CVD, the leading cause of death worldwide, can only be to 50% explained by established risk factors including cholesterol 1–4. Hcy, a sulfur containing amino acid involved in methylation metabolism, is an independent risk factor for the development of atherosclerosis, increases CVD risk in combination with hypercholesterolemia 5, is linked to cardiac pathologies 6–10 and further human diseases including neurological disorders, fatty liver disease, insulin resistance, and cancer as well as to CVD and all-cause mortality 11–14,16−18. In accordance with the central role of Hcy, CKD, which is associated with highly elevated Hcy, is also linked to dramatically increased CVD as well as increased all-cause mortality 4,15,53. Elevated Hcy is found in 5–10% of the general population, in up to 30% of the elderly and in as many as 70% of men over 80 years of age 5,19,20. In most cases it is associated with deficiency of vitamins required for Hcy degradation 21 and is also linked to physical inactivity 22, low skeletal mass 23, high fat diet 24 and obesity 23,25. Attempts to decrease CVD and neurological outcomes associated with elevated Hcy by lowering plasma Hcy levels were disappointing 26–28 indicating necessity to understand detailed mechanisms downstream Hcy leading to pathological consequences.
Methylation of different macromolecules is an important regulatory mechanism involved in a wide variety of cellular processes 33 and its dysregulation is increasingly recognized as a risk factor for CVD development34–37. CVD has been linked to increased levels of SAH, a universal strong product inhibitor of SAM-dependent methylation 38. Furthermore, both elevated SAH and Hcy levels are known to inhibit methylation, however, detailed mechanistic understanding of their downstream signaling cascades leading to CVD is largely missing 39. Further, lowering of elevated plasma Hcy levels in addition to the inability to reduce associated clinical outcomes 26–28 does not decrease SAH levels, indicating a central role of SAH in Hcy-associated pathology 40.
In our recent publication we showed that Hcy independently of cholesterol alters aortic wall structure and functionality as well as leads to deregulation of lipoprotein metabolism and interferes with organization of elastin, which was reported to be linked to progressive aortic stiffening and all-cause mortality in CKD patients 30. Furthermore, elevation of Hcy levels in rabbits fed diet blocking Hcy degradation was associated with a drop of total protein methylated arginine as well as decreased levels of creatine, which requires methylation for its synthesis 29, suggesting involvement of deficient methylation in pathological consequences associated with elevated Hcy.
Inhibition of methylation is an overlooked mechanism how elevated Hcy can lead to pathological consequences. More than 200 SAM-dependent methyltransferases in humans that transfer the methyl group of SAM to numerous cellular acceptors including nucleic acids, proteins (including histones) as well as low molecular weight compounds that require SAM for their synthesis, e.g. phospholipids and creatine are centrally involved in many processes in the organism 32. An accumulation of SAH in response to elevation of Hcy levels may inhibit respective enzymes and interfere with numerous crucial methylation-dependent processes including epigenetic regulation of gene expression, signaling, lipid and energy metabolism. Understanding sensitivity of methylation-dependent processes to Hcy and SAH accumulation will help to understand pathological consequences associated with elevated Hcy.
SAH is degraded to Hcy and adenosine in a reversible reaction catalyzed by SAH hydrolase 32. SAH hydrolase offers the sole possibility of SAH degradation in mammals and is very highly evolutionary conserved exhibiting over 70% of identity between yeast and human orthologs 32. High evolutionary conservation of SAH hydrolase as well as of methylation metabolism 32 suggest their central role in the regulation of cellular function.
Deletion of SAH hydrolase in yeast is lethal unless a yeast-specific sulfur assimilation pathway is active 51. Similarly, interference with SAH hydrolase locus in mice is embryonically lethal 50. Here, we developed a dietary Drosophila model of HHcy and compared it with a genetic Drosophila model of SAH-mediated methylation inhibition and corresponding yeast models to reveal evolutionarily conserved Hcy/SAH-sensitive methylation patterns. Feeding Drosophila larvae a Hcy-containing diet or growing yeast on Hcy-supplemented medium similarly to blocking SAH degradation leads to SAH accumulation, developmental delay and growth defects. Surprisingly, while Hcy-supplementation of wild type yeast resulted only in SAH accumulation, in the yeast Δsah1 mutant both SAH and SAM accumulated leading to virtually unaltered SAM/SAH ratio. Similarly, in Drosophila carrying SAHH RNAi but not in Drosophila fed Hcy-containing food SAM levels were significantly increased leading altogether to a much smaller drop of SAM/SAH ratio in genetic compared to dietary Drosophila model.
Block of cystathionine ß-synthase in CBS mice leads to a massive decrease in glutathione levels 54 suggesting that also deletion of SAH hydrolase in the yeast Δsah1 mutant or its downregulation in Drosophila larvae carrying SAHH RNAi, which is likely to be associated with a decrease in Hcy levels, may lead to glutathione depletion. CBS is allosterically activated by SAM 55. Moreover, it was shown that during switch from methionine to Hcy-containing medium, CBS protein levels are drastically decreased and binding of SAM stabilizes CBS against degradation 55. Thus, it appears likely that both the yeast Δsah1 mutant and Drosophila larvae carrying SAHH RNAi require (elevated) SAM to maintain redox capacity.
