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Human VDAC pseudogenes: an emerging role for VDAC1P8 pseudogene in acute myeloid leukemia



Voltage-dependent anion selective channels (VDACs) are the most abundant mitochondrial outer membrane proteins, encoded in mammals by three genes, VDAC1, 2 and 3, mostly ubiquitously expressed. As 'mitochondrial gatekeepers', VDACs control organelle and cell metabolism and are involved in many diseases. Despite the presence of numerous VDAC pseudogenes in the human genome, their significance and possible role in VDAC protein expression has not yet been considered.


We investigated the relevance of processed pseudogenes of human VDAC genes, both in physiological and in pathological contexts. Using high-throughput tools and querying many genomic and transcriptomic databases, we show that some VDAC pseudogenes are transcribed in specific tissues and pathological contexts. The obtained experimental data confirm an association of the VDAC1P8 pseudogene with acute myeloid leukemia (AML).


Our in-silico comparative analysis between the VDAC1 gene and its VDAC1P8 pseudogene, together with experimental data produced in AML cellular models, indicate a specific over-expression of the VDAC1P8 pseudogene in AML, correlated with a downregulation of the parental VDAC1 gene.


Voltage dependent anion selective channels (VDACs or mitochondrial porins) are a phylogenetically conserved family of genes encoding channel proteins embedded into the outer mitochondrial membrane (OMM). VDAC proteins are considered the master regulators of the mitochondrial function because the important functions they perform [1]. The principal role of VDACs is to allow the exchange of important ions and metabolites to and from the mitochondria [2,3,4]. In mammals, three VDAC isoforms have been identified and named VDAC1, VDAC2 and VDAC3 [5]. VDACs genes are located in different autosomes but sharing the same number and size of exons. The only exception is VDAC2 gene which contains an additional coding exon at the N-terminal [5, 6]. Also, the size of introns is variable [7]. We recently reported that VDAC genes show a different expression pattern in human tissues, as well as a distinct set of transcription factor binding sites (TFBSs) on each promoter [8, 9]. Furthermore, it is known that altered VDAC1 expression is associated with many diseases, like cancer, neurodegenerative and cardiovascular diseases [10,11,12,13,14]. In particular, the observation that VDAC1 is over-expressed in most tumors suggests that this protein may play a pivotal role in this pathological condition [15]. And concerning the tumor phenotype, the interaction of VDAC1 with hexokinase (HK), the first glycolysis enzyme, grants the enzyme immediate access to newly synthesized ATP and confers protection from apoptosis [16]. It is therefore not surprising that VDAC1 has become a primary target in the fight against cancer.

In recent years, the involvement of transcribed pseudogenes in the development and progression of many types of cancer has become well established [17]. Due to the vast amount of data available in the literature and in public databases, specific pseudogenes, whose expression varies considerably in certain cancers, can be classified as predictive, heritable or prognostic biomarkers.

Pseudogenes have long been considered function-less elements arisen during genome evolution as failed copies of genes. However, a large number of recent evidence indicate that most of them are not functionally inert but rather, once transcribed, have a consistent role in protein-coding genes regulation [18]. Pseudogene expression pattern can vary under different pathological conditions including diabetes and cancer, even though, due to the high sequence similarity with the parental genes. However, measurements of their transcription level remain difficult to perform [19, 20]. Not surprisingly, considering the homology between pseudogene and its parental gene, pseudogene transcripts can play a part as competitive endogenous RNAs (ceRNAs). Generally, any transcript that competitively binds a common microRNA (miRNA) behaves as a ceRNA that, acting as a “sponge”, reduces the free miRNA available. As a result, this can lead to the release or attenuation of miRNA target gene(s) repression. Alternatively, RNA resulting from pseudogene transcription may be processed into a short interfering RNA (siRNA) or act as antisense RNA. Regardless of the mechanism, the pseudogene would in any case be an important factor in the regulation of protein-coding genes. Recently, it has been proposed that pseudogenes represent primate- or human-specific regulatory elements, especially in hemopoiesis, given their higher expression in bone marrow than in other tissues [21].

In the human genome there are 13 processed pseudogenes (or retrocopies) of VDAC1, distributed in 10 different chromosomes and annotated in GENECODE and NCBI Entrez Gene [22]. Processed pseudogenes originate when a mRNA transcript is reverse-transcribed and integrated into the genome at a new position [23, 24]. Therefore, lacking its own promoter sequence and introns as well, their transcriptional activity depends on the presence of promoter(s) and regulatory sequences nearby. Ido and co-workers, after a first characterization of 16 putative rat VDAC1 pseudogenes [25], reported a comparison of VDAC1 pseudogenes among rat, mouse and human showing that no synteny exists between humans and rodents [26]. Apart from these literature reports, nothing more is known about human VDAC pseudogenes. Considering the many regulatory roles described for pseudogenes in cancer [17, 20, 27] and the known dysregulation of VDAC in cancer pathologies [13, 15, 16], we wanted to investigate whether there is an association of any pathology, and in particular cancer, with VDAC pseudogenes expression. The assumption is that, in pathological situations, the expression of VDAC proteins could be post-transcriptionally regulated and/or influenced by the transcription of related pseudogenes. This information could be of great importance because it could certainly be useful in identifying new diagnostic, prognostic and therapeutic approaches for the pathologies under consideration.

In this work, we present a whole, comprehensive analysis of in-silico data concerning the human VDAC pseudogenes together with a careful in-cellulo validation of the expression data. Overall, our results allow us to hypothesize for some VDAC1 pseudogenes a role in the physiology or pathology of certain tissues. In particular, the specific and marked expression in AML of the VDAC1P8 pseudogene suggests its potential role in leukaemogenesis and makes it a possible biomarker of acute myeloid leukaemia.


Human VDACs pseudogenes and their relative chromatin state

All the genomic databases (NCBI Entrez Gene, UCSC and Ensembl) queried in this work report the presence in the human genome of 13 VDAC1 pseudogenes, 4 VDAC2 pseudogenes and only one VDAC3 pseudogene. Evidence in human genome of putative regulatory elements located in the proximity of VDAC pseudogenes was obtained from UCSC Genome Browser (GRCh38/hg38).

The data on regulatory elements found for each VDAC pseudogene are summarized in Table 1. This analysis revealed that VDAC1P4, VDAC1P8, VDAC1P11 and VDAC1P13 pseudogenes are located at transcriptionally active genomic loci (Table 1). Interestingly, the VDAC1P8 sequence is located between the 3' end of the PEX3 gene and the 3' end of the FUCA2 gene, on the opposite strand (Table 1, Fig. 1). Therefore, VDAC1P8 gene sequence is found within a likely active region characterized by lax chromatin states, the presence of strong and weak enhancers and a weak transcriptional elongation capacity (ENCODE genome segmentation). Although the state of the chromatin is not comparable to that in which housekeeping genes, as GAPDH, are located, the features of chromatin region hosting VDAC1P8 pseudogene suggest the possibility of transcriptional activation of this genomic stretch, unlike the chromatin region where VDAC1P5 is found (Fig. 1, Additional file 2: Fig. S2, Additional file 3: Fig. S3). Although the genomic regions of the pseudogenes VDAC1P3, VDAC1P4, VDAC1P11 and VDAC1P13 are associated with moderate transcriptional activity, their sequences overlap with introns of other genes (PCDH11-X, ACBD6, ZNF169 and KCNG-3, respectively) apparently unrelated to VDAC. Their localization suggests that, in the absence of a specific maintenance mechanism, the fate of these sequences is to be degraded once spliced. The VDAC1P1, VDAC1P6, VDAC1P7, VDAC1P9 and VDAC1P10 sequences are instead associated with heterochromatin, reduced transcriptional activity and weak enhancers (Table 1). Likewise, the remaining VDAC1 pseudogenes (VDAC1P2, VDAC1P5, VDAC1P12) along with all four VDAC2 pseudogenes and the only one from VDAC3 are located near transcriptionally inactive domains and associated with polycomb repressors (Table 1).

