NEIL1 is one of the
DNA repair genes most frequently
hypermethylated in
head and neck squamous cell carcinoma (HNSCC). When 160 human DNA repair genes were evaluated for aberrant methylation in HNSCC tumors, 62% of tumors were hypermethylated in the NEIL1 promoter region, causing NEIL1 messenger RNA and NEIL1 protein to be repressed. When 8 DNA repair genes were evaluated in
non-small cell lung cancer (NSCLC) tumors, 42% were hypermethylated in the NEIL1 promoter region. This was the most frequent DNA repair deficiency found among the 8 DNA repair genes tested. NEIL1 was also one of six DNA repair genes found to be hypermethylated in their promoter regions in
colorectal cancer. While other DNA repair genes, such as
MGMT and
MLH1, are often evaluated for epigenetic repression in many types of cancer, epigenetic deficiency of NEIL1 is usually not evaluated, but might be of importance in such cancers as well. DNA damage appears to be the primary underlying cause of cancer. If DNA repair is deficient, DNA damage tends to accumulate. Such excess DNA damage may increase
mutational errors during
DNA replication due to error-prone
translesion synthesis. Excess DNA damage may also increase
epigenetic alterations due to errors during DNA repair. Such mutations and epigenetic alterations may give rise to
cancer (see
malignant neoplasms). In colon cancer,
germ line mutations in DNA repair genes cause only 2–5% of cases. However, methylation of the promoter region of DNA repair genes (including NEIL1 ==Memory retention==