The histone modification H3K4me3 is altered at the ANK1 locus in Alzheimer's disease brain

Several epigenome-wide association studies of DNA methylation have highlighted altered DNA methylation in the ANK1 gene in Alzheimer's disease (AD) brain samples. However, no study has specifically examined ANK1 histone modifications in the disease. We use chromatin immunoprecipitation-qPCR to quantify tri-methylation at histone 3 lysine 4 (H3K4me3) and 27 (H3K27me3) in the ANK1 gene in entorhinal cortex from donors with high (n = 59) or low (n = 29) Alzheimer's disease pathology. We demonstrate decreased levels of H3K4me3, a marker of active gene transcription, with no change in H3K27me3, a marker of inactive genes. H3K4me3 is negatively correlated with DNA methylation in specific regions of the ANK1 gene. Our study suggests that the ANK1 gene shows altered epigenetic marks indicative of reduced gene activation in Alzheimer's disease.

enhancer-associated histone modifications in this region (H3K4me1 and H3K27ac) [24]. However, this approach was limited to a human blood cell line (K562 cells) and therefore this study has limited utility for aiding the understanding of ANK1 histone modifications in brain tissue. At present, no study has examined alterations in H3K4me3 and H3K27me3 at the ANK1 locus in AD brain tissue. To assess the histone modification profile of the ANK1 gene in AD and to see if there was any correlation with the previously reported DNA hypermethylation at this locus, this study utilized ChIP quantitative PCR (ChIP-qPCR) to quantify H3K4me3 and H3K27me3 modifications in the ANK1 gene in post-mortem brain samples from donors with varying degrees of AD pathology.

Subjects & samples
This study used EC tissue from post-mortem brain samples collected from 88 individuals archived in the MRC London Neurodegenerative Diseases Brain Bank. We had matched genome-wide DNA methylation and hydroxymethylation data generated for 63 of these samples using the Illumina Infinium Human Methylation 450K BeadChip Array (450K array) on bisulfite and oxidative-bisulfite treated DNA samples, which is available from the gene expression omnibus under accession number GSE105109 [5]. In addition, a subset of 47 samples had matched ChIP-seq data for the modification H3K27ac [23]. Donors used in the current study had varying degrees of AD pathology, ranging from Braak Stage 0 to Braak Stage VI, and were all over the age of 65 years. All samples were dissected by trained specialists, snap-frozen and stored at -80 • C. Further demographic information about all samples is provided in Supplementary Table 1.

ChIP for H3K4me3 & H3K27me3
H3K4me3 and H3K27me3 profiling was performed using the TrueMicroChip Kit from Diagenode (cat no.: C01010130). Briefly, frozen post-mortem brain tissue samples were cut into 10-15 mg sections. Subsequently, DNA and associated proteins were cross-linked using formaldehyde and cells were then resuspended in Higgs balanced salt solution (HBSS). Cells were incubated in lysis buffer and sonicated for 35 min to shear the chromatin (high: 30 s on 30 s off ). After fragmentation, each chromatin sample was analysed via gel electrophoresis to check the size of the chromatin fragments were between 100 and 600 bp. Following this, automated magnetic immunoprecipitation was used for each chromatin sample, using three separate antibodies (100 μl of chromatin per antibody): H3K4me3 (Diagenode, cat no.: C15410003), H3K27me3 (Diagenode, cat no.: C15410069) and an IgG negative control (Diagenode, cat no.: C15400001). Finally, DNA was de-crosslinked from the protein and was purified using spin columns (Diagenode, cat no.: C03040001) and eluted in 80 μl elution buffer, leaving pure DNA for downstream qPCR.
qPCR qPCR was used to detect specific DNA target sequences in ANK1. A total of 2 μl ChIP-treated DNA was combined with 2 μl EvaGreen master mix (SolisBiodyne, cat no.: 08-24-00008), 2-3 μM forward and reverse primers and 5 μl of H 2 O per sample replicate in 384 well plates. Seven, one in four serial dilutions and a no template control (NTC) were included in triplicate per plate. The resulting plate was run on a QuantStudio (Thermo Fisher, US) qPCR machine with the following settings: 95 • C for 10 min, 45 cycles of: 95 • C for 30 s, 60 • C for 30 s, 72 • C for 30 s, followed by a dissociation stage.
ANK1 ChIP-qPCR primer design ChIP-qPCR primers were designed using Primer3Plus software [25]. Primers were designed to target the core region based on Illumina 450K array probe location, previously shown to be differentially methylated in AD (chr8: 41519302 to 41519420) [7], across the remainder of the ANK1 gene focussing on regions characterized by high H3K4me3 and H3K27me3 abundance and to other regulatory regions of the ANK1 gene (Supplementary Figure  1). In total six primer sets met our inclusion threshold of producing a single gene product and with 85-115% efficiency. Therefore, six ANK1 primer sets and one control primer set (MyoD1) [26] were used in this study (Supplementary Table 2).

