Methyl-CpG-Binding Domain Proteins: Readers of the Epigenome

Abstract

How DNA methylation is interpreted and influences genome regulation remains largely unknown. Proteins of the methyl-CpG-binding domain (MBD) family are primary candidates for the readout of DNA methylation as they recruit chromatin remodelers, histone deacetylases and methylases to methylated DNA associated with gene repression. MBD protein binding requires both functional MBD domains and methyl-CpGs; however, some MBD proteins also bind unmethylated DNA and active regulatory regions via alternative regulatory domains or interaction with the nucleosome remodeling deacetylase (NuRD/Mi-2) complex members. Mutations within MBD domains occur in many diseases, including neurological disorders and cancers, leading to loss of MBD binding specificity to methylated sites and gene deregulation. Here, we summarize the current state of knowledge about MBD proteins and their role as readers of the epigenome.

Keywords::

• cancer
• DNA methylation
• epigenetics
• MBD1
• MBD2
• MBD3
• MBD4
• MeCP2
• methyl binding domain proteins

Figure 1.  Characteristic domains of the methyl-binding domain protein family.

MBD family proteins function through the combined activity of their DNA binding domains and other catalytic or protein–protein association domains. All MBD family proteins contain the MBD domain. MeCP2, MBD1 and MBD2 have TRD domains that are responsible for transcriptional repression. The predominant isoform of MeCP2 has 486 residues (52 kDa). MBD1 contains 605 residues (66 kDa) and has CxxC domains that modulate DNA binding. MBD2 contains 411 residues (44 kDa) and a CC- and G/R-rich domain that allows protein interaction and posttranslational modification, respectively. MBD3 contains 291 residues (32 kDa) as well as a CC domain similar to MBD2. MBD4 contains 580 residues (66 kDa) and a catalytic glycosylase domain for DNA repair. MBD5 contains 1494 residues (159 kDa) with a PWWP domain that binds methylated histones. MBD6 contains 1003 residues (101 kDa). MBD5 and MBD6 both have P-rich domains. SETDB1 contains 1291 residues (143 kDa) and SETDB2 contains 719 residues (81 kDa). The SET domain provides methyltransferase activity to SETDB1 and 2, while the Tudor domains allow SETDB1 to bind methylated histones. TIP5, also known as BAZ2A, contains 1905 residues (211 kDa) and BAZ2B contains 2168 residues (240 kDa). They both contain bromo and DDT domains that allow acetylated histone and DNA binding capabilities. MeCP2 and MBD1–4 are sized relative to each other.

aa: Amino acid(s).

Figure 2.  Functional roles of methyl-binding domain family proteins.

Key roles of the MBD family proteins in epigenetic remodeling and transcriptional repression. (A) MBD1 is involved in directing histone methylation to sites of DNA methylation. (B) MeCP2 has roles in heterochromatin clustering through histone methylation and nucleosome remodeling. (C) MeCP2 is also able to coordinate histone methylation and histone deacetylation at the same methylated loci via cofactor interactions such as to CoREST. (D) MBD2 directs transcriptional repression through the NuRD/Mi-2 complex binding partner that enables histone deacetylation and nucleosome remodeling. (E) MBD3 also interacts with the NuRD/Mi-2 complex and couples this with DNA methylation. MBD3′s DNA interaction at target promoters is mediated through transcription factor recruitment. (F) MBD4 maintains correct DNA methylation by repairing spontaneous 5-mC→T transitions to C and interacting with DNMTs to guide remethylation. (G) MeCP2 is able to silence select genes by creating chromatin loops via the aid of chromatin remodeler ATRX and CTCF-Cohesin. (H) MBD1 is associated with the fork via CAF1 and ensures correct histone methylation associated with DNA methylation. Red arrows indicate activity of enzymes involved. Dashed elbow arrows indicate repression or reduced expression upon MBD occupancy.

Figure 3.  Developmental functions of MBD2 and MBD3.

MBD proteins have a role in stem cell renewal, embryogenesis and differentiation. (A) MBD2t(/c) and MBD3 have higher expression levels in the embryo/ESC, while MBD2 has higher expression in somatic/differentiated cells. Lower levels of MBD3 persist in somatic cells; however, MBD2t expression is restricted to ESCs. (B) In ESCs or the embryonic stage, MBD2a competes for binding with MBD2t and may be prevented from repressing genes required for pluripotency. MBD3 can be ‘poised’ on active enhancers or promoters and may modulate expression and bivalency, but does not fully silence due to presence of active pluripotency transcription factors. (C) During differentiation, MBD2-NuRD/Mi-2 becomes more readily available and enacts silencing. Downregulation of pluripotency transcription factors during differentiation allow ‘poised’ MBD3 and protein partners to silence pluripotency genes and enhancers.

Figure 4.  Mutations in the methyl-binding domain family identified in cancer.

(A) Frequency of MBD mutations across different cancer tissue types, showing the number of donors for each type in parentheses. The results shown here are based upon data generated by the TCGA Research Network: [188]. The mutational frequency of each individual MBD protein is shown in the stack graph. (B) Plots showing the location of individual nonsynonymous mutations across each MBD protein from TCGA visualized in cBioPortal for Cancer Genomics [189]. Green: missense mutation; red: truncating mutation (nonsense, nonstop, frameshift deletion, frameshift insertion, splice site); purple: residues that are affected by different mutation types at the same proportion. The cBioPortal links as follows: MBD1: [190]; MBD2: [191]; MBD3: [192], MBD4: [193]; MeCP2: [194]. Protein domain information is depicted and legend is included in the figure.

aa: Amino acid(s).

The genome is epigenetically regulated at different levels of complexity, from structural compartmentalization of active and inactive chromatin, through to histone modifications, nucleosome positioning and DNA methylation of CpG dinucleotides. Epigenetic-based mechanisms do not function in isolation, but comprise extensive crosstalk and feedback regulatory loops that reinforce a cell-type-specific transcriptional program. DNA methylation is a fundamental epigenetic modification in mammalian cells and occurs at the carbon-5 position of cytosine residues at CpG nucleotides through the action of DNA methyltransferase (DNMT) enzymes, forming 5-methylcytosine (5-mC) [1]. There are approximately 28 million CpG dinucleotides in the mammalian genome, though they are not evenly distributed. Typically, the genome is depleted of CpG dinucleotides except for regions with the expected frequency of CpG sites termed ‘CpG islands’ [2,3]. CpG islands span the promoters of house-keeping genes and commonly are unmethylated and associated with active gene expression; in contrast, methylated CpG island promoters and enhancers are associated with gene repression [4–6]. The DNA methylation landscape is altered during the initiation and progression of cancer with global hypomethylation of CpG poor intergenic regions and hypermethylation of CpG islands associated with gene silencing and reduced plasticity. Through advances in genome-wide methylation sequencing technology, we can now profile the distribution of CpG methylation in normal and cancer cells; however, we still do not understand how DNA methylation patterns are interpreted and how DNA methylation plays a role in influencing genome and epigenome plasticity [2].