As observed previously, interference with SAH hydrolase in yeast leads to altered morphology and impaired growth 52. Similarly, we observed a massive growth defect of the yeast Δsah1 mutant as well as its altered morphology. Hcy-supplementation resulted in the gradual inhibition of yeast growth, in accordance with a detrimental role of SAH. Aggregation of the Δsah1 mutant at the end of cultivation in contrast to Hcy-supplemented wild type yeast cells will be studied in the future.
In accordance with the growth defect of wild type yeast cultivated in the presence of Hcy, Drosophila larvae fed Hcy-containing food exhibited developmental delay as shown by delayed pupariation and hatching rates. Moreover, larvae fed Hcy-containing food exhibited significantly lower weight, in accordance with the detrimental impact of SAH on cellular functionality. Noteworthy, despite developmental delay survival of larvae during pupariation as well as survival of pupae during hatching was unaffected similarly to unaffected survival of yeast cells despite gradual inhibition of growth in Hcy-containing medium.
In contrast, Drosophila carrying SAHH RNAi exhibited massively reduced survival both at pupariation as well as at hatching in addition to drastically delayed pupariation and hatching rates. Additionally, the size of Drosophila carrying SAHH RNAi was markedly decreased and these larvae in addition to delayed development, poor viability and reduced size exhibited black spots reminiscent of melanotic tumors. Formation of melanized bodies can occur for instance through dysregulated expression of Hox genes 56. Moreover, it has been reported that misexpression of various Hox genes leads not only to formation of melanized (pseudo-) tumors, but also to pupal lethality in Drosophila 56, which is in line with our observation of strongly decreased survival rates, especially at pupal stage, in Drosophila larvae expressing SAHH RNAi. Noteworthy, expression of Hox genes is regulated via H3 lysine methylation, which is highly conserved across animal species 57,58. Furthermore, H3K79 methylation is critical for mammalian HOX gene expression 59.
Also, other nuclear co-regulators were shown to be linked to deregulated methylation. Monomethylated Yap by Set7 methyltransferase at lysine 494 controls an evolutionarily conserved Hippo signaling pathway that regulates organ size and function in mice 60. Of note, the Hippo pathway has been also linked to vascular smooth muscle cell proliferation during vascular remodeling in CVD 61–63. Similarly, arginine and lysine methylation of transcriptional coactivator BRD4 that has a central role in regulating transcription and genome stability was shown to be linked to transcription deregulation and DNA repair 64 as well as negative regulation of genes that are involved in translation and total mRNA translation inhibition in mammalian cells 65, respectively. Furthermore, arginine methylation of mammalian DEAD-box family RNA helicase, DDX5, was shown to regulate resolution of aberrant transcription-associated RNA:DNA hybrid (R-loop) formation, which often causes catastrophic conflicts during replication, resulting in DNA double-strand breaks and genomic instability 66. Moreover, SAH hydrolase was shown to be essential for cyclic H3K4 trimethylation, genome-wide recruitment of BMAL1 to chromatin and subsequent circadian transcription promoting rhythmic H3K4 trimethylation and cyclic BMAL1 recruitment to target genes in mice 67.
To understand how Hcy/SAH affect methylation of different molecules we next analyzed the total protein ADMA/Arg ratios by NMR as well as MMA methylation by western blotting. Indeed, both Hcy-supplementation of wild type yeast as well as the yeast Δsah1 mutant exhibited significantly decreased ADMA/Arg ratios. These findings suggest that SAH inhibits protein methylation. However, our data suggest that not all protein methylations are affected to the same extent: the signals of two specific yeast protein bands detected by an MMA-specific antibody were increased; one can speculate that the methylation reactions mediating monomethylation of the corresponding proteins are not (or less) inhibited by SAH or alternatively decreased levels of dimethylated arginines leads to relative increase of MMRs. Similarly, comparing the two Drosophila models we also observed decreased as well as increased signals of specific (but unidentified) fly proteins detected by an MMA-specific antibody. However, in contrast to yeast, Drosophila fed Hcy-containing food exhibited unaltered ADMA/Arg ratio. Of note, only one of nine protein arginine methyltransferases identified in Drosophila is abundantly expressed in larvae with next two being moderately expressed in this developmental stage 68.
Moreover, we observed different extents of inhibition of different types of lysine methylations both in yeast and Drosophila. In particular, in yeast histone 3 (H3) K36 trimethylation was more inhibited in response to Hcy than dimethylation at the same site. Similarly, H3K79 mono-, di- and trimethylation were differently altered in response to Hcy and SAH both in yeast and Drosophila. This suggests that SAH has different inhibitory capacity for different protein methylation reactions. In line with this observation is a previous report that SAH inhibits protein methylation at much lower concentrations than DNA methylation69.
