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From the Department of Pathology and Biology of Diseases,* Graduate School of Medicine, and the Department of Mathematics,
Graduate School of Science, Kyoto University, Kyoto; Japan Institute for the Control of Aging,
Fukuroi; Medical Proteomics,
and Inflammation and Immunology,¶ Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto; Department of Environmental Oncology,|| University of Occupational and Environmental Health, Kita-Kyushu; Department of Immunobiology and Neuroscience,** Division of Neurofunctional Genomics, Medical Institute of Bioregulation, Kyushu University, Fukuoka; the Laboratory of Food and Biodynamics,
Graduate School of Bioagricultural Sciences, Nagoya University, Nagoya, Japan; and Laboratory of Biochemistry and Biophysics,
Butanten Institute, São Paulo, São Paulo, Brazil
| Abstract |
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1 in 1056 guanine bases in the genomic DNA of various tissues under control conditions.5
Other modified guanine bases such as 2,6-diamino-4-hydroxy-5-formamidopyrimidine (FapyG) may be produced via hydroxyl radicals.6
8-OHGua in the genome may cause G to T transversion-type mutations during DNA replication.7
Thus far, three distinct repair enzymes (OGG1, MUTYH, and MTH1) have been identified to function at different levels to repair or prevent 8-OHGua in the genome. Germ-line mutations in MUTYH have been associated with recessive inheritance of multiple colorectal adenomas.8,9
Knockout of these repair enzymes in mice have been shown to produce a phenotype of higher cancer incidence.10-12 We have been studying the molecular mechanisms of how reactive oxygen species induce cancer using an iron-mediated rodent renal carcinogenesis model. Our recent genetic analyses identified p16INK4A tumor suppressor gene as a major target gene, and we proposed a hypothesis that fragile sites exist in the genome against oxidative stress.13,14 Thus far, to the best of our knowledge, genome-wide screening for the detection of sites vulnerable to oxidative stress has not been undertaken.
This study aimed to establish a method to generate libraries of genomic DNA fragments containing oxidatively modified bases and to use the method to reveal common rules therein. We applied and optimized an immunoprecipitation technique for this purpose. In addition to 8-OHGua, we selected an aldehyde-modified adenine, 1,N6-propanoadenine, which is produced by the reaction of acrolein and adenine.15 Acrolein, a major lipid peroxidation product, is chemically reactive and mutagenic and may be one of the second messengers of oxidative stress.16 Previously, we produced and characterized monoclonal antibodies recognizing either 8-hydroxy-2'-deoxyguanosine (8-OHdG)17 or 1,N6-propano-2'-deoxyadenosine (acrolein-dA).15 Here we examined whether it was possible to specifically immunoprecipitate DNA fragments (DnaIP) containing these two different modified bases and whether there is any principle underlying the distribution of these modified bases in vivo in the genome of renal cortical cells in an oxidative stress (ferric nitrilotriacetate)-induced carcinogenesis model of rodents.18-22
| Materials and Methods |
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Male C57BL/6 mice (10 to 12 weeks old; Charles River Japan, Tokyo, Japan) were maintained in a specific pathogen-free environment. Twenty-four animals were divided into three groups of 18, three, and three animals, respectively, consisting of a time course group, untreated control group, and ferric nitrilotriacetate (Fe-NTA) group. Animals of the time course group were used for the selection of timing appropriate for the immunoprecipitation analyses, ie, not too much cellular necrosis but high genomic content of 8-OHdG and acrolein-dA as evaluated by high-performance liquid chromatography and/or immunohistochemistry. The animals received an intraperitoneal injection of 3 mg of iron/kg of Fe-NTA prepared immediately before use23 and were sacrificed at the indicated time after injection (n = 3, untreated, 3, 6, 9, 12, and 24 hours after injection; 6 hours was used for immunoprecipitation). Male OGG1 knockout mice (C57BL/6 background)11 of the same age were used (n = 3 for each time course group, untreated control, and Fe-NTA groups). The institutional Animal Care and Use Committee of Kyoto University approved all of the animal experimentation protocols.
Monoclonal Antibodies
Clone N45.1, which specifically recognizes 8-OHdG,17 and clone mAb21, which specifically recognizes acrolein-dA,15 were used.