There are several groups of proteins that can modulate and interpret DNA methylation patterns, including DNA methylation ‘writers,’ ‘readers’ and ‘editors’. DNA methylation ‘writers’ are key to establishing and maintaining CpG methylation patterns throughout development and differentiation. These proteins are members of the DNMT family: DNMT1, DNMT3A and DNMT3B [1,7]. DNA methylation ‘readers’ specifically bind methylated CpG dinucleotides and act as translators between DNA methylation and histone modifications to facilitate a multilayered regulatory program [8,9]. These include the family of methyl-CpG-binding domain (MBD) proteins, the Kaiso family proteins and the SET- and Ring finger-associated (SRA) domain family [10–13]. DNA methylation ‘editors’ are the newest group to be described and comprise the ten–eleven translocation (TET) protein family, which oxidize the carbon-5 methyl group in 5-mC into a hydroxyl residue, to form 5-hydroxymethylcytosine (5-hmC) (reviewed in [14]). Through a number of pathways, 5-hmC is proposed to convert to unmethylated cytosine and ultimately promote demethylation. All three groups of epigenetic modifiers play an important role in the regulation and interpretation of DNA methylation, chromatin-remodeling processes and gene expression.

Here, we review the ’readers’, the MBD protein family members, and their role in reading and regulating the epigenome and in particular, the significance of MBD-associated mutations in the etiology of disease states such as cancer.

What are MBD proteins?

The MBD family proteins are critical players in determining the transcriptional state of the epigenome. As transcriptional repressors, MBD proteins play a major role in coordinating crosstalk between DNA methylation, histone modifications and chromatin organization to achieve a coherent transcriptional program. Currently, the MBD protein family consists of eleven known proteins that contain a MBD domain (summarized in Figure 1). The methyl-CpG-binding protein 2 (MeCP2) was the first MBD-containing protein discovered, and subsequently MBDs 1–6 were identified through sequence homology to the MeCP2 MBD domain [13,15]. Four further proteins have also now been described to harbor a MBD domain (SETDB1, SEDTB2, BAZ2A and BAZ2B) [16]. The 70–85-amino acid (aa) MBD domain has the ability to bind single symmetrically methylated CpG dinucleotides [17,18]. In addition to the MBD domain, MBD family members contain several differing domains that reflect their respective roles. Most family members contain a transcriptional repression domain (TRD) that mediates interactions with protein partners [19–21]. Other family members possess unique domains such a glycosylase domain (MBD4) or unmethylated-CpG-binding zinc finger (CxxC) domain (MBD1). MBD family proteins can therefore overlap in function and work coherently to organize the epigenome, while retaining differences in DNA binding specificity and unique roles. This review will primarily focus on the well-studied ‘core’ MBD family proteins, MeCP2 and MBD1–4.

MBD domain proteins

MeCP2

MeCP2, the first MBD-containing protein to be discovered, contains the core 70-amino acid MBD and is also characterized by the presence of a TRD (Figure 1) [22]. MeCP2 has histone deacetylation and histone methylation binding partners (Table 1); it is also considered essential for higher order/long-range chromatin remodeling and silencing with roles in heterochromatin formation and chromatin organization [23–27]. Additionally, MeCP2 is reported to mediate the translation of intragenic methylation into alternative splicing [28]. These functions are thought to be crucial for neural development as MeCP2 mutations are responsible for Rett syndrome, a severe neurodevelopmental disorder that specifically affects females [29,30]. Individuals affected by Rett syndrome typically have point mutations within the MBD domain or the TRD domain, therefore affecting the ability of MeCP2 to interact with crucial binding partners or bind to DNA. MeCP2 expression in the brain follows neuronal maturation and is most highly expressed in mature neurons, highlighting the importance of MeCP2 deregulation in neurological diseases (Table 2) [31].

MBD1

MBD1 is the largest member of the MBD family. MBD1 contains an N-terminal MBD domain and a C-terminal TRD domain, and two or three internal CxxC zinc finger domains that are present in MBD1 due to alternative splicing (Figure 1) [116]. The MBD1 isoforms that contain only the first two CxxC domains preferentially bind methylated DNA, while the presence of the third CxxC domain provides MBD1 with the additional ability to bind unmethylated DNA [60,116]. The use of both MBD and CxxC domains may determine MBD1 binding specificity and target MBD1 to regions of both methylated and unmethylated DNA as appropriate. The main role of MBD1 is in transcriptional repression by directing histone methylation and maintaining heterochromatin (Table 1) [44]. Studies in MBD1 knockout (KO) mice show that MBD1 is not embryonically lethal but does appear to affect neurogenesis and neural stem cell differentiation [117]. This is in line with the strictly somatic expression pattern of MBD1; however, there is no specific enrichment of MBD1 in the brain [13,118].

MBD2

While other MBD proteins maintain separate MBD and TRD domains, the two domains overlap in the center of the MBD2 protein sequence, suggesting tight integration of methylation binding and transcriptional repression functions of MBD2 (Figure 1) [19]. MBD2 also contains a C-terminal coiled coil (CC) domain that mediates protein–protein interactions and an N-terminal glycine-arginine (GR) repeat region that is subject to posttranslational modifications (Figure 1) [119,120]. MBD2 has several protein isoforms; MBD2b utilizes an alternate translational start site at the N-terminal end of the MBD domain, while MBD2t (or MBD2c) loses the C-terminal TRD and CC domains due to the inclusion of an alternative 3rd exon, leading to an early stop codon [13]. The canonical role of MBD2 is as a transcriptional repressor through interactions with binding partners such as the histone deacetylase complexes NuRD/Mi-2 and Sin3A (Table 1) [19,121]. Mouse KO studies show that MBD2 is not embryonically lethal but does potentially affect maternal nurturing behavior, suggesting neurological effects similar to MBD1 and MeCP2 [122]. MBD2 is mostly expressed in somatic tissue with very low expression in embryonic cells; therefore, loss of expression does not critically affect embryonic development [13,118].

