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Cantone                                                                                                                                                                          Reversal of X chromosome inactivation

           X chromosomes.                                     by directly repressing  Xist and activating  Tsix.
                                                              Consistently with this hypothesis, re-expression of Oct4
           Cell fusion-mediated Xi reactivation               from the somatic genome has been shown to precede
           The earliest evidence of an association between    Xi reactivation and repression of Xist expression upon
           reversal of XCI and pluripotent reprogramming of somatic   cell fusion-mediated reprogramming [50] . The delayed
                                                  [68]
           cells is dated back to 1983 when Takagi et al.  showed   repression of Xist has been associated with the kinetics
           that fusions between female mouse thymocytes and   of DNA methylation at its 5’ regulatory sequences
           pluripotent mouse embryonic carcinoma cells (ECCs)   and is enhanced by the activation of Dnmt3a and Tsix
           shifted the replication timing of the thymocyte Xi from   via HDAC inhibitors. This suggests that chromatin
           late to early S phase, as observed for transcriptionally   remodeling is required together with pluripotency factors
           active X chromosomes. Early replication timing was   in order to reverse XCI, although delocalization of Xist
           associated with reactivation of the X-linked Pgk1 gene   rather that loss of its expression has been associated
           from the Xi and was observed upon fusions of several   with Xi gene reactivation [79] .
           differentiated cells from thymus, spleen or bone
           marrow with ECCs, but not when two differentiated   Somatic cell nuclear transfer-mediated Xi
           cell types were fused together. Importantly, hybrids   reactivation
           obtained between mouse somatic cells and ECCs      The somatic cell genome can restart the entire
           acquired the pluripotent differentiation potential   developmental program upon nuclear transfer into
           of the parental carcinoma cells suggesting that    eggs or oocytes. Conversely to other reprogramming
           reprogramming towards pluripotency might trigger Xi   techniques, somatic cell nuclear transfer (SCNT)
           reactivation. Later studies confirmed that embryonic   reprograms differentiated cells to a totipotent state from
           pluripotent cells of different origin (including ECC,   which both embryonic and extra-embryonic lineages
           ESC and embryonic germ cells, EGC) are able to     develop into cloned animals [80,81] . In this model system,
           reprogram the somatic cell genome and reverse XCI   reprogramming is triggered by maternally-inherited
           upon fusion. Specifically, it has been shown that the   factors that are present in the cytoplasm of metaphase
           somatic Xi acquires epigenetic features of the active   II oocytes. Interestingly, it has been shown that the
           X chromosome (Xa), including early replication timing,   zygote and blastomeres of early embryonic stages are
           loss of Xist coating and Xi-associated histone marks   not capable of reprogramming somatic nuclei unless
           (e.g. H3K27me3 and H2Aub1), and re-expresses an    they are in mitosis [82,83] . The enhanced reprogramming
           Xi-linked GFP transgene [69-71] . Importantly, somatic-  capacity of mitotic cells has been ascribed to the
           ESC hybrids are able to re-initiate random XCI upon   release of chromatin-bound factors during mitosis and
           differentiation suggesting a complete erasure of   depends upon cell cycle synchronization between
           epigenetic memory along the Xi [70,72] . However, the   the somatic donor and the embryonic recipient [84,85] .
           fusion of ESC with somatic cells does not lead to   This evidence suggested a model in which the mitotic
           erasure of genomic imprinting [69,73] . This extended   environment of the recipient cell induces premature
           reprogramming potential has instead been observed in   chromatin condensation and consequent release
           fusions with EGCs that can induce both Xi reactivation   of chromatin-bound factors in somatic nuclei, thus
           and loss of DNA-methylation imprinting marks in the   facilitating genomic access of transcriptional regulators
           somatic nuclei [73,74] .                           that re-establish a totipotent transcriptional program [86] .

           Cell fusion studies have also demonstrated that the   The success of nuclear reprogramming has been
           reprogramming capacity of embryonic pluripotent cells   associated with erasure of epigenetic memory from
           is ascribed to the transfer of pluripotency-associated   the somatic nucleus [87]  and the reactivation of the
           transcriptional factors into the somatic nucleus [71,75] .   somatic Xi has been used as a model to investigate
           Specifically, it has been shown that mouse ESCs    epigenetic reprogramming. Initial experiments by
           (mESCs) overexpressing Nanog have an enhanced      Eggan et al. [49]  showed that the reactivation of a GFP
           reprogramming capacity whereas ESCs lacking Oct4,   transgene on the somatic Xi occurs by the morula/
           but not Sox2, fail to induce pluripotent reprogramming   blastocyst stage and is followed by random XCI in
           in the somatic fusion partner. This is consistent with   the embryonic lineages. In the extraembryonic cells,
           findings in mESCs where Oct4, Nanog, Sox2 and      instead, the somatic Xi is re-inactivated suggesting
           Rex1 repress Xist expression, while Klf4, c-Myc    an incomplete erasure of epigenetic memory in this
           and Rex1 up-regulate Tsix [45-48] , a long noncoding   lineage, in which imprinted inactivation of the paternal
           RNA that antagonizes Xist and protects the Xa from   X chromosome occurs during normal development.
           inactivation [76-78] . These results suggest that pluripotency   Consistently with this hypothesis, random XCI was
           factors within the mESCs might induce Xi reactivation   observed in the extraembryonic lineages when

             4                                                        Journal of Translational Genetics and Genomics ¦ Volume 1 ¦ November 16, 2017
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