PMID- 24971511 OWN - NLM STAT- MEDLINE DCOM- 20151007 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 9 IP - 6 DP - 2014 TI - Alu and LINE-1 hypomethylation is associated with HER2 enriched subtype of breast cancer. PG - e100429 LID - 10.1371/journal.pone.0100429 [doi] LID - e100429 AB - The changes in DNA methylation status in cancer cells are characterized by hypermethylation of promoter CpG islands and diffuse genomic hypomethylation. Alu and long interspersed nucleotide element-1 (LINE-1) are non-coding genomic repetitive sequences and methylation of these elements can be used as a surrogate marker for genome-wide methylation status. This study was designed to evaluate the changes of Alu and LINE-1 hypomethylation during breast cancer progression from normal to pre-invasive lesions and invasive breast cancer (IBC), and their relationship with characteristics of IBC. We analyzed the methylation status of Alu and LINE-1 in 145 cases of breast samples including normal breast tissue, atypical ductal hyperplasia/flat epithelial atypia (ADH/FEA), ductal carcinoma in situ (DCIS) and IBC, and another set of 129 cases of IBC by pyrosequencing. Alu methylation showed no significant changes during multistep progression of breast cancer, although it tended to decrease during the transition from DCIS to IBC. In contrast, LINE-1 methylation significantly decreased from normal to ADH/FEA, while it was similar in ADH/FEA, DCIS and IBC. In IBC, Alu hypomethylation correlated with negative estrogen receptor (ER) status, and LINE-1 hypomethylation was associated with negative ER status, ERBB2 (HER2) amplification and p53 overexpression. Alu and LINE-1 methylation status was significantly different between breast cancer subtypes, and the HER2 enriched subtype had lowest methylation levels. In survival analyses, low Alu methylation status tended to be associated with poor disease-free survival of the patients. Our findings suggest that LINE-1 hypomethylation is an early event and Alu hypomethylation is probably a late event during breast cancer progression, and prominent hypomethylation of Alu and LINE-1 in HER2 enriched subtype may be related to chromosomal instability of this specific subtype. FAU - Park, So Yeon AU - Park SY AD - Department of Pathology, Seoul National University College of Medicine, Jongno-gu, Seoul, Korea; Department of Pathology, Seoul National University Bundang Hospital, Bundang-gu, Seongnam, Gyeonggi, Korea. FAU - Seo, An Na AU - Seo AN AD - Department of Pathology, Seoul National University Bundang Hospital, Bundang-gu, Seongnam, Gyeonggi, Korea. FAU - Jung, Hae Yoen AU - Jung HY AD - Department of Pathology, Seoul National University Bundang Hospital, Bundang-gu, Seongnam, Gyeonggi, Korea. FAU - Gwak, Jae Moon AU - Gwak JM AD - Department of Pathology, Seoul National University College of Medicine, Jongno-gu, Seoul, Korea. FAU - Jung, Namhee AU - Jung N AD - Laboratory of Epigenetics, Cancer Research Institute, Seoul National University, Jongno-gu, Seoul, Korea. FAU - Cho, Nam-Yun AU - Cho NY AD - Laboratory of Epigenetics, Cancer Research Institute, Seoul National University, Jongno-gu, Seoul, Korea. FAU - Kang, Gyeong Hoon AU - Kang GH AD - Department of Pathology, Seoul National University College of Medicine, Jongno-gu, Seoul, Korea; Laboratory of Epigenetics, Cancer Research Institute, Seoul National University, Jongno-gu, Seoul, Korea. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140627 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Biomarkers, Tumor) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - *Alu Elements MH - Biomarkers, Tumor MH - Breast Neoplasms/diagnosis/*genetics/metabolism/mortality/*pathology MH - *DNA Methylation MH - Disease Progression MH - Epigenesis, Genetic MH - Female MH - Humans MH - *Long Interspersed Nucleotide Elements MH - Middle Aged MH - Neoplasm Grading MH - Neoplasm Staging MH - Patient Outcome Assessment MH - Phenotype MH - Receptor, ErbB-2/*genetics/metabolism MH - Young Adult PMC - PMC4074093 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2014/06/28 06:00 MHDA- 2015/10/08 06:00 PMCR- 2014/06/27 CRDT- 2014/06/28 06:00 PHST- 2014/01/02 00:00 [received] PHST- 2014/05/28 00:00 [accepted] PHST- 2014/06/28 06:00 [entrez] PHST- 2014/06/28 06:00 [pubmed] PHST- 2015/10/08 06:00 [medline] PHST- 2014/06/27 00:00 [pmc-release] AID - PONE-D-14-00107 [pii] AID - 10.1371/journal.pone.0100429 [doi] PST - epublish SO - PLoS One. 2014 Jun 27;9(6):e100429. doi: 10.1371/journal.pone.0100429. eCollection 2014.