Table 1 Features and chromatin status of genomic sequences containing VDAC pseudogenes, from UCSC Genome Browser GRCh38/hg38
Fig. 1
figure 1

Chromatin state and genomic features of VDAC1P8 pseudogene from UCSC Genome Browser GRCh37/hg19. The genomic context of VDAC1P8 pseudogene set around 1000 Kb upstream and downstream of the annotated Refseq is shown. The selected regulatory hub tracks are Pseudogene Annotation Set from GENCODE v.38lift37 Ensemble 104, Eukaryotic Promoter Database EPD v.4–6, CpG island track, Genotype-Tissue Expression GTEx RNA-seq v.8 2019, ChIP-Seq data for RNA polymerase II, H3K4me3 and H3K4me1, used as markers of transcriptional activation, while H3K9me3 and H3K27me3 are markers of transcriptional repression, and chromatin state segmentation by Hidden Markov Model from the ENCODE/Broad project of nine different cell lines (GM12878, H1-hESC, HepG2, HMEC, HUVEC, K562, NHEK, NHLF) identified using the following different colors: yellow = weak/poised enhancer; blue = isolator; dark green = transcriptional transition/elongation (Txn), light green = weak transcript

Expression of VDAC genes and their pseudogenes in tumour and normal tissues

To find support for the chromatin status analysis data and those obtained by querying UCSC Genome Browser, we analysed the transcriptomic data of VDAC genes (Additional file 8: Table S1) and their pseudogenes (Additional file 9: Table S2) released from the GEPIA repository. A comparative analysis of expression profiles in tumour and normal samples was performed for most of the VDAC1 pseudogenes. As suggested by the active chromatin status where VDAC1P8 is located, we found that this pseudogene is widely expressed in both normal and tumour tissues, with an expression value in the range of 1 to 9 transcript per million (TPM) in normal tissues, with the exception of a few cases (Additional file 9: Table S2). In particular, the highest expression level is reported in uterus, ovary, lung, rectum, colon, thyroid. Also, VDAC1P8 is downregulated in almost all tumour tissues considered, compared with its normal counterpart. An exception is acute myeloid leukemia (AML) where, surprisingly, VDAC1P8 is overexpressed with a TPM value reaching the highest value of 17.75 TPM (2.5 times higher than normal tissue). VDAC1P1 is also a pseudogene expressed in all tissues and their tumour counterpart, in most case at comparable levels and in the range of 0.01–0.9 TPM (Additional file 9: Table S2). The VDAC1P2 pseudogene is expressed, with the exception of AML, in all tumours examined, at levels between 0.11 and 0.44 TPM in the stomach and kidney, respectively. In addition, VDAC1P2 is expressed in some normal tissues, at levels between 0.01 and 0.26 TPM. (Additional file 9: Table S2). Similarly, the VDAC1P6 pseudogene, located in a region of repressed chromatin is expressed in the range of 0.01–0.07 TPM in normal tissues (head, neck, kidney, bone marrow, bone and "soft" tissues—fat, muscle, nerves) and in their tumour counterparts with the highest value in colon and rectum adenocarcinoma (Additional file 9: Table S2).

Table 2 List of transcription factors TFs for VDAC1P8 detected in blood and bone marrow

Also, by examining the data retrieved from the GEPIA server, we determined that the pseudogenes VDAC1P3, VDAC1P4, VDAC1P9, VDAC1P13, and VDAC1P11 are expressed in only very few tissues and at very low levels (0.01–0.1 TPM). No expression data were found for the pseudogenes VDAC1P5, VDAC1P7, VDAC1P10, VDAC1P12 and VDAC2P2-4. Indeed, these pseudogenes are located in regions of repressed chromatin or where only weak active chromatin elements are present.

Furthermore, we observed that VDAC2P1 and VDAC3P1 are weakly expressed (range of 0.03–0.07 TPM) only in some normal connective tissues (i.e. tissues subject to sarcomas), although VDAC3P1 is also expressed in testicular germ cells (Additional file 9: Table S2).

Our search in the GEPIA server for the expression profiles of VDAC1-3 genes provided us with useful information as to whether the transcription of active VDAC pseudogenes could be linked to the expression of their parental genes. Exactly, this analysis showed that all three VDAC isoforms are overexpressed in many tumors, with the exception of AML, where their transcriptional levels were lower than in healthy tissue (Additional file 8: Table S1). Focusing only on expression alterations in AML, we have collected in Fig. 2a, b the results of the comparative analysis of the transcriptional profiles of VDAC1 gene and its pseudogenes specifically reported for AML and the normal counterpart. In particular, we observed a correlation in AML between the significant downregulation of the VDAC1 gene (from 221.12 TPM in normal tissue to 80.01 TPM in tumour) in AML and the expression levels of some pseudogenes, especially VDAC1P8 pseudogene. Indeed, VDAC1P1 and VDAC1P2 show a reduction in AML, while VDAC1P4 and VDAC1P11 an increase over their normal counterpart but with expression levels below 1 TPM. An exception is VDAC1P11, which shows a change of 1.69 TPM units in AML compared with normal tissue. Interestingly, the expression level of VDAC1P8 in AML increases of 2.5 folds, reaching the value of 17.50 TPM compared to its normal counterpart of 7.10 TPM. These intriguing data prompted us to pay attention to the putative role of VDAC1 pseudogenes in AML and, in particular, to further investigate the involvement of the VDAC1 gene/pseudogene VDAC1P8 pair.

Fig. 2
figure 2

a-d. Analysis of gene expression profiles of VDAC1 and its pseudogenes from GEPIA repository. Specific-AML expression changes of VDAC1 compared to its pseudogenes was shown (a). Only values for VDAC1 and VDAC1P8 are plotted (b). Gene expression trend changes in tumor lines of VDAC1 and VDAC1P8 and in their normal counterparts are graphically represented (c-d). Data shown are included in Additional file 8, 9: Tables S1–S2. The height of bars is the median expression of Log2TPM + 1 of normal and AML tissue based on GTEX and TCGA respectively, available from GEPIA repository. TPM  transcripts per kilobase million

Indeed, the expression pattern of VDAC1 gene in tumours revealed that AML is the only type in which this gene is exclusively downregulated. On the contrary, it is even more interesting to note that in AML there is a significant increase in VDAC1P8 pseudogene expression (Fig. 2c, d).

The putative involvement of 6q24.2 locus in AML

AML is a common haematological disorder with abnormal proliferation and differentiation of immature myeloid cells, characterised by genetic and clinical heterogeneity and high mortality [28]. Despite the development of new therapies, most patients with AML continue to relapse, highlighting the existence of an unresolved problem. More recently, the role of non-coding RNAs (ncRNAs) in the biology of AML and in the mechanisms of resistance to therapy has begun to be explored [29]. The full potential of circular RNA (circRNA), miRNA and long non-coding RNA (lncRNA) as diagnostic, therapeutic and prognostic factors in AML is thus emerging [30,31,32]. Also, the involvement of specific pseudogenes is beginning to appear. Our data therefore point in this direction. In particular, they show that, interestingly, AML is the only tumor type in which the VDAC1 gene is downregulated and its VDAC1P8 pseudogene is clearly up-regulated (Fig. 2a, b).