Immunoprecipitation of Oligomeric DNA
A double-stranded 22-bp oligonucleotide containing one 8-OHdG paired with deoxycytidine on the complementary strand was prepared and labeled with fluorescein isothiocyanate (FITC) at the 5'-end of the (+) strand (FITC-5'-GGTGGCCTGACG*CATTCCCCAA-3'; *, 8-OHdG).24 A double-stranded 22-bp oligonucleotide with the same sequence except without 8-OHdG worked as a control. One hundred fmol of the double-stranded 22-bp oligonucleotide was incubated at 4°C overnight with 0.1 or 100 µg of N45.1 monoclonal antibody in 10 mmol/L phosphate buffer (pH 7.4) in a 50-µl volume, followed by mixing with 50 µl of protein A Sepharose CL-4B (Amersham Pharmacia Biotech, Tokyo, Japan) and incubation on ice for 1 hour. After washing with 100 mmol/L HEPES buffer (pH 8.0), the Sepharose beads were separated by centrifugation, lyophilized, and dissolved in 20 µl of loading buffer [80% formamide, 10 mmol/L NaOH, and 1 mmol/L ethylenediaminetetraacetic acid (EDTA)]. The solution was then denatured by heating at 95°C for 5 minutes. The sample solution was applied to a 20% denaturing polyacrylamide gel containing 8 mol/L urea in 1x Tris-borate EDTA buffer and electrophoresed at 10 W for 30 minutes at room temperature. After electrophoresis, the fluorescence intensity of each band was evaluated using FMBio-100 (TakaraBio, Shiga, Japan).
Genomic DNA Extraction and Production of 8-OHGua in the Genomic DNA
Nuclear genomic DNA was extracted from mouse renal cortical samples by the NaI method (Wako, Osaka, Japan).25
Each solution was saturated with argon gas and supplemented with desferal (final concentration, 0.1 mmol/L) where applicable to prevent further DNA oxidation. To increase the 8-OHdG level without inducing strand breaks, genomic DNA (100 µg/ml; 10 mmol/L Tris-HCl buffer, pH 8.0) in the presence of 5 to 50 mmol/L methylene blue and 0.1 mmol/L desferal was incubated under a 60 W electric bulb (12-cm distance) for 30 minutes as described.26
This procedure increased the amounts of 8-OHdG up to
1000-fold.
8-OHdG Determination
The amount of 8-OHdG in DNA was estimated after nuclease P1 and alkaline phosphatase treatment by high-performance liquid chromatography with an electrochemical detector as described17 with the following minor modification. Desferal (final concentration, 0.1 mmol/L) was added before nuclease P1 digestion.
Differential Separation Analysis
A pGL3-catalase promoter vector27
was digested with BamHI and HindIII to produce 1.7-, 1.9-, and 4.4-kb fragments (vector-1). Another vector containing a cloned genomic DNA fragment (pCR4BluntTOPO-0078) was digested with EcoRI and KpnI to produce 0.4-, 1.1-, 2.0-, and 3.9-kb fragments (vector-2). DNA fragments from the former vector were treated with methylene blue and light to increase the level of 8-OHdG by
500-fold. Equal amounts of both of the DNA fragment preparations were mixed and subjected to DnaIP. Recovered DNA fragments were cloned and identified either by size or by sequencing with an ABI Prism 377 sequencer (Tokyo, Japan).
