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Updated: May 8, 2026

Genome-Wide Analysis of DNA Methylation in Gastrointestinal Cancer
Published on: September 18, 2020
Global alterations of DNA methylation in cholangiocarcinoma target the Wnt signaling pathway
Benjamin Goeppert1, Carolin Konermann, Christopher Roman Schmidt
1Institute of Pathology, University Hospital Heidelberg, Germany.
Unlabelled:
The molecular mechanisms underlying the genesis of cholangiocarcinomas (CCs) are poorly understood. Epigenetic changes such as aberrant hypermethylation and subsequent atypical gene expression are characteristic features of most human cancers. In CC, data regarding global methylation changes are lacking so far. We performed a genome-wide analysis for aberrant promoter methylation in human CCs. We profiled 10 intrahepatic and 8 extrahepatic CCs in comparison to non-neoplastic biliary tissue specimens, using methyl-CpG immunoprecipitation (MCIp) combined with whole-genome CpG island arrays. DNA methylation was confirmed by quantitative mass spectrometric analysis and functional relevance of promoter hypermethylation was shown in demethylation experiments of two CC cell lines using 5-aza-2'deoxycytidine (DAC) treatment. Immunohistochemical staining of tissue microarrays (TMAs) from 223 biliary tract cancers (BTCs) was used to analyze candidate gene expression at the protein level. Differentially methylated, promoter-associated regions were nonrandomly distributed and enriched for genes involved in cancer-related pathways including Wnt, transforming growth factor beta (TGF-β), and PI3K signaling pathways. In CC cell lines, silencing of genes involved in Wnt signaling, such as SOX17, WNT3A, DKK2, SFRP1, SFRP2, and SFRP4 was reversed after DAC administration. Candidate protein SFRP2 was substantially down-regulated in neoplastic tissues of all BTC subtypes as compared to normal tissues. A significant inverse correlation of SFRP2 protein expression and pT status was found in BTC patients.
Conclusion:
We provide a comprehensive analysis to define the genome-wide methylation landscape of human CC. Several candidate genes of cancer-relevant signaling pathways were identified, and closer analysis of selected Wnt pathway genes confirmed the relevance of this pathway in CC. The presented global methylation data are the basis for future studies on epigenetic changes in cholangiocarcinogenesis.
Insights
This study reveals global DNA methylation changes in cholangiocarcinomas (CCs), identifying aberrant promoter methylation in cancer-related pathways like Wnt signaling. SFRP2 protein was down-regulated in biliary tract cancers, correlating with tumor stage.
Area of Science:
- Oncology
- Epigenetics
- Molecular Biology
Background:
- Cholangiocarcinomas (CCs) molecular mechanisms are poorly understood.
- Aberrant DNA methylation is a hallmark of human cancers, but global changes in CC are largely uncharacterized.
- Understanding epigenetic alterations is crucial for diagnosing and treating CC.
Purpose of the Study:
- To perform a genome-wide analysis of aberrant promoter methylation in human CCs.
- To identify key genes and signaling pathways affected by DNA methylation in CC.
- To investigate the functional relevance of identified methylation changes.
Main Methods:
- Genome-wide methylation profiling using methyl-CpG immunoprecipitation (MCIp) and CpG island arrays.
- Quantitative mass spectrometry for DNA methylation confirmation.
- Demethylation experiments with 5-aza-2'deoxycytidine (DAC) in CC cell lines.
- Immunohistochemical staining of tissue microarrays (TMAs) for protein expression analysis.
Main Results:
- Differentially methylated regions were enriched in cancer-related pathways, including Wnt, TGF-β, and PI3K signaling.
- Silencing of Wnt pathway genes (e.g., SOX17, SFRP2) was reversed by DAC treatment in CC cell lines.
- SFRP2 protein was significantly down-regulated in biliary tract cancers (BTCs) compared to normal tissues, inversely correlating with tumor stage (pT status).
Conclusions:
- This study provides a comprehensive genome-wide methylation landscape of human CC.
- Aberrant methylation of Wnt pathway genes is relevant in CC pathogenesis.
- The identified epigenetic alterations serve as a basis for future research into cholangiocarcinogenesis.
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