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Updated: Jul 21, 2026

Methyl-binding DNA capture Sequencing for Patient Tissues
Published on: October 31, 2016
Aberrant methylation of cyclooxygenase-2 in breast cancer patients
1Hung Chao Hong Integrated Center for Breast Diseases, Department of Surgery, The University of Hong Kong Medical Center, China. lwcchow@hkucc.hku.hk
Background:
Although aberrant CpG island methylation and subsequent silencing of the cyclooxygenase-2 (COX-2) promoter has been observed in colorectal and gastric tumors recently, little is known about that in breast cancers. The aim of this study was to identify the methylation status of COX-2 as well as to determine the association between clinical characteristics and COX-2 methylation in breast cancer patients.
Methods:
Using bisulfite modification and a methylation-specific PCR, we examined the methylation status of the COX-2 promoter in primary tumors from 110 breast cancer patients. Meanwhile, the expression of COX-2 protein was determined by immunohistochemistry (IHC).
Results:
Twenty out of 110 (18.2%) primary breast cancers showed aberrant methylation of the 5' region of COX-2. Loss of expression of COX-2 protein was found in all tumors with COX-2 methylation. Methylation of COX-2 was strongly correlated with tumor size (P = 0.026), presence of axillary lymph node metastasis (P = 0.001) and lymphovascular permeation (P = 0.034).
Conclusion:
Our data suggest that COX-2 methylation is associated with good prognostic factors in breast cancer patients. COX-2 promoter methylation may be one of the mechanisms by which tumor cells regulate COX-2 expression.
Insights
Aberrant methylation of the cyclooxygenase-2 (COX-2) promoter was observed in 18.2% of breast cancers. COX-2 promoter methylation correlates with favorable prognostic factors, suggesting a role in breast cancer regulation.
Area of Science:
- Oncology
- Molecular Biology
- Epigenetics
Background:
- Aberrant CpG island methylation and gene silencing are implicated in various cancers.
- The role of cyclooxygenase-2 (COX-2) promoter methylation in breast cancer remains largely unexplored.
- This study investigates COX-2 methylation in breast tumors and its clinical associations.
Purpose of the Study:
- To determine the methylation status of the COX-2 promoter in breast cancer.
- To assess the correlation between COX-2 methylation and clinical characteristics in breast cancer patients.
Main Methods:
- Analysis of COX-2 promoter methylation using bisulfite modification and methylation-specific PCR in 110 primary breast tumors.
- Evaluation of COX-2 protein expression via immunohistochemistry (IHC).
Main Results:
- Aberrant COX-2 promoter methylation detected in 18.2% (20/110) of breast cancers.
- Loss of COX-2 protein expression observed in all methylated tumors.
- COX-2 methylation significantly correlated with larger tumor size, lymph node metastasis, and lymphovascular permeation.
Conclusions:
- COX-2 promoter methylation is linked to favorable prognostic factors in breast cancer.
- Epigenetic silencing of COX-2 via promoter methylation is a potential mechanism for regulating its expression in breast tumors.
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