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Updated: Mar 24, 2026

Genome-Wide Analysis of DNA Methylation in Gastrointestinal Cancer
Published on: September 18, 2020
Pathway Implications of Aberrant Global Methylation in Adrenocortical Cancer
Christophe R Legendre1, Michael J Demeure1, Timothy G Whitsett1
1Translational Genomics Research Institute, Phoenix, AZ, United States of America.
Context:
Adrenocortical carcinomas (ACC) are a rare tumor type with a poor five-year survival rate and limited treatment options.
Objective:
Understanding of the molecular pathogenesis of this disease has been aided by genomic analyses highlighting alterations in TP53, WNT, and IGF signaling pathways. Further elucidation is needed to reveal therapeutically actionable targets in ACC.
Design:
In this study, global DNA methylation levels were assessed by the Infinium HumanMethylation450 BeadChip Array on 18 ACC tumors and 6 normal adrenal tissues. A new, non-linear correlation approach, the discretization method, assessed the relationship between DNA methylation/gene expression across ACC tumors.
Results:
This correlation analysis revealed epigenetic regulation of genes known to modulate TP53, WNT, and IGF signaling, as well as silencing of the tumor suppressor MARCKS, previously unreported in ACC.
Conclusions:
DNA methylation may regulate genes known to play a role in ACC pathogenesis as well as known tumor suppressors.
Insights
DNA methylation impacts adrenocortical carcinoma (ACC) by regulating key signaling pathways and tumor suppressors like MARCKS. This epigenetic insight offers potential new therapeutic targets for this rare cancer.
Area of Science:
- Epigenetics
- Genomics
- Oncology
Background:
- Adrenocortical carcinoma (ACC) is a rare malignancy with poor prognosis.
- Current treatment options for ACC are limited.
- Genomic studies identified TP53, WNT, and IGF pathway alterations in ACC.
Purpose of the Study:
- To investigate the role of DNA methylation in ACC pathogenesis.
- To identify novel epigenetic targets for ACC therapy.
- To explore the relationship between DNA methylation and gene expression in ACC.
Main Methods:
- Global DNA methylation analysis using the Infinium HumanMethylation450 BeadChip Array.
- Assessment on 18 ACC tumors and 6 normal adrenal tissues.
- Application of a novel discretization method to correlate DNA methylation and gene expression.
Main Results:
- Epigenetic regulation of genes involved in TP53, WNT, and IGF signaling pathways was identified.
- The tumor suppressor gene MARCKS was found to be silenced in ACC, a novel finding.
- DNA methylation patterns correlate with gene expression in ACC.
Conclusions:
- DNA methylation plays a significant role in the pathogenesis of adrenocortical carcinoma.
- Epigenetic modifications affect key signaling pathways and tumor suppressors in ACC.
- Understanding these epigenetic alterations may lead to new therapeutic strategies for ACC.
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