Immunoprecipitation of Genomic DNA
Genomic DNA was digested either with HaeIII (GG/CC) for library construction or with Sau96I (G/GNCC) for amplification in quantitative polymerase chain reaction (PCR) experiments. An aliquot of genomic DNA fragments (20 µg for chromosome mapping; 30 µg for amplification in quantitative PCR experiments) was incubated with each antibody (10 µg of N45.1 or 2 µg of mAb 21) in 10 mmol/L phosphate-buffered saline containing 0.1% bovine serum albumin for 3 hours at 4°C in a 900-µl volume, mixed with 100 µl of Dynabeads M-280 sheep anti-mouse IgG (Dynal, Oslo, Norway) and incubated for another 3 hours. The beads were then washed sequentially with four different buffers (buffer 1: 0.1% sodium deoxycholate, 1% Triton X-100, 1 mmol/L EDTA, 50 mmol/L HEPES-KOH, 140 mmol/L NaCl, pH 7.5; buffer 2: 0.1% sodium deoxycholate, 1% Triton X-100, 1 mmol/L EDTA, 50 mmol/L HEPES-KOH, 500 mmol/L NaCl, pH 7.5; buffer 3: 0.1% sodium deoxycholate, 0.5% Nonidet P-40, 1 mmol/L EDTA, 250 mmol/L LiCl, and 10 mmol/L Tris-HCl, pH 8.0; buffer 4: 1x TE). The beads were incubated with 80 µl of elution buffer (10 mmol/L EDTA, 1% sodium dodecyl sulfate, and 50 mmol/L Tris-HCl, pH 8.0) at 65°C for 10 minutes. This procedure was performed twice. For cloning only, the eluent was treated with calf intestinal alkaline phophatase (TakaraBio). Then, the recovered DNA was digested with proteinase K at 37°C for 1 hour, subjected to phenol-chloroform extraction, and precipitated with ethanol. The amounts of recovered DNA were quantified by the Saran Wrap method using ethidium bromide.28
Cloning and Chromosome Mapping
Cloning was done with a Zero Blunt TOPO PCR cloning kit for sequencing (Invitrogen, Tokyo, Japan) as suggested by the manufacturer, and the cloned fragments were sequenced with an ABI Prism 377 sequencer. The locations of the cloned fragments on chromosomes were assigned according to the May 2004 assembly of the mouse genome (NCBI m33 build) at UCSC (http://www.genome.ucsc.edu/). RefSeq database (http://www.ncbi.nlm.nih.gov/RefSeq/) was also used as a reference.
Gene Expression Analysis
Mouse Genome 430, 2.0 Arrays (Affymetrix Inc., Santa Clara, CA) were used. Total RNA was isolated using a RNeasy mini kit (Qiagen, Tokyo, Japan). Pooled RNA from three animals of each group was analyzed. The degree of gene expression was then evaluated with Affymetrix GeneChip operating software (GCOS).
Fragment Amplification and Quantitative PCR Analysis
Immunoprecipitated DNA fragments were amplified by PCR after ligation with an adaptor (Sau96I, 5'-GNCTGCGGTGA-3' and 5'-AGCACTCTCCAGCCTCTCACCGCA-3'; underline, complementary sequence; Ligation pack, Nippon Gene, Toyama, Japan) and then subjected to exonuclease I treatment and phenol-chloroform extraction as described.29
The amplified DNA fragments were subjected to quantitation using an ABI 7300 real-time PCR system with the specific primer pairs shown in Table 1
. One or two primer pairs were prepared for each gene or intergenic area, and the mean value was used as a result when two primer pairs were selected. The corresponding genomic DNA after Sau96I digestion and amplification was used as a control. The final results were adjusted by the amounts of immunoprecipitated DNA fragments.
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A touch preparation of renal cortex was obtained as previously described. More than 90% were nuclei of proximal tubular cells.30 The specimens were subjected to fluorescent in situ hybridization analysis with chromosome painting probes according to the manufacturers instructions (dual-color biotin/Texas Red-FITC; Cambio, Cambridge, UK) and were observed with a confocal laser microscope (Fluoview; Olympus, Osaka, Japan). The center of gravity of the nucleus and that of the chromosome were measured to assign the relative radial location.
Histology and Immunohistochemistry
Histological and immunohistochemical analyses were performed as previously described.15,17 Neutral formalin-fixed paraffin-embedded sections were used with the avidin-biotin complex method (primary antibody concentration: N45.1, 10 µg/ml; mAb 21, 1.3 µg/ml). Three registered pathologists (T.S., T.T., and S.T.) conducted all of the pathological analyses.
Statistical Analysis
Statistical analyses were performed with an unpaired t-test, which was modified for unequal variances when necessary,
2
test, Kolmogorov-Smirnov test,31
or one-way analysis of variance. P < 0.05 was considered to be statistically significant.
