Review
DNA methylation patterns in lung carcinomas

https://doi.org/10.1016/j.semcancer.2009.02.008Get rights and content

Abstract

The genome of epithelial tumors is characterized by numerous chromosomal aberrations, DNA base sequence changes, and epigenetic abnormalities. The epigenome of cancer cells has been most commonly studied at the level of DNA CpG methylation. In squamous cell carcinomas of the lung, CpG methylation patterns undergo substantial changes relative to normal lung epithelium. Using a genome-scale mapping technique for CpG methylation (MIRA-chip), we characterized CpG island methylation and methylation patterns of entire chromosome arms at a level of resolution of ∼100 bp. In individual stage I lung carcinomas, several hundred and probably up to a thousand CpG islands become methylated. Interestingly, a large fraction (almost 80%) of the tumor-specifically methylated sequences are targets of the Polycomb complex in embryonic stem cells. Homeobox genes are particularly overrepresented and all four HOX gene loci on chromosomes 2, 7, 12, and 17 are hotspots for tumor-associated methylation because of the presence of multiple methylated CpG islands within these loci. DNA hypomethylation at CpGs in squamous cell tumors preferentially affects repetitive sequence classes including SINEs, LINEs, subtelomeric repeats, and segmental duplications. Since these epigenetic changes are found in early stage tumors, their contribution to tumor etiology as well as their potential usefulness as diagnostic or prognostic biomarkers of the disease should be considered.

Section snippets

Mammalian DNA methylation

The only known enzymatic modification of DNA bases in mammalian cells is the post-replicative addition of a methyl group to position 5 of cytosines. The methylated cytosines are almost exclusively formed at the CpG (5′) dinucleotide sequence. CpG methylation is catalyzed by DNA methyltransferase proteins (DNMTs). DNA methyltransferase 1 (DNMT1) is responsible for faithful copying of the preexisting cellular DNA methylation patterns following DNA replication. DNMT3A and DNMT3B are primarily

DNA methylation changes in cancer

Changes in DNA methylation patterns are one of the most frequent events that occur in human tumors, and altered CpG methylation patterns discriminate tumor tissue from its nonmalignant counterpart tissue or normal adjacent tissue [10]. Two types of methylation changes are most commonly observed: hypermethylation of CpG islands and a more global hypomethylation of DNA in tumors. The literature now contains thousands of reports that have documented methylation of CpG islands associated with

DNA methylation and lung cancer

Lung cancer is the leading cause of cancer death in the United States and most other countries [43]. Its causation by cigarette smoking is unquestionable [44]. Lung cancer accounts for about 30% of all deaths from cancer and at least 1.5 million annual deaths from lung cancer are projected worldwide by 2010. The high (>80%) mortality rate associated with lung cancer is at least in part related to suboptimal therapeutic strategies and the lack of an efficient screening approach for early

DNA methylation detection methods

The field of DNA methylation analysis is moving fast towards genome-wide characterization rather than studying methylation of individual genes in tumors. Diverse technical approaches for large-scale methylation analysis have been developed [62]. The first group of techniques is based on methylation-sensitive restriction endonuclease cleavage of the target sequences (e.g., HpaII, NotI) [63], [46], [64]. These techniques are useful but are limited by the occurrence of the respective recognition

Analysis of lung carcinoma genomes by MIRA-chip analysis

Initially, we used spotted CpG island arrays to analyze methylation patterns of the lung cancer cell line A549. Using the data obtained from such arrays, a list of genes was compiled that show hypermethylation in A549 lung cancer cells relative to normal human bronchial epithelial (NHBE) cells [78]. Cancer cell line-specific methylation and lack of methylation in NHBE cells was confirmed by bilsulfite-based analysis for several of the targets identified by the microarrays. Among the 25 targets

The significance of epigenetic changes in cancer

From recent large scale sequencing of human tumor DNA, it has become clear that recurrent changes in the DNA sequence, such as point mutations, insertions, or deletions within specific genes are quite uncommon in human tumors [82], [83]. Most mutations seem to be rather stochastic and are rarely selected in specific genes (exception TP53, RAS genes, a few others). Chromosomal aberrations involving loss of genetic material, e.g. loss of heterozygosity, chromosomal deletions, copy number changes,

The challenges that lie ahead

  • i)

    The analysis of lung cancer epigenomes should be expanded to include the determination of genome-wide changes of histone modification patterns. How are these changes in chromatin correlated to changes in the DNA methylation pattern?

  • ii)

    It is important to establish a temporal sequence of epigenomic alterations during the initiation and progression of lung squamous cell cancers. Early lesions including hyperplasia, dysplasia and carcinoma in situ should be analyzed to see which types of epigenetic

Conflict of interest

The authors declare that there are no conflicts of interest.

Acknowledgements

The work of the authors has been supported by grants from the National Cancer Institute to G.P.P. (CA084469 and CA128495).

References (85)

  • K.P. Nephew et al.

    Epigenetic gene silencing in cancer initiation and progression

    Cancer Lett

    (2003)
  • W.A. Franklin

    Premalignant evolution of lung cancer: Gilles F Filley lecture

    Chest

    (2004)
  • R. Dammann et al.

    CpG island methylation and expression of tumour-associated genes in lung carcinoma

    Eur J Cancer

    (2005)
  • K. Yamashita et al.

    Pharmacologic unmasking of epigenetically silenced tumor suppressor genes in esophageal squamous cell carcinoma

    Cancer Cell

    (2002)
  • C.L. Jiang et al.