MBD3

MBD3 is the smallest member of the MBD family. Of all the family members, MBD2 and MBD3 show the highest amino acid sequence similarity (71.1%) [13]. The major difference between the two is that MBD3 lacks a N-terminal GR repeat region observed in the full-length MBD2 (MBD2a) (Figure 1). Similarly to MBD2b, MBD3 is coded from the MBD domain and includes the C-terminal CC domain. Three splice isoforms of MBD3 have been reported: MBD3a, MBD3b and MBD3c [13,64]. MBD3 is the only family member that does not bind specifically to methylated DNA but can bind to unmethylated DNA and has been reported to bind to 5-hydroxymethylated DNA [73,123]. Binding to unmethylated DNA is due to differences at two key amino acid residues in the MBD domain, which have changed from LYS30 and TYR34 in MBD2 to HIS30 and PHE34 in MBD3 [123]. The role of MBD3 in transcriptional repression is intimately related to its interaction with the NuRD/Mi-2 complex; moreover, MBD3 is considered essential for NuRD/Mi-2 formation and stability [20,64,123]. MBD3-NuRD/Mi-2 plays a key role in embryonic stem cell (ESC) pluripotency and differentiation, and MBD3 KO mice are embryonically lethal [64,122]. Accordingly, MBD3 is expressed in ESCs as well as somatic tissue [13,118].

MBD4

Alongside an N-terminal MBD domain, MBD4 also contains a C-terminal glycosylase domain that is able to repair mismatches in symmetrically methylated CpG (mC→T transition) and unmethylated CpG dinucleotides (C→U transition) (Figure 1) [76,124–125]. While MBD4 can bind to methylated DNA, its more prominent role seems to be in DNA repair as opposed to transcriptional repression (Table 1). MBD4 is expressed in somatic tissues and ESC [13,118]. Interestingly, MBD4 KO mice are not embryonically lethal and do not appear to have developmental or adult phenotypes [126]. However, they show an increase of mCpG to TpG transitions in the spleen and intestinal epithelium; these mutations only have a functional consequence when the mice also carry a germline mutation in the Apc tumor suppressor gene, resulting in increased tumor formation [126].

MBD5 & MBD6

MBD5 and MBD6 are the most recently discovered and poorly characterized members of the MBD protein family [118]. They contain an N-terminal MBD domain and localize to pericentric heterochromatin; however, MBD5 and MBD6 have not been found to bind methylated DNA in vitro [127]. Both proteins contain proline-rich domains, while MBD5 contains an additional Pro-Try-Try-Pro (PWWP) motif domain that is known to direct protein binding of methylated histones (Figure 1) (reviewed in [128]). Both MBD5 and MBD6 are highly expressed in the testes, while MBD5 is also highly expressed in the brain and oocytes, suggesting developmental functions for further research [127]. Both MBD5 and MBD6 interact directly with the human polycomb deubiquitinase complex, PR-DUB, which catalyzes deubiquitination of H2AK119 [15]. Notably, MBD6 is reported to be an OCT4 target gene in adipose tissue stem cells and is recruited to sites of laser-induced DNA damage [15,129]. Further comprehensive characterization of MBD5 and MBD6 will give more comprehensive insight into their functional roles.

SETDB & BAZ2

SETDB1/2 and BAZ2A/B are the only MBD domain containing proteins known to directly modify proteins/histones without relying on protein partners. SETDB1 and SETDB2 contain the SET domain that confers histone H3K9 lysine methyltransferase activity, while BAZ2A and BAZ2B contain bromodomains that confer acetylated histone binding capacity (Figure 1) [130–132]. The MBD domains in these two groups of proteins are phylogenetically distinct from those of the core MBD family proteins [16]. SETDB1 localizes to 5-mC through binding partner MBD1 and is involved in heterochromatin formation and transcriptional repression [46,133]. Interestingly, the MBD domain in BAZ2A (also known as TIP5) binds unmethylated, but not methylated DNA in vitro [134]. BAZ2A is a component of the nucleolar remodelling complex NoRC, essential for epigenetically silencing ribosomal DNA (rDNA) by coordinating H3K9 dimethylation, H4 deacetylation and DNA methylation to create silent heterochromatin [135]. While BAZ2B and SETDB2 are less studied, they are likely to have similar functions to BAZ2A and SETDB1 due to similarities in their functional domains.

Binding specificity & genomic distribution of MBD proteins

With the exception of MBD3, the ‘core’ MBD family proteins preferentially bind 5-mC in orders of magnitude over unmethylated cytosine and in some cases, 5-hmC (Table 1) [136–138]. In vitro studies show that 5-mC preference is affected by CpG density with increased binding at regions of higher CpG density such as CpG islands [136,137]. Interestingly, these studies show that MBD3 also prefers loci of high CpG density, irrespective of methylation status, although it is outcompeted by MBD2 for methylated and CpG dense DNA [136]. Despite some discordance between studies, MBD2 and MeCP2 show the strongest preference for 5-mC over C [60,136–137].

As well as recognizing 5-mC and unmethylated DNA, 5-hmC has been suggested as an additional target for MBD3 and MeCP2; it has been reported that they can occupy 5-hmC-marked DNA in embryonic stem cells and brain cells, respectively [40,73]. However, most in vitro studies find that 5-hmC binding by any member of the MBD family is either completely absent or is several magnitudes less than 5-mC [136,138–140]. A recent study suggests that binding of 5-hmC by MeCP2 may actually be dependent on the dinucleotide context where MeCP2 is able to bind hmCA but not hmCG [141]. Interpretation of in vivo experimental data has been complicated by technical difficulties in distinguishing 5-mC from 5-hmC and therefore, the true binding affinities of MBD1, MBD2, MBD4 and MeCP2 in vivo are unclear. As 5-hmC presence seems to be very tissue type specific, and as more sophisticated detection methods are currently in development, future studies will elucidate the relationship between the MBD proteins and the binding specificity of 5-hmC [142].

The detailed genomic distribution of the MBD proteins is currently being explored with the aid of improved antibody production, protein tagging approaches and genome-wide sequencing techniques. In vivo studies have confirmed that methylation density is a key determinant of genome-wide MBD proteins recruitment, and MBD proteins, in general, are more frequently observed at genomic regions with higher than average DNA methylation density such as at CpG-rich promoters and exons, and less frequently at repetitive DNA sequences despite hypermethylation often observed at these regions [60]. Specifically, chromatin immunoprecipitation experiments (ChIP-chip and ChIP-seq) demonstrated that MBD2 binds primarily at highly methylated CpG island-containing promoters of inactive genes and that MeCP2 binding mirrors methylation density genome wide [60–61,143–145].

As noted above, some MBD proteins have the biochemical capacity to bind to unmethylated DNA, and genome-wide ChIP-seq data suggest MBD proteins have the ability to bind a subset of unmethylated promoters, enhancers and gene bodies, as well as bivalent genes [60–61,68,71,144]. These observations primarily represent MBD3 binding patterns and only a subset of the binding patterns of other MBD proteins such as MBD2. The presence of MBD2 at these genomic regions appears to be influenced by MBD3 occupancy of the same sites, suggesting potential coordination [60,61]. These sites appear to be associated with a range of activating histone marks. For example, MBD3 shows enrichment at unmethylated active promoters marked by histone mark H3K4me3, as well as enhancer sites enriched in H3K27ac. Furthermore, MBD2 binding associated with transcriptional activation is often in methylated exons/gene bodies of active genes and is potentially related to modulating RNA Pol II pausing [144]. Despite these exceptions, the currently accepted dogma is that 5-mC is the primary determinant for the genome-wide binding patterns of the MBD proteins containing a functional MBD domain and enrichment of binding is correlated with local methylation density.