| Results |
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To test our strategy (Figure 1A)
, double-stranded 22-mer oligo-DNA fragments containing a single 8-OHdG were synthesized and subjected to DnaIP. Although oligo-DNA fragments were bound to the beads in the absence of antibody (Figure 1B
, large arrowhead), the inclusion of a small amount of antibody was enough to dramatically decrease this nonspecific binding (Figure 1B
, small arrowhead). In the presence of specific antibody against 8-OHdG (clone N45.1), only DNA fragments containing 8-OHdG, but not those of the same sequence without 8-OHdG, were immunoprecipitated (Figure 1B)
. Then, genomic DNA extracted from mouse cortical kidney was used after digestion with HaeIII (GG/CC). The average size of the DNA fragments was
1 kbp. N45.1 but not control antibody of the same isotype (IgG1) immunoprecipitated the DNA fragments. On the contrary, an excess of antibody decreased the final recovery of DNA fragments (Figure 1, C and D)
probably because of the limited binding capacity of the beads for IgG. Similar results to those in Figure 1, C and D
, were obtained for acrolein-dA and its specific monoclonal antibody (data not shown). The amounts of immunoprecipitated DNA was basically in proportion with the amounts of loaded DNA (Figure 1E)
or the fraction of 8-OHdG (Figure 1F)
. When equal amounts of enzyme-digested double-stranded DNA vector-1 and -2 (only vector-1 was incubated with methylene blue under light to increase the 8-OHdG level by
500-fold) were mixed and subjected to DnaIP, 20 fragments of 21 (95.2%) obtained were from vector-1.
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An oxidative stress-induced mouse model of renal carcinogenesis was used.19
In this model, the Fenton reaction occurs in the renal proximal tubules after an intraperitoneal injection of ferric nitrilotriacetate (Fe-NTA).20
Our quantitation by high-performance liquid chromatography with electrochemical detector showed significantly higher levels of 8-OHdG 6 to 9 hours after an injection of Fe-NTA (Figure 1G)
. Increased levels of 8-OHdG and acrolein-dA in the nuclei of renal proximal tubular cells were observed with immunohistochemistry. Most of the cells (>95%) with intense nuclear immunostaining were proximal tubular cells (Figure 1, IN)
. We selected 6 hours after Fe-NTA injection for DnaIP after these results. Genomic DNA was extracted from the nuclear fraction of the cortical kidney of control and Fe-NTA-treated mice. DNA fragments after enzyme digestion were subjected to DnaIP with N45.1 or a monoclonal antibody recognizing acrolein-dA (clone mAb 21). The amounts of immunoprecipitated DNA were significantly different between the control samples and those after Fe-NTA treatment either for 8-OHdG and acrolein-dA as shown in Figure 1H
.
Mapping of Cloned DNA Fragments Containing Oxidatively Modified DNA Bases
Fragments ranging 86 to 159 from each animal (n = 3 for each combination of treatment and antibody) were cloned, sequenced, and mapped to chromosomes based on the May 2004 assembly of the mouse genome (NCBI m33 build) at UCSC (http://www.genome.ucsc.edu/) (Figure 2, A and B)
. First, Kolmogorov-Smirnov analysis was applied to the distribution of oxidatively modified DNA bases on the assumption that the genome is a unit of continuous information from chromosome 1 to X disregarding the presence of chromosomal restriction. This analysis revealed no significant difference between any combination of the two conditions in the distribution of 8-OHdG and acrolein-dA (data not shown). However, the
2
test showed a significant deviation for chromosome-specified analysis of the acrolein-dA distribution in Fe-NTA-treated mice (P = 0.034). No significant deviation was observed for the other three conditions (Tables 2 and 3)
. Then, the
2
test was applied to combinations of each chromosome and the other chromosomes. We found that one to three chromosomes in each condition showed significant deviation, as shown in Tables 2 and 3
.
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We selected chromosomes 15 and 16 based on the similarity of physical size and statistical significance of our results (Tables 2 and 3)
, and performed fluorescence in situ hybridization analysis to localize the chromosome territory during interphase in renal proximal tubular cells (Figure 2C)
. Chromosome 16 was located toward the nuclear center and chromosome 15 close to the nuclear border. The results were significant according to Kolmogorov-Smirnov analysis (D = 0.333, P = 9.7 x 108) (Figure 2D)
and could be even underestimated because of the nature of two-dimensional analyses.
