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Leading Edge
In This Issue
De Novo Mutations at Hots
PAGE 1431
Michaelson et al. carry out whole-genome sequencing of monozygotic twins with autism spectrum disorders (ASD) and their
parents and find that mutation rates vary by up
correlated with particular intrinsic characteri
genes involved in ASD and other diseases.
genetic variation and disease risk.
Wnt Caught Smuggling Hip
PAGE 1443 and PAGE 1457
Wnt signaling stabilizes the transcriptional coactivator b-catenin, which forms a complex with TCF4 to regulate target genes.
PAGE 1474
bidirectionally at promoters. Using an efficient enzymatic method, CapSeq, for 5’-anchored Pol II transcription profiling, Gu
PAGE 1528
Mitochondrial respiratory chain complexes are assembled from proteins translated in the cytoplasm and in the mitochondria.
Luga et al. provide new insight into how stromal cells in the tumormicroenviron-D
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PAGE 1417
A genome-wide analysis byMellen et al. of 5hmC, 5mC, and gene expression in
neuronal subtypes in vivo reveals an enrichment of 5hmC in active genes. They
further show thatMeCP2 protein recognizes and binds 5hmCand 5mCand that
a mutation in MeCP2 that causes Rett syndrome preferentially inhibits 5hmC
binding.
ment can stimulate primary tumors into metastatic behavior. The authors show
that Wnt11-containing exosomes secreted by fibroblasts act on neighboring
breast cancer cells to activate the planar cell polarity pathway, promoting
motility and invasive behavior.
Rett’s-Related Reader for 5hmC
Mick et al. show that themitochondrial inner membrane translocase subunit TIM21 ushers cytoplasmically translated compo-
nents of electron transport chain complexes (ETCs) away from the translocase and promotes their integration into ETC
complex assembly intermediates that also contain mitochondrially translated subunits.
Message in a Bottle for Tumor Cells
PAGE 1542
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et al. identify Pol II transcription start sites in Caenorhabditis elegans. Interestingly, they show that csRNAs expressed at
promoters genome-wide are the precursors for Piwi-interacting RNAs (piRNAs), nearly doubling the number of piRNAs avail-
able to promote silencing of foreign nucleic acid sequences.
Usher for Electron Transport Chain AssemblyCompdfw
Ligase IV is a key factor in double-strand break (DSB) repair via nonhomologous end-joining (NHEJ). Srivastava et al. identify
a small molecule inhibitor of Ligase IV that promotes the accumulation of DSBs to trigger cell death. This is shown to impede
tumor progression in mice and improve the efficacy of DSB-inducing agents used for chemotherapy.
Piwi, If the Cap Fits.
PAGE 1488
RNA polymerase II (Pol II) produces 18–40 nt capped small RNAs (csRNAs) of mysterious function that are often expressed
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Now, the transcriptional coactivators TAZ and YAP1 are identified as effectors of Wnt signaling, independent of their estab-
lished roles in Hippo signaling. Azzolin et al. show that TAZ stabilization, as part of a complex with b-catenin, is a key feature of
Wnt signaling. Rosenbluh et al. identify an alternative transcriptional complex composed of YAP1, b-catenin, and TBX5 that is
essential for the proliferation and tumorigenicity of b-catenin-driven cancer cell lines.
Double-Strand Breakthrough
Tr
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to 100-fold throughout the genome. The identifiedmutational hotspots that are
stics of the DNA sequence and chromatin structure and are characteristic of
The findings implicate hypermutability as a significant factor shaping human
po Parts al
pots
Cell 151, December 21, 2012 ª2012 Elsevier Inc. 1391
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es
s nucleate at the preautophago-
ral model of the PAS in which
red for PAS formation. The cres-
and tethers highly curved vesi-
chromatin remodelers during the dif
Refractory Cells Get w
PAGE 1617
The generation of iPSCs is extreme
blasts in different stages of the rep
them molecularly. The authors iden
to generate iPSCs from the refracto
Focal Adhesions Show
PAGE 1513
Cells can sense differences in the s
stiffer areas during normal developm
tasis. Plotnikov et al. show that cel
test—the local stiffness of the micro
stiffer areas. They identify pharmaco
vate or inactivate tugging, which ma
ological states.
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. Foxa2 collaborates with H2A.Z to target nucleosomes for removal by ATP-dependentferentiation process to foster gene expression.ith the Reprogramly inefficient, complicating mechanistic dissection of the process. Polo et al. sort fibro-
rogramming process, including those refractory to reprogramming, and characterize
tify genes that enhance reprogramming and are able
ry population.
Their Stiff Upper Lip
tiffness of their microenvironment and move towards
ent and wound healing and also during cancer metas-
ww
cles, suggesting a mechanism for initiating autophagosomal biogenesis.
