CpG islands in promoters In humans, about 70% of
promoters located near the
transcription start site of a gene (proximal promoters) contain a
CpG island. CpG islands also occur frequently in promoters for
functional noncoding RNAs such as
microRNAs.
Methylation of CpG islands stably silences genes In humans, DNA methylation occurs at the 5 position of the pyrimidine ring of the cytosine residues within CpG sites to form
5-methylcytosines. The presence of multiple methylated CpG sites in CpG islands of promoters causes stable silencing of genes. Silencing of a gene may be initiated by other mechanisms, but this is often followed by methylation of CpG sites in the promoter CpG island to cause the stable silencing of the gene. In contrast, in one study of colon tumors compared to adjacent normal-appearing colonic mucosa, 1,734 CpG islands were heavily methylated in tumors whereas these CpG islands were not methylated in the adjacent mucosa. Half of the CpG islands were in promoters of annotated protein coding genes, A third study found more than 2,000 genes differentially methylated between colon cancers and adjacent mucosa. Using
gene set enrichment analysis, 569 out of 938
gene sets were hypermethylated and 369 were hypomethylated in cancers. Hypomethylation of CpG islands in promoters results in overexpression of the genes or gene sets affected. One 2012 study listed 147 specific genes with colon cancer-associated hypermethylated promoters, along with the frequency with which these hypermethylations were found in colon cancers. At least 10 of those genes had hypermethylated promoters in nearly 100% of colon cancers. They also indicated 11
microRNAs whose promoters were hypermethylated in colon cancers at frequencies between 50% and 100% of cancers. MicroRNAs (miRNAs) are small endogenous RNAs that pair with sequences in
messenger RNAs to direct post-transcriptional repression. On average, each microRNA represses several hundred target genes. Thus microRNAs with hypermethylated promoters may be allowing over-expression of hundreds to thousands of genes in a cancer. The information above shows that, in cancers, promoter CpG hyper/hypo-methylation of genes and of microRNAs causes loss of expression (or sometimes increased expression) of far more genes than does mutation.
DNA repair genes with hyper/hypo-methylated promoters in cancers DNA repair genes are frequently repressed in cancers due to hypermethylation of CpG islands within their promoters. In
head and neck squamous cell carcinomas at least 15 DNA repair genes have frequently hypermethylated promoters; these genes are
XRCC1, MLH3, PMS1, RAD51B, XRCC3, RAD54B, BRCA1, SHFM1, GEN1, FANCE, FAAP20, SPRTN, SETMAR, HUS1, and
PER1. About seventeen types of cancer are frequently deficient in one or more DNA repair genes due to hypermethylation of their promoters. As an example, promoter hypermethylation of the DNA repair gene
MGMT occurs in 93% of bladder cancers, 88% of stomach cancers, 74% of thyroid cancers, 40%-90% of colorectal cancers and 50% of brain cancers. Promoter hypermethylation of
LIG4 occurs in 82% of colorectal cancers. Promoter hypermethylation of
NEIL1 occurs in 62% of
head and neck cancers and in 42% of
non-small-cell lung cancers. Promoter hypermethylation of
ATM occurs in 47% of
non-small-cell lung cancers. Promoter hypermethylation of
MLH1 occurs in 48% of
non-small-cell lung cancer squamous cell carcinomas. Promoter hypermethylation of
FANCB occurs in 46% of
head and neck cancers. On the other hand, the promoters of two genes,
PARP1 and
FEN1, were hypomethylated and these genes were over-expressed in numerous cancers.
PARP1 and
FEN1 are essential genes in the error-prone and mutagenic DNA repair pathway
microhomology-mediated end joining. If this pathway is over-expressed the excess mutations it causes can lead to cancer.
PARP1 is over-expressed in tyrosine kinase-activated leukemias, in neuroblastoma, in testicular and other germ cell tumors, and in Ewing's sarcoma,
FEN1 is over-expressed in the majority of cancers of the breast, prostate, stomach, neuroblastomas, pancreatic, and lung. DNA damage appears to be the primary underlying cause of cancer. If accurate DNA repair is deficient, DNA damages tend to accumulate. Such excess DNA damage can increase
mutational errors during
DNA replication due to error-prone
translesion synthesis. Excess DNA damage can also increase
epigenetic alterations due to errors during DNA repair. Such mutations and epigenetic alterations can give rise to
cancer (see
malignant neoplasms). Thus, CpG island hyper/hypo-methylation in the promoters of DNA repair genes are likely central to progression to cancer.
Methylation of CpG sites with age Since age has a strong effect on DNA methylation levels on tens of thousands of CpG sites, one can define a highly accurate
biological clock (referred to as
epigenetic clock or
DNA methylation age) in humans and chimpanzees.
Unmethylated sites Unmethylated CpG dinucleotide sites can be detected by Toll-like receptor 9 (
TLR 9) on
plasmacytoid dendritic cells,
monocytes,
natural killer (NK) cells, and
B cells in humans. This is used to detect intracellular viral infection. == Role of CpG sites in memory ==