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Epigenetic regulatory functions of DNA modifications: 5-methylcytosine and beyond


The chemical modification of DNA bases plays a key role in epigenetic gene regulation. While much attention has been focused on the classical epigenetic mark, 5-methylcytosine, the field garnered increased interest through the recent discovery of additional modifications. In this review, we focus on the epigenetic regulatory roles of DNA modifications in animals. We present the symmetric modification of 5-methylcytosine on CpG dinucleotide as a key feature, because it permits the inheritance of methylation patterns through DNA replication. However, the distribution patterns of cytosine methylation are not conserved in animals and independent molecular functions will likely be identified. Furthermore, the discovery of enzymes that catalyse the hydroxylation of 5-methylcytosine to 5-hydroxymethylcytosine not only identified an active demethylation pathway, but also a candidate for a new epigenetic mark associated with activated transcription. Most recently, N6-methyladenine was described as an additional eukaryotic DNA modification with epigenetic regulatory potential. Interestingly, this modification is also present in genomes that lack canonical cytosine methylation patterns, suggesting independent functions. This newfound diversity of DNA modifications and their potential for combinatorial interactions indicates that the epigenetic DNA code is substantially more complex than previously thought.


To establish and maintain cellular identity during development, specific memory mechanisms have evolved that regulate gene expression patterns epigenetically. Once determined, these lineage-specific expression profiles have to be maintained through cell divisions. Active or inactive states of gene expression are defined by specific epigenetic modification patterns that are either accessible to transcription factors and activators, or result in a closed chromatin structure that prevents activated transcription [13]. Central to this is the concept of epigenetic marks, specific DNA or chromatin modifications that can be inherited through cell divisions. These marks maintain the epigenetic information and serve as interaction sites for specific binder or reader proteins, which include epigenetic modifier enzymes, repressors, chromatin remodeling complexes and the transcription machinery. The most prominent of these marks is the methylation of the carbon-5 of cytosine (5mC), which is traditionally considered incompatible with activated transcription when present near gene regulatory regions. At these regions, 5mC can modulate the binding of transcription factors [4, 5] or induce the binding of specific 5mC-binding proteins that can lead to the recruitment of co-repressor complexes to methylated target promoters [6].

While there is an enormous number of published studies on epigenetic modifications, most of them are correlative in nature. This is exemplified by the increasing use of powerful genome-wide mapping technologies that have revealed numerous associations between changes in epigenetic modification patterns and cell fate transitions [79]. However, functional insight remains relatively limited. Furthermore, the field has broadened significantly through the discovery of two additional DNA modifications with epigenetic regulatory functions, 5-hydroxymethylcytosine (5hmC) and N6-methyladenine (6mA), as well as the identification of the corresponding modifying enzymes (Figure 1). Our review aims to illustrate the epigenetic regulatory functions of these DNA modifications, with a predominant focus on animal models. Epigenetic regulation in plants has recently been reviewed elsewhere [1012].

Figure 1
figure 1

DNA modifications with epigenetic regulatory functions and their interdependencies. Cytosine (C) is methylated to 5-methylcytosine (5mC) by DNA methyltransferases (DNMT) and then further oxidised to 5hmC, 5fC and 5caC by Tet dioxygenases. 5-Hydroxyuracil (5hmU) is produced by Tet-catalysed oxidation of thymine (T). N6-methyladenine (6mA) is likely catalysed by DNA N6 adenine methyltransferases (DAMT-1 in C. elegans), even though the biochemical activity of these enzymes remains to be characterized. The Tet-like ALKB enzymes NMAD (N6-methyl adenine demethylase 1) and DMAD (DNA 6mA demethylase) have been shown to be involved in 6mA demethylation in C. elegans and in Drosophila, respectively, possibly by using a conserved dioxygenase mechanism.