Histone methylation is a major consumer of methyl groups particularly in the absence of PL methylation 70, affects metabolism independently of transcriptional regulation 71 and together with histone acetylation influences cellular metabolism 72. H3K4 and H3K36 methylations are catalyzed by SET domain lysine methyltransferases, however H3K79 methylation is catalyzed by a lysine methyltransferase without a SET domain (Dot1 in yeast or Grappa in Drosophila) 73,74. A distributive mechanism and highly diverged catalytic properties reported for Dot1 methyltransferases may explain the different inhibitory potential of Hcy and SAH in our models toward H3K79 compared to histone lysine methylation sites methylated by SET domain containing methyltransferases 75. Interestingly, H3K36 methylation is regulated by demethylation of PP2A, which activates demethylation of H3K36 through hyperphosphorylation of H3K36 demethylase Rph1 in yeast 76. Moreover, in accordance with observed elevated SAM levels in the yeast Δsah1 mutant (as well as in Drosophila SAHH RNAi) yeast PP2A mutants as well as yeast mutant lacking H3K36 demethylase Rph1 spares SAM by limiting histone methylation and exhibit elevated SAM levels 76.
Synthesis of PC via three step methylation of PE is another major consumer of SAM 70,77,78. In contrast to mammals the first methylation from PE to MMPE in yeast is catalyzed by Cho2 and further methylations to DMPE and PC are catalyzed by Opi3 70. Deficiencies of either of these enzymes were reported to lead to accumulation of SAM and increased SAM to SAH ratios in yeast 70. In accordance with inhibition of Cho2 and Opi3 we observed drastically decreased MMPE, DMPE and PC levels, while PE accumulated, resulting in drastically decreased PC/PE ratios in wild type yeast supplemented with Hcy. Similar effects can be seen in respective lysoPLs, with a significant elevation of LPE and significantly decreased LMMPE, LDMPE and LPC in response to Hcy supplementation in wild type yeast.
In contrast, despite highly increased SAH levels, block of SAH hydrolase in the yeast Δsah1 mutant did not lead to decreased overall SAM to SAH ratio and resulted in less drastic decrease in PE, MMPE, DMPE and PC levels as compared to wild type yeast supplemented with Hcy. This is mirrored in PC/PE ratio, which is lower compared to untreated wild type, but higher compared to wild type yeast supplemented with Hcy. Furthermore, no elevation of LPE and even an increase in LMMPE were observed in wild type yeast supplemented with Hcy, while LDMPE and LPC were decreased, however to a lower degree. This suggests further mechanisms are likely to be operative in the yeast Δsah1 mutant compared to wild type yeast supplemented with Hcy.
In contrast to yeast, in mammals PL methylation is catalyzed by a single enzyme, phosphatidylethanolamine methyltransferase (PEMT), catalyzing all three methylation steps 77. In Drosophila exact mechanisms of PL methylation are still unknown, but PL methyltransferase activity has been detected in Drosophila in the past 79. Increased PE and decreased DMPE levels as well as decreased PC/PE ratio in Drosophila larvae fed Hcy-supplemented food further suggest PL methylation in Drosophila. Similarly, Drosophila carrying SAHH RNAi exhibited drastically decreased MMPE, DMPE and PC levels and slightly increased PE levels as well as a massively decreased PC/PE ratio. Unexpectedly, we also observed increased MMPE and PC levels in Drosophila larvae fed Hcy-supplemented food but not in Drosophila carrying SAHH RNAi. Similar to major changes in PL methylation pathway being observed for Drosophila carrying SAHH RNAi, we found a decrease in all lysoPLs with strongest decrease in LMMPE and LDMPE levels in the genetic Drosophila model, while Hcy supplementation of Drosophila larvae did not lead to any change in lysoPLs. Interestingly, it was also reported that PEMT-deficiency in mice results in inability to gain weight even on high fat diet, leading to significantly decreased body weight 80.
In summary, comparison of Drosophila and yeast models of Hcy-associated SAH-mediated methylation inhibition showed similar as well as different Hcy/SAH-sensitive methylation patterns. Hcy supplementation or blocking of SAH degradation in both model organisms lead to impaired protein and PL methylation. While in yeast Hcy/SAH accumulation leads to decreased total protein ADMA/Arg ratio, impaired MMA, histone and PL methylation, in Drosophila fed Hcy-containing food total protein ADMA/Arg ratio was unaffected, while MMA, histone and PL methylation, similarly to yeast, was sensitive to Hcy/SAH accumulation in Drosophila fed Hcy-containing food or carrying SAHH RNAi. Furthermore, both Hcy supplementation as well as genetically triggered SAH accumulation are linked to developmental delay and growth defect both in yeast and Drosophila models. Drosophila larvae carrying SAH hydrolase RNAi in addition to development delay, poor viability and reduced size exhibited black spots reminiscent of melanotic tumors. Employing yeast and Drosophila genetic screens will reveal evolutionary conserved Hcy/SAH-dependent mechanisms with high potential relevance for HHcy-associated human pathologies.