Furthermore, since VDAC1P8 pseudogene is over-expressed exclusively in AML (Fig. 2a, b) we then wished to investigate whether other genes located in the same genomic locus and putatively under the effect of the same regulatory elements are also associated with the same disease. By querying the GeneCards database ( we found that the best enhancer associated with VDAC1P8 also controls the expression of 13 other target genes (ADAT2, PEX3, HSALNG0054032, RF00001-290, RNA5SP221, LTV1, ENSG00000270890, PLAGL1, TUBB8P2, ENSG00000278206, CM03496-315, FUCA2, MN298114-190), located in the same 6q24.2 cytogenetic region. Interestingly, 5 genes (ADAT2, ENSG000278206, CM03496-315, FUCA2, MN298114-190) as VDAC1P8 are also correlated with AML (Additional file 10: Table S3).

These results were confirmed by querying the GEPIA database from which we also extrapolated altered expression data in AML for the ENSG00000270890, TUBB8P2 and LTV1 genes. Thus, the 6q24.2 locus would appear to have a strong association with AML. It is also noteworthy that as many as 7/13 genes (RNA5SP221, HSALNG0054032, ENSG00000270890, TUBB8P2, ENSG00000278206, CM03496-315, MN298114-216) with the same cytogenetic localization of VDAC1P8 pseudogene produce ncRNA (3 pseudogenes and 4 lncRNAs). Unfortunately, there is little or no existing expression data for these genes.

Sequence analysis of VDAC1 pseudogenes transcripts

From an initial analysis on human VDAC genes and their respective pseudogenes, we noticed an interesting downregulation in AML of the VDAC1 gene, compared to its expression in normal tissue, associated with increased expression of the VDAC1P8, VDAC1P1 and VDAC1P11 pseudogenes. This prompted us to study in more detail the relationships between the VDAC1 gene and its pseudogenes. We thus proceeded to analyze the sequences of the VDAC1 pseudogenes by comparing them with the transcript of the parental gene. The multi-alignment shows the high homology between the pseudogenes and VDAC1 sequences (Additional file 4: Fig. S4a), in particular the VDAC1P1 transcript matches exactly the VDAC1 ORF with which it has a very high sequence homology (97%). Multi-alignment also reveals the existence of additional sequence segments to the VDAC1 ORF in only a few pseudogenes (VDAC1P10, VDAC1P12, VDAC1P13). The VDAC1P8 pseudogene was not included in this multi-alignment analysis because, unlike other VDAC1 pseudogenes that were assigned a single processed transcript, VDAC1P8 has multiple transcripts (Additional file 4: Fig. S4b). Indeed, fourteen non-coding splicing variants, classified according to their biotypes, are annotated for this VDAC1 pseudogene in GENCODE v.39 (Ensembl 105) (Additional file 5: Fig. S5a), as in all other databases interrogated. Among these transcript variants, 8/14 variants are reported as “intron retained”, 5/14 as “processed transcripts” and only one as a “transcribed processed pseudogene”. By analyzing the sequences of the VDAC1P8 splice variants, emerges that the VDAC1P8-201 transcript consists of a single exon aligning almost perfectly (89% homology) with VDAC1 ORF sequence (Additional file 4: Fig. S4b, Additional file 5: Fig. S5). In contrast, VDAC1P8-210 and VDAC1P8-205 transcripts contain 5 and 4 exons, respectively, of which only the first exon overlaps with the VDAC1P8-201 exon (87.53% and 89.28% sequence homology between the VDAC1 ORF and the 1st exon of VDAC1P8-205 and VDAC1P8-210, respectively), whereas the other exons have unrelated sequences to the parental VDAC1 gene (Additional file 4: Fig. S4b, Additional file 5: Fig. S5). Similarly, the remaining alternative transcripts from VDAC1P8 contain exon sequences that are not shared with the VDAC1 ORF, so they should not be considered as correlated to this gene (Additional file 4: Fig. S4b, Additional file 5: Fig. S5). Later in the text, the term VDAC1P8 is used to refer to the—201 variant of this pseudogene, unless otherwise specified.

Search for orthologs of VDAC1 pseudogenes in the highest primates

Literature [5, 6, 25, 25] combined with data in the NCBI Entrez Gene database ( that several VDAC pseudogenes are predicted in the Mus musculus genome, exactly: thirteen for mVDAC1, three for mVDAC2 and three more for mVDAC3. In their work, Ido et al. [25, 26] suggest the existence of syntenic relationships in the mouse and rat genomes between two putative rat VDAC1 pseudogenes and one mouse VDAC1 pseudogene, respectively. These authors also point out the lack of synteny between rodent VDAC1 pseudogenes and humans. However, apart from the results from this outdated study focused mainly on rodent VDAC pseudogenes, nothing to date is known about the presence of homologs of VDAC1 pseudogenes in higher primates.

To compensate for the lack of this and other important information, by using the Ensembl BLASTN tool we searched primate genomes for the presence of orthologous genes to the 13 human VDAC1 pseudogenes. Sequences homologous to VDAC1 pseudogenes were identified in all genomes examined (9 primate species, belonging to different evolutionary groups: Marmoset, Macaque, Drill, Baboon, Gibbon, Orangutan, Gorilla, Bonobo, Chimpanzee). Unfortunately, the sequences identified mostly fall into genomic tracts that are either unannotated or overlapping with coding gene sequences or, in some cases, correspond to genes for ncRNAs that have not yet been characterized. Therefore, no firm data were found on the possible expression of orthologs of the VDAC1 pseudogenes. This lack of information combined with the high homology of the 13 query sequences used in the BLAST analysis led to the identification in several primate species of the same sequence as homologous to various human pseudogenes of VDAC1. For these reasons but also considering the specific overexpression of VDAC1P8 in AML, we restricted the homology analysis to this pseudogene only. This BLAST analysis showed that in all primate species examined there is a sequence highly homologous to the human VDAC1P8 pseudogene, which is very well maintained starting from new world monkeys to hominids (Additional file 11: Table S4).

Then, starting from the genomic location of each VDAC1P8 ortholog and using Ensemble's "Synteny" tool, we assessed whether each genomic locus fell within the known synteny blocks between human and other primate species' chromosomes. We thus found that in all primate species analyzed, the orthologs of VDAC1P8 are maintained within the same genomic synteny blocks with humans (Additional file 11: Table S4). These genomic regions correspond to stretches of active chromatin in which the other genes associated with the human 6q24.2 locus and shown in Sect. 3.3 are also retained. The presence in all higher primates of sequences highly homologous to VDAC1P8 in potentially expressed genomic regions allows us to hypothesize an important role for this backcopying, already in the physiological context.

Expression patterns and methylation profile of VDAC1 gene and VDAC1P8 pseudogene in healthy adult and fetal human tissues

The expression profiles data of the VDAC1 gene and its pseudogenes, in particular VDAC1P8, obtained by querying the GEPIA server prompted us to further investigate their physiological expression in human adult and fetal tissues. For this aim, we analyzed the RNA-Seq CAGE (Cap Analysis of Gene Expression) RIKEN FANTOM5 project from Expression Atlas ( Thus, we confirmed that VDAC1 gene and VDAC1P8 pseudogene are both normally expressed in any healthy adult and fetal tissues reported. The expression level of the VDAC1 gene is comparable between adult and fetal tissues while the VDAC1P8 pseudogene is more expressed in fetus (Fig. 3b). Exactly, in adult tissues the highest expression levels of VDAC1P8 are found in bone marrow, diencephalon and heart (Fig. 3a); whereas in the fetus, there is an abundant expression in the colon, duodenum, small intestine and throat, which is up to ten times higher than VDAC1 gene transcript (Fig. 3b). Therefore, VDAC1P8 is mainly expressed in fetal tissues, although it is during embryogenesis that pseudogenes silencing generally occurs [33]. In particular, by performing a correlation analysis of the expression levels of VDAC1 and its pseudogene VDAC1P8 in the reported tissues, it appears that adult and fetal tissues with subthreshold expression of VDAC1P8 have high levels of VDAC1. Likewise, tissues with high levels of VDAC1P8 expression have reduced levels of VDAC1 (with the exception of bone marrow in adults). No data were available in the database for the other pseudogenes of VDAC1.

