PMID- 37434653 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230718 IS - 2634-4793 (Electronic) IS - 2634-4793 (Linking) VI - 3 IP - 1 DP - 2023 Jan 1 TI - The role of DNA methylation in human pancreatic neuroendocrine tumours. PG - e230003 LID - 10.1530/EO-23-0003 [doi] LID - e230003 AB - Pancreatic neuroendocrine tumours (PNETs) are the second most common pancreatic tumour. However, relatively little is known about their tumourigenic drivers, other than mutations involving the multiple endocrine neoplasia 1 (MEN1), ATRX chromatin remodeler, and death domain-associated protein genes, which are found in ~40% of sporadic PNETs. PNETs have a low mutational burden, thereby suggesting that other factors likely contribute to their development, including epigenetic regulators. One such epigenetic process, DNA methylation, silences gene transcription via 5'methylcytosine (5mC), and this is usually facilitated by DNA methyltransferase enzymes at CpG-rich areas around gene promoters. However, 5'hydroxymethylcytosine, which is the first epigenetic mark during cytosine demethylation, and opposes the function of 5mC, is associated with gene transcription, although the significance of this remains unknown, as it is indistinguishable from 5mC when conventional bisulfite conversion techniques are solely used. Advances in array-based technologies have facilitated the investigation of PNET methylomes and enabled PNETs to be clustered by methylome signatures, which has assisted in prognosis and discovery of new aberrantly regulated genes contributing to tumourigenesis. This review will discuss the biology of DNA methylation, its role in PNET development, and impact on prognostication and discovery of epigenome-targeted therapies. CI - (c) the author(s). FAU - English, Katherine A AU - English KA AUID- ORCID: 0000-0003-1439-1834 AD - OCDEM, Radcliffe Department of Medicine, University of Oxford, Churchill Hospital, Oxford, UK. FAU - Thakker, Rajesh V AU - Thakker RV AD - OCDEM, Radcliffe Department of Medicine, University of Oxford, Churchill Hospital, Oxford, UK. AD - Oxford NIHR Biomedical Research Centre, Oxford University Hospitals Trust, Oxford, UK. FAU - Lines, Kate E AU - Lines KE AUID- ORCID: 0000-0002-0764-8681 AD - OCDEM, Radcliffe Department of Medicine, University of Oxford, Churchill Hospital, Oxford, UK. AD - Oxford NIHR Biomedical Research Centre, Oxford University Hospitals Trust, Oxford, UK. LA - eng PT - Journal Article PT - Review DEP - 20230417 PL - England TA - Endocr Oncol JT - Endocrine oncology (Bristol, England) JID - 9918540584106676 PMC - PMC10305641 OTO - NOTNLM OT - epigenetics OT - hydroxymethylation OT - menin OT - methylation OT - multiple endocrine neoplasia type 1 OT - pancreatic neuroendocrine tumours COIS- There is no conflict of interest that could be perceived as prejudicing the impartiality of this review. EDAT- 2023/07/12 06:42 MHDA- 2023/07/12 06:43 PMCR- 2023/04/17 CRDT- 2023/07/12 03:44 PHST- 2023/03/30 00:00 [received] PHST- 2023/04/17 00:00 [accepted] PHST- 2023/07/12 06:43 [medline] PHST- 2023/07/12 06:42 [pubmed] PHST- 2023/07/12 03:44 [entrez] PHST- 2023/04/17 00:00 [pmc-release] AID - EO-23-0003 [pii] AID - 10.1530/EO-23-0003 [doi] PST - epublish SO - Endocr Oncol. 2023 Apr 17;3(1):e230003. doi: 10.1530/EO-23-0003. eCollection 2023 Jan 1.