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2
DNA Methylation and Cancer
Marta Kulis and Manel Esteller
Cancer Epigenetics and Biology Program (PEBC), The Bellvitge Institute for
Biomedical Research (IDIBELL), Hospital Duran i Reynals, Avinguda Gran
Via de L’Hospitalet 199-203, E-08907 L’Hospitalet de Llobregat, Barcelona,
Catalonia, Spain
I. Introduction
II. The Molecular Basis of DNA Methylation
III. DNA Methylation Abnormalities in Cancer
A. DNA hypomethylation
B. DNA hypermethylation
IV. DNA Methylation Markers
V. Determining the Cancer DNA Methylome
VI. Therapy Perspectives
VII. Conclusions
References
ABSTRACT
DNA methylation is one of the most intensely studied epigenetic modifications
in mammals. In normal cells, it assures the proper regulation of gene expression
and stable gene silencing. DNA methylation is associated with histone modifica-
tions and the interplay of these epigenetic modifications is crucial to regulate the
functioning of the genome by changing chromatin architecture. The covalent
addition of a methyl group occurs generally in cytosine within CpG dinucleo-
tides which are concentrated in large clusters called CpG islands. DNA methyl-
transferases are responsible for establishing and maintenance of methylation
pattern. It is commonly known that inactivation of certain tumor-suppressor
Advances in Genetics, Vol. 70 0065-2660/10 $35.00
Copyright 2010, Elsevier Inc. All rights reserved. DOI: 10.1016/S0065-2660(10)70002-X
28 Kulis and Esteller
genes occurs as a consequence of hypermethylation within the promoter regions
and a numerous studies have demonstrated a broad range of genes silenced by
DNA methylation in different cancer types. On the
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