Data analysis
All samples were run in triplicate for each assay and averaged to collect a mean Ct score for each modification. A range of 0.5 Ct maximum was allowed between triplicate readings; Ct scores that fell outside this range were excluded and then an average of the two remaining scores was used. A control assay (MyoD1) with a stable histone modification profile was also run for all samples (Supplementary Figure 2). In addition, a negative control IgG ChIP reaction was run for all samples in all assays, as per the manufacturer's recommendations. Standard curves of a one in four dilution series were run on each plate and samples were normalized according to primer efficiency.
All computations and statistical analyses were performed using R 3.4.3 [27]. A linear regression model was performed to compare samples with a lower neuropathological burden (Braak 0-III, n = 29) with samples with a higher neuropathological burden (Braak IV-VI, n = 59) in each region covered by a primer set, controlling for the effects of age and sex. We then used a paired t-test to assess the difference in the mean levels of histone modifications averaged across all six primer regions between low (Braak 0-III) and high (Braak IV-VI) neuropathological burden. A Bonferroni significance threshold of p < 8.3 × 10 -3 was used to account for multiple testing (six tests). A Pearson's correlation was used to compare histone modification levels with 5-methylcytosine (5 mC) and 5hyroxymethylcytosine (5 hmC) levels in ANK1 in the subset of 63 samples who had Illumina 450K array data already available [5]. A Bonferroni significance threshold of p < 4.67 × 10 -4 was used to account for multiple testing (107 tests).
To compare our data with matched H3K27ac ChIP-seq data that had been previously generated in these samples we used the aligned reads from Marzi et al. [23] and generated read counts per primer region with htseq. These were then normalized as counts per million (CPM) to the total library sizes and we then subsequently performed a correlation analysis of H3K27ac CPM with either H3K4me3 or H3K27me3 levels for each of the six primer regions whilst controlling for age and sex to investigate whether there was an association between H3K27ac and H3K4me3 or H3K27me3 across all samples. Next, we included pathology group in the model as an interaction term to explore whether there was an association of H3K27ac and H3K4me3 or H3K27me3 specifically in only the low pathology or high pathology groups. A Bonferroni significance threshold of p < 8.3 × 10 -3 was used to account for multiple testing (six tests for each of the modifications).