MBD proteins have also been reported to bind to RNA. MBD2 and MeCP2 can form RNA–protein complexes (RNPs) in vitro and the MBD domain in BAZ2A/TIP5 is responsible for binding to noncoding RNA (ncRNA) that directs the BAZ2A-NoRC complex to rDNA loci for heterochromatin formation [146,147]. While it is unknown whether MBD2 and MeCP2 are also directed to chromatin by ncRNA, MeCP2′s RNA binding capacity may be related to its role in alternative splicing [28]. Future studies will reveal the full extent of the functional relationship between the MBD proteins and RNA in epigenetic regulation.

Roles of MBD family proteins: facilitators of epigenetic-based repression

As readers, MBD proteins bind to methylated DNA and potentially guide or direct protein complexes with chromatin remodeling and/or histone modifying activity to specific locations in the genome (summarized in Figure 2). These protein complexes generally induce repressive changes to local chromatin such as catalyzing repressive histone marks, or creating an overall repressive chromatin environment through nucleosome remodeling and chromatin organization. A summary of the roles of MBD proteins and their functional protein partners is presented in Table 1.

Heterochromatin formation

Heterochromatin is an inaccessible chromatin state involved with transcriptional repression and chromatin stability that is characterized by compacted chromatin enriched in epigenetic marks such as H3K9 methylation and DNA methylation. It is typically bound by linker-histone HP1 that binds the linker DNA between nucleosomes to form the compacted chromatin fiber [148]. Early immunofluorescence (IF) studies found that MBD proteins localized to methylated loci and constitutively silent pericentric heterochromatin (around the centromere), indicative of a role in transcriptional silencing [13,21]. Overexpression of MBD proteins, other than MBD3, have been found to induce heterochromatin clustering, while knockdown (KD) of MBD proteins results in loss of heterochromatin coupled with increased genomic instability [46,61,117,149–150]. MeCP2 and MBD1 are the two main MBD proteins involved in generating heterochromatic silencing through interactions with repressive histone methylation and chromatin remodeling binding partner HP1 (Table 1 & Figure 2A & B).

Histone modifications

Covalent modifications of key amino acid residues in histone tails affect chromatin function by affecting the structural dynamics of the DNA and binding of proteins that recognize these modifications. Histone methylation can be either active or repressive depending on the residue of interest. Histone acetylation typically translates into active transcription and open chromatin, while deacetylation translates into repression. DNA methylation, histone deacetylation and histone methylation are intimately linked in their control of gene expression [151]. MBD proteins are among those that link DNA methylation to histone modification. MBD1 is well known for providing a connection between DNA methylation and histone methylation (Figure 2A) [46,152]. MBD1 was initially identified as a transcriptional repressor through histone deacetylation, a role that was later attributed to its interactions with heterochromatin complex histone methyltransferase SUV39H1 and HP1 [21,44]. MBD1 also engages another histone methyltransferases SETDB1 and the binding partner MCAF1 (also known as ATF7IP) for heterochromatin maintenance and X chromosome inactivation [46–47,153]. SUV39H1-HP1 is also able to interact with the MeCP2 member of the MBD family to induce heterochromatin clustering at sites of MeCP2 occupancy, suggesting that MeCP2 may drive this process (Figure 2B) [26,154]. MeCP2 binding can result in both histone methylation and/or deacetylation by interacting with the histone modifying complexes themselves or by modulating its binding partners, such as CoREST and N-CoR (Table 1) [23–24,32,35–36]. The CoREST-MeCP2 interaction is reported to promote silencing of neuronal genes by bringing together histone deacetylase protein complex Sin3A and SUV39H1, which are involved in deacetylation and methylation of histones at target genes, respectively (Figure 2C) [35]. The N-CoR-MeCP2 interaction directs HDAC3 to sites where MeCP2 binds, providing another avenue for MeCP2-directed histone deacetylation [33]. Interestingly, posttranslational phosphorylation of MeCP2 can disrupt MeCP2 protein–protein interactions and alter MeCP2 occupancy and silencing, and similar defects are observed in mouse models of Rett syndrome, where mutations affecting the same phosphorylation sites cause H3 hyperacetylation in neurons due to loss of MeCP2-N-CoR interaction [33,155]. These data highlight key roles for MeCP2 in mediating epigenetic outcomes, particularly in the brain.

Interactions with histone deacetylation complexes are not limited to MeCP2. For example, NuRD/Mi-2 and/or Sin3A-HDAC complexes are capable of interacting with MBD2, MBD3 and MBD4 (Table 1 & Figure 2D & E) [75,121,123]. Of these, MBD2-NuRD/Mi-2 was the first HDAC complex shown to bind specifically to methylated DNA [121,156]. Studies have since identified MBD2 as the key family member for coordinating silencing at methylated CpG island promoters in association with the NuRD/Mi-2 complex [50,157–158].

MBD2 has been implicated in histone arginine methylation. The protein arginine methyltransferase (PRMT) family catalyses methylation on the histone tail arginines of H3, H4 and H2A, as well as nonhistone proteins at glycine-arginine-rich motifs [56,159–160]. MBD2 interacts with two members of this family, PRMT1 and PRMT5, and MBD2 itself can be modified in the arginine-rich GR repeat region (Figure 1 & Table 1) [50,56]. MBD2 interactions with PRMT1 and/or PRMT5 can result in either activation or silencing depending on which one is present; PRMT1 creates activating asymmetrical dimethylation (H4R3me2a), whereas PRMT5 creates silencing symmetrical dimethylation (H4R3me2s) [161,162]. Furthermore, PRMT1/5 methylation of the MBD2 GR repeat region inhibits MBD2–HDAC interactions as well as methylated DNA binding ability, thereby resulting in activation [56]. Overall, cooperation between PRMT1/5 and MBD2 may modulate MBD2 activity in transcriptional control [56,159].

Nucleosome remodeling

Nucleosome positioning can expose or hide regions of DNA and therefore determines accessibility of regulatory proteins that interact with DNA [163]. NuRD/Mi-2 is one of the chromatin remodeling complexes with the ability to remodel nucleosomes, specifically enabled by the Mi-2 subunits (ATPase-dependent components of SWI/SNF complex) [20]. This activity is critical to MBD2-mediated silencing mechanisms as it has been shown that by disrupting the interaction between MBD2 and the Mi-2 subunits, it is possible to increase chromatin accessibility and prevent the efficient silencing of the mb-1 gene in B cells [51]. The links between nucleosome repositioning and MBD proteins are not limited to MBD2-NuRD/Mi-2. The MeCP2-Sin3A/HDAC2 interaction with BRM, another SWI/SNF family member, provides further evidence that gene silencing by MBD family members involves nucleosome remodeling and histone deacetylation activity (Figure 2B) [37].