5-Methylcytosine: the fifth base

5-Methylcytosine has been termed the “fifth base” of the human genome. This reflects the relatively high abundance of this modification, as about 4% of the cytosine residues in the human genome have been found to be methylated. However, cytosine methylation levels can differ greatly among animal genomes (see below), and it would therefore be misleading to define the significance of 5mC by its abundance. Rather, the key feature of cytosine methylation is its enrichment or even specificity for “symmetric” CpG dinucleotides [13]. Symmetric methylation means that methylation marks are present on both strands of DNA and that methylation patterns can be faithfully propagated through DNA replication by copying from the parental strand to the unmethylated newly synthesized strand. This methylation maintenance is carried out by the Dnmt1 DNA methyltransferase that has a strong preference for hemimethylated DNA and provides a key paradigm for the stability and heritability of epigenetic information [14]. Dnmt1 is complemented by the Dnmt3 DNA methyltransferases that do not show any selectivity for hemimethylated DNA and have therefore been termed “de novo methyltransferases” [14]. Together, both enzymes catalyze the establishment and maintenance of cytosine DNA methylation patterns during animal development and cell fate specification.

While the overall specificity of animal methylation patterns for CpG dinucleotides has been confirmed in numerous studies, several notable exceptions have also been described. A prominent example is non-CpG methylation in mouse embryonic stem cells (ESCs), which was verified in the first genome-wide methylation analysis of ESCs [15]. While levels of non-CpG methylation are very low in most somatic tissues, extensive postnatal accumulation of this modification has been observed in the mouse and human brain [1618]. Targeted depletion of Dnmt3a in specific brain regions resulted in significant reduction of non-CpG methylation [18, 19]. In contrast to ESCs where non-CpG methylation seems to correlate with gene expression [15], the modification exhibited an inverse correlation with transcription in neurons, which could partly be explained through the recruitment of the methyl-CpG binding protein 2 (MeCP2) [18, 19]. Context dependent non-CpG methylation might therefore have an impact on specific readers of DNA methylation, thus influencing tissue-specific gene expression.

Beyond mammalian methylomes, the comparative analysis of single-base resolution methylation maps has shown a substantial degree of variation between animal species [15, 20, 21]. The available information can be used to define three major categories (Figure 2): the first group is defined by mammalian methylomes and is characterized by pervasive methylation. In the human genome, more than 80% of the CpG dinucleotides are methylated, creating a landscape of ubiquitous methylation, but with local gaps that are often found at active regulatory elements, such as promoters and enhancers (Figure 2). It seems plausible to assume that the default state of these methylomes is “methylated” and that active mechanisms (see below) are required to keep specific regions free of methylation.

Figure 2
figure 2

Three major categories of animal methylomes. Ubiquitous, sporadic and absent DNA methylation (5mC) are illustrated with three examples from whole-genome bisulfite sequencing analyses of mouse (top), honey bee (middle) and Drosophila DNA (bottom). Methylation ratios for each CpG dinucleotide in a randomly selected 40 kB window are shown. Gene features are indicated below each panel. Transparent blue bars indicate the range of bisulfite conversion artifacts (methylation ratios below 0.2).

The second group is exemplified by the honeybee methylome, that can be defined by only 60,000 CpG-specific methylation marks that are highly enriched in exons [22]. In this case, the default state of the genome appears to be “unmethylated” and the selective targeting of DNA methyltransferases to specific CpGs would be a key step for shaping the methylation landscape (Figure 2). Such sporadic methylation patterns have been described in several animals, particularly in insects. However, the functional significance of sparse methylation remains to be fully understood, which is largely due to the limited potential of the corresponding organisms for genetic manipulation. Importantly, it has been shown that queen-like phenotypes can be enhanced in honeybees following siRNA-mediated knockdown of the Dnmt3 orthologue [23]. While the mechanisms underlying this phenomenon remain to be elucidated, these results strongly suggest a functional role of this enzyme in caste specification, possibly through the modulation of caste-specific methylation patterns.

Finally, several animal genomes have failed to reveal canonical cytosine methylation patterns (Figure 2), which implies that 5mC is not essential for development and cell fate specification of well-known laboratory models such as S. cerevisiae, S. pombe, C. elegans and D. melanogaster [24]. The absence of conserved cytosine methylation patterns in these organisms was instrumental for the identification and characterization of other epigenetic mechanisms, including covalent histone modifications and small noncoding RNAs [2527]. Moreover, it also played an important role in the recent discovery of N6-methyladenine as an epigenetic DNA modification in eukaryotes (see below).