ANK1 has histone modification peaks at known regulatory elements
We started by examining the publicly available data from ENCODE for the ANK1 region in frontal cortex for both H3K4me3 and H3K27me3 modification levels. This highlighted six key 'peaks' in H3K4me3 levels across the gene, with no obvious 'peaks' in H3K27me3 levels (Supplementary Figure 1). Our primer sets overlap four of these 'peaks' in H3K4me3 levels. In addition, many H3K4me3 'peaks' overlap with known regulatory elements, including enhancers and promotors as well as TSS for several RNA transcripts. We also note that the previously identified ANK1 differentially methylated region in AD [7] sits within the largest regulatory element of the ANK1 locus. It is likely that histone modification differences at these key locations will have functional implications on expression, not only of ANK1 but also of other RNA transcripts that have overlapping regulatory elements.
ANK1 has decreased levels of H3K4me3 in individuals with high neuropathology We assessed levels of H3K4me3 and H3K27me3 across the ANK1 gene in the EC using the six qPCR assays. Of the six regions assayed, two showed a nominally significant decrease in the level of H3K4me3 in individuals with high compared with low AD neuropathological burden, at the genomic coordinates chr8:41519342-41519460 (primer Set 3: Figure 1C Figure 1D, FC = -0.31, p = 0.004) and chr8:41754877-41755012 (primer Set 6: Figure 1F, FC = -0.39, p = 0.002); with no significant difference in the other two regions tested ( Figure 1A & B). We observed no significant difference in either H3K27me3 or the IgG control between individuals with low and high levels of pathology, in any of the six regions examined (Supplementary Table 3; Figure 1). Averaging histone modification levels across all six regions tested demonstrated a Bonferroni significant decrease in H3K4me3 in cases with higher AD neuropathology compared with those with lower neuropathological burden (FC = -0.25, p = 0.004), with no change in H3K27me3 (FC = 0.10, p = 0.52) or the IgG control (FC = 0.61, p = 0.21) ( Figure 1G).
H3K4me3 & H3K27me3 levels are correlated in post-mortem brain samples H3K4me3 and H3K27me3 histone modifications are reported to have opposing effects on gene expression [28]. However, both these modifications can simultaneously exist on the same histone tail [19]. We were therefore interested to investigate whether there was a correlation in the levels of both modifications across the ANK1 locus. We found a positive correlation between average H3K4me3 and H3K27me3 levels across the six regions (r = 0.32, p = 0.002) (Supplementary Figure 3).
H3K4me3 levels are correlated with DNA modification levels in the ANK1 gene For a subset of samples we had already collected DNA methylation (5mC) and hydroxymethylation data (5hmC) [5]. Previous reports have demonstrated 5mC and H3K4me3 are negatively correlated with each other [29]. To further examine the relationship between histone modifications and DNA modifications, we first examined the correlation between average H3K4me3 levels across all six regions assayed and 5mC or 5hmC level at individual 450K derived CpG sites within the ANK1 gene (n = 107 probes). This showed that DNA methylation at 11% of CpG sites (12/107) within the ANK1 gene was nominally significantly correlated with H3K4me3 levels averaged across the six (primer Set) regions, although none reached Bonferroni significance (p < 4.67 × 10 -4 ) (Figure 2A, Supplementary  Table 4). Similarly, 5hmC at 10% of CpG sites (11/107) was nominally significantly correlated with H3K4me3 levels averaged across all six regions, with none reaching Bonferroni significance ( Figure 2B, Supplementary Table  5). Five CpG sites were common to both analyses (cg08786207, cg08521995, cg13152952, cg09405790 and cg17256609), with an opposite direction of correlation seen for 5mC and 5hmC at each of these sites. We then assessed the correlation between H3K4me3 levels in each individual region covered by the primers and 5mC or 5hmC levels at CpG sites covered by the 450K array in the same region (± 1 kb) to see whether localized correlations existed. One of the six regions showed a Bonferroni significant correlation (p < 8.3 × 10 -3 ) between 41550000 41600000 41650000 41700000 41750000 Finally, two specific DNA methylation sites in ANK1, cg11823178 (chr8:41519399) and cg05066959 (chr8:41519308), have been robustly shown to be hypermethylated with increasing AD neuropathology [5,7,8]. We were interested to investigate whether H3K4me3 levels were correlated with DNA modification levels at these two specific sites, given that primer Set 2 (chr8:41519216-41519359) covered cg05066959 and primer Set 3 (chr8:41519342-41519460) covered cg11823178. This showed a Bonferroni significant negative correlation of H3K4me3 levels across chr8:41519342-41519460 (primer Set 3) with DNA methylation levels at chr8:41519399 (cg11823178) (r = -0.36, p = 0.003). There was no correlation between H3K4me3 levels across that region and DNA hydroxymethylation levels. There was no significant correlation between H3K4me3 levels across chr8:41519342-41519460 (Primer Set 2) with 5mC or 5hmC levels at chr8:41519308 (cg05066959).
H3K27me3 levels are correlated with DNA modification levels in the ANK1 gene Next, we were interested to investigate whether a similar relationship with DNA modifications was observed for H3K27me3. First, we assessed the correlation between H3K27me3 levels averaged across all six regions assayed and the average DNA methylation or hydroxymethylation level at the 450K array-derived CpG sites on the ANK1 gene (107 probes). This showed that DNA methylation levels at four of the CpG sites ( Figure 3A & Supplementary Table 6) and DNA hydroxymethylation levels at seven of the CpG sites (Figure 3B & Supplementary Table 7) within the ANK1 gene were nominally significantly correlated with average H3K27me3 levels, although none reached Bonferroni significance (p < 4.67 × 10 -4 ). Only one probe was common to both analyses (cg22845790), with an opposite direction of correlation observed for 5mC (r = -0.30, p = 0.018) and 5hmC (r = 0.34, p = 0.007). When we looked within the individual regions assayed, we observed no significant correlation between either 5mC or 5hmC levels with H3K27me3 levels in each individual region (± 1 kb). Similarly, 5mC and 5hmC levels at the two methylation sites in ANK1 that are known to be hypermethylated in AD (chr8:41519308 -cg05066959 and chr8:41519399 -cg11823178) were not correlated with H3K27me3 levels across chr8:41519216-41519359 (primer Set 2) and chr8:41519342-41519460 (primer Set 3), respectively.

