PMID- 22346766 OWN - NLM STAT- MEDLINE DCOM- 20120518 LR - 20220408 IS - 1553-7404 (Electronic) IS - 1553-7390 (Print) IS - 1553-7390 (Linking) VI - 8 IP - 2 DP - 2012 Feb TI - The dynamics and prognostic potential of DNA methylation changes at stem cell gene loci in women's cancer. PG - e1002517 LID - 10.1371/journal.pgen.1002517 [doi] LID - e1002517 AB - Aberrant DNA methylation is an important cancer hallmark, yet the dynamics of DNA methylation changes in human carcinogenesis remain largely unexplored. Moreover, the role of DNA methylation for prediction of clinical outcome is still uncertain and confined to specific cancers. Here we perform the most comprehensive study of DNA methylation changes throughout human carcinogenesis, analysing 27,578 CpGs in each of 1,475 samples, ranging from normal cells in advance of non-invasive neoplastic transformation to non-invasive and invasive cancers and metastatic tissue. We demonstrate that hypermethylation at stem cell PolyComb Group Target genes (PCGTs) occurs in cytologically normal cells three years in advance of the first morphological neoplastic changes, while hypomethylation occurs preferentially at CpGs which are heavily Methylated in Embryonic Stem Cells (MESCs) and increases significantly with cancer invasion in both the epithelial and stromal tumour compartments. In contrast to PCGT hypermethylation, MESC hypomethylation progresses significantly from primary to metastatic cancer and defines a poor prognostic signature in four different gynaecological cancers. Finally, we associate expression of TET enzymes, which are involved in active DNA demethylation, to MESC hypomethylation in cancer. These findings have major implications for cancer and embryonic stem cell biology and establish the importance of systemic DNA hypomethylation for predicting prognosis in a wide range of different cancers. FAU - Zhuang, Joanna AU - Zhuang J AD - Department of Women's Cancer, University College London Elizabeth Garrett Anderson Institute for Women's Health, London, UK. FAU - Jones, Allison AU - Jones A FAU - Lee, Shih-Han AU - Lee SH FAU - Ng, Esther AU - Ng E FAU - Fiegl, Heidi AU - Fiegl H FAU - Zikan, Michal AU - Zikan M FAU - Cibula, David AU - Cibula D FAU - Sargent, Alexandra AU - Sargent A FAU - Salvesen, Helga B AU - Salvesen HB FAU - Jacobs, Ian J AU - Jacobs IJ FAU - Kitchener, Henry C AU - Kitchener HC FAU - Teschendorff, Andrew E AU - Teschendorff AE FAU - Widschwendter, Martin AU - Widschwendter M LA - eng GR - Department of Health/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120209 PL - United States TA - PLoS Genet JT - PLoS genetics JID - 101239074 RN - 0 (DNA-Binding Proteins) RN - 0 (Polycomb-Group Proteins) RN - 0 (Proto-Oncogene Proteins) RN - 0 (Repressor Proteins) RN - EC 1.- (Mixed Function Oxygenases) RN - EC 1.- (TET1 protein, human) SB - IM EIN - PLoS Genet. 2012 Mar;8(3). doi: 10.1371/annotation/35f168f3-c509-4b4f-b245-f6682325838e MH - Adult MH - Aged MH - Aged, 80 and over MH - Cell Transformation, Neoplastic/*genetics MH - CpG Islands/genetics MH - DNA Methylation/*genetics MH - DNA-Binding Proteins/genetics MH - Embryonic Stem Cells/cytology/*metabolism MH - Epigenesis, Genetic MH - Female MH - Gene Expression Regulation, Neoplastic MH - Hematopoietic Stem Cells/cytology/metabolism MH - Humans MH - Middle Aged MH - Mixed Function Oxygenases MH - Neoplasms/*genetics/metabolism MH - Neoplastic Stem Cells/cytology/*metabolism MH - Polycomb-Group Proteins MH - *Prognosis MH - Promoter Regions, Genetic MH - Proto-Oncogene Proteins/genetics MH - Repressor Proteins/*genetics/metabolism PMC - PMC3276553 COIS- The authors have declared that no competing interests exist. EDAT- 2012/02/22 06:00 MHDA- 2012/05/19 06:00 PMCR- 2012/02/01 CRDT- 2012/02/21 06:00 PHST- 2011/10/14 00:00 [received] PHST- 2011/12/15 00:00 [accepted] PHST- 2012/02/21 06:00 [entrez] PHST- 2012/02/22 06:00 [pubmed] PHST- 2012/05/19 06:00 [medline] PHST- 2012/02/01 00:00 [pmc-release] AID - PGENETICS-D-11-02221 [pii] AID - 10.1371/journal.pgen.1002517 [doi] PST - ppublish SO - PLoS Genet. 2012 Feb;8(2):e1002517. doi: 10.1371/journal.pgen.1002517. Epub 2012 Feb 9.