The functional analysis of cytosine methylation has proven to be surprisingly complex and difficult, even in well-characterized mammalian organisms. While knockout models demonstrated a role of Dnmt1 and Dnmt3 in mouse development [28, 29] and in general epigenetic phenomena, such as genomic imprinting [30], X-chromosome inactivation [31] and transposon control [32], the specific function of cytosine methylation in epigenetic gene regulation remains to be fully understood. However, recent integrative studies that combine the targeted disruption of Dnmt genes with genome-wide mapping approaches have provided interesting insight into the functional specificities of individual Dnmts. For example, Dnmt3a-mediated gene body methylation at transcriptionally active genes was shown to be prevalent in postnatal neuronal stem cells and is required for postnatal neurogenesis [33]. In addition, other Dnmts were found to interact with actively transcribed gene bodies, suggesting that gene body methylation promotes transcription [34]. Most recently, Dnmt3b-mediated gene body methylation in mouse ESCs was shown to depend on the presence of histone H3 lysine 36 methylation in the same regions [35]. This represents a novel and unexpected feature of de novo methyltransferases, as it suggests the recruitment of cytosine methyltransferases by the co-transcriptional modification of histones.

In another study, it was shown that human embryonic stem cells lacking both DNMT3A and DNMT3B progressively lose cytosine methylation marks, thus illustrating an imperfect maintenance activity of DNMT1 and a supporting role of DNMT3 enzymes in maintenance methylation [36]. Similar results were obtained with Dnmt-deficient mouse ESCs, which also revealed differential specificities of Dnmt1 and Dnmt3a/b for distinct subclasses of retrotransposons [37]. Further analyses of human ESCs revealed a novel role of DNMT3A in the hypermethylation of genes associated with endoderm differentiation and a rapid, replication-dependent loss of global DNA methylation in DNMT1-deficient cells [36]. It will be important to use similar approaches for the characterization of additional cell types and model systems in order to fully understand the epigenetic regulatory function of 5mC.

5-Hydroxymethylcytosine: oxidation creates a new modification

With the discovery of the catalytic dioxygenase activity of Ten eleven translocation (Tet) proteins, novel epigenetic DNA modifications started to emerge [38, 39]. 5-Hydroxymethylcytosine (5hmC, Figure 1) was originally discovered in mammalian DNA in 1972 [40], but its biological significance was investigated only almost 40 years later [41]. Cytosine hydroxymethylation levels are often around 0.1% in mammalian tissues, but can vary greatly [42], with highest values in the brain, where up to 1% of the cytosines can be hydroxymethylated [41]. The three mammalian Tet homologues generate 5hmC from existing 5mC, which they can further process to 5-formylcytosine (5fC) and 5-carboxylcytosine (5caC, Figure 1) [43, 44]. About 30,000 molecules of 5mC, 1,300 of 5hmC, 20 of 5fC, and 3 of 5caC were found per million Cs in mouse embryonic stem cells [44, 45], indicating a very low abundance of 5fC and 5caC. As both modifications are targeted by base excision repair mechanisms mediated by thymine-DNA-glycosylases, they are mainly interpreted as intermediates of an active demethylation pathway via Tet-dependent 5mC oxidation [43, 44].

We are only beginning to understand the functional significance of 5hmC as an epigenetic mark and the specific roles of the three Tet enzymes. Tet1 and Tet2 are highly expressed in mouse ESCs, but their single depletion does not affect pluripotency or development [4649]. Tet3 homozygous mutant mice develop properly, but die at birth [50], suggesting that Tet3 is also dispensable for embryonic development. ESCs deficient for both Tet1 and Tet2 show insignificant levels of 5hmC, but retain pluripotency. However, the majority of mice lacking both proteins showed developmental defects, which was found to be associated with ectopic hypermethylation [51]. Combined deficiency of all three Tet proteins in ESCs depleted 5hmC completely, but did not affect ESC viability and pluripotency [5254]. Nevertheless, triple knockout ESCs and embryoid bodies showed impaired differentiation potential, promoter hypermethylation and correlated deregulation of genes implicated in embryonic development and differentiation [52]. In agreement, severe defects in somatic cell reprogramming and mesenchymal-epithelial transition have been described in double and triple Tet knockout mouse embryonic fibroblasts [53].

