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Updated: Jun 2, 2026

Methyl-binding DNA capture Sequencing for Patient Tissues
Published on: October 31, 2016
Global hypomethylation identifies Loci targeted for hypermethylation in head and neck cancer
Graham M Poage1, E Andres Houseman, Brock C Christensen
1Departments of Molecular Pharmacology and Physiology, Community Health-Center for Environmental Health and Technology, and Pathology and Laboratory Medicine, Brown University, Providence, Rhode Island, USA.
Purpose:
The human epigenome is profoundly altered in cancers, with a characteristic loss of methylation in repetitive regions and concomitant accumulation of gene promoter methylation. The degree to which these processes are coordinated is unclear so we investigated both in head and neck squamous cell carcinomas.
Experimental Design:
Global methylation was measured using the luminometric methylation assay (LUMA) and pyrosequencing of LINE-1Hs and AluYb8 repetitive elements in a series of 138 tumors. We also measured methylation of more than 27,000 CpG loci with the Illumina HumanMethylation27 Microarray (n = 91).
Results:
LINE-1 methylation was significantly associated with LUMA and Infinium loci methylation (Spearman's ρ = 0.52/ρ = 0.56, both P < 0.001) but not that of AluYb8. Methylation of LINE-1, AluYb8, and Infinium loci differed by tumor site (each Kruskal-Wallis, P < 0.05). Also, LINE-1 and LUMA methylation were associated with HPV16 E6 serology (each Mann-Whitney, P < 0.05). Comparing LINE-1 methylation to gene-associated methylation, we identified a distinct subset of CpG loci with significant hypermethylation associated with LINE-1 hypomethylation. An investigation of sequence features for these CpG loci revealed that they were significantly less likely to reside in repetitive elements (Gene Set Enrichment Analysis, P < 0.02), enriched in CpG islands (P < 0.001) and were proximal to transcription factor-binding sites (P < 0.05). We validated the top CpG loci that had significant hypermethylation associated with LINE-1 hypomethylation (at EVI2A, IFRD1, KLHL6, and PTPRCAP) by pyrosequencing independent tumors.
Conclusions:
These data indicate that global hypomethylation and gene-specific methylation processes are associated in a sequence-dependent manner, and that clinical characteristics and exposures leading to HNSCC may be influencing these processes.
Insights
Global hypomethylation and gene promoter hypermethylation are linked in head and neck cancers. These epigenetic changes correlate with tumor site and HPV status, suggesting coordinated processes influenced by clinical factors.
Area of Science:
- Epigenetics
- Cancer Biology
- Genomics
Background:
- The human epigenome undergoes significant alterations in cancer, characterized by global DNA hypomethylation and gene promoter hypermethylation.
- The coordination between these widespread epigenetic changes in cancer development remains largely unclear.
Purpose of the Study:
- To investigate the relationship between global hypomethylation and gene promoter methylation in head and neck squamous cell carcinomas (HNSCC).
- To explore potential associations with clinical characteristics and exposures in HNSCC.
Main Methods:
- Global methylation was assessed using the luminometric methylation assay (LUMA) and pyrosequencing of LINE-1 and AluYb8 repetitive elements.
- Gene promoter methylation was analyzed using the Illumina HumanMethylation27 Microarray across over 27,000 CpG loci.
- Statistical analyses included Spearman correlation, Kruskal-Wallis tests, and Mann-Whitney tests to identify associations.
Main Results:
- LINE-1 methylation strongly correlated with LUMA and Infinium loci methylation, but AluYb8 methylation did not show significant association.
- Methylation levels of LINE-1, AluYb8, and Infinium loci varied significantly by tumor site.
- LINE-1 and LUMA methylation were associated with HPV16 E6 serology.
- A subset of CpG loci exhibited significant hypermethylation associated with LINE-1 hypomethylation, with these loci being less repetitive, enriched in CpG islands, and proximal to transcription factor-binding sites.
- Validation by pyrosequencing confirmed hypermethylation at specific loci (EVI2A, IFRD1, KLHL6, PTPRCAP) linked to LINE-1 hypomethylation.
Conclusions:
- Global hypomethylation and gene-specific methylation are associated in a sequence-dependent manner in HNSCC.
- Clinical characteristics and environmental exposures contributing to HNSCC may influence these coordinated epigenetic processes.
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