DNA methylation

Interestingly, MBD3 can coordinate histone deacetylation and de novo DNA methylation in the context of the MBD3-NuRD/Mi-2 complex, by recruiting DNMT1 and DNMT3B to promoters of tumor-suppressor genes in colon cancer cells (Figure 2E) [74]. For example, the proto-oncogene transcription factor FBI-1 has been reported to silence the p21WAF/CDKN1A promoter by recruiting MBD3-NuRD/Mi-2, resulting in coordinated histone deacetylation and DNA methylation [66]. Similarly, it has been observed in leukemia cell lines that the PML-RARα fusion protein recruits MBD3-NuRD/Mi-2 to target gene promoters, resulting in deacetylation that is followed by recruitment of DNMT3A and histone methyltransferase complex PRC2 to initiate DNA methylation and H3K27me3 silencing, respectively [65].

MBD2-NuRD/Mi-2 interaction may also direct DNMT1/DNMT3B activity to sites of DNA methylation and allow MBD2 to maintain and potentially spread methylation [74,164–165]. MBD2 is responsible for establishing silent chromatin and promoter hypermethylation of the GSTP1 tumor-suppressor gene, a gene that is regularly mutated in prostate cancers [164,165]. The DNA repair abilities of MBD4 are also dependent on interactions with DNMT1 and DNMT3B (Figure 2F). MBD4 has been connected with DNMT1 at sites of oxidative stress lesions and with DNMT3B at heterochromatin [77,78]. As MBD4 repairs mC→T transitions at methylated CpG sites, interaction with DNMTs presumably allows remethylation of newly repaired CpG sites and maintenance of methylation state.

Chromatin organization

Chromatin organization is a higher order form of chromatin regulation controlling the 3D structure of the chromatin fiber and affects a wide variety of cellular functions including transcription and epigenome regulation [166]. 3D organization includes the condensation of chromatin and chromatin looping where distant regulatory elements loci are brought together, controlling transcriptional activity. MeCP2 appears to have global chromatin organizational functions above its loci-specific role in histone modifications. As mentioned above, MeCP2 has a role in heterochromatin clustering by interacting with SUV39H1-HP1. However, MeCP2 itself can compact nucleosomes and chromatin in a linker-histone like function similar to HP1 [26,145,167]. This primarily occurs when MeCP2 is highly abundant such as in mature neurons where MeCP2 is almost at 1:1 level to nucleosomes [145]. In vitro studies show that MeCP2 at high concentrations can form and stabilize nucleosome arrays with either methylated or unmethylated DNA [167,168]. However, in vivo studies of MeCP2 mutants show that having a functional MBD domain increases MeCP2 residence time on chromatin and enhances stability of chromatin clustering, suggesting DNA methylation is required to stabilize MeCP2-induced large-scale chromatin clustering/organization [169].

MeCP2 is also able to form chromatin loops in vitro and potentially bring distant loci together through homodimerization [120,168]. A role for MeCP2 in chromatin looping as a silencing mechanism has been described at H19/Igf2 and Dlx5/Dlx6 imprinted loci in mouse models (Figure 2G) [25,170]. Both of these particular studies suggest the chromatin looping is accompanied by changes in histone modifications, concomitant for the dual role of MeCP2. At the methylated H19/Igf2 imprinting control region (ICR), MeCP2 recruits nucleosome remodeler ATRX which creates open DNA and binding sites for members of the cohesin complex and CTCF protein, responsible for looping [25,39]. Chromatin looping and silencing was lost in mutant MeCP2 cells due to a loss of interaction between ATRX and MeCP2 [25,171]. Similarly, MeCP2-null mouse cells showed loss of chromatin looping and silencing of the imprinted genes Dlx5 and Dlx6 leading to increased gene expression [170].

Replication-dependent heterochromatin maturation

DNA replication-coupled chromatin maturation requires that the correct DNA methylation be faithfully copied, along with the correct histone modifications and chromatin conformation. Several MBD-histone modification complexes have been described during DNA and chromatin replication. DNMT1 interacts with both HDAC2 and MBD2/MBD3 at the replication fork during late S-phase when heterochromatin is typically replicated [58,172]. This suggests a model where DNMT1 methylates newly replicated DNA and brings in both MBD2-MBD3 and HDACs to ensure that DNA methylation and histone deacetylation are synchronized during heterochromatin maturation. The MBD1-SETDB1 complex further completes heterochromatin maturation as it interacts with CAF1, a replication-coupled chromatin remodeler that assembles newly replicating DNA into chromatin (Figure 2H) [45,173]. Coordinated activity of CAF1 with MBD1-SETDB1 ensures methylation of newly incorporated histones where DNA is methylated.

Alternative MBD family functions: it is not all about the silencing

The portrait of MBD proteins as straightforward transcriptional repressors has been challenged recently with genome-wide ChIP and gene expression studies. Such studies revealed that genome regulation by MBD proteins, in particular MBD2 and MBD3, are much more complex than previously understood. Genome-wide studies suggest that MBD-NuRD/Mi-2 may also be involved in gene activation or expression modulation. MBD3-NuRD/Mi-2 KD revealed either little change in expression or an even spread of both up- and down-regulated genes in ESC and HeLa cells [68,73]. As mentioned above, ChIP-seq studies for both MBD3 and MBD2 detect some degree of binding at transcriptionally active and unmethylated promoters [60–61,71,144]. The mechanisms or contextual cues that guide MBD2 and MBD3′s activating functions are less understood. MBD2′s activating roles may be mediated by protein–protein interactions other than NuRD/Mi-2 at specific loci (Table 1). MBD2 is reported to interact with TACC3 and activate methylated promoters through recruitment of histone acetyltransferase pCAF/p300 [59]. This interaction is mutually exclusive with HDAC-containing complexes. At unmethylated target genes, MBD2 has been shown to interact with CEBPA transcriptional activator in hepatocellular carcinoma cell lines and CREB transcriptional coactivator complex in HEK293 cells [62,63]. Perhaps MBD2 may genuinely have activator roles or may be ‘poised’ and prevented from enforcing silencing by the transcriptional activators; these examples show that transcriptional repression is not necessary the complete story.

