhibitors: overview and perspectives. Mol Cancer Res 2007 Oct;5(10):981-989. (6) Baynes JW, Baynes JW. Medical biochemistry / John W. Baynes, Marek H.Dominiczak. London: London : Mosby; 2005. (18) Kaiser M, Zavrski I, Sterz J, Jakob C, Fleissner C, Kloetzel PM, et al. The effects of the histone deacetylase inhibitor valproic acid on cell cycle, growth suppression and apoptosis in multiple myeloma. Haematologica 2006 Feb;91(2):248-251. (7) Singal R, Ginder GD. DNA methylation. Blood 1999 Jun 15;93(12):4059-4070. (8) Cedar H, Bergman Y. Linking DNA methylation and histone modification: patterns and paradigms. Nat Rev Genet 2009 May;10(5):295-304. (9) Rangarajan PN. Eukaryotic Gene Expression: Basis & Benefits, Lecture 9: Eukaryotic gene regulation: DNA methylation. 2011. (10) The role of epigenetics in cancer | Abcam Available at: http://www.abcam.com/index.html?pageconfig=re source&rid=10755&pid=10628. Accessed 5/25/2012, 2012. (11) Jasencakova Z, Meister A, Walter J, Turner BM, Schubert I. Histone H4 acetylation of euchromatin and heterochromatin is cell cycle dependent and correlated with replication rather than with transcription. Plant Cell 2000 Nov;12(11):20872100. (19) Burgess A, Ruefli A, Beamish H, Warrener R, Saunders N, Johnstone R, et al. Histone deacetylase inhibitors specifically kill nonproliferating tumour cells. Oncogene 2004 Sep 2;23(40):6693-6701. (20) Osuka S, Takano S, Watanabe S, Ishikawa E, Yamamoto T, Matsumura A. Valproic Acid inhibits angiogenesis in vitro and glioma angiogenesis in vivo in the brain. Neurol Med Chir (Tokyo) 2012;52(4):186-193. (21) Weinberg RA. The biology of cancer. New York: Garland Science; 2007. (22) Human Astrocytes (HA), catalog number:#1800. 2009; Available at: http://www.sciencellonline.com/site/productInfor mation.php?keyword=1800. (12) McQuown SC, Wood MA. Epigenetic regulation in substance use disorders. Curr Psychiatry Rep 2010 Apr;12(2):145-153. (23) LGC: Advanced Catalogue Search Available at: http://www.lgcstandardsatcc.org/LGCAdvancedCatalogueSearch/ProductDe scription/tabid/1068/Default.aspx?ATCCNum=HTB -14&Template=cellBiology. Accessed 5/23/2012, 2012. (13) Ropero S, Esteller M. The role of histone deacetylases (HDACs) in human cancer. Mol Oncol 2007 Jun;1(1):19-25. (24) Fixation Strategies and Formulations Available at: http://www.piercenet.com/browse.cfm?fldID=B72 73393-CD71-46C0-A8A7-E702C294529E. Accessed 5/23/2012, 2012. (25) Appropriate Fixation of IHC/ICC Samples Available at: http://www.rndsystems.com/literature_fixation_ih c_icc_samples.aspx. Accessed 5/23/2012, 2012.