Fig. 3
figure 3

a-b. Adult (a) and fetal (b) transcripts tissue expression levels of VDAC1 and VDAC1P8 from RNA-seq CAGE in RIKEN FANTOM 5 project. Data cut-off is > 0.05 TPM. Data shown consist of RNA-Seq CAGE (Cap Analysis of Gene Expression) analysis from RIKEN FANTOM5 project ( TPM = transcripts per kilobase million

Furthermore, the methylation profile of putative promoter sequences and gene body of VDAC1 gene and VDAC1P8 pseudogene was investigated across the results retrieved from MethBank. As summarized in the Fig. 4a, b, the β-value expressing the methylation level is clearly higher in the promoter region and in the gene body of VDAC1P8 pseudogene in comparison to VDAC1 gene for all the tissue samples derived from the central nervous system, circulation system, digestive system and lymphatic system. In particular, the promoter region of VDAC1P8 presents a degree of methylation which is about tenfold higher than VDAC1 gene. The methylation profile of the other VDAC1 pseudogenes regulated in AML is similar to that of VDAC1P8 (Additional file 6: Fig. S6a, b). Altogether, the information available on methylation profile of VDAC genes are very poor. However, the level of CG methylation of the human VDAC genes revealed that, in human and in mouse, the VDAC1 promoter is less methylated than the other two isoforms confirming its ubiquitous and stable expression as housekeeping gene.

Fig. 4
figure 4

a-b. Methylation levels of VDAC1P and VDAC1P8 gene in putative promoter (a) and gene body (b). *The average methylation of single-based resolution methylomes (SRMs) data provided by MethBank v.4.1 ( are calculated as β-Value that reflects the methylation intensity at each CpG site. β-Values of 0–1 (represented from 0 to 1) indicate signifying percent methylation, from 0 to 100%, respectively, for each CpG site

Putative TFBS suitable for driving VDAC1P8 expression in leukemogenesis

The results of the expression analyses of VDAC pseudogenes showed that the pseudogenes VDAC1P8, VDAC1P11 and VDAC1P4 are over-expressed in AML, whereas VDAC1P1 and VDAC1P2 are under-expressed, relative to their level in the corresponding normal tissues. We therefore searched for further evidence to support these gene expression data. Specifically, we analyzed the putative TFBS pattern of the VDAC1 pseudogenes and compared it with that of the VDAC1 gene. This analysis was performed by querying the hTFtarget database (!/) and selecting each candidate TF in blood and bone marrow. Interestingly, only the pseudogenes VDAC1P8 and VDAC1P11, upregulated in AML, have binding sites for transcription factors involved in development of the tumor counterpart. We identified 24 TFBSs in the target regulatory region of VDAC1P8 (Table 2), some of which (MYC, TAL1, JUND, BATF, FOS, CEBPB/D, GATA1/2/3, CTCF, ZNF384, RCOR1, SPI1, ETS1, ERG, FLI1, IRF4 and RUNX1) had already been associated with leukemogenesis [34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49], while for others (BRD4, CBX3, POLR2A, RAD21 and STAG1) the role of epigenetic modulators of the hematopoietic system, from normal to disease state, has only recently been demonstrated [38, 50,51,52]. In the regulatory region of VDAC1P11, six TFBS associated with leukemogenesis (JUND, CBX3, RCOR1, GATA1, JUN, FOS), have identified as possible regulators. To understand whether a common or differentiated regulatory pattern for the VDAC1 gene and its pseudogenes VDAC1P8 and VDAC1P11 is associated with blood and bone marrow tumor development, the distribution of selected TFBS was compared (Fig. 5). The results clearly show that 19 of 24 TFBS found in the VDAC1P8 regulatory region and involved in leukemogenesis are also putative regulators of VDAC1 gene expression; while, only 3 of 8 were counted for VDAC1P11. Among all the transcription factors found, JUND, CBX3, RCOR1 and GATA1 are regulators commonly shared by the VDAC1 gene and both VDAC1P8 and VDAC1P11 pseudogenes. In contrast, VDAC1P1 appears to be associated with lamin B1 (LMNB1) transcription factor, which is known to be overexpressed in several cancers, such as lung adenocarcinoma, breast cancer and leukemia [53]. Overall, these results suggest that VDAC1 and the pseudogenes VDAC1P8 and VDAC1P11 share a common transcriptional regulatory pattern in the onset of leukemia.

Fig. 5
figure 5

a-d. Comparative transcriptional analysis between VDAC1 and its pseudogenes. The analysis of TFs was performed by querying the hTFtarget database (!/) selecting only candidate TFs found in blood and bone marrow. In (a), the Venn diagram shows the intersection among VDAC1, VDAC1P2-P4-P8 and P11 with a null intersection of VDAC1P1. According to hTFtarget database, the TF found in VDAC1P1 is lamin B1 (LMNB1), not shared by other pseudogenes. In (b), it is illustrated the intersection among VDAC1, VDAC1P8 and VDAC1P11, which elements are represented in the table. In (c), the intersection between VDAC1 and VDAC1P8. In (d), the intersection between VDAC1 and VDAC1P11. The Venn diagrams made by

Expression of VDAC1P8 pseudogene in leukemia cell lines

In light of the expression data of the VDAC1 gene and its pseudogene VDAC1P8 retrieved from public repository, we decided to experimentally evaluate their expression in 5 different acute myeloid leukemia cell lines. Exactly, we tested HL60, OCI-AML/2 and OCI-AML/3 (as myelocytic AML cell lines), MOLM13 (as monocytic AML cell line) and IMS-M2 (as megakaryocytic AML cell line) [55,56,57].

Confirming the data obtained in silico, both VDAC1 and VDAC1P8 were found to be expressed in all cell lines tested, with a higher transcript level of VDAC1 than pseudogene (Fig. 6a). By sequencing the amplification products obtained by the specific primer pairs (Additional file 5: Fig. S5), we confirmed the identity of VDAC1P8 pseudogene and VDAC1 gene.

Fig. 6
figure 6

a-b. Expression of VDAC1 gene and VDAC1P8 pseudogene in HL60 AML cell line. In (a), the expression of VDAC1 gene and VDAC1P8 pseudogene was evaluated in different models of leukemia cell line (HL60, IMS-M2, MOLM-13, AML-3, AML-2) by real-time PCR relative quantification. In (b), the expression of VDAC1 and VDAC1P8 both assessed in HL60 by real-time PCR relative quantification were also measured following 48 h of AzaD treatment. The variation of mRNA in treated samples were expressed relatively to control samples, after normalization with the housekeeping gene GAPDH, by the ΔΔCt method. VDAC1P8 expression is reported as % respect to VDAC1 indicating with a value of 100 the level of VDAC1. Data were statistically analyzed by T-test and a value of P < 0.05 was considered significant.

Also, the expression level of VDAC1P8/VDAC1 pair in HL60 was evaluated following treatment with 5-aza-2′-deoxycytidine (AzaD). By inducing demethylation, no change in the transcript level of VDAC1 was produced while the expression of the VDAC1P8 pseudogene increased by an average 1.8-fold (Fig. 6b).

