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Updated: Mar 26, 2026

Genome-Wide Analysis of DNA Methylation in Gastrointestinal Cancer
Published on: September 18, 2020
Krüppel-like factor 4 expression in oral carcinoma cells and hypermethylation at the gene promoter
Ayumi Yamaguchi1, Karen Kuroyama2, Ayana Tokura3
1School of Life Dentistry at Tokyo, The Nippon Dental University, 1-9-20, Chiyoda-ku, Fujimi, Tokyo, 102-8159, Japan. ayumi.y.ii.may.seven1@gmail.com.
Background:
Krüppel-like factor 4 (KLF4) is a transcription factor regulating proliferation-differentiation balance of epithelium, and down-regulated in less-differentiated and advanced oral carcinomas. Although the expression is inactivated by the promoter hypermethylation in malignant tumor cells, it remains unknown in oral carcinoma cells.
Methods:
Genomic DNA isolated from nine different oral carcinoma cell lines and a normal keratinocyte line was treated with sodium bisulfite, and methylation at KLF4 gene promoter was determined by PCR direct-sequence analysis. KLF4 expression in cells cultured with or without demethylation reagent was monitored by quantitative real-time PCR and immunoblot.
Results:
A 237-bp promoter region spanning - 718 and - 482 of KLF4 gene was hypermethylated in oral carcinoma cells that express KLF4 at a low level, but the methylation was infrequent in cells expressing KLF4 high amount. The downstream region from - 481 to +192 was not methylated in any cell lines. Demethylation treatment of cells up-regulated the expression at mRNA and protein levels.
Conclusion:
This study demonstrated that hypermethylation at a narrow range of the promoter region down-regulates KLF4 expression, and suggests that the loss of expression by the hypermethylation contributes to oral carcinoma progression.
Insights
Hypermethylation of the Krüppel-like factor 4 (KLF4) gene promoter in oral carcinoma cells leads to low KLF4 expression. This silencing contributes to oral cancer progression.
Area of Science:
- Molecular Biology
- Oncology
- Epigenetics
Background:
- Krüppel-like factor 4 (KLF4) is a key transcription factor involved in epithelial cell proliferation and differentiation.
- KLF4 is often downregulated in advanced oral carcinomas, suggesting a role in oral cancer development.
- The mechanism of KLF4 inactivation in oral carcinoma cells, particularly promoter methylation, was previously unclear.
Purpose of the Study:
- To investigate the methylation status of the KLF4 gene promoter in oral carcinoma cell lines.
- To determine the correlation between KLF4 promoter methylation and KLF4 expression levels.
- To assess the impact of demethylation on KLF4 expression in oral cancer cells.
Main Methods:
- Genomic DNA from oral carcinoma cell lines and normal keratinocytes was analyzed for KLF4 promoter methylation using bisulfite sequencing.
- KLF4 mRNA and protein expression were quantified using real-time PCR and immunoblotting, respectively.
- Cells were treated with a demethylation reagent to observe effects on KLF4 expression.
Main Results:
- Hypermethylation was observed in a specific promoter region (-718 to -482) of the KLF4 gene in oral carcinoma cells with low KLF4 expression.
- This promoter region was infrequently methylated in cells expressing high KLF4 levels.
- Demethylation treatment significantly increased both KLF4 mRNA and protein levels.
Conclusions:
- Hypermethylation of a specific KLF4 promoter region is a mechanism for KLF4 gene silencing in oral carcinoma.
- Downregulation of KLF4 expression due to promoter hypermethylation likely contributes to the progression of oral cancer.
- Restoring KLF4 expression through demethylation offers potential therapeutic insights for oral cancer treatment.
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