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Cantone                                                                                                                                                                          Reversal of X chromosome inactivation


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                    B





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           Figure 1: X chromosome state in mouse and human female embryos. (A) Schematic of early developmental stages; (B) in mouse embryos,
           both X chromosomes are transcribed upon the zygote genome activation (ZGA) at 2-cell stage. Imprinted inactivation of the paternal X
           chromosome then takes place at the 4-cell stage and is followed by reactivation in the epiblast that will give rise to the embryo proper. Upon
           implantation, the epiblast undergoes random XCI whereas imprinted XCI is maintained in extraembryonic lineages. As depicted, mouse Xi
           is characterized by the expression and coating of Xist, whereas the Xa expresses Tsix, a long non-coding RNA that antagonizes Xist and
           functions specifically in mouse but not in human; (C) in human embryos, the two X chromosomes are transcribed upon ZGA at 4-cell stage
           and remain transcriptionally active throughout pre-implantation development. XIST and another human-specific long non-coding RNA, XACT,
           coat both active X chromosomes in human embryos. Notably, XIST RNA does not tightly localize on the X chromosomes but shows a diffuse
           pattern and its coating is not accompanied by enrichment of H3K27me3. H3K27me3 enrichment is instead observed along the Xi upon XCI
           initiation. XCI: X chromosome inactivation; Xi: inactive X chromosome; Xa: active X chromosome; PGC: primordial germ cell

           to model Xi reactivation and unravel its molecular   mouse and human cells, emphasize specie-specific
           mechanisms.  Reversal  of  X  inactivation  has,  in   differences and recent advances in reprogramming-
           fact, been observed when mouse somatic cells are   mediated human Xi reactivation.
           reprogrammed towards a pluripotent state. A tight link
           between pluripotency and reversal of XCI has been   REPROGRAMMING-MEDIATED Xi
           demonstrated [45-48] , and reprogramming of somatic   REACTIVATION IN MOUSE
           cells towards pluripotency has been widely used to
           investigate its dynamics and molecular mechanisms
           in mouse [49-52] . In human, the connection between   In mouse embryos, the two X chromosomes undergo
                                                                                                          [63,64]
           pluripotency and Xi reactivation has instead been   several rounds of inactivation and reactivation
           controversial as different Xi states have been reported   [Figure 1A and B]. The first round of XCI takes place
           in human embryonic stem cells (ESCs) [53-57]  and in   at the 4-cell stage and leads to the inactivation of the
           induced pluripotent stem cells (iPSCs) [55-59] . The lack of   paternally-inherited X chromosome. This imprinted form
           defined culture conditions that stabilize an embryonic-  of XCI is followed by reactivation in the epiblast cells of
           like pluripotent state and the resulting epigenetic   the blastocyst where random XCI is later established
           instability of human pluripotent cells contributed to   around implantation. Imprinted XCI is instead maintained
           the observed variability. Recent studies in human   in extraembryonic lineages. Interestingly, reversal of
           embryos and ESCs suggest substantial differences   X inactivation has also been observed during mouse
           in  the  mechanisms  of  XCI  between  human  and   development when pluripotency genes are re-expressed
           mouse thus highlighting the need for model systems   in primordial germ cells (PGCs) [65-67] . In addition,
           that allow to directly investigate the human Xi and   several mouse pluripotency factors have been shown to
           its reactivation [57,60-62] . Here, I review studies of Xi   inhibit XCI [45-48]  thus suggesting an intimate connection
           reactivation during pluripotent reprogramming of both   between pluripotency and the presence of two active

                           Journal of Translational Genetics and Genomics ¦ Volume 1 ¦ November 16, 2017    3
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