    MBD3L1 and MBD3L2, two new proteins homologous to the methyl-CpG-binding proteins MBD2 and MBD3: characterization of MBD3L1 as a testis-specific transcriptional repressor

    Genomics

    (2002)
  • C.L. Jiang et al.

    MBD3L1 is a transcriptional repressor that interacts with methyl-CpG-binding protein 2 (MBD2) and components of the NuRD complex

    J Biol Chem

    (2004)
  • T. Rauch et al.

    Methylated-CpG island recovery assay: a new technique for the rapid detection of methylated-CpG islands in cancer

    Lab Invest

    (2005)
  • T.I. Lee et al.

    Control of developmental regulators by Polycomb in human embryonic stem cells

    Cell

    (2006)
  • Z.X. Chen et al.

    Maintenance and regulation of DNA methylation patterns in mammals

    Biochem Cell Biol

    (2005)
  • N. Kunert et al.

    A Dnmt2-like protein mediates DNA methylation in Drosophila

    Development

    (2003)
  • M.G. Goll et al.

    Methylation of tRNAAsp by the DNA methyltransferase homolog Dnmt2

    Science

    (2006)
  • A.P. Bird

    CpG-rich islands and the function of DNA methylation

    Nature

    (1986)
  • G.P. Pfeifer

    Mutagenesis at methylated CpG sequences

    Curr Top Microbiol Immunol

    (2006)
  • P.W. Laird

    The power and the promise of DNA methylation markers

    Nat Rev Cancer

    (2003)
  • S.A. Belinsky

    Gene-promoter hypermethylation as a biomarker in lung cancer

    Nat Rev Cancer

    (2004)
  • T. Ushijima

    Detection and interpretation of altered methylation patterns in cancer cells

    Nat Rev Cancer

    (2005)
  • N.N. Burtseva et al.

    Changes in methylation of cattle lymphocyte DNA during chronic lymphoid leukosis

    Biokhimiya

    (1977)
  • M. Ehrlich

    DNA methylation in cancer: too much, but also too little

    Oncogene

    (2002)
  • D.J. Weisenberger et al.

    Analysis of repetitive element DNA methylation by MethyLight

    Nucleic Acids Res

    (2005)
  • B. Cadieux et al.

    Genome-wide hypomethylation in human glioblastomas associated with specific copy number alteration, methylenetetrahydrofolate reductase allele status, and increased proliferation

    Cancer Res

    (2006)
  • J. Rodriguez et al.

    Chromosomal instability correlates with genome-wide DNA demethylation in human primary colorectal cancers

    Cancer Res

    (2006)
  • M.R. Estecio et al.

    LINE-1 hypomethylation in cancer is highly variable and inversely correlated with microsatellite instability

    PLoS ONE

    (2007)
  • T.A. Rauch et al.

    High-resolution mapping of DNA hypermethylation and hypomethylation in lung cancer

    Proc Natl Acad Sci USA

    (2008)
  • F. Gaudet et al.

    Induction of tumors in mice by genomic hypomethylation

    Science

    (2003)
  • A. Almeida et al.

    Hypomethylation of classical satellite DNA and chromosome instability in lymphoblastoid cell lines

    Hum Genet

    (1993)
  • J. Roman-Gomez et al.

    Promoter hypomethylation of the LINE-1 retrotransposable elements activates sense/antisense transcription and marks the progression of chronic myeloid leukemia

    Oncogene

    (2005)
  • Y. Yamada et al.

    Opposing effects of DNA hypomethylation on intestinal and liver carcinogenesis

    Proc Natl Acad Sci USA

    (2005)
  • G. Howard et al.

    Activation and transposition of endogenous retroviral elements in hypomethylation induced tumors in mice

    Oncogene

    (2008)
  • F.A. Feltus et al.

    Predicting aberrant CpG island methylation

    Proc Natl Acad Sci USA

    (2003)
  • I. Keshet et al.

    Evidence for an instructive mechanism of de novo methylation in cancer cells

    Nat Genet

    (2006)
  • J.Z. Song et al.

    Hypermethylation trigger of the glutathione-S-transferase gene (GSTP1) in prostate cancer cells

    Oncogene

    (2002)
  • M. Strunnikova et al.

    Chromatin inactivation precedes de novo DNA methylation during the progressive epigenetic silencing of the RASSF1A promoter

    Mol Cell Biol

    (2005)
  • Cited by (96)

    • Failure to EGFR-TKI-based therapy and tumoural progression are promoted by MEOX2/GLI1-mediated epigenetic regulation of EGFR in the human lung cancer

      2022, European Journal of Cancer
      Citation Excerpt :

      Furthermore, evidence shows these can negatively affect clinical outcomes, including overall survival, progression-free disease interval (PFI) and/or therapeutic response in patients with lung cancer [10,11]. Some epigenome-wide studies have identified several epigenetic aberrations in human lung tumours highlighting DNA hypermethylation at gene promoter sequences, controlling the expression of homeobox-related genes (HOX), which code for HOX transcriptions factors, which include, among others, MSX1, OTX1, OSR1, IRX2, PAX6 [12], SIX, LHX, PAX, DLX, and ENGRAILED [13], as well as some HOXA cluster genes, such as HOXA7 and HOXA9 [14]. Considering that some HOX-genes transcription factors have been proposed as potential biomarkers for early diagnosis and/or clinical therapeutic prognoses, it is likely that these factors could play a significant role in resistance mechanisms to oncological therapy displayed by lung cancer cells [15–17].

    • PDLIM2: Signaling pathways and functions in cancer suppression and host immunity

      2021, Biochimica et Biophysica Acta - Reviews on Cancer
    View all citing articles on Scopus
    View full text