Genome-Wide Analysis in Association with Genes and Their Expression
When we aligned the RefSeq genes (
18,000) along the chromosomes, 27.94% of the mouse genomic areas were covered with their exons and introns. We used this value as a reference. The fraction of DNA fragments containing oxidatively modified bases that landed on RefSeq genes was significantly smaller than the reference probability in the samples of acrolein-dA under oxidative stress by Fe-NTA administration (
2
test, P = 0.033) (Figure 3A)
. We also performed microarray analysis to examine the correlation of our results with gene expression. Figure 3B
illustrates the status of expression of the cloned genes included in both the GeneChip probes and RefSeq under the control conditions or oxidative stress. Fe-NTA-mediated oxidative stress increased the genome fraction of expressed RefSeq genes by 1.45%. The fraction of the expressed genes was slightly lower than the results obtained by microarray analysis in all of the conditions except for 8-OHdG under oxidative stress, whereas that of 8-OHdG under oxidative stress was similar to the expressed fraction of genes (Figure 3B)
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Quantitative PCR after DnaIP in The Kidneys of Wild-Type and OGG1 Knockout Mice
Our analysis confirmed that the genomic DNA of knockout mice of a repair enzyme gene OGG1,32
which removes genomic 8-OHGua, contained higher levels of 8-OHdG than that of wild-type mice. Furthermore, 8-OHdG was repaired in OGG1 knockout mice as well, and even more rapidly than in wild-type mice (Figure 4A)
. This may be attributed to an accelerated response to large amounts of oxidative damage via yet undetermined repair or antioxidative mechanisms. Twenty representative genomic areas were selected after consideration of the characters of genes, namely their size, their chromosomal position, and their level and pattern of expression (Table 1
and Figure 4B
). The amounts of 8-OHdG DNA fragments increased in every genomic area of wild-type mice after oxidative stress (Figure 4C)
. OGG1 knockout mice in general (19 genomic areas of 20) showed larger amounts of immunoprecipitated 8-OHdG DNA fragments under control conditions (Figure 4C)
. However, no further increase in the amount of immunoprecipitated 8-OHdG DNA was obvious in the selected genomic areas after oxidative stress in OGG1 knockout mice. The exceptions were chr15_58 and chr16_58 in which persistent significant increases over control conditions were observed (Figure 4C)
. The amounts of acrolein-dA DNA fragments increased in 8 of 20 genomic areas of wild-type mice after oxidative stress. In every locus of OGG1 knockout mice examined, increased amounts of acrolein-dA DNA fragments over wild-type mice were observed (Figure 4D)
. The average PCR product ratio (DnaIP/genome) of the untreated wild-type mice was much lower for acrolein-dA than for 8-OHdG. Furthermore, one-way analysis of variance for comparison between multiple genomic areas revealed statistical significance in seven of eight conditions (8-OHdG: wild-type, untreated control, P = 0.0046; wild-type, Fe-NTA 6 hours, P = 0.00029; OGG1 knockout, untreated control, P = 0.00019; OGG1 knockout, Fe-NTA 6 hours, P = 1.6 x 1010; acrolein-dA: wild-type, untreated control, P = 0.0030; wild-type, Fe-NTA 6 hours, P = 0.11; OGG1 knockout, untreated control, P = 3.3 x 105; OGG1 knockout, Fe-NTA 6 hours, P = 1.3 1011), demonstrating the existence of fragile sites against oxidative stress in the genome.
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| Discussion |
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The antibodies used successfully immunoprecipitated DNA fragments containing each modified base in a dose-dependent manner (Figure 1, E and F)
. The strong affinity of these antibodies probably depends on the fact that clone N45.1 recognizes not only the C-8 hydroxyl moiety of 8-OHdG but also the 2'-deoxy portion of dG17
and that acrolein-dA is a relatively bulky product.15
During the procedures, ample precautions, such as the use of the NaI method and argon gas for DNA extraction, were taken to avoid artifactual DNA oxidation. The fraction obtained by DnaIP was
0.1% of the loaded DNA, which was close to the theoretical value. The obtained fraction reached a plateau in the presence of an excess of loading DNA or 8-OHdG content. However, this could be overcome by adjusting the system within the proportional range.
This analysis was made possible by the completion of the mouse genome project.35
When DNA information is considered to be continuous starting from the centromere of chromosome 1 and continuing to the telomere of the chromosome X, there was no significant deviation in the distribution of 8-OHdG or acrolein-dA. However, when the chromosomal restrictions were considered, significant deviations were detected (Tables 2 and 3)
. The chromosomal units in the nuclei could at least partly explain the results. Therefore, we conclude that the distribution of 8-OHdG or acrolein-dA is not random in the genome.
