Mitoepigenetic Alterations in Early-Onset Parkinson's Disease

Rana Abu Manneh1,2, Paraskevi P Chairta1, Maria A Loizidou2

  • 1Neuroepidemiology Department, The Cyprus Institute of Neurology and Genetics, Nicosia 2371, Cyprus.

Insights

Mitochondrial DNA (mtDNA) methylation patterns differ in early-onset Parkinson's disease (EOPD). These epigenetic changes, including methylation and hydroxymethylation across the entire mtDNA, show potential as blood-based biomarkers for EOPD diagnosis.

Area of Science:

  • Epigenetics
  • Neuroscience
  • Genomics

Background:

  • Distinct mitochondrial DNA (mtDNA) methylation and hydroxymethylation patterns are increasingly linked to Parkinson's disease (PD).
  • Previous studies focused on specific mtDNA regions, lacked non-CpG context analysis, and faced methodological limitations.
  • A comprehensive analysis of the entire mitochondrial genome's epigenetic landscape in early-onset PD (EOPD) is needed.

Purpose of the Study:

  • To comprehensively profile global and single-base resolution methylation and hydroxymethylation across the entire mitochondrial genome.
  • To investigate these epigenetic modifications in both CpG and non-CpG contexts in blood samples from EOPD patients and controls.
  • To evaluate the potential of mtDNA (hydroxy)methylation patterns as blood-based biomarkers for EOPD.

Main Methods:

  • Blood samples from 39 EOPD patients and 63 age- and sex-matched controls were analyzed.
  • Parallel workflows using bisulfite (BS) and oxidative-bisulfite (oxBS) conversions followed by next-generation sequencing (NGS) were employed.
  • Mitochondrial 5-methylcytosine (5mC) and 5-hydroxymethylcytosine (5hmC) were identified in CpG, CHG, and CHH contexts.

Main Results:

  • Global mtDNA methylation was significantly higher in EOPD patients compared to controls in both BS and oxBS statuses (true methylation).
  • Analysis at single-base resolution revealed predominantly hypomethylated sites in the D-loop region and CpG context in EOPD patients.
  • Significant differences in methylation and hydroxymethylation were observed across all contexts (CpG, CHG, CHH) in EOPD.

Conclusions:

  • Comprehensive analysis reveals significant alterations in global and site-specific mtDNA (hydroxy)methylation in EOPD.
  • The identified epigenetic patterns in CpG and non-CpG contexts offer novel insights into PD pathogenesis.
  • Both global and base-resolution mtDNA (hydroxy)methylation profiles demonstrate potential as reliable blood-based biomarkers for early-onset Parkinson's disease.

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