H3K4me3 & H3K27me3 correlations with H3K27ac
Using matched data from Marzi et al. [23], we first examined whether there was a correlation of H3K27ac with H3K4me3 in any of the six regions we studied, and whether there was an interaction with the degree of pathology (Supplementary Table 8). We observed a Bonferroni significant correlation of H3K27ac with H3K4me3 at the genomic coordinates chr8:41519342-41519460 (primer Set 3: p = 3.38 × 10 -3 ), with an interaction with pathology group, showing a stronger correlation in individuals with high pathology (p = 5.75 × 10 -3 ). We observed no significant association of H3K27ac with H3K4me3 levels at any of the other five regions analyzed. Similarly, when we correlated H3K27ac with H3K27me3 we observed a Bonferroni significant correlation in two genomic regions: chr8:41519342-41519460 (primer Set 3: p = 3.31 × 10 -3 ) and chr8:41625416-41625491 (primer set 4: p = 3.97 × 10 -3 ), although there was only a nominally significant interaction with pathology in these two regions (primer Set 3: p = 0.03, primer Set 4: p = 0.01). There was no significant association of H3K27ac and H3K27me3 in any of the other four regions we quantified (Supplementary Table 9).

Discussion
In this study, we used ChIP-qPCR to quantify two histone modifications, H3K4me3, (a marker of gene expression) and H3K27me3 (a marker of gene repression), across six regions of the ANK1 gene in human, post-mortem brain samples.
We first investigated whether ANK1 H3K4me3 and H3K27me3 levels are altered in the EC of individuals with a higher amount of AD neuropathology, compared with those with lower levels. When averaged across all genomic regions we quantified, we observed significantly less H3K4me3 (meeting our Bonferroni significance threshold), with no change in H3K27me3 in individuals with higher levels of neuropathology (Braak stage IV and above). A decrease in H3K4me3 would usually be associated with decreased gene expression and would suggest that ANK1 gene expression would be reduced in individuals with AD neuropathology. However, a number of studies indicate that ANK1 gene expression is increased in AD; Mastroeni and colleagues recently showed increased levels of ANK1 gene expression in microglia in AD brain, although they showed no change in the astrocytes or neurons [30]. Whilst another study has shown that only certain transcript variants have increased expression in AD, with other variants having no disease-associated changes, although that study was undertaken on bulk tissue [7]. In our study, we have analysed H3K4me3 and H3K27me3 in bulk EC tissue. Different patterns of histone modifications are observed in different cell types, limiting our interpretation of the likely downstream consequence of these alterations on gene expression. In addition, as differing modification states will exist even within cells of the same type, as each will have been exposed to different stimuli, this could contribute a further small level of variation. In the future, studies of histone modifications and gene expression in parallel should be performed in specific cell populations sorted from post-mortem tissue to determine if the changes we have observed are ubiquitous across cell types or are specific to certain cell types.
We have shown H3K4me3 and H3K27me3 levels across the ANK1 gene are positively correlated in postmortem EC brain tissue. H3K4me3 and H3K27me3 are associated with active and inactive gene transcription, respectively [28]. It is likely that the positive correlation of H3K4me3 and H3K27me3 in our study in post-mortem brain samples results from a cell type-specific pattern of histone modifications as we have used bulk tissue containing multiple cell types. However, both these modifications have been shown to simultaneously exist on the same histone tail of genomes of ESCs [19] and in other cell types, including neuronal cells, at different stages of development [31,32] and so it is therefore possible that both these modifications are positively correlated within the same cell type.