These data point to a major role of Tet-mediated oxidation in DNA demethylation, most likely by keeping regulatory genomic regions free of 5mC. Particularly important are enhancers, that have been shown to be hypermethylated in Tet-deficient mouse ESCs, resulting in a reduced activity of associated differentiation genes [54, 55]. Tet-dependent oxidation of 5mC as a first step of active demethylation is therefore an early event of enhancer activation [5456], but might also more generally allow functional interactions with regulatory DNA elements and counteract aberrant spreading of DNA methylation into CpG islands [57].

Nevertheless, 5hmC was also found as a relative stable base at a subset of mammalian promoters, at gene bodies of actively transcribed genes and at poised and active enhancers [58, 59]. 5fC was also mapped to a subset of these 5hmC-marked regions [6062], suggesting a role as an independent epigenetic mark. Indeed, several “reader” proteins for oxidised 5mC-derivatives have been identified, which might mediate epigenetic regulation [63, 64]. Among these were, in addition to DNA damage- and repair-related proteins, chromatin modifiers and transcriptional regulators like e.g. MBD3, MeCP2, UHRF2 and FOX transcription factors [6466]. While the functional relevance and specificity of the interactions remains to be fully understood (e.g. many 5hmC interacting proteins also have significant affinities for 5mC) these readers might recruit chromatin regulatory complexes to their targets and support activated transcription.

A role of 5hmC as active mark is supported by mass spectrometric analyses of isotope labelled DNA form mammalian cell culture and mice showing that 5hmC is mostly a stable modification and not a transient intermediate [67]. The high abundance in post-mitotic brain tissues [41, 42] also suggests a direct epigenetic function of 5hmC. Indeed, 5hmC levels increase during neuronal differentiation and a very stable intragenic enrichment of 5hmC was observed at many active neuron-specific genes [66, 6870]. These findings suggest that 5hmC functions as epigenetic mark in mammalian neuronal development. This is further supported by the observations that the activated human HOXA cluster becomes stably enriched in 5hmC upon retinoic acid stimulated neuronal differentiation [71] and that increased 5hmC levels at neuronal marker genes in Sirtuin-6-deficient mice induce skewed differentiation versus neuroectoderm [72].

While there is evidence for a direct epigenetic function for 5hmC at least in some tissues, a similar role for its oxidation derivatives appears less likely. The levels of 5fC and 5caC have been found to increase at 5fC sites in thymine-DNA-glycosylase-deficient mouse ESCs, suggesting that 5caC sites primarily represent sites of active demethylation [6062]. It remains possible that, due to the chemical differences between the oxidised 5mC-derivatives, each modification might attract specific readers. However, considering the relatively strong DNA-damage response triggered by 5fC and 5caC (in contrast to 5hmC) and their very low abundances, it seems more likely that these modifications transiently accumulate at the regions of the hydroxymethylome that undergoes demethylation. In contrast, a subset of 5hmC sites appears to be stable and might act as an independent epigenetic mark. Very recently, it has been shown that Tet proteins can also oxidize thymine to 5-hydroxymethyluracil (5hmU, Figure 1) [73]. Tet-dependent 5hmU is present at levels similar to 5caC in mESCs, increases during early ESC differentiation and recruits specific interacting proteins [73], suggesting an epigenetic function for Tet-dependent 5hmU. Nevertheless, 5hmU paired with adenine is a target for the Smug1 DNA glycosylase [74] and might therefore trigger base excision repair mechanisms. Indeed knock down of Smug1 in mESCs led to increased 5hmU levels [73], indicating that 5hmU might also serve to promote active demethylation by recruiting repair factors to Tet targets.

N6-methyladenine: revival of an old acquaintance

In bacterial genomes 5mC is outshined by a second base modification, N6-methyladenine (6mA, Figure 1). Adenine methylation has been shown to be essential for the viability of several bacteria, as methylation of GATC sequences by the Dam methylase creates specific marks that are important for DNA replication, chromosome segregation, mismatch repair and the regulation of gene expression [75, 76]. However, several older studies also suggested the presence of 6mA in eukaryotic genomes, even though detection was often indirect and modification levels appeared close to the detection limit [76]. Several unicellular eukaryotes, including the green alga Chlamydomonas reinhardtii, had consistently shown comparably high levels of DNA adenine methylation [76], which established this organism as an attractive model to investigate 6mA further.

