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Updated: Jun 13, 2026

Genome-Wide Analysis of DNA Methylation in Gastrointestinal Cancer
Published on: September 18, 2020
Genome-wide hypomethylation in cancer may be a passive consequence of transformation
Laurence Wild1, James M Flanagan
1UCL Cancer Institute, London, UK.
Abstract:
Epigenetics describes the study of stable, reversible alterations to the genome that affect gene expression and genome function, the most studied mechanisms are DNA methylation and histone modifications. Over recent years there has been rapid progress to elucidate the nature and role of the mechanisms involved in promoter hypermethylation during carcinogenesis, however, the mechanism behind one of the earliest epigenetic observations in cancer, genome-wide hypomethylation, remains unclear. Current evidence is divided between the hypotheses that hypomethylation is either an important early cancer-causing aberration or that it is a passive inconsequential side effect of carcinogenesis. With recent discoveries of gene-body methylation, fast cyclic methylation of hormone dependent genes and candidate proteins involved in DNA demethylation elucidation of the role of hypomethylation and the mechanism behind it appears ever closer. With the burgeoning use of DNA methyltransferase inhibitors as a cancer therapy there is an increased need to understand the mechanisms and importance of genome-wide hypomethylation in cancer. This review will discuss the timing and potential causes of genomic hypomethylation during carcinogenesis and will propose a way forward to understand the underlying mechanisms.
Insights
Genome-wide hypomethylation in cancer remains unclear, with ongoing debate about its role as a cause or effect. Understanding this epigenetic alteration is crucial for cancer therapy development.
Area of Science:
- Epigenetics
- Cancer Biology
- Genomics
Background:
- Epigenetics involves stable, reversible genome alterations affecting gene expression, primarily DNA methylation and histone modifications.
- While promoter hypermethylation in cancer is well-studied, the mechanism of genome-wide hypomethylation, an early epigenetic observation in cancer, remains elusive.
- Hypomethylation's role in carcinogenesis is debated: is it an early driver or a passive consequence?
Purpose of the Study:
- To review the timing and potential causes of genomic hypomethylation during carcinogenesis.
- To propose future research directions for elucidating the mechanisms of hypomethylation in cancer.
- To highlight the clinical relevance of understanding hypomethylation, especially with DNA methyltransferase inhibitors in cancer therapy.
Main Methods:
- Literature review focusing on epigenetic mechanisms in cancer.
- Analysis of current evidence regarding genome-wide hypomethylation.
- Discussion of recent discoveries in gene-body methylation and DNA demethylation.
Main Results:
- The precise mechanism and significance of genome-wide hypomethylation in cancer are not yet fully understood.
- Evidence is divided on whether hypomethylation initiates or accompanies cancer development.
- Recent findings on gene-body methylation and demethylation pathways offer new insights.
Conclusions:
- Further research is needed to clarify the role and mechanisms of genome-wide hypomethylation in cancer.
- Understanding hypomethylation is critical for advancing epigenetic cancer therapies.
- Elucidating hypomethylation mechanisms is a key frontier in cancer epigenetics.
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