There is evidence of cross-talk between DNA methylation and histone modifications [33]. For example, during embryo implantation, CpG island methylation is protected from removal, through a H3K4 methylation-dependent mechanism. In addition, 5mC acts as a template for histone modification patterns after DNA replication, mediated through methylcytosine-binding proteins that are capable of recruiting histone deacetylases [34,35] and methyltransferases [36]. In this study cytosine modification (5mC and 5hmC) levels at several specific loci were found to correlate with average histone modification (H3K4me3 and H3K27me3) levels across the ANK1 gene, although none reached the Bonferroni significance threshold. H3K4me3 has been previously suggested to prevent DNA methylation at both CpG-island and non-CpG island start sites [29]. In our study, H3K4me3 levels were nominally significantly correlated with 5mC levels at 12 CpG sites, and 5hmC levels at 11 CpG sites, with five CpG sites common to both analyses and showing opposite directions of correlations for H3K4me3 with 5mC and 5hmC. In contrast to previous negative associations reported between H3K4me3 and 5mC [37], our study shows equal amounts of positive and negative association, dependent upon genomic location. Again, this could be due to different cell types being present in the samples between datasets, but could also represent 5mC site specific histone associations that have not yet been characterized. H3K27me3 levels were nominally significantly correlated with 5mC levels at four CpG sites and 5hmC levels at seven CpG sites, with one locus common to both analyses and showing an opposite direction of correlation for H3K27me3 with 5mC and 5hmC. Interestingly, 5hmC levels at four CpG sites (cg08786207, cg08521995, cg22845790 and cg090450790) were nominally significantly correlated with both H3K4me3 and H3K27me3 levels. Three of the probes showed an opposite direction of correlation with H3K4me3 to H3K27me3, as would be expected, given that they are markers of gene expression and repression, respectively. However, 5hmC levels at one locus (cg22845790) showed a positive correlation with both H3K4me3 and H3K27me3 levels. However, no correlation between 5mc or 5hmc and the histone modification level met our Bonferroni significant threshold, indicating that these findings could be false positives and require further studies with higher numbers of samples to replicate this. It was previously thought that 5hmC was a transient epigenetic mark and did not play a role in transcriptional regulation. 5hmC has been previously identified at high levels in the developing [38] and adult brain [39], particularly in neurons [40] and, as such, represents an important epigenetic mark to profile in the context of neurodegenerative diseases. One study has shown that 5hmC levels in ESCs are more strongly correlated with levels of other histone modifications (i.e., H3K4me1, H3K4me2, H3K18ac, H3K27ac, H4K5ac), than they are with H3K4me3 or H3K27me3 [41]. Our study shows only certain sites of methylation/hydroxymethylation are having an interaction with the H3K4me3 and H3K27me3 modifications 10.2144/fsoa-2020-0161 Future Sci. OA (2021) FSO665 future science group at the ANK1 locus. These key sites could be specific regulatory elements, however, to assess this further, studies designed to manipulate specific DNA methylation signals and then subsequently profiling histone modifications will be needed. DNA methylation levels at two CpG sites, chr8:41519399 (cg11823178) and chr8:41519308 (cg05066959) have been previously reported to be hypermethylated in AD in numerous published studies [6][7][8]. Interestingly, we found H3K4me3 levels across chr8:41519342-41519460 (primer Set 3) to be significantly decreased in individuals with high neuropathology and to be negatively correlated with 5mC levels at chr8:41519399 (cg11823178). It has previously been suggested that H3K4 