To confirm these data, we searched genome-wide for detailed information on the location and extent of any methylation changes induced by the demethylating agent AzaD. In particular, the methylation profile of the promoter and gene body regions of the VDAC1 gene and the VDAC1P8 pseudogene in HL60 cells, treated and untreated with AzaD, was analyzed. Exactly, the MethylCap-seq approach combining “methylated DNA capture” with next-generation sequencing was used for the methylome analysis of the genomic DNA from the cell samples under study.

Results obtained for VDAC1 show an equivalent level of chromatin methylation between AzaD-treated cells and control cells in both the 600 bp of the promoter considered and the entire gene body (Fig. 7a).

Fig. 7
figure 7

a-f. Methylation patterns (β values) of the regulatory regions of VDAC1 and VDAC1P8 in control or AzaD-treated HL60 cells. Data was obtained by MethylCap-seq protocol and processed using the bioinformatic pipeline analysis described in Methods section. The promotors and gene sequences were tiled into 300 bp non overlapping windows; the color scale (range 0–1) represents the methylation levels of 300 bp sequence. Red boxes represent fully methylated windows and blue boxes represent unmethylated windows. Windows with insufficient readings to estimate a β-value are in grey (NA)

In contrast, methylome analysis of four different putative regulatory regions (indicated as promoter 1, 2, 3 or 4) of VDAC1P8 pseudogene revealed a lower degree of enrichment of methylated fragments in the genomic DNA of AzaD-treated HL60 compared to control cells (Fig. 7b-e) In particular, the putative VDAC1P8 promoter 3, of all those positioned closest to the pseudogene body, presents a region of approximately 600 bp with a distinctly different level of methylation between the chromatin samples compared (Fig. 7d). It is also noteworthy that the whole sequence (“gene body”) of the VDAC1P8 pseudogene was demethylated in the genome of the AzaD-treated HL60 cells in contrast to the control cells (Fig. 7f).

Therefore, methylome analysis results are well in line with the methylation profile found in MethBank and with the modulation data of VDAC1 and VDAC1P8 expression we obtained in HL60 cells. In particular, the VDAC1P8 methylation profile suggests a control mechanism for its transcriptional activity which could be triggered in specific pathological conditions as in AML.

Modulation of VDAC1P8 pseudogene expression in VDAC1 KO leukemic cell lines.

We also evaluated the expression of the VDAC1-VDAC1P8 gene-pseudogene pair in the wild-type HAP1 and in the HAP1ΔVDAC1 cell lines. HAP1 is a nearly haploid cell line of leukemic origin were by CRISPR/Cas9 editing the VDAC1 gene has been silenced ( [58, 59]. The HAP1 cells devoid of VDAC1 were here exploited to analyze, in a leukemic context, the contribution of the VDAC1 levels to the expression of VDAC1P8 pseudogene, and vice versa. Interestingly, in HAP1ΔVDAC1 cells we found that the expression level of VDAC1P8 pseudogene, relatively to the parental VDAC1 gene, is significantly increased in HAP1ΔVDAC1 cells compared to HAP1 WT cells (Fig. 8a). Indeed, in HAP1 WT cells, where the VDAC1 transcript is normally expressed, the expression level of the VDAC1P8 pseudogene is almost tenfold lower as in above-mentioned cell lines. In contrast, in HAP1ΔVDAC1 cells, where VDAC1 expression is suppressed, the level of the VDAC1P8 pseudogene is significantly doubled compared to the parental VDAC1 gene (Fig. 8b).

Fig. 8
figure 8

a, b. Expression of VDAC1 gene and VDAC1P8 pseudogene in VDAC1 KO leukemic cell lines. The level of VDAC1 and VDAC1P8 transcripts expression were evaluated in HAP1 WT and HAP1VDAC1 cells by real-time PCR relative quantification. In (a) VDAC1P8 transcript level was measured relatively to that of VDAC1. In (b) the expression level of both VDAC1 and VDAC1P8 in HAP1VDAC1 cells was measured relatively to their relative amount found in HAP1 WT. After normalization with the housekeeping gene GAPDH, by the ΔΔCt method. VDAC1P8 expression is reported as % respect to VDAC1 indicating with a value of 100 the level of VDAC1. Data were statistically analyzed by T-test and a value of P < 0.05 was considered significant


In recent years, transcribed pseudogenes have been increasingly proposed as key regulators of parental gene expression, becoming part of the non-coding RNA network. Since their discovery, almost nothing is known about VDAC pseudogenes [26, 60]. As the factors and circumstances leading to the regulation of VDAC genes are still ongoing [5, 8, 9], understanding whether there is an involvement or a role for their pseudogenes could provide an important key to understanding the whole regulatory network of VDAC isoforms expression. This is even more important considering that VDAC is already considered a main player in several diseases, and is becoming a prognostic factor and a possible therapeutic target [61, 62].

To compensate for the lack of information, in this work we investigated VDAC pseudogenes by means of an in-silico analysis integrating multi-omic data in terms of genomic features and expression profile, and also validated data in AML cell lines.

We found that among all VDAC pseudogenes, VDAC1P8 appears to reside in an active chromatin region rich in regulatory elements. Exactly, VDAC1P8 is located between two expressed genes that are controlled by regulatory elements that may direct the expression of the pseudogene transcripts. In this regard, we can speculate that the original VDAC1 retrotranscription event led to the insertion at the 6q24.2 locus of the exonic sequence that then gave rise to the VDAC1P8-201 pseudogene. In fact, considering the sequence and the structure of the other 13 annotated alternative VDAC1P8 transcripts, they do not appear to originate from the VDAC1 gene and their expression is probably due to the use of different splicing and transcription start sites.

Also, we have analyzed the transcript expression profile of each pseudogene and its parental VDAC gene. Expression analysis in healthy tissues, showed ubiquitous activation of some VDAC1 pseudogenes (VDAC1P1, VDAC1P2, VDAC1P6, VDAC1P8), of VDAC2P1 and of VDAC3P1. Intriguingly, the latter is also expressed in testicular germ cells, a tissue in which the cognate gene VDAC3 plays important functions in spermiogenesis and male fertily [63, 64]. Some VDAC1 pseudogenes have been also found to be expressed in cancer, among them some exclusively or predominantly associated with tumor phenotypes. In particular, pseudogenes VDAC1P1, VDAC1P2, VDAC1P4, VDAC1P11 and VDAC1P8 correlate with AML. Specifically, the expression profile of VDAC1P1 and VDAC1P2 in this analysis largely mirrors that of VDAC1, in both healthy and tumor tissues. In contrast, VDAC1P4, VDAC1P11 and, more interestingly, VDAC1P8 have an expression trend exactly opposite to that of VDAC1. In general, VDAC1P8 is under-expressed compared to healthy tissue in all tumor samples tested, with the exception of AML where it is highly overexpressed.

These expression data of the VDAC1P8/VDAC1 pair were confirmed in five AML cell lines (myeloblastic, monoblastic, megakaryoblastic) precursors of different blood cells.

The same expression ratio of VDAC1 and VDAC1P8 transcripts is also found in the nearly haploid HAP1 wild-type human leukemic line. In contrast, in the HAP1-VDAC1 knock-out line, the level of VDAC1P8 increases significantly, suggesting that the expression of the VDAC1 gene and its pseudogene VDAC1P8 may be related to each other.

Also, in regulatory sequences that could control VDAC1P8 gene we identified 24 putative TFBSs associated with bone marrow, blood and leukemogenesis. Interestingly, common transcriptional factors involved in leukemia are shared in the regulatory sequences of VDAC1 gene and VDAC1P8 pseudogene, suggesting that both could play a role in this pathology.

Taken together, these results highlight that VDAC1P8 is closely associated with leukemia, a finding mentioned in the literature when cancer-specific pseudogenes were identified in chronic lymphocytic leukemia [27].