Over the past few years, several powerful technologies were developed to analyze 6mA in RNA, where this modification plays an important regulatory role. When these methods were adapted to characterize the distribution of 6mA in the Chlamydomonas genome, some key characteristics of this modification could be defined [77]. For example, the results showed that the algal adenine methylome consists of about 85,000 fully methylated 6mA sites, corresponding to a global adenine methylation level of approximately 0.4%. Methylation was often found in symmetric ApT target sequences, but there was no evidence for symmetric 6mA methylation. The modification was enriched at promoter regions, and particularly in linker regions between adjacent nucleosomes. The authors propose a model in which the DNA 6mA modification either restricts or marks the positions of nucleosomes near transcriptional start sites in Chlamydomonas. As such, the presence of 6mA may position nucleosomes to facilitate initiation of transcription. While these findings are highly interesting, they are difficult to generalize because of a highly specific periodic pattern of nucleosome occupancy around transcriptional start sites in Chlamydomonas. Furthermore, the Chlamydomonas genome has an unusual pattern of 5mC: it is characterised by low levels of CpG methylation but also contains CHG and CHH methylation in gene bodies, which corresponds to known plant methylation patterns [20].

A parallel study also revealed novel details of adenine DNA methylation in Caenorhabditis elegans [78]. Similar to Chlamydomonas, adenine methylation was found to be variable, and maximum levels were rather low (0.3%). Mapping of 6mA residues by SMRT sequencing revealed that methylation was targeted to GAGG and AGAA consensus sequences, indicating strand-specific adenine methylation. Interestingly, 6mA accumulated in worms deficient for spr-5 (coding for a H3K4me2 demethylase), an important paradigm of trans-generational epigenetic inheritance [78]. Further work led to the identification of a C. elegans DNA adenine demethylase (Nmad-1), belonging to the ALKB family of dioxygenases that also contains the Tet proteins. In addition, the authors identified a candidate DNA adenine methyltransferase (Damt-1) related to bacterial 6mA DNA methyltransferases. This enzyme belongs to a highly conserved family of proteins that is characterized by a C-terminal circularly permuted methyltransferase domain fused to a distinctive N-terminal domain [79]. While the biochemical activity of the enzyme remains to be characterized, deletion of Damt-1 suppressed the trans-generational phenotypes of spr-5 mutant worms, suggesting that 6mA might be a transgenerationally inheritable epigenetic mark.

Additional insight into the function of adenine methylation came from a recent analysis in Drosophila. Flies represent a particularly interesting model for DNA modifications, because of the longstanding controversial discussions surrounding the cytosine methylation status of the Drosophila genome. In addition, the fly genome encodes an unusual DNA methylation machinery, with no canonical Dnmt1/3 homologue, but with a clear Tet homologue. The former is consistent with the reported absence of Dnmt-dependent cytosine methylation patterns in Drosophila [24, 80], but the latter seemed to indicate that methylation may have been overlooked so far. By using highly sensitive mass spectrometry approaches, Zhang et al. have now demonstrated the presence of low (0.07%) but significant levels of adenine methylation during the earliest stages of Drosophila embryogenesis [81]. Most interestingly, the authors showed 6mA demethylation by the Drosophila Tet homologue DMAD in vitro and a specific increase of 6mA levels in the genomic DNA of DMAD mutants suggesting that DMAD is a 6mA-specific enzyme [81]. Furthermore, both deletion and overexpression of DMAD resulted in lethality, thus demonstrating an important developmental function of 6mA in Drosophila. One such function could be the regulation of transposons, as 6mA appeared enriched in transposon regions and transposons marked with 6mA were derepressed in DMAD mutants. Taken together, if 6mA will also be found in significant quantities in the genome of other eukaryotes, it might turn out to be an important carrier of epigenetic information, involved in the regulation of gene expression and possibly playing a complementary role to 5mC at certain loci or during specific stages of development.


Epigenetic DNA modifications generally affect the accessibility of genomic regions for regulatory proteins or protein complexes, for example by preventing interactions or by recruiting specific readers. Consequently, this can influence the chromatin structure and/or directly regulate enhancer and promoter activity or transcriptional processivity. Cytosine methylation is so far the only known symmetric modification with an established maintenance mechanism, which represents a unique feature that currently distinguishes 5mC from all other epigenetic modifications. 5mC has mostly been related to gene repression, in particular at enhancer and promoter regions of genes (Figure 3), but might also play an important role in positively influencing transcription, either by recruiting methylation-specific transcription factors [82, 83] or by a yet to be understood mechanism when present in the body of active genes [35].

