Nature - 2019.08.29

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DNA methylation level of EPI markedly increased from 26.1% at day
6 to 60.0% at day 10. The median DNA methylation level of TE also
increased from 23.5% at day 6 to 46.3% at day 10, an increase that is
not as strong as that with the EPI (Fig. 4a). Notably, although the DNA
methylation level of PE (27.0%) at day 6 is comparable to that of EPI
(26.1%), it increased only to 33.2% at day 8 (compared to 49.9% in
EPI), and 36.8% at day 10 (compared to 60.0% in EPI). The PE unex-
pectedly revealed much slower DNA re-methylation dynamics during
implantation compared to the EPI, even though both cell lineages are
derived from the inner cell mass. These results suggest that the embryos
initiated considerable re-methylation of the DNA shortly after the blas-
tocyst stage, and that the three major lineages not only had different
gene-expression signatures but also showed markedly distinct and
asynchronous DNA re-methylation patterns.
The patterns of hypermethylated gene body and hypomethylated pro-
moter regions were shared in all of the three lineages (Extended Data
Fig. 8i), which is similar to the patterns in pre-implantation embryos^22.
Further analysis of re-methylated genomic regions in all three lineages
showed that DNA re-methylation has clear genomic element-specific
and cell-lineage-specific features during implantation (Fig. 4b).
We found that 241 genes showed increased levels of methylation at
their promoter regions, potentially silencing their expression during

implantation (Extended Data Fig. 10b), and each lineage carried spe-
cifically methylated genes (Fig. 4c). For instance, the promoters of
POU5F1 (also known as OCT4) and NANOG, master regulators of
pluripotency, were specifically methylated in TE cells, but not in EPI
and PE cells at day 8 (Fig. 4c). By contrast, the promoters of devel-
opment genes in the TE^23 ,^24 , such as MMP26, PSG7 and ELF5, were
specifically methylated in EPI and PE cells but not in TE cells at day 8
(Fig. 4c and Extended Data Fig. 10c). Similarly, the promoters of PE
markers^25 ,^26 such as APOA1 and CPN1 were specifically methylated in
EPI and TE cells but not in PE cells at day 8 (Fig. 4c, d). These findings
indicate that DNA methylation might have an important role in reg-
ulating the expression of lineage-specific genes and maintaining the
segregated cell fates of different lineages.
We reconstituted the transcriptome and DNA methylome land-
scapes of human implantation at single-cell resolution and uncov-
ered key developmental events, the molecular dynamics of which was
previously unresolved. Although many potential differences may exist
between in vivo and in vitro implantation systems, this study provides
a potential basis for the development of better strategies to mimic
this unique process in vitro. A better understanding of the implanta-
tion process will also provide valuable information—such as lineage-
specific transcription-factor networks and signalling pathway charac-
teristics (Supplementary Methods)—for the derivation and directed
differentiation of pluripotent stem cells in vitro, which could be a
potentially invaluable resource for reproductive and regenerative
medicine.

Reporting summary
Further information on research design is available in the Nature Research
Reporting Summary linked to this paper.

Data availability
The single-cell RNA-sequencing data have been deposited in the GEO
(accession number GSE109555). The single-cell MALBAC whole-genome
sequencing, full-length RNA-sequencing and Trio-seq2 data have been depos-
ited in the European Genome-phenome Archive (EGA; https://www.ebi.ac.uk/
ega/) with accession number EGAS00001003443. The whole-genome sequencing
data of the paternal sperm and maternal peripheral blood were from a previous
publication (EGAS00001002987). The data deposited and made public are compli-
ant with the regulations of Ministry of Science and Technology of China.

Code availability
Scripts of the main steps of the analysis are provided at https://github.com/WRui/
Post_Implantation. Other R scripts associated with graphic presentation are avail-
able from the corresponding authors on reasonable request.

Online content
Any methods, additional references, Nature Research reporting summaries, source
data, extended data, supplementary information, acknowledgements, peer review
information; and details of author contributions and competing interests are
available at https://doi.org/10.1038/s41586-019-1500-0.

Received: 5 February 2018; Accepted: 15 July 2019;
Published online 21 August 2019.


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DNA methylation level (%)

60

6810 12

50

40
30
((nn = 26) = 22)

(n = 5)

(n = 14)

(n = 14)

(n = 4)

(n = 10)(n = 10)(n = 2)

(n = 8)

(n = 15)

EPI
TE
PE

a

20

–1.0

–0.5

0

0.5

1.0

Day 8

Day 6

EPI PE TE

cdAPOA1

PSG7
ERVFRD-1
EPI PE TE EPI PE TE EPI PE TE

Day 6 Day 8 Day 10
LEFTY1
POU5F1
NANOG
APOA1
FOXH1
MMP26
CPN1
NR2F2

b

−2.0

0

0.1

CGI

Promoter (HCP)

Promoter

SVA

Promoter (LCP)Promoter (ICP)

ERVKLINE-1
Intragenic

ExonLINEERV1Intron

ERVL−MaLR

LTRALR
Intergenic

ERVL

AluSINE
LINE-2
Enhancer

MIR

Lineage
Epi
PE
TE

Day

Fig. 4 | Lineage-specific dynamics of the DNA methylome in human
peri-implantation embryos. a, The global DNA methylation levels
across different developmental stages for each lineage. b, Distribution
of the relative enrichment of increased methylation tiles from day 6 to
day 8 at various genomic features, 1,512,276 (EPI), 310,255 (PE) and
1,140,524 (TE) tiles (300 bp) were de novo-methylated in each lineage.
The re-methylated genomic regions were strongly enriched in enhancers
and mammalian-wide interspersed repetitive (MIR) regions but depleted
in the promoters and CpG islands (CGI) in all lineages. The EPI and
PE lineages shared re-methylation enrichment of long interspersed
nuclear element-2 (LINE-2) retroelements and intergenic regions. For
PE, re-methylated genomic regions were strongly enriched for several
families of repeat elements (for example, alpha satellites (ALR) and long
terminal repeats (LTR)). For TE, re-methylated genomic regions were
strongly enriched for intragenic regions—both exons and introns. This
showed that DNA re-methylation has strong genomic-element-specific
and clear developmental-lineage-specific features during implantation.
Alu, Alu element; ERVs, endogenous retroviruses (ERVK, ERVL); HCP,
high CpG density promoter; ICP, intermediate CpG density promoter;
LCP, low CpG density promoter; MaLR, mammalian LTR; SINE, short
interspersed nuclear elements; SVA, short interspersed element–variable
number tandem repeat–Alu. c, The average DNA methylation levels for
differentially methylated genes at promoter regions (transcription
start sites included the upstream 250  bp and downstream 250  bp).
d, DNA methylation levels of representative loci for lineage-specific genes
at promoter regions. Each column represents one read. Red represents
methylated CpG sites, blue represents unmethylated CpG sites and white
represents undetected sites. Only reads that covered at least five CpG sites
are shown in the heat map.


29 AUGUSt 2019 | VOL 572 | NAtUre | 663
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