Encouraging a Clingy Receptor to Play the Field
PAGE 1557
HLA-DM catalyzes the binding of microbial peptides to HLA-DR, the MHC class II cell-
surface receptor, which subsequently presents antigen to T cells. Crystal structures of
the HLA-DM-HLA-DR complex presented by Pos et al. reveal how DM changes the
conformation of DR to allow it to rapidly sample peptides and only form lasting interactions with those of very high affinity.
Speeding to Steady State
PAGE 1569
Signaling circuits often face a fundamental tradeoff between accelerating their response speed while maintaining final levels
of an output protein below a cytotoxic threshold. Teng et al. characterize an accelerator circuit that speeds the rate of gene
expression without amplifying steady-state expression levels. This circuit operates in the human herpes virus cytomegalo-
virus where it confers a replicative fitness advantage for infected cells.
Converging on Synapse Elimination in Autism
PAGE 1581
Elimination of excitatory synapses is a critical process for experience-dependent refinement of neuronal circuits during brain
development, learning, and memory. Tsai et al. provide evidence for a functional convergence for multiple autism-linked
genes in synapse elimination through the ubiquitination and degradation of the postsynaptic scaffolding protein PSD-95.
T2D Risk—Liver Gets a New Look
PAGE 1595
Single-nucleotide polymorphisms in TCF7L2 (encoding the Wnt effector TCF4) are the strongest genetic risk factors for type 2
diabetes. Most studies on TCF7L2 have focused on b cells. However Boj et al. now show that genetically removing TCF4 from
bcells inmicehasnoeffect,whereasmanipulatingTCF4 levels in liver inducesmajorchanges inmetabolism.Afterbirthandduring
fasting, Wnt/TCF4 directly activates a metabolic gene program in liver, suggesting a new perspective for the human risk alleles.
Setting the Nucleosomal Stage for Differentiation
PAGE 1608
Li et al. demonstrate that dynamic, genome-wide repositioning of nucleosomes accompanies the differentiation of embryonic
stem cells into prehepatic endodermcuC
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Crescent Rolls Up Autophagosom
PAGE 1501
Duringmacroautophagy, a phagophore forms as vesicle
somal structure (PAS). Ragusa et al. present a structu
dimerization of the Atg17-Atg31-Atg29 complex is requi
cent-shaped dimers assemble with Atg1, which binds to
ls use focal adhesions to tug repeatedly at—and thus
environment in order to guide cell movement towards
logical and genetic perturbations that selectively acti-
y enable control of cell movement in normal and path-
Cell 151, December 21, 2012 ª2012 Elsevier Inc. 1393
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Leading Edge
tance
stemic insulin resistance. Recent
mune cell populations to modu-
ociated insulin resistance.
d Breast Milk Have in
uman breast milk express immunomodu-
e glucose tolerance and insulin sensitivity.
oni, parasite eggs trapped in host tissues
in attenuated immune responses by the
). Bhargava et al. (2012) demonstrate that
lycan lacto-N-fucopentaose III (LNFPIII),
that is secreted from a saline-soluble homogenate of helmith eggs or human breast
authors show that LNFPIII has beneficial
hepatosteatosis. LNFPIII affects de novo
master lipogenic transcription factor SRE
is partly driven by the upregulation of the
axis. Collectively, LNFPIII treatment shifts
of its therapeutic potential.
Bhargava et al. (2012). Nat. Med. 18, 1665
The Secret Life of Secret
Neutrophils, which comprise about 90%
adipose of mice fed a HFD. This begs the
initiating the inflammatory cascade seen
periments, Talukdar et al. (2012) show tha
of inflammation-induced insulin resistanc
secreted by neutrophils, plays a crucial m
elastase expression and activity increase in
itant to HFD-induced neutrophil infiltration
improves glucose intolerance, whereas treatment with recombinant elastaseDoc
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that this actionby secretedelastasepossibly results in recruitment andpolarization
of adipose macrophages (M1) and also, as part of a feed-forward secondary
mechanism, additional neutrophil accumulation. Thus, the secret life of secreted
elastase is revealed, and neutrophils can be added to the list of immune cells
Neutrofil elastase is a mediator of the low-
grade inflammation seen in insulin resis-
tance. Image courtesy of Dayoung Oh.
mediating the low-grade inflammation seen in insulin resistance driven by obesity.