MBDs in reprogramming, pluripotency & differentiation

Developmental stage may be a key factor defining the role of MBD-NuRD/Mi-2 in DNA methylation and transcriptional activity. Full-length MBD2 is expressed at a higher level in somatic cells, whereas MBD3 has been shown to be more abundant in ESCs in mice (Figure 3A) [13,140]. Splice isoform MBD2t (MBD2c) is the more abundant version of MBD2 present in human ESCs (hESC) [174]. This shorter isoform is unable to interact with the NuRD complex and cannot act in a repressive fashion; therefore, with low levels of full length MBD2, MBD3-NuRD/Mi-2 may be the major NuRD species in ESCs (Figure 3B). This suggests that MBD2 and MBD3 have different activities throughout development.

The balance between MBD2a and MBD2t levels is important to reprogramming and differentiation (Figure 3B & C) [174]. Both MBD2a and MBD2t have been shown to bind and regulate expression of pluripotency genes OCT4 and NANOG. Overexpression of MBD2a in hESCs caused differentiation by silencing these pluripotency genes through NuRD recruitment, whereas overexpression of MBD2t maintained pluripotency and even enhanced reprogramming efficiency of human fibroblasts. MBD2t is unable to interact with NuRD, so does not silence bound loci and can also compete with MBD2a for binding sites during reprogramming to release MBD2a-NuRD repression of pluripotency genes (Figure 3B).

MBD3 KO mice are embryonically lethal, indicating that unlike other MBD family members, MBD3 is essential to embryogenesis [122]. KD of MBD3 and therefore NuRD vastly improved reprogramming efficiency of human fibroblasts to induced pluripotent stem cells, indicating MBD3 is critical to differentiation [175]. However, with MBD3 binding at active promoters and active enhancers in pluripotent ESCs, this suggests a mechanism of ‘poising’ the repressive complex at active elements in preparation for differentiation (Figure 3B) [60,69]. In mouse ESCs, MBD3-NuRD/Mi-2 regulates expression of bivalent genes by deacetylating H3K27 to permit H3K27me3 repressive marks at promoters with H3K4me3 active marks [68]. MBD3-NuRD/Mi-2 also lowers the expression of a set of genes required for pluripotency rather than fully silencing the genes when cells are in a renewal state [72]. However, during differentiation MBD3-NuRD/Mi-2 complex containing histone demethylase LSD1 silences active enhancers by removing the H3K4me1 mark alongside the H3K27ac mark (Figure 3B & C) [69]. MBD3-mediated repression is only evident when ESCs are released from pluripotency factors and allowed to differentiate, suggesting activating factors may be present at these genes in the pluripotent state to prevent silencing by MBD3-NuRD [64,72]. This poised mechanism may be at many identified MBD3 ‘active’ binding sites and exemplify the highly contextual nature of MBD3-NuRD/Mi-2 activity.

MBD4 in DNA demethylation?

MBD4 is involved in DNA repair at methylated loci where 5-mC is frequently spontaneously deaminated to thymine (T) (Figure 2H) [125]. This editing ability potentially allows MBD4 to play a role in promoting DNA demethylation. DNA demethylation can occur passively through DNA replication or actively through enzymatic pathways. For example the AID/Apobec enzyme complexes are deaminases that actively create the mC→T or C→U deamination transitions. A study in zebrafish embryos reported that AID/Apobec deamination of 5-mC→T was subsequently repaired by MBD4 to unmodified cytosine, thereby effectively resulting in demethylation, although this phenomena is still subject to debate [79,176]. AID/Apobec can also deaminate 5-hmC into 5-hmU, another MBD4 glycosylase substrate, and become unmethylated after DNA repair [80,81]. This demethylation mechanism appears to be triggered in instances of breast cancer metastasis; however, the exact MBD4-mediated demethylation mechanism remains to be confirmed [177].

MBD proteins in disease & cancer

The role of the MBD protein family as readers of the epigenome has important implications for their involvement in changes to both DNA methylation patterns and chromatin structure, potentially leading to disrupted transcriptional regulation that underlie many human diseases. Alterations in MBD proteins, through their expression, posttranslational modifications, disrupted interactions with protein-binding partners and localization, are all potential mechanisms contributing to human diseases. Rett syndrome is the first described and most studied disease directly linked to disruption of a MBD protein, caused by mutations in MeCP2 [29,30]. Individuals affected with Rett syndrome typically have point mutations in two discrete clusters within the MBD domain or the C terminus of the TRD domain, perturbing the role of MeCP2 function in transcriptional silencing of target genes. Other MBD proteins have more recently been implicated in many neurogenetic disorders, such as autism, schizophrenia and Prader–Willi and Angelman syndrome (Table 2).

MBD proteins have also been implicated in several human cancers with the specific aberrations shown in Table 2. The precise roles of the MBD proteins differ between different types of cancer. MBD2 overexpression is associated with aberrant hypermethylation of the GSTP1 tumor-suppressor gene promoter and 14–3–3σ gene in prostate cancer, and hTERT gene in HeLa cells [164–165,178–179]. Furthermore, MBD2 knockdown was shown to alleviate the repression of well-known tumor-suppressor genes such as p16^INK4a and p14^ARF [50,157,180]. In addition, when a colorectal carcinogenesis mouse model with Apc^Min/+ mutations was crossed to MBD2-deficient mice, the resulting offspring developed significantly smaller and fewer tumors [181]. More recently, MBD2 aberrations have been reported in other human cancers including gastrointestinal and breast cancer, and brain/glioblastoma (Table 2). Importantly, MBD1, MBD3 and MBD4 have also been associated with a number of cancers, including lung, endometrial, pancreas, prostate and colorectal cancer. While MBD5 and MBD6 have been linked to several neurodevelopmental/autism spectrum disorders (ASD), there are no reports to date of their altered activity in cancer (Table 2) [182–184].

With the advent of cancer genome sequencing, the mutation frequency of the MBD protein family members in different cancer types is now being better elucidated. The Cancer Genome Atlas (TCGA) data show that the mutation frequency of each MBD protein across different cancer tissue types is significantly different (Figure 4A) [185,186]. Overall, stomach, colorectal, pancreatic and uterine cancer have the highest total frequency of MBD mutations with skin, bladder and lung cancers also showing a total mutation frequency above 10%. Striking is the observation that MBD5 and MBD6 have the highest mutation frequency of the MBD proteins across many cancers, with MBD5 being mutated at a frequency of 7.7, 6.5 and 7.6% in skin, colorectal and uterine cancer, respectively. MBD3 is most highly mutated in pancreatic cancer. Mutation types across the MeCP2 and MBD1–6 proteins are shown in Figure 4B. Nonsynonymous mutations (insertions, deletions, frameshift mutations and single mutations leading to amino acid changes) may potentially lead to disrupted or aberrant binding of the MBD protein, as well as disruption of appropriate binding partners. Interestingly, while some mutations fall within the functional domains, such as the methyl-binding domain and the transcriptional repressor domain, many mutations fall outside of these domains (Figure 4B). Mutations outside of known protein domains may be indicative of novel domains or functionality. For example, the cluster of mutations in MBD2 between the TRD and CC domains now overlap a newly discovered intrinsically disordered region (IDR) [187]. Maintaining the integrity of the IDR increases MBD2 affinity for 5-mC as well as recruitment of the NuRD/Mi-2 complex, and therefore mutations in the IDR may disrupt crucial MBD2 functions. Some sites appear to be mutational ‘hotspots’ with MBD1, MBD2 and MBD3 showing an increase in the number of reported mutations at functional domains, in contrast to MBD4, MBD5 and MBD6 where the vast majority of mutations are outside regions with known functional roles.

