DNA methylation-environment interactions in the human genome

Reviewer #1 (Public Review):

In this manuscript, the authors explore the effects of DNA methylation on the strength of regulatory activity using massively parallel reporter assays in cell lines on a genome-wide level. This is a follow-up of their first paper from 2018 that describes this method for the first time. In addition to adding more in-depth information on sequences that are explored by many researchers using two main methods, reduced bisulfite sequencing and sites represented on the Illumina EPIC array, they now show also that DNA methylation can influence changes in regulatory activity following a specific stimulation, even in absence of baseline effects of DNA methylation on activity. In this manuscript, the authors explore the effects of DNA methylation on the response to Interferon alpha (INFA) and a glucocorticoid receptor agonist (dexamethasone). The authors validate their baseline findings using additional datasets, including RNAseq data, and show convergences across two cell lines. The authors then map the methylation x environmental challenge (IFNA and dex) sequences identified in vitro to explore whether their methylation status is also predictive of regulatory activity in vivo. This is very convincingly shown for INFA response sequences, where baseline methylation is predictive of the transcriptional response to flu infection in human macrophages, an infection that triggers the INF pathways. The extension of the functional validity of the dex-response altering sequences is less convincing. Sequences altering the response to glucocorticoids, however, were not enriched in DNA methylation sites associated with exposure to early adversity. The authors interpret that "they are not links on the causal pathway between early life disadvantage and later life health outcomes, but rather passive biomarkers". However, this approach does not seem an optimal model to explore this relationship in vivo. This is because exposure to early adversity and its consequences is not directly correlated with glucocorticoid release and changes in DNA methylation levels following early adversity could be related to many physiological mechanisms, and overall, large datasets and meta-analyses do not show robust associations of exposure to early adversity and DNA methylation changes. Here, other datasets, such as from Cushing patients may be of more interest.

Overall, the authors provide a great resource of DNA methylation-sensitive enhancers that can now be used for functional interpretation of large-scale datasets (that are widely generated in the research community), given the focus on sites included in RBSS and the Illumina EPIC array. In addition, their data lends support that differences in DNA methylation can alter responses to environmental stimuli and thus of the possibility that environmental exposures that alter DNS methylation can also alter the subsequent response to this exposure, in line with the theory of epigenetic embedding of prior stimuli/experiences. The conclusions related to the early adversity data should be reconsidered in light of the comments above.

Reviewer #2 (Public Review):

This work presents a remarkably extensive set of experiments, assaying the interaction between methylation and expression across most CpG positions in the genome in two cell types. To this end, the authors use mSTARR-seq, a high-throughput method, which they have previously developed, where sequences are tested for their regulatory activity in two conditions (methylated and unmethylated) using a reporter gene. The authors use these data to study two aspects of DNA methylation: 1. Its effect on expression, and 2. Its interaction with the environment. Overall, they identify a small number of 600 bp windows that show regulatory potential, and a relatively large fraction of these show an effect of methylation on expression. In addition, the authors find regions exhibiting methylation-dependent responses to two environmental stimuli (interferon alpha and glucocorticoid dexamethasone).

The questions the authors address represent some of the most central in functional genomics, and the method utilized is currently the best method to do so. The scope of this study is very impressive and I am certain that these data will become an important resource for the community. The authors are also able to report several important findings, including that pre-existing DNA methylation patterns can influence the response to subsequent environmental exposures.

The main weaknesses of the study are: 1. The large number of regions tested seems to have come at the expense of the depth of coverage per region (1 DNA read per region per replicate). I have not been convinced that the study has sufficient statistical power to detect regulatory activity, and differential regulatory activity to the extent needed. This is likely reflected in the extremely low number of regions showing significant activity. 2. Due to the position of the tested sequence at the 3' end of the construct, the mSTARR-seq approach cannot detect the effect of methylation on promoter activity, which is perhaps the most central role of methylation in gene regulation, and where the link between methylation and expression is the strongest. This limitation is evident in Fig. 1C and Figure 1-figure supplement 5C, where even active promoters have activity lower than 1. Considering these two points, I suspect that most effects of methylation on expression have been missed.

Overall, the combination of an extensive resource addressing key questions in functional genomics, together with the findings regarding the relationship between methylation and environmental stimuli makes this a key study in the field of DNA methylation.