modifications are a preventative mechanism for de novo promoter cytosine methylation [42]. A proposed mechanism for this stems from the discovery that Dnmt3L, a Dnmt3 associated protein required for efficient de novo cytosine methylation, contains a domain that specifically interacts with unmodified H3K4, the binding of which is inhibited by methylation of the H3 tail [43]. Furthermore, mutation of this same domain in Dnmt3L leads to reduced 5mC levels [44]. These observations suggest that H3K4 methylation may play a role in blocking de novo DNA methylation at some genomic loci [43][44][45]. It is therefore a possibility that the decreased H3K4me3 levels in this region are facilitating the increased DNA methylation at chr8:41519399 (cg11823178) in AD. However, as we did not see any association of H3K4me3 levels across chr8:41519216-41519359 (primer Set 2) with 5mC at chr8:41519308 (cg05066959), it is difficult to draw any firm conclusions as to whether hypermethylation at chr8:41519399 in AD is caused by the reduction in H3K4me3 levels, or vice versa. In the future it will be of interest to quantify the levels of other histone modifications in the ANK1 gene, as well as relating this to gene expression changes.
Looking to the future a more comprehensive study of more histone modifications in ANK1 in AD should be undertaken, with these levels being integrated with levels of 5mC, 5hmC and miRNAs to build up a complete picture of the epigenetic landscape of the ANK1 gene in AD. Ideally this would be performed in cell sorted, post-mortem brain tissue, however so far suitability of such tissue for ChIP studies has not been achieved. It is not possible to determine the order of events leading up to the changes in H3K4me3 in AD that have been reported here. It is feasible that changes reported here are a result of, rather than the cause of, AD pathology. In the future it will be of interest to study the temporal pattern and order of epigenetic changes in AD. Studies looking to epigenetically profile a large cohort of post-mortem brain samples with varying Braak staging for both cytosine and histone modifications could establish the order of epigenetic events in relation to pathology.
H3K4me3 has been previously shown (with H3K9me1) to be predictive of expression levels in low CpG content promoters (LCPs), while H3K27ac and H4K20me1 are predictive of high CpG content promoters (HCPs) [46]. To date, the only AD EWAS of histone modifications have quantified histone acetylation (H3K9ac and H3K27ac) [22,23], and no study has investigated genome-wide alterations in histone methylation patterns. In our study we have covered areas of known H3K4me3 and H3K27me3 peaks in the brain using qPCR assays. However, this method still only profiles a small amount of a relatively large (244 kb) gene. As such, in the future an H3K4me3 and H3K27me3 EWAS in AD using ChIP-Seq would be the optimal next step to completely characterize the levels of these histone modifications in AD in ANK1.
Our study provides a preliminary exploration of the histone modification profile of the ANK1 gene in AD brain tissue. The differences in H3K4me3 levels identified in this paper, build upon the growing association of epigenetic alterations of the ANK1 gene in AD. Although more studies are needed to replicate our findings and to determine whether epigenetic alterations in ANK1 are causal in AD pathology, the consistent reporting of ANK1 epigenetic alterations in AD to date, highlights it as an exciting area for further research. Functionally, we hypothesize that the ANK1 epigenetic differences in disease are resulting in a change in ANK1 gene expression. ANK1 transcriptional alterations in the brain would likely impact the function of microglial cells, given the previously reported four-fold change in ANK1 expression in AD microglia [30]. We hypothesize that, given ANK1's proposed function, this will result in dysregulation of the binding of the cytoskeleton to the plasma membrane of microglia.