Figure 3
figure 3

Modified DNA bases and their functions.

Dynamic epigenetic processes also require the active removal of a mark. With the discovery of the enzymatic functions of the Tet proteins, the main enzymes for the removal of DNA methylation were identified. 5hmC and its Tet-dependent oxidation products are demethylation intermediates, but might also have significant roles as independent epigenetic marks (Figure 3). Specific readers for 5hmC, 5fC and 5caC have been identified that function in transcription regulation and chromatin remodeling, mostly promoting the active state. In addition, 5fC, 5caC and 5hmU might primarily function in the recruitment of DNA repair-associated complexes and thus enhance demethylation (Figure 3). Finally, these marks might also directly contribute to gene regulation by triggering “scheduled” DNA repair, which has been suggested to be coupled with activated transcription [84].

The discovery of 6mA in eukaryotes recently identified an additional methylation mark (Figure 3). With C. elegans and D. melanogaster, two species with negligible 5mC/5hmC levels were shown to contain low, but significant genomic 6mA levels. In both species, this novel modification can be cautiously interpreted as an active epigenetic mark, as data from C. elegans suggests a functional interplay with an established active histone mark (H3K4me2) [78], whereas in Drosophila mutations in the 6mA-demethylase DMAD (a Tet-homologue) caused increased transposon expression [81]. In both organisms mutations in the 6mA-specific enzymes resulted in significant phenotypes (developmental defects, infertility), suggesting important roles in development. Also in Chlamydomonas, 6mA marks actively transcribed genes near the transcriptional start site (TSS).

Future research needs to address the conservation of 6mA and the enzymes that can set and remove this modification. Interestingly, the candidate C. elegans 6mA methyltransferase Damt-1 belongs to a widely conserved family of enzymes [78] that also includes a human homologue (METTL4). Nevertheless, reports on 6mA in higher eukaryotes have been sparse and the results were often inconclusive [76]. Highly sensitive mass spectrometry detected less than one molecule of 6mA per million nucleotides in DNA from selected mouse tissues [85], suggesting that 6mA is not a constitutive modification, or is rapidly turned over by demethylation processes. It might be possible to enrich 6mA by depleting the 6mA-demethylase, as shown for Drosophila [81]. Furthermore, additional enzymes potentially involved in adenine methylation and demethylation in mammals can be identified using genome editing tools. Finally, the observation that 6mA demethylation in Drosophila can be mediated by a Tet-like enzyme [81], raises the fascinating possibility that cytosine and adenine (de)methylation are coordinated. It will be most interesting to investigate the potential interplay between specific DNA modifications and to explore the full complexity of this epigenetic code.















alpha-ketoglutarate-dependent dioxygenase


a cytosine followed by a guanine nucleotide


a cytosine followed by a non-guanine nucleotide followed by a guanine


a cytosine followed by two non-guanine nucleotides


deoxyadenosine methylase


6mA DNA methyltransferase


Drosophila DNA 6mA demethylase


deoxyribonucleic acid


DNA methyltransferase


embryonic stem cells


forkhead box


dimethylation of lysine 4 at histone H3


methyl-CpG-binding domain


methyl-CpG-binding protein


N6-methyladenine demethylase


ribonucleic acid


small interfering RNA


single molecule real time


single-strand-selective monofunctional uracil-DNA glycosylase


suppressor of presenilin


ten eleven translocation


transcriptional start site


ubiquitin-like with PHD and ring finger domains


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Authors’ contributions

AB and FL designed and wrote the manuscript. Both authors read and approved the final manuscript.


We would like to thank Günter Raddatz for help with Figure 2. Our work is supported by grants from the Deutsche Forschungsgemeinschaft.

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Competing interests The authors declare that they have no competing interests.

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Correspondence to Frank Lyko.

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Breiling, A., Lyko, F. Epigenetic regulatory functions of DNA modifications: 5-methylcytosine and beyond. Epigenetics & Chromatin 8, 24 (2015).

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