Talukdar et al. (2012). Nat. Med. 18, 1407–1412.
has the opposite effect. Moreover, genetic deletion of elastase in mice results in
substantially higher glucose tolerance and lower fasting insulin concentration in
both liver and adipose tissue, as highlighted by increased levels of insulin receptor
substrate 1 (IRS1) (an interesting twist based on the ability of extracellular neutro-
phil elastase to gain access to the intracellular space andmediate its degradation)
and AKT phosphorylation. The authors next show that the proinflammatory effects
of elastase are dependent on TLR-4 signaling and NFkB activation and suggest
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is Il-10 dependent, the glycan also has critical Il-10-independent functions. The
effects in liver because it can protect against diet-induced lipid accumulation and
lipogenesis by reducing expression of hepatic lipogenic enzymes, including the
BP-1C. These effects are Il-10 independent, and the LNFPIII-mediated reduction
negative SREBP-1C regulator and nuclear receptor FXRa via an ERK-AP1-FXRa
the immune profile to an anti-inflammatory state, which warrants further exploration
–1672.
ed Elastase
of granulocytes, are enriched in the
question, do neutrophils play a role in
in obesity? In a series of elegant ex-
t neutrophils contribute to the etiology
e and that elastase, a serine protease
echanistic role in the process. Indeed,
the adipose and liver ofmice, concom-
, and chemical inhibition of the enzyme
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milk is effective in reducing the chronic inflammation seen in diabetes induced by
a high-fat diet (HFD), thus resulting in improved metabolic function. Specifically,
LNFPIII increases interleukin-10 (Il-10), a cytokine that has been shown to improve
metabolic homeostasis. Mice treated with LNFPIII have less proinflammatory
M1 and more anti-inflammatory M2 macrophage-specific gene expression in
white adipose tissue (WAT), resulting in enhanced insulin signaling, reduced
WAT inflammation, and improved systemic glucose homeostasis. An interesting
observation is that although the immunomodulatory activity of LNFPIII in WAT
Photograph of adult schistosomes from the
CDC DPDx image library. Image courtesy of
Donald. A. Harn PDFd.com
Select
The Many Faces of Insulin Resis
Low-grade inflammation in the liver and adipose tissue drives sy
reports, discussed in this Select, identify new pathways used by im
late chronic metabolic inflammation that results from obesity-ass
What Do Helmiths an
Common?
Parasitic worms such as helmiths and h
latory glycans recently shown to improv
During infection with Schistosoma mans
initiate a cascade of events that results
host (hence prolonged parasite survival
the LewisX trisaccharide, part of the g
Cell 151, December 21, 2012 ª2012 Elsevier Inc. 1395
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Multipurpose Natural Killer T Cells
In the management of obesity-induced insulin resistance, adapting proven
therapies for other disorders would be highly desirable. A report by Lynch
et al. (2012) suggests just such an approach. They identify an innate T lympho-
cyte population of invariant natural killer T (iNKT) cells that are protective against
the development of HFD-driven insulin resistance. iNKT cells are enriched in the
activate TLR-4 has remained elusive. The paper by Pal et al. (2012) addresses this conundrum and suggests that fetuin is
involves not only the presence of FFAs, fetuin
on TLR-4 are crucial for fetuin binding, and F
fetuin is the candidate site for TLR-4 binding
to TLR-4 and represents a new therapeutic t
Pal et al. (2012). Nat. Med. 18, 1279–1285.
Iphigenia Tzameli
Editor, Trends in Endocrinology and Meta
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osphorylation requires intact fetuin, and the lipotoxicity-driven insulin resistance
, and TLR-4 but also their physical interaction. Indeed, two leucine-rich repeats
FAs induce insulin resistance, whereas the terminal b-galactosidase moiety of
. Thus, fetuin acts as an adaptor protein and endogenous presenter of FFAs
arget in the management lipid-induced insulin resistance.
bolism
w
the mysterious ligand. This is intriguing because fetuin, a liver secretory glycoprotein and major carrier of FFAs in the
circulation, has already been labeled as a marker of low-grade metabolic inflammation because it stimulates production of
cytokines and chemokines from adipocytes and macrophages. The authors show that fetuin fits the role of a TLR-4 ligand
because it can recapitulate many of the effects seen previously that linked TLR-4 action to insulin resistance. For example,
mice with fetuin and TLR-4 knockdown or hepatectomized rats (another means for reducing fetuin expression) are protected
from HFD-induced insulin resistance and NFkB activation. Restoring fetuin expression in the knockdown mouse model
results in lipid-induced insulin resistance, whereas infusion of the proinflammatory lipid palmitate, a FFA with maximum
binding to fetuin but not to TLR-4, fails to activate TLR-4 in mice with fetuin knockdown. The authors show that FFA-mediated
activation of TLR-4 and subsequent NFkB ph
Com.pdfwi
fat depots of lean humans, get depleted in obesity, and reappear after bariatric
surgery. Similarly, in the mouse, iNKT are severely depleted in the leptin-
deficient (ob/ob) mouse model, progressively decline to markedly reduced
numbers during HFD feeding, and bounce back when the mice are switched
to a chow diet. The authors show that this unique immune repertoire of fat-
derived iNKT cells produces more anti-inflammatory IL-10 after stimulation
with the prototypical lipid antigen alpha-galactosylceramide (aGC), which is
intriguing because IL-10 promotes a phenotype switch toward the M2 anti-
inflammatory macrophage population. Compelling data from mice with iNKT
cell deficiency show a correlation with increased metabolic syndrome and
insulin resistance that worsens on a HFD and increased M1 macrophage infiltration in the adipose. Interestingly, adoptive
transfer of iNKT cells to obese mice not only improves glucose homeostasis but also triggers significant fat loss. The next
burning question of course is, what is the effect of aGC on the insulin-resistance profile of these mouse models? Indeed,
aGC injection causes a significant decrease in adipose mass and cell size, improves glucose homeostasis, and results in
markedly increased iNKT cell numbers. As aGC is already used as a treatment in multiple cancer settings, and it does not
cause hypoglycemia in the diabetic and euglycemic murine models, it is a matter of time before its effect on humans with
insulin resistance is determined.
