Chondrocyte dedifferentiation in vitro severely compromises the outcome of ACI in the treatment of cartilage defect repair11,12. To optimize ACI outcome, it is crucial to avoid the use of dedifferentiated chondrocytes13. Studies have suggested that general DNA methylation level is associated with the extent of the chondrocyte dedifferentiation4,6. Thus, it is imperative to establish a reliable and rapid method to detect the general DNA methylation status of the chondrocytes before its clinical application.
To detect general DNA methylation levels in dedifferentiated human chondrocytes, we could measure the 5-mC level in serially passaged chondrocytes. 5-mC is resistant to deamination by bisulfite treatment. This property was exploited to analyze DNA cytosine methylation patterns using the bisulfite sequencing approach14. Bisulfite genomic sequencing and methylation-sensitive restriction digestion have been regarded as gold-standard technologies for the detection of DNA methylation15,16. These approaches can identify 5-mC with single base-pair resolution. However, the biggest drawback of bisulfite sequencing is DNA degradation during bisulfite conversion. If this approach were used to assess chondrocyte dedifferentiation, it would result in waste of the propagated chondrocytes for ACI. HPLC is another practicable method to quantify global DNA methylation levels, but it is only suitable for laboratories with HPLC equipment. Thus, the need for larger sample volumes or modern equipment makes these approaches impractical for routine 5-mC level testing in typical clinical laboratories.
The commercial availability of 5-mC antibody provides the possibility to detect general DNA methylation levels using a dot blot assay. Compared with other blotting techniques, 5-mC dot blot is an easier procedure, which requires neither large quantities of gDNA nor electrophoresis. In addition, the instruments are available in moderately equipped laboratories. Therefore, the 5-mC dot blot method should be applicable as an alternative approach of DNA methylation assay.
In this report, we identified an association between higher 5-mC levels and chondrocyte dedifferentiation; 5-mC levels increased with increasing subculture passage. Our findings suggest that 5-mC might be intimately involved in the dedifferentiation caused by monolayer chondrocyte expansion conditions. Importantly, we found higher 5-mC levels were associated with loss of the chondrocyte phenotype, which prevents wide application of ACI to repair cartilage defects. Therefore, our study results suggest that 5-mC dot blotting could be a reliable way to measure the extent of chondrocyte dedifferentiation, in particular when larger numbers of samples and smaller quantities of gDNA are to be analyzed.
In order to apply dot blot methods to DNA methylation analysis, the key issue that must be considered is the quality of DNA sample. Therefore, the critical step in 5-mC detection via dot blot is the genomic gDNA extraction step. We suggest researchers use a commercially available gDNA extraction kit to maximize gDNA concentration and purity. In addition, the DNA sample should be loaded onto a nylon membrane. Another important issue is to ensure that the DNA sample has been immobilized and fully absorbed by the nylon membrane.
The technique we describe here gives us the opportunity to carry out multiple assays at the lowest cost. An additional advantage of this approach is its reliance on simple and affordable equipment to perform the assay and interpret the results. Also, it can be used to compare relative differences in global methylation levels between 2 or more samples. However, this assay cannot be used for precise quantification of DNA methylation levels or to determine the CpG methylation status of a specific DNA sequence. In addition, this method has limited sensitivity, as the methylation status cannot be accurately detected in gDNA samples below 50 ng. Although this method provides a qualitative analysis of global DNA methylation, it could give rise to false-positive results if performed improperly.
In summary, the 5-mC dot blot is a reliable, simple, and rapid method to detect the general DNA methylation level to evaluate the chondrocyte phenotype.