It is also important to note that previous studies have shown the existence of different DNA methylation rates for pseudogenes and their parent genes [33, 65, 66].To better understand the significance of VDAC1 pseudogenes activation patterns in relation to parent gene expression levels, we focused our attention on the DNA methylation status of these pseudogenes and VDAC1 gene. Exactly, we observed that the methylation levels of the VDAC pseudogenes presumably depended on their position within the genome. In particular, the expression of the VDAC1P8 pseudogene undergoes no or little variation and is presumably under the transcriptional control of adjacent genes, as observed with other pseudogenes (i.e. LIN28 and PTEN) [33, 65, 66]. Indeed, five other genes located at the 6q24.2 locus and controlled by the same regulatory elements acting on VDAC1P8 correlate with AML.

In addition, we searched in the MethBank database for data on the promoter and gene body methylation profile of the VDAC1 gene and its pseudogenes, particularly VDAC1P8. We found that all VDAC1-related pseudogenes exhibit a higher promoter and gene body methylation profile than the VDAC1 gene, suggesting a normally repressed status but eventually subjected to regulation. Indeed, our experimental data in HL60 show that the regulatory regions of the VDAC1 gene are essentially undermethylated unlike those of its pseudogene VDAC1P8. This result suggests that in AML the pseudogene undergoes a methylation pattern independent of that of the parental gene. In this regard, we could also speculate that chromatin methylation, and epigenetic modifications in general, may contribute to the transcriptional changes of VDAC1P8 and VDAC1 in AML pathology. Although, the unusual downregulation of the VDAC1 gene in AML, could be the result of different mechanisms of gene expression regulation. The epigenetic control mechanisms hypothesized here are reflected in other examples found in the literature concerning the transcriptional control of the VDAC1 gene under extremes conditions. For example, in tumor cells and in placental trophoblasts from patients with recurrent miscarriages, the increase of EPB41L4A-AS1 lnc-RNA induced the enhancement of VDAC1 promoter activity affecting histone modification. In this condition, EPB41L4AAS1 lnc-RNA is considered to regulate and to reprogramme tumor and trophoblast cells metabolism. As a consequence, the activation of oxidative metabolism was triggered by enhanced mitochondrial function [67, 68].

Overall, our data suggest a role for some VDAC1 pseudogenes in both physiological and pathological processes, particularly in AML. In this context, comparing the expression level of the VDAC1 gene with the two groups of pseudogenes, those overexpressed and those downregulated, reveals a possible role from ceRNA for these pseudogenes in AML. Considering the inverse relationship between the expression of VDAC1P4, VDAC1P11 and in particular VDAC1P8 and VDAC1, these pseudogenes in AML could function as competing-endogenous RNA (ceRNA), or rather as a lncRNA able to generate siRNA acting on the transcript of the parental gene, as described in [18]. Furthermore, there are numerous examples in the literature of lncRNAs related to leukemia progression [69]. With regard to VDAC1P1, VDAC1P2 these pseudogenes have an expression profile in AML that follows that of the VDAC1 gene. It is therefore likely that these pseudogenes can act as competitive lncRNA for binding miRNAs or regulatory RNA-binding proteins (RBP) directed to the parental gene, like other pseudogenes [19]. This putative mechanism of action correlates very well with the observation that several miRNAs modulating myeloid differentiation (e.g. miR-20a, miR-106b and miR-125b) [69] or AML [70, 71] are also predicted to control VDAC1 expression [72] using mirSystem, a miRNAtarget prediction software ( [73]. This effect could have important consequences especially considering the role of VDAC1 protein in apoptosis. Since in leukemia the expression of VDAC1P8 is considerably higher than in healthy tissue, this pseudogene could be responsible for, or at least contribute to, the down-regulation of VDAC1 in AML. Given the pro-apoptotic role of VDAC1 protein, in this pathological context a reduced expression could be compatible with the increased cell resistance to apoptosis typical of cancer phenotype. It is also useful to remember that active retrocopies produce lncRNAs, molecules playing many regulatory roles in cancer [74], especially by influencing various cellular mechanisms that promote energy metabolism in cancer [75, 76]. At the OMM, VDAC serves as a docking site for cytosolic enzymes, such as hexokinase, and is a key protein in mitochondrial apoptosis. Considering the significance of hexokinase for tumor metabolism, its interaction with VDAC and the latter's role in apoptosis, it is conceivable that lncRNAs modifying the activity of glycolytic enzymes and energy metabolism in cancer have an impact on VDAC function and apoptosis, thus helping to define the tumor phenotype.


The total number of pseudogenes in the human genome and their function are not yet fully known. It is also unclear why some human genes, such as VDAC genes, possess several pseudogenes, differently localized from their parental genes, while others possess only one or a few, and still others none. Our search for orthologous genes indicated strong conservation throughout primate evolution of all VDAC1 pseudogenes. This leads us to consider VDAC1 pseudogenes advantageous to primates and to hypothesize that there was selective pressure towards their maintenance already at birth in ancestral primates. This is not surprising considering that VDAC1 is a very important housekeeping gene under stress conditions, when mitochondrial function must be ensured in cells [77].

Overall, this is the first comprehensive survey of human VDAC pseudogenes reported in the literature, and the results presented here provide important insights into their relevance to human genome expression. We found evidence for their activation and importance as human-specific regulatory elements. In particular, VDAC1P8 appears to be particularly involved in hematopoiesis and emerges as a putative AML-specific diagnostic and prognostic factor. This leads to the evaluation of its regulatory mechanism as a possible target in the fight against the disease. The low survival rate of AML patients ignites the demand for new therapies for this widespread malignancy [84]. More in-depth studies are therefore desirable to elucidate the mechanism by which VDAC1P8 (and other VDAC pseudogenes) influence the expression of parental genes in AML, i.e. how their ncRNAs act on regulatory RNA, DNA or RBPs. So far, we have provided data supporting the association of the VDAC1P8 pseudogene with AML as well as a suitable detection method to distinguish it from its parental gene VDAC1. This lays the foundation for its possible use as a biomarker for AML.


Data collection process

Specific repositories used to retrieve data on VDAC pseudogenes were Ensemble (, NCBI Entrez Gene (, UCSC Genomic Browser (, Hoppsigen database ( [78], by Yale Gerstein Group [79], DreamBase ( [80] and PseudoFun ( [81].

Genomic data analysis

UCSC Genomic Browser (assembly GRCh38/hg38) was used to analyze the genomic structure of VDAC pseudogenes and gene regulatory data from hub tracks’ selection. This included Pseudogene Annotation Set of GENCODE v.38lift37 (Ensemble 104), Eukaryotic Promoter Database (EPD) v.4–6, CpG islands track, Genotype-Tissue Expression (GTEx) RNA-seq v.8 (2019), ChIP-Seq data for RNA polymerase II, H3K4me3 and H3K4me1, and chromatin state segmentation by Hidden Markov Model from ENCODE/Broad project. GRCh37/hg19 assembly was used because it provided a more suitable representation of the genomic trait for data visualization and interpretation. The range of analysis of the genomic context of each pseudogene was set about 1000 kb upstream and downstream from the Refseq annotation. In addition, comparative genomics data were acquired from the Ensembl vertebrate genome browser ( to synteny search between human VDAC genes or their pseudogenes and more evolved primates. Also, the GeneCards—The Human Gene Database ( was queried to refine the genomic information related to VDAC pseudogenes.

Transcriptomic data analysis

GEPIA (Gene Expression Profiling Interactive Analysis) web-based tool and GEPIA2 version were accessed in order to collect gene expression profiles of VDAC pseudogenes and their parental genes, in both tumor and healthy tissues [82, 83]. GEPIA provides data of TCGA [84] and GTEx (Genotype-Tissue Expression project) dataset release v.8 ( Expression Atlas ( [85] was also exploited for the analysis of adult and fetal human tissues in RIKEN functional annotation of the mammalian genome 5 (FANTOM5) project ( [86]. In addition, GWAS Catalog at was queried for gene-linked phenotypes/functions in genome-wide association studies.