In addition to mutations, disrupted gene expression of MBD proteins with tumorigenic consequences in in vivo cancer mouse models, cancer cell lines and human cancers have been reported (Table 2). For example, overexpression of MBD1 in pancreatic cancer was correlated with increased lymph node metastasis due to MBD1-mediated downregulation of E-cadherin [95]. Similarly, overexpression of MBD2 has been shown to have a role in glioblastoma and breast cancer due to aberrant gene silencing (Table 2) [99,100]. Loss of MBD expression has also been reported in a number of cancers, with MBD2 and MBD3 downregulated in gastric neoplastic tissues and MBD4 downregulated in liver cancer [98,112]. Interestingly, loss of MBD4 expression has been shown to increase susceptibility to cancer by decreasing the ability to recover from genetic insult. In support of this, MBD4 mutations are often found in cancers with microsatellite instability [111,195].

Conclusion

In this review, we have described the members of the MBD family of proteins and highlighted the diverse and complex roles that they play in gene regulation and cell biology. Recent studies have revealed new roles of MBD proteins not only as static ‘readers’ but also as dynamic facilitators of DNA methylation, in ‘editing’ and ‘writing,’ playing important roles as regulators of DNA methylation patterns, and higher-level epigenomic organization. Deregulation or mutations of MBD proteins are found in a variety of cancer and neurological diseases suggesting their functions are critical for maintaining epigenetic and cellular homeostasis. Future studies will reveal the specificity and genomic context of MBD proteins, their functional role in maintaining a normal cellular homeostasis and their role in aberrant epigenome disruptions and disease outcomes.

Future perspective

With the development of whole genome analysis, the genomic context of binding and the specificity of binding partners recruited are becoming clearer; however, genome-wide studies have also produced surprises and contradictions. For instance, MBD2 and MBD3 appear to have both active and repressive roles when complexed with NuRD/Mi-2, highlighting that the relationship of the MBD proteins with NuRD/Mi-2 is not as straight forward as first thought [60,61]. The dichotomy of the functional roles will be revealed by future studies, including elucidating the binding patterns with improved ChIP-seq data, the binding partners by techniques such as mass spectrometry, and understanding the associated cofactors in different genomic contexts with specific functional consequences.

The recent discovery of other DNA cytosine modifications such as 5-hmC has diversified the understanding of the role of DNA methylation. It has been suggested that introduction of 5-hmC by TETs is able to detach MBD proteins and potentially initiate a process of demethylation and activation. Interestingly, studies have shown in vitro that MBD1, MBD2 and especially MeCP2 have a specific affinity to a ‘hemimethylated’ 5-hmC/5-mC state [138–139,196]. Binding here could prevent full hydroxymethylation by TETs. Indeed, a study in mouse brain found that the MBD domain of MeCP2 is able to inhibit hydroxymethylation in vitro [41]. As 5-mC readers, introduction or removal of 5-hmC by TET enzymes will have real consequences on the localization and function of MBD proteins. This will be a critical area of research in determining the functional impact of hydroxymethylation.

Alterations in the epigenetic regulation of genome activity are as important to tumorigenesis as alterations in the genomic code itself. A common mechanism for epigenomic disruption is methylation stochasticity mediated by genetic variants of the DNA methylation machinery of the cell [197]. Uncovering gene mutations in epigenetic-modifying genes is critical to elucidating the precise role these mutations may have in disrupting the functioning of the ‘readers,’ ‘writers’ and ‘editors’ of the epigenome. While limited data are available on the roles of MBD5 and MBD6, the high rate of mutations of these two MBD family members suggests they may have significant roles in gene regulation and disease phenotypes. Despite the current level of knowledge, further research will be required to elucidate the precise roles of MBD proteins to determine if and how MBD proteins can be targeted to treat human diseases.

Table 1.  Summary showing binding specificity, binding partners and functional roles of the methyl-binding domain protein family.

Protein	Binding preference	Methylation context	Functional roles	Mediated by partners/ref.
MeCP2	5-mC > 5-hmC > C	5-mC or C	Transcriptional repression	N-CoR/HDAC3 [32,33], c-Ski [32], Sin3A/HDAC1 [24,34], CoREST [35], SUV39H1-HP1 [36]
		5-mC	Nucleosome remodeling	BRM (SWI/SNF) [37]
		5-mC	Heterochromatin maintenance	SUV39H1-HP1 [26], DNMT1 [38]
		5-mC	Long-range looping/silencing	ATRX-CTCF-Cohesin (SMC1, SMC3) [25,39]
		5-hmC	DNA hydroxymethylation	[40,41]
		5-mC	Alternative splicing	[28]
MBD1	5-mC > C	5-mC	Transcriptional repression – histone deacetylation	HDAC1/2/3 [42,43]
		5-mC	Transcriptional repression – histone methylation	SUV39H1-HP1 [44,45], SETDB1-MCAF1/ATF7IP [46–48]
		5-mC	Heterochromatin maturation	CAF1-SETDB1-HP1 [45], SUV39H1-HP1 [44], MCAF1/ATF7IP [46,48]
MBD2	5-mC >> 5-hmC = C	5-mC	Transcriptional repression – histone deacetylation	MBD3 [49], HDAC1/-2/NuRD/Mi-2 [50–54], Sin3A/HDAC [19], MIZF [55]
		5-mC	Transcriptional repression – histone methylation	PRMT5 [50,56]
		5-mC	Nucleosome remodeling	NuRD/Mi-2 [51,57]
		5-mC	Replication/heterochromatin	DNMT1-NuRD [58]
		5-mC-C^†	DNA methylation	DNMT1 [58]
		5-mC or C	Transcriptional activation	TACC3-pCAF/p300 [59], MBD3 [60,61], CEBPA [62], CREB [63], PRMT1 [56]
MBD3	5-mC = 5-hmC = C	C	Transcriptional repression – histone deacetylation, histone demethylation	HDAC1&2/NuRD/Mi-2 [50,53–54,64–65], FBI-1 [66], c-JUN [67], PML-RARα [65], PRC2-DNMT3A [65,68], LSD1 [69,70]
		C	Transcriptional activation	NuRD/Mi-2 [60–61,71]
		C	Reprogramming	NuRD/Mi-2 [64,68–69,72]
		5-mC	Nucleosome remodeling	BRG1-NuRD/Mi-2 [73]
		C	DNA methylation	PRC2-DNMT3A [65], NuRD-DNMT1-DNMT3B [74]
		5-mC-C^†	Replication/heterochromatin	DNMT1-NuRD [58]
		5-hmC	DNA hydroxymethylation	TET1 [73]
MBD4	5-mC > C	5-mC	Transcriptional repression – histone deacetylation	Sin3A/HDAC1 [75]
		CpG – TpG mismatch	DNA repair/remethylation	MLH1 [76], DNMT1-UHRF1/USP7 [77], DNMT3B [78]
		5-mC	DNA demethylation	Requires TETs OR AID/Apobec [79–81]
MBD5/MBD6	C	C	Repression – polycomb	PR-DUB [15]