Our results further suggest the importance of a concept called chromosome territories, which posits specific localization of chromosomal areas during interphase.36,37
The increase of acrolein-dA in chromosome 15 after oxidative stress may be explained by the fact that chromosome 15 is located close to the nuclear border (Figure 2, C and D)
. Acrolein, a lipid peroxidation product and a possible second messenger after oxidative stress,16
may travel for a limited distance leading to modification of genomic DNA located near the nuclear membrane. In contrast, 8-OHdG generation occurs in the proximity of genomic DNA in the presence of catalytic transition metals and is regulated by H2O2 or other reducing agents. The reaction is extremely fast.1
It is possible that the accumulation of 8-OHdG in the centrally located chromosome 16 under control condition is attributable to the relatively open chromatin structure and the inability of OGG1 repair enzyme to arrive frequently. Thus, the genomic distribution of the two oxidatively modified DNA bases is distinct and contrasting.
The fraction of DNA fragments that hit RefSeq gene areas was comparable with the ratio of RefSeq gene to RefSeq nongene areas in the genome, but this was significantly decreased only for acrolein-dA under oxidative stress. Furthermore, acrolein-dA under oxidative stress was observed in genes with larger size and lower expression, whereas 8-OHdG was observed in genes with smaller size and higher expression (Figure 3, CF)
. These overall data again suggest a prominent difference in the generation and repair mechanisms between 8-OHdG and acrolein-dA.
In the selected genomic loci, an absence of OGG1 halted further increase in the 8-OHdG-level under oxidative stress (Figure 4C)
. This is consistent with the possible alteration of chromatin structure leading to a decrease in the expression of ß-actin. We also need to consider the presence of a backup repair or antioxidative mechanism in the absence of OGG1. This mechanism appears to be switched on in the presence of high levels of 8-OHdG and accelerated by further oxidative stress, leading to rapid elimination of modified bases (Figure 4A)
. Thus, the genomic distribution of 8-OHdG in OGG1 knockout mice after Fe-NTA administration might reflect the bias in repair efficiency more strongly than in the control condition (Figure 4C)
. Notably an absence of OGG1 also influenced the amounts and distribution of acrolein-dA with no further increase 6 hours after Fe-NTA administration (Figure 4D)
. This may be associated with the protective role of OGG1 protein against modification of genomic DNA by acrolein in consideration of the fact that this enzyme is prone to oxidation.38
There was also a difference in the levels of 8-OHdG and acrolein-dA in the kidney of wild-type mice among the 20 genomic loci studied although it may be too early to deduce certain principles out of these data. The differences in the immunoprecipitation/genome ratio between 8-OHdG and acrolein-dA fragments in the quantitative PCR strategy and the association with genomic GC content (a trend for AT-rich region both in 8-OHdG and acrolein-dA) are to be explained in future works. These results warrant further experiments analyzing local patterns of DNA base modifications and mapping analyses of OGG1 knockout as well as wild-type mice, which would clarify the contribution of formation and repair of oxidatively modified DNA bases.
DnaIP is a versatile technique comparable with chromatin immunoprecipitation. It can be applied to any base modification or other kinds of DNA damage if specific antibodies appropriate for immunoprecipitation are available. Especially, this technique can be used not only for in vitro fine experiments but also for in vivo animal experiments regardless of the species used. Additional flexibility is obtained by combining this technique with quantitative PCR or genome chip analyses. There are a few drawbacks with this method: identification of the hot spot sequences with shorter size than those that can be amplified by PCR or hybridized to gene chips is not possible, and plus/minus strands are not differentiated, so after genome-wide screening with this method other techniques may be necessary to accomplish finer evaluation.
Although oxidative DNA base modifications have been studied for more than 2 decades, the results have been shown as mere fractional values, and genome-wide information has not been integrated with them. The levels of oxidatively modified DNA bases are the sum of their generation and repair in the genome. Theoretically, with the present method we can evaluate where in the genome certain base modifications have occurred or been repaired at a single-cell level. This research area in close association with the postgenome era has just begun.39 The current study with the two probe modifications produced novel observations that probably reflect three-dimensional and functional aspects of the genome. We believe that this method would greatly contribute to the understanding of pathology associated with oxidative stress.
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| Acknowledgements |
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| Footnotes |
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Supported by the Ministry of Education, Science, Sports, and Culture of Japan (grant-in-aid to S.T.); the Ministry of Health, Labor, and Welfare of Japan (grant-in-aid for Cancer Research to S.T.); and the AOA Japan Co. Ltd. Medical Research Foundation (grant for medical research to S.T.).
Accepted for publication July 12, 2006.
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