Sequence alignment analysis

Sequence alignment analysis was running at free software online ( The percentage of homology between the examined sequences was obtained by BLAST website ( The search for orthologous genes was performed using the BLAST/BAT tool at Ensembl.

Prediction analysis of transcription factor binding sites (TFBSs) in the VDAC pseudogenes regulatory regions

The prediction of potential transcription factors (TFs) and their transcription factor binding sites (TFBSs) on sequences associated with human VDAC1 pseudogenes was conducted by hTFtarget database (!/) [87]. Each record of candidate TFs for query gene provides the chromosomal location of chromatin immunoprecipitation sequencing (ChIP-seq) peaks in different experimental conditions or cell lines. The association between candidate TF and target sequences is computed through a machine learning method and accumulated data of ChIP-seq peaks, epigenetic modification status of TFBSs and targets, co-regulation of TFs of the same targets, and co-association of TFs.

DNA methylation bioinformatic analysis

DNA methylation profiles of both regulatory sequences and gene bodies of VDAC1 and VDAC1P8 were investigated using data of single-base resolution methylomes (SRMs) retrieved from MethBank v.4.1 (Sep 2020) ( [88]. Since MethBank contains a large amount of SRM replicates both from healthy and pathological condition (prevalently lung and prostate carcinomas), our search strategy filtered SRM data for ‘human healthy tissues’ selecting epigenetic change of guanine–cytosine (‘GC’) base pair found in the ‘promoter’ and ‘gene body’. The average methylation data are calculated as β-value that reflects the methylation intensity at each CpG site. β-values of 0–1 (represented from 0 to 1) indicate signifying percent methylation, from 0 to 100%, respectively, for each CpG site. For illustration purpose, in case of some tissue replicates (adipose, adrenal gland, bladder, breast, lung, placenta, prostate, psoas) we averaged their β-values showing a single record for each sample. We also averaged samples belonging to the same apparatus clustering them into following systems: circulatory (aorta, carotid, right atrium, right and left ventricles, whole blood); digestive (pancreas, small and large intestine, stomach, colon, sigmoid colon, esophagus, esophagus squamous epithelium, adjacent esophageal tissue, gastric); lymphatic (spleen, thymus), nervous (anterior cingulate cortex, cerebral cortex (fetal), frontal lobus, hippocampus, nucleus accumbens, prefrontal cortex (Broadman area 9), retina).

MethylCap-seq analysis

A full description of the MethylCap-seq procedure can be found in [89]. In summary, in our experiments 100 ng of genomic DNA from HL60 cells was subjected to enzymatic fragmentation, end repair/A-tailing and adapter ligation using Sure Select SureSelect XT HS2 DNA library preparation kit (Agilent). Adapter ligated DNA was subjected to methylation enrichment using MethylCap Kit (Diagenode) following the manufacturer's protocol, with some little modifications. The amounts of MethylCap protein and magnetic beads were decreased proportionally according to the recommended DNA to protein and beads ratio (0.2 μg protein and 3 μl beads per 100 ng DNA input). Single fraction elution with High Elution Buffer was applied. The eluted fraction was purified by Ipure kit V2 (Diagenode). Then, the methylation-enriched DNA libraries were amplified using Sure Select SureSelect XT HS2 DNA library preparation kit (amplification step). During amplification, a unique index from the primer was added to the sequencing adapter for each sample. The amplified libraries were purified using 1 × AMPure XP beads (Agilent). All final libraries were first quantified using D1000 Screen Tape Assay (Agilent). Libraries were then sequenced by NextSeq 2000 platform (Illumina; San Diego, CA, USA), 2 × 150 bp paired-end read.

FASTQ files were processed using a bioinformatic pipeline for data analysis described in Chemi et al. [90]. Briefly, FASTQ files were trimmed using Agilent AGeNT tool (, they were aligned to the GRCh38 reference genome using bwa mem [91]. BAM files were deduplicated using Picard markduplicates ( followed by running Samtools [92] fixmate to assign mate quality scores. The QSEA R package [93] was used to analyze BAM files, with the use of a custom R package to extend QSEA, as described in Chemi et al. [90]. The entire genome was tiled into 300-bp non-overlapping windows, with the removal of windows lying within the encode exclusion list regions. Reads were then uniquely assigned into these almost nine milions bins according to their midpoint location. Reads were filtered by keeping read pairs where either end of the pair mapped with a mapping quality (MAPQ) score of at least 10. For paired reads, a fragment length between 50 and 1000 bp was required and a distance along the reference genome of at least 30 bp was required. Copy number variations were calculated from the non-enriched input sequencing for each sample, using HMMcopy with base parameters over 1-Mbp windows. Each sample was normalized for library size using TMM (trimmed mean of M values, part of QSEA) with a pooled reference sample. β-values (a scaled measure of methylation between 0 and 1) for each window in each sample were estimated within QSEA using the ‘blind calibration’ method; windows with insufficient reads to estimate a β-value were returned as NAs.

Cell cultures and treatment

The acute myeloid leukemia model cell lines (OCI AML2, OCI AML3, MOLM13, IMS M2) from American Type Culture Collection (Manassas, VA, USA) and HL60 (from DSMZ cell cultures, Braunschweig, German) were cultured in RPMI-1640 medium (Sigma Chemical Co.—St. Louis, MO, USA) supplemented with 10% fetal bovine serum, 2 mM L-Glutamine, 100 U/ml Penicillin and 100 μg/ml Streptomycin (EuroClone, Pero, MI, Italy). The cells were grown at 37 °C in a humidified atmosphere containing 5% CO2 and dissociated with 0,25% trypsin-0,02% EDTA solution. The HAP1 parental (C631) and knock-out for VDAC1 (HZGHC005706c002) cell lines were purchased from Horizon Discovery (Waterbeach, UK). Cells were maintained as in [58], as was the monitoring of their proliferation. For cell treatments, 5-Aza-2’deoxycytidine (AzaD) was purchased from Sigma Chemical Co. (St. Louis, MO, USA) and resuspended in dimethyl sulfoxide (DMSO) at the concentration of 50 mg/mL, respectively. The cells were seeded at 0,1 × 106/ml in 25 cm2 culture flasks (NUNC, Thermo Scientific, Roskilde, Denmark) and treated with 5 μM AzaD for 48 h.

Real-time amplification

Real-time amplification was performed in a Mastercycler EP Realplex (Eppendorf) in 96-well plates. cDNAs from leukemia cells line HL60 were used as template for the experiments. The reaction mixture was composed by 1 μl cDNA, 0.2 μM gene specific primers pairs for VDAC1, VDAC1P8-201 and GAPDH (Additional file 12: Table S5) and 12.5 μl of master mix (QuantiFast SYBR Green PCR kit, Qiagen). Analysis of relative expression level was performed using the housekeeping GAPDH gene as internal calibrator by the ΔΔCt method. Three independent experiments were performed. Data were statistically analyzed by Student t-test. Values of * p < 0.05, ** p < 0.01 and *** p < 0.001 were taken as significant.

Availability of data and materials

All data generated or analyzed during this study are included in this published article.