† Hemi-methylated.

Table 2.  Summary of published studies on methyl-binding domain protein family mutations, sequence variants and expression deregulation in cancer and other diseases.

Protein	Disease	Tissue specificity and disease subtype	Comments	Ref.
MeCP2	Neurological diseases	Rett syndrome	Causal mutation of Rett syndrome. Reviewed in [82]	[29]
		Hirschsprung’s disease	Downregulated	[83]
		Psychiatric diseases, e.g., Autism spectrum disorder, schizophrenia, Prader–Willi and Angelman	Mutated	[84]
			SNPs associated with increased risk	[85]
			Downregulated with increased promoter methylation	[86]
			Missense and 3’ UTR variants	[87]
			Duplicated in male X-chromosome	[88]
	Cancer	Breast	Overexpressed, associated with ER^+ cancer	[89]
MBD1	Neurological diseases	Autism spectrum disorder	Mutated	[90]
	Cancer	Lung	SNPs (rs125555 and rs140689) associated with risk	[91]
			Truncation mutation	[92]
			Polymorphisms with increased risk	[93]
		Endometrial	Mutated in the MBD domain	[94]
		Pancreas	Overexpressed	[95]
			Overexpression causes chemoradioresistance	[96]
		Prostate	Overexpressed	[97]
		Colorectal	Mutation in colorectal cancer cell line HCT15	[92]
MBD2	Cancer	Colorectal	Mutations in colorectal cancer cell lines	[92]
		Prostate	Downregulated in prostate cancer and cell lines	[97]
		Gastrointestinal	Downregulated in gastric neoplastic tissues	[98]
			Overexpressed	[99]
		Breast	Overexpressed	[100]
			SNPs associated with breast cancer risk (rs8094493, rs4041245, rs7614)	[101]
			SNP associated with decreased breast risk	[102]
		Brain/glioblastoma	Overexpressed	[103]
	Hematopoiesis	Systemic lupus erythematosis	Overexpressed	[104,105]
		Primary immune thrombocytopenia	Downregulated	[106]
MBD3	Neurological diseases	Autism spectrum disorder	Mutation in the MBD domain	[90]
	Cancer	Gastrointestinal	Downregulated	[98]
		Endometrium	Frequently deleted in uterine serous carcinoma	[107]
		Brain/glioblastoma	Overexpressed and correlated with malignancy	[108]
MBD4	Neurological diseases	Autism spectrum disorder	Missense mutation in six familial autism cases	[90]
	Cancer	Colorectal	Frameshift mutations, microsatellite instability	[109,110]
		Gastrointestinal	Frameshift mutations, microsatellite instability	[111]
		Endometrium	Frameshift mutations, microsatellite instability	[110]
		Pancreas	Frameshift mutations, microsatellite instability	[110]
		Brain/glioblastoma	Overexpressed and correlated with malignancy	[108]
		Liver	Downregulated	[112]
	Hematopoiesis	Primary immune thrombocytopenia	Downregulated	[106]
		Systemic lupus erythematosis	Overexpressed	[104]
MBD5	Neurological diseases	Autism spectrum disorder	SNP mutations	[113,114]
			2q23.1 deletion and duplication	[115]
MBD6	Neurological diseases	Autism spectrum disorder	SNPs and single nucleotide insertions	[113]

Executive summary

MBD domain proteins

• The family is categorized by the presence of a methyl-CpG-binding domain (MBD) that has the ability to bind to singular symmetrically methylated CpG dinucleotides.

• The MBD family consists of five core proteins, MeCP2 and MBD1–4.

• Other MBD containing proteins include MBD5/6, SETDB1/2 and BAZ2A/B, although their MBD domains do not seem to bind 5-mC.

Binding specificity & genomic distribution

• Core MBD proteins except MBD3 preferentially bind to 5-mC at both biochemical and a genome-wide distribution level.

• Recent genome-wide studies suggest that MBD3 binds at a subset of unmethylated and active promoters and enhancers. MBD2 also shows some binding to unmethylated and active promoters and enhancers, typically when MBD3 is also present. The functional consequence is not entirely clear.

• MBD3 and MeCP2 have been reported to bind 5-hmC, however, that is not wholly supported and further work is required.

Functional epigenetic roles

• MBD proteins typically cause transcriptional repression by histone modification, nucleosome remodeling or chromatin organisation.

• MBD proteins also maintain silencing by maintaining methylation and histone marks by being coupled with DNA replication and DNMT proteins.

Alternative epigenetic roles

• MBD2 and MBD3 have context-specific transcriptional activation or modulation roles that are dependent on developmental stage and protein associations.

• MBD2 and MBD3 also play significant roles in defining the balance between pluripotency and differentiation during development.

• MBD4 DNA mismatch repair may be used in active DNA demethylation pathways.

MBD proteins in cancer biology & disease

• Mutations and expression changes of MBD proteins are found in many neurological diseases and cancers.

Author contributions

The authors thank Dr Phillippa C Taberlay and Dr Brigid O’Gorman for careful reviewing of the manuscript. The authors thank Dr Kate Patterson for background artwork.

Financial & competing interests disclosure

The authors thank our funding sources; SJ Clark is supported by NHMRC Fellowship and NHMRC project grant #1088144, C Stirzaker and P-L Luu by NHMRC project grant #1088144 and Q Du by Australian Postgraduate Award. The authors have no other relevant affiliations or 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.

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

Additional information

Funding

The authors thank our funding sources; SJ Clark is supported by NHMRC Fellowship and NHMRC project grant #1088144, C Stirzaker and P-L Luu by NHMRC project grant #1088144 and Q Du by Australian Postgraduate Award. The authors have no other relevant affiliations or 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.No writing assistance was utilized in the production of this manuscript.