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Intragenic DNA Methylation in Buccal Epithelial Cells and Intellectual Functioning in a Paediatric Cohort of Males with Fragile X

Abstract

Increased intragenic DNA methylation of the Fragile X Related Epigenetic Element 2 (FREE2) in blood has been correlated with lower intellectual functioning in females with fragile X syndrome (FXS). This study explored these relationships in a paediatric cohort of males with FXS using Buccal Epithelial Cells (BEC). BEC were collected from 25 males with FXS, aged 3 to 17 years and 19 age-matched male controls without FXS. Methylation of 9 CpG sites within the FREE2 region was examined using the EpiTYPER approach. Full Scale IQ (FSIQ) scores of males with FXS were corrected for floor effect using the Whitaker and Gordon (WG) extrapolation method. Compared to controls, children with FXS had significant higher methylation levels for all CpG sites examined (p < 3.3 × 10), and within the FXS group, lower FSIQ (WG corrected) was associated with higher levels of DNA methylation, with the strongest relationship found for CpG sites within FMR1 intron 1 (p < 5.6 × 10). Applying the WG method to the FXS cohort unmasked significant epi-genotype-phenotype relationships. These results extend previous evidence in blood to BEC and demonstrate FREE2 DNA methylation to be a sensitive epigenetic biomarker significantly associated with the variability in intellectual functioning in FXS.

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References
1.
Tassone F, Hagerman R, Ikle D, Dyer P, Lampe M, Willemsen R . FMRP expression as a potential prognostic indicator in fragile X syndrome. Am J Med Genet. 1999; 84(3):250-61. View

2.
Orsini A, Pezzuti L, Hulbert S . Beyond the floor effect on the Wechsler Intelligence Scale for Children--4th Ed. (WISC-IV): calculating IQ and Indexes of subjects presenting a floored pattern of results. J Intellect Disabil Res. 2014; 59(5):468-73. DOI: 10.1111/jir.12150. View

3.
Colak D, Zaninovic N, Cohen M, Rosenwaks Z, Yang W, Gerhardt J . Promoter-bound trinucleotide repeat mRNA drives epigenetic silencing in fragile X syndrome. Science. 2014; 343(6174):1002-5. PMC: 4357282. DOI: 10.1126/science.1245831. View

4.
Stark Z, Francis D, Gaffney L, Greenberg J, Hills L, Li X . Prenatal diagnosis of fragile X syndrome complicated by full mutation retraction. Am J Med Genet A. 2015; 167A(10):2485-7. DOI: 10.1002/ajmg.a.37163. View

5.
Hessl D, Nguyen D, Green C, Chavez A, Tassone F, Hagerman R . A solution to limitations of cognitive testing in children with intellectual disabilities: the case of fragile X syndrome. J Neurodev Disord. 2009; 1(1):33-45. PMC: 2768415. DOI: 10.1007/s11689-008-9001-8. View