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In the nucleus of eukaryotic cells, histones assemble with DNA to form the nucleosomes, the fundamental structural units of chromatin. Each nucleosome consists of approximately 146 bp of DNA wrapped around an octamer composed of two copies of core histones H2A and H2B, along with two dimers of histones H3 and H4. In addition, a linker histone H1 is also present and facilitates chromatin higher-order organization by binding both the nucleosome and the linker DNA stretch between nucleosomes1. Histones are decorated by a wide variety of post-translational modifications (PTMs) that are mainly present at their N-terminal tails. These modifications include methylation, various types of acylation (acetylation, propionylation, butyrylation, etc.), phosphorylation, SUMOylation, ubiquitylation, ADP-ribosylation, and crotonylation, among which lysine and arginine methylation and lysine acetylation are the most characterized2. The specific types, locations, and combinations of histone modifications create what is known as the histone code. This code consists of various post-translational modifications (PTMs) on the N-terminal tails of histones, which are added and removed by specific histone-modifying enzymes. These modifications are then recognized by effector proteins, leading to changes in chromatin structure, such as compaction or decondensation, ultimately influencing several biological processes, including DNA damage repair, replication, and particularly gene transcription3,4.
DNA methylation and histone PTMs are among the most studied epigenetic features in cancer3. Recent experimental evidence has shown alterations in the levels of various histone PTMs in several cancer types. Notably, the loss of H4K20me3 and H4K16ac has been reported as hallmarks of cancer, as their level was found to be decreased in essentially all tumors compared to the normal tissues4. Our group identified the loss of H3K14ac as a potential hallmark of cancer by quantifying its reduction in several cancers compared to normal counterparts using mass spectrometry (MS)-based approaches5. Moreover, numerous studies have highlighted the prognostic value of histone PTMs, showing that alterations in their global levels, primarily assessed by immunohistochemistry in patient biopsies, correlate with cancer progression, histological grading, and therapeutic response6,7,8. Hence, histone PTM analysis in cancer samples is important for the identification of novel diagnostic and prognostic biomarkers, as well as potential targets of the so-called epi-drugs8.
Very common methods for the analysis of histone PTMs in cell lines and clinical samples rely on antibody-based techniques, such as immunoblotting, immunohistochemistry, and enzyme-linked immunosorbent assay (ELISA)9. However, antibody-based methods suffer from various limitations, including cross-reactivity or, conversely, epitope masking10. Cross-reactivity occurs when antibodies bind to unintended targets with similar epitopes, leading to potential false positives, while epitope masking refers to the missed detection of a specific epitope (a histone PTM or variant, in this case) due to the presence of other modifications on the neighboring residues. Furthermore, the tissue amount required for histone modification analysis using antibodies is often high, since only a limited number of PTMs can be detected simultaneously, so several tissue slices must be processed for multiplexed analyses11. Mass spectrometry (MS) has emerged as the method of choice for profiling histone PTMs and variants, overcoming the limitations of antibody-based approaches5,8. MS relies on the detection of a difference in mass (Īm, delta mass) between the theoretical and experimentally measured masses of peptides and proteins. It is unbiased, comprehensive, and quantitative, as it allows the identification and quantification of PTMs and variants without requiring a priori knowledge of their site. This makes MS particularly valuable for the sensitive and accurate analysis of histone PTMs changes in cancer and other pathological conditions8.
Here we describe an optimized protocol for histone extraction from clinical samples, coupled with MS-based profiling of histone PTMs, thereafter referred to as epi-proteomics workflow. Patient biopsies are mainly stored as fresh frozen (FF) samples, optimal cutting temperature (OCT) frozen samples, and formalin-fixed paraffin-embedded (FFPE) samples12. While fresh biopsies are snap-frozen in liquid nitrogen or pre-cooled isopentane without the addition of any preservation medium13, OCT-frozen biopsies contain a water-soluble cryoprotective embedding medium, mainly composed of polyvinyl alcohol and polyethylene glycol, that facilitates tissue slicing14. FFPE samples, on the other hand, fixed in formalin and embedded in paraffin, represent the most common storage method for clinical specimens, as they can be stored at room temperature for several years, avoiding costly maintenance at low or ultra-low temperatures15. Being free of preservation additives, snap-frozen biopsies can be directly processed for histone extraction, while OCT-frozen and FFPE biopsies require initial steps of embedding medium/fixative removal. FFPE samples also need extensive protein decrosslinking and antigen retrieval.
This protocol outlines detailed methods for extracting histones from fresh-frozen, OCT-embedded, and FFPE clinical samples, ensuring sufficient quantity and quality for downstream MS analysis by taking into consideration the specific challenges associated with each type of sample preservation (step 1). Histones purified from clinical samples are separated through protein gel electrophoresis in denaturing conditions (SDS-PAGE), followed by a derivatization step, and enzymatically digested to generate peptides of a suitable length (4-15 amino acids) for bottom-up mass spectrometry analysis16 (step 2). More specifically, histones are digested with an ArgC-like strategy, whereby trypsin, that usually cuts at the C-terminus of unmodified lysines (K) and arginines (R), is induced to cut only at the C-terminus of arginines, due to a previous chemical acylation of unmodified and monomethylated lysines with propionic anhydride (PRO). Next, Arg-C-like digested histone peptides are acylated at their N-terminal tails by the addition of phenyl isocyanate (PIC). This further derivatization increases peptide hydrophobicity and allows better separation of short histone peptides by reverse-phase high-performance liquid chromatography (RP-HPLC), improving the identification and quantification of isobaric peptidoforms17,18 (step 3). Altogether, the methods described here highlight the power of MS-based histone profiling in cancer epigenetics studies.