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Updated: Oct 23, 2026

Optimized Analysis of DNA Methylation and Gene Expression from Small, Anatomically-defined Areas of the Brain
Published on: July 12, 2012
Parallel profiling of DNA methylation and hydroxymethylation highlights neuropathology-associated epigenetic
Adam R Smith1, Rebecca G Smith1, Ehsan Pishva1,2
1College of Medicine and Health, University of Exeter Medical School, Exeter University, RILD Building Level 4, Royal Devon and Exeter Hospital, Barrack Rd, Exeter, EX2 5DW, UK.
Background:
Alzheimer's disease is a progressive neurodegenerative disorder that is hypothesized to involve epigenetic dysfunction. Previous studies of DNA modifications in Alzheimer's disease have been unable to distinguish between DNA methylation and DNA hydroxymethylation. DNA hydroxymethylation has been shown to be enriched in the human brain, although its role in Alzheimer's disease has not yet been fully explored. Here, we utilize oxidative bisulfite conversion, in conjunction with the Illumina Infinium Human Methylation 450K microarray, to identify neuropathology-associated differential DNA methylation and DNA hydroxymethylation in the entorhinal cortex.
Results:
We identified one experiment-wide significant differentially methylated position residing in the WNT5B gene. Next, we investigated pathology-associated regions consisting of multiple adjacent loci. We identified one significant differentially hydroxymethylated region consisting of four probes spanning 104 bases in the FBXL16 gene. We also identified two significant differentially methylated regions: one consisting of two probes in a 93 base-pair region in the ANK1 gene and the other consisting of six probes in a 99-base pair region in the ARID5B gene. We also highlighted three regions that show alterations in unmodified cytosine: two probes in a 39-base pair region of ALLC, two probes in a 69-base pair region in JAG2, and the same six probes in ARID5B that were differentially methylated. Finally, we replicated significant ANK1 disease-associated hypermethylation and hypohydroxymethylation patterns across eight CpG sites in an extended 118-base pair region in an independent cohort using oxidative-bisulfite pyrosequencing.
Conclusions:
Our study represents the first epigenome-wide association study of both DNA methylation and hydroxymethylation in Alzheimer's disease entorhinal cortex. We demonstrate that previous estimates of DNA hypermethylation in ANK1 in Alzheimer's disease were underestimates as it is confounded by hypohydroxymethylation.
Insights
This study investigated DNA methylation and hydroxymethylation in Alzheimer's disease (AD) brains. We identified specific gene regions with altered epigenetic patterns, revealing new insights into AD's complex molecular underpinnings.
Area of Science:
- Neuroscience
- Epigenetics
- Genomics
Background:
- Alzheimer's disease (AD) is a progressive neurodegenerative disorder linked to epigenetic dysfunction.
- Previous studies could not differentiate DNA methylation and hydroxymethylation in AD.
- DNA hydroxymethylation's role in AD remains underexplored despite its enrichment in the brain.
Purpose of the Study:
- To identify neuropathology-associated differential DNA methylation and hydroxymethylation in the entorhinal cortex of Alzheimer's disease patients.
- To distinguish the roles of DNA methylation and hydroxymethylation in AD pathogenesis.
- To provide a comprehensive epigenome-wide association study (EWAS) for both modifications in AD.
Main Methods:
- Utilized oxidative bisulfite conversion combined with the Illumina Infinium Human Methylation 450K microarray.
- Analyzed DNA methylation and hydroxymethylation patterns in the entorhinal cortex.
- Validated findings in an independent cohort using oxidative-bisulfite pyrosequencing.
Main Results:
- Identified one differentially methylated position in the WNT5B gene.
- Discovered a differentially hydroxymethylated region in the FBXL16 gene.
- Found differentially methylated regions in ANK1 and ARID5B genes, and alterations in unmodified cytosine in ALLC and JAG2.
- Replicated ANK1 hypermethylation and hypohydroxymethylation in an independent cohort.
Conclusions:
- This is the first EWAS of both DNA methylation and hydroxymethylation in the Alzheimer's disease entorhinal cortex.
- Demonstrated that previously reported ANK1 hypermethylation in AD was an underestimate due to confounding hypohydroxymethylation.
- Highlighted the importance of considering both DNA methylation and hydroxymethylation for a complete understanding of AD epigenetics.
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