Lynch et al. (2012). Immunity 37, 574–587.
Finding the Mysterious TLR-4 Ligand
Free fatty acids (FFAs) mediate activation of the TLR-4/NFkB pathway to promote insulin resistance. However, how FFAs
Dual energy X-ray absorptiometry scan shows
that iNKT-deficient mice have significantly
more body fat than wild-type mice, but lean
mass is unchanged. Image courtesy of Linda
Lynch.
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Cell 151, December 21, 2012 ª2012 Elsevier Inc. 1397
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Leading Edge
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structure. the small scale (<100 bp) in three sequence is G+C and CpG-rich. Genesc
r
(Conrad et al., 2011; Campbell et al.,
2012; Kong et al., 2012; Sun et al.,
2012). Michaelson et al. (2012) then
quences. In great part, this is explained
by the high mutability of the CpG dinucle-
otide and, to a lesser extent, of the
coding sequence that has been better
conserved, either within or between
species, was predicted to be modestly
show that the majority of these DNA
changes were of paternal origin. This is
CpNpG trinucleotide arising mostly from
the spontaneous deamination of 5mC
(up to 70%) more prone to mutation.
This implies that deleterious variants are
to an average human genome-widemuta-
tion rate of 1 3 10�8 per base pair per
generation, similar to previous estimates
regions between embryonic stem cells
and male germ cells. By far the greatest
enrichment is that for trinucleotide se-
their mutations being repaired less effi-
ciently in germline cells.
Somewhat counterintuitively, protein-
The authors deep-sequenced immor-
talized lymphoblastoid cell line genomes
from ten pairs of monozygotic twins with
autism and from their parents. On
average, 58 DNA changes were present
in both twins, yet were absent from their
parents, and thus were likely to have
arisen de novo in their common germline
genome, rather than being somatic or
cell linemutations. This number translates
sequence classes: simple repeats, DNase
1 hypersensitivity sites from embryonic
stem cells, and various trinucleotide
sequences. The known high rate of repli-
cation slippage in simple repeats likely
accounts for the first enrichment. The
high mutation rate in DNase 1 hypersensi-
tivity sites is, however, unexpected (Pre-
ndergast et al., 2007) but could reflect
substantial differences in open chromatin
associated with recessive or dominant
disease were predicted to show even
greater tendencies for being mutated, at
approximately 35% and 40% average
increases, respectively, results that are
in agreement with a previous cross-
species comparison (Huang et al., 2004).
These findings imply that features of
such disease genes make them slightly
more susceptible to being mutated or to
Do ww
Previews
Loaded Dice for
Chris P. Ponting1,*
1MRC Functional Genomics Unit, Departmen
Oxford OX1 3PT, UK
*Correspondence: chris.ponting@dpag.ox.ac
http://dx.doi.org/10.1016/j.cell.2012.12.002
Not all bases in the human geno
that individuals can acquire clu
single base pair change differs a
The replication or maintenance of human
genomes through cell lineages or across
generations is not always completely
faithful. Rare mutations accumulate
whose eventual fate is to be lost through
drift or negative selection or to be fixed
in our future population. Although these
mutations are random, in the sense that
when or where they occur is highly unpre-
dictable, not all base pairs stand an even
chance of being mutated, and conse-
quently, there are regions of the human
genome that are hotspots, or coldspots,
of change. Pinpointing these hotspots
might lead to a better understanding of
both mutational mechanisms and the
frequency by which spontaneous se-
quence change causes noninherited
genetic disease. In this issue of Cell,
Michaelson et al. (2012) identify de novo
germline mutations in monozygotic twins
who are concordant for autism and
propose that mutational variation is
largely explained by intrinsic characteris-
tics of DNA s