Acute myeloid leukemia


ChIP-seq, chromatin immunoprecipitation sequencing


Circular RNA


competitive endogenous RNA


Eukaryotic Promoter Database


Gene Expression Profiling Interactive Analysis


Genotype-Tissue Expression




Long non-coding RNA




Outer mitochondrial membrane


Transcription factor


Transcription factor binding site


Short interfering RNAs


RNA-binding proteins


Single-base resolution methylomes


Transcript per million


Voltage dependent anion selective channels


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The authors thank Cogentech S.R.L.—Catania for the support provided in the methyloma data analysis. Authors are grateful to Dr. Daniele Tibullo (University of Catania) for the gift of the AML cell lines used in the work. Authors also acknowledge Fondi di Ateneo 2020–2022 and Linea Open Access, University of Catania.


This research was funded by the Italian Ministry of University and Research—Proof of Concept 2018, grant number PEPSLA POC 01_00054 to A.M., by University di Catania—PIACERI line, grants number “ARVEST” to A.M and “VDAC” to VDP, Fondi di Ateneo 2020–2022, Linea Open Access and Linea CHANCE to VDP.

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XGP developed the pipelines, did most of the bioinformatic analyses, and wrote together PR the initial drafts of the manuscript. PR performed also some bioinformatics analysis and analysed the data. FG performed the sequence alignments. FZ and FG performed the analysis to search for TFs. AO and DL performed all cell experiments. AM conceived the study, performed some bioinformatics analysis and wrote the final drafts of the manuscript. VDP and FB revised and edited the text. XGP, FG, AM contributed to the final version of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Angela Messina.

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Supplementary Information

Additional file 1:

Figure. S1a, b Summary of annotated transcripts for the VDAC1P8 pseudogene from GENCODE v.39 Ensembl 105. In (a) the table reports gene annotations of 14 transcripts for VDAC1P8 reported on Ensembl database release 105. In (b) the screenshot modified by GENCODE v.39 illustrates some main structural and regulatory features of the variants' alignment.

Additional file 2:

Figure. S2. Chromatin state and genomic features of GAPDH gene from UCSC Genome Browser GRCh37/hg19. The genomic context of GAPDH set around 1000 Kb upstream and downstream of the annotated Refseq is shown. The selected regulatory hub tracks are Pseudogene Annotation Set from GENCODE v.38lift37 Ensemble 104, Eukaryotic Promoter Database EPD v.4-6, CpG island track, Genotype-Tissue Expression GTEx RNA-seq v.8 2019, ChIP-Seq data for RNA polymerase II, H3K4me3 and H3K4me1, used as markers of transcriptional activation, while H3K9me3 and H3K27me3 are markers of transcriptional repression, and chromatin state segmentation by Hidden Markov Model from the ENCODE/Broad project of nine different cell lines (GM12878, H1-hESC, HepG2, HMEC, HUVEC, K562, NHEK, NHLF) identified using the following different colors: bright red=active promoter; light red= weak promoter; orange = strong enhancer; dark green = transcriptional transition/elongation (Txn).

Additional file 3:

Figure. S3. Chromatin state and genomic features of VDAC1P5 gene from UCSC Genome Browser GRCh37/hg19. The genomic context of VDAC1P5 set around 1000 Kb upstream and downstream of the annotated Refseq is shown. The selected regulatory hub tracks are Pseudogene Annotation Set from GENCODE v.38lift37 Ensemble 104, Eukaryotic Promoter Database EPD v.4-6, CpG island track, Genotype-Tissue Expression GTEx RNA-seq v.8 2019, ChIP-Seq data for RNA polymerase II, H3K4me3 and H3K4me1, used as markers of transcriptional activation, H3K9me3 and H3K27me3 are markers of transcriptional repression, and chromatin state segmentation by Hidden Markov Model from the ENCODE/Broad project of nine different cell lines (GM12878, H1-hESC, HepG2, HMEC, HUVEC, K562, NHEK, NHLF) colored in grey to indicate the heterochromatin state.

Additional file 4:

Figure. S4a, b Sequence multi-alignments among VDAC1 and pseudogenes. In (a) the multi-alignment encompasses VDAC1 against VDAC1P1-7 and VDAC1P9-13. In this picture, the VDAC1 mRNA sequence is shown starting at nucleotide 201 because its start ATG is located at 203-205 position and also because the previous sequence stretches nucleotides 1-200 does not align with the VDAC1 pseudogenes sequences. In (b), the multi-alignment is among VDAC1 and splicing variants of VDAC1P8 VDAC1P8-201, -205 and -210. The start and end codons of the VDAC1 coding sequence are boxed in yellow.

Additional file 5:

Figure. S5. Multi-alignment between the VDAC1 mRNA and some VDAC1P8 alternative transcripts sequences. Alignment achieved by setting the default parameters. The regions with high consensus value (90% setting) are shown in red, while regions with low consensus value (50% setting) are shown in blue.

Additional file 6:

Figure. S6a, b Methylation levels of VDAC1P1, VDAC1P4, VDAC1P8 and VDAC1P11 gene in putative promoter (a) sequence and gene body (b). *The average methylation of different healthy human samples from single-based resolution methylomes (SRMs) are provided by MethBank v.4.1 ( SRMs data are calculated as β-Value that reflects the methylation intensity at each CpG site. β-Values of 0–1 (represented from 0 to 1) indicate signifying percent methylation, from 0 to 100%, respectively, for each CpG site.

Additional file 7:

Figure. S7. Mapping of the best putative promoters for the VDAC1P8 pseudogene (Promo 1-4) inferred by GeneHancer and found in Genecards (hg38). Genomic regions indicated in figure as Promo 1, 2, 3 and 4 correspond to putative VDAC1P8 promoters (GH06J142940, GH06J143449, GH06J143058, GH06J143842) selected from GeneCards ( with the best GH score (from 2.1 to 1.9). They map around the NCBI Refseq of VDAC1P8 gene and the transcript VDAC1P8-201 (ENST00000406025.2). All four putative promoters for VDAC1P8 fall within transcriptionally active chromatin regions as indicated by the levels of activating methylation at histone H3 (H3K4m1 and H3K4m3, histone H3 methyl-lysine 4 and histone H3 trimethyl-lysine 4, respectively). Bottom right, an enlargement of the genomic region between VDAC1P8 promoter 3 and the gene for the VDAC1P8-201 transcript, a region potentially under the control of the regulatory sequences of the adjacent genes ADAT2, PEX1 and FUCA2.

Additional file 8:

Table S1. Expression profiles of VDAC1-3 genes from GEPIA server across 31 tumor and paired normal tissues. The median expression of Log2TPM+1 of certain tumor type or normal tissue based on TCGA and GTEX respectively. TPM = transcript per million.

Additional file 9:

Table S2. Expression profiles of VDAC genes from GEPIA server across 31 tumor and paired normal tissues. No data was found for VDAC1P5, VDAC1P7, VDAC1P10, VDAC1P12 and VDAC2P2 pseudogenes. (a) VDAC1 pseudogenes; (b) VDAC2 pseudogene; (c) VDAC3 pseudogene. The median expression of Log2TPM+1 of certain tumor type or normal tissue based on TCGA and GTEX respectively. TPM= transcript per million.

Additional file 10:

Table S3. Genes at the 6q24.2 locus controlled by the same elements in the VDAC1P8 pseudogene. Data shown below are from GeneCards database. *From GWAS catalog; **From GEPIA database; ***From ENA (European Nucleotide Archive at EBI); ND= no data available; lncRNA=long non-coding RNA; ncRNA= non-coding RNA; rRNA=ribosomal RNA.

Additional file 11:

Table S4. BLAST analysis of human VDAC1P8 pseudogene in all primate species.

Additional file 12:

Table S5. List of primers used for Real-Time amplification.

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Pappalardo, X.G., Risiglione, P., Zinghirino, F. et al. Human VDAC pseudogenes: an emerging role for VDAC1P8 pseudogene in acute myeloid leukemia. Biol Res 56, 33 (2023).

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