Conclusion
This study is the first to interrogate H3K4me3 and H3K27me3 modification profiles across the ANK1 gene in AD brain tissue. Overall, these results suggest that H3K4me3 levels are reduced in multiple genomic regions in ANK1 in AD EC and are correlated with changes in DNA methylation and hydroxymethylation. These patterns of epigenetic changes, together with increased DNA methylation, would be expected to result in reduced gene activation, which should be fully explored in future studies.

Future perspective
Since the first EWAS of DNA methylation in AD, the amount of research exploring the role of epigenetic mechanisms in neurological diseases has increased dramatically. This has enabled the identification of robust disease-associated epigenetic changes in AD, including DNA methylation and histone modifications. Of these, ANK1 is one of the most replicated differentially methylated genes identified in AD brain. This, coupled with the histone modification analysis we present here, further reinforces the importance of ANK1 in AD etiology. However, there are still several research questions to be addressed, each with associated practical and analytical challenges. Epigenetic mechanisms by their nature are cell type specific. Future studies exploring these mechanisms will therefore need to be performed on isolated cell populations, rather than bulk tissue, establishing the cell type or types driving this AD association. Furthermore, functional characterization of the ANK1 gene is still required to determine the role of this protein in the brain as well as the consequence of these epigenetic changes on phenotype. Answering these key questions will begin to address epigenetic causality of ANK1 in AD.

Alzheimer's disease (AD)
• AD is the most prevalent neurodegenerative disorder affecting ∼30 million people worldwide. • It is characterized by accumulation of amyloid-β plaques and neurofibrillary Tau tangles within the brain.

Epigenome-wide association studies (EWAS) and AD
• A number of studies have highlighted robust differential DNA methylation differences at the ANK1 locus in AD.
• Alterations in histone modifications have been associated with AD; two recent papers have found histone acetylation differences with disease. ANK1 has decreased levels of H3K4me3 in individuals with high neuropathology • Four of the six regions assayed showed a significant decrease in the level of H3K4me3 between individuals with low and high AD neuropathological burden, with two regions passing the Bonferroni significance threshold. • Average H3K4me3 levels had a Bonferroni significant decrease in cases with high AD neuropathology compared with those with low neuropathology. H3K4me3 and H3K27me3 levels are correlated in post-mortem brain samples • H3K4me3 and H3K27me3 levels were positively correlated. H3K4me3 levels are correlated with DNA modification levels in the ANK1 gene • DNA methylation at 11% of CpG sites within the ANK1 gene was nominally significantly correlated with average H3K4me3 levels. • DNA hydroxymethylation at 10% of CpG sites within the ANK1 gene was nominally significantly correlated with average H3K4me3 levels. • The previously identified differentially methylated site at Chr8:41519399 in ANK1 showed a significant negative correlation with H3K4me3 levels across this region. H3K27me3 levels are correlated with DNA modification levels in the ANK1 gene • DNA methylation levels at four of the CpG sites within the ANK1 gene were nominally significantly correlated with average H3K27me3 levels. • DNA hydroxymethylation levels at seven of the CpG sites within the ANK1 gene were nominally significantly correlated with average H3K27me3 levels.

H3K27ac is correlated with H3K27me3 & H3K4me3 levels
• H3K27ac is correlated with H3K27me3 and H3K4me3 levels in the region covered by primer Set 3. financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.

Author contributions
No writing assistance was utilized in the production of this manuscript.

Supplementary data
To view the supplementary data that accompany this paper please visit the journal website at: www.futurescience.com/doi/suppl/10.2144/fsoa-2020-0161

Ethical conduct of research
The authors state that they have obtained appropriate institutional review board approval or have followed the principles outlined in the Declaration of Helsinki for all human or animal experimental investigations.

Open access
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