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Updated: Mar 2, 2026

Genome-Wide Analysis of DNA Methylation in Gastrointestinal Cancer
Published on: September 18, 2020
How to stomach an epigenetic insult: the gastric cancer epigenome
Nisha Padmanabhan1, Toshikazu Ushijima2, Patrick Tan1,3,4,5,6
1Cancer and Stem Cell Biology Programme, Duke-NUS Medical School, 8 College Road, 169857 Singapore.
Abstract:
Gastric cancer is a deadly malignancy afflicting close to a million people worldwide. Patient survival is poor and largely due to late diagnosis and suboptimal therapies. Disease heterogeneity is a substantial obstacle, underscoring the need for precision treatment strategies. Studies have identified different subgroups of gastric cancer displaying not just genetic, but also distinct epigenetic hallmarks. Accumulating evidence suggests that epigenetic abnormalities in gastric cancer are not mere bystander events, but rather promote carcinogenesis through active mechanisms. Epigenetic aberrations, induced by pathogens such as Helicobacter pylori, are an early component of gastric carcinogenesis, probably preceding genetic abnormalities. This Review summarizes our current understanding of the gastric cancer epigenome, highlighting key advances in recent years in both tumours and pre-malignant lesions, made possible through targeted and genome-wide technologies. We focus on studies related to DNA methylation and histone modifications, linking these findings to potential therapeutic opportunities. Lessons learned from the gastric cancer epigenome might also prove relevant for other gastrointestinal cancers.
Insights
Gastric cancer epigenome research reveals epigenetic changes, like DNA methylation and histone modifications, drive cancer development. Understanding these alterations offers new precision treatment strategies for better patient outcomes.
Area of Science:
- Oncology
- Epigenetics
- Gastroenterology
Background:
- Gastric cancer is a leading cause of cancer death globally, with poor survival rates attributed to late diagnosis and ineffective treatments.
- Disease heterogeneity, including genetic and epigenetic variations, presents a major challenge for effective therapy.
- Epigenetic alterations, potentially induced by pathogens like Helicobacter pylori, are implicated as early drivers of gastric carcinogenesis.
Purpose of the Study:
- To review current knowledge of the gastric cancer epigenome.
- To highlight recent advancements in understanding epigenetic hallmarks in tumors and pre-malignant lesions.
- To connect epigenetic findings to potential therapeutic strategies.
Main Methods:
- Review of targeted and genome-wide technologies.
- Focus on studies investigating DNA methylation patterns.
- Analysis of histone modification data in gastric cancer.
Main Results:
- Epigenetic abnormalities are active drivers of gastric carcinogenesis, not just passive bystanders.
- Specific epigenetic profiles distinguish subgroups of gastric cancer.
- Epigenetic changes occur early in the carcinogenic process, potentially preceding genetic mutations.
Conclusions:
- The gastric cancer epigenome holds significant insights into disease mechanisms.
- Understanding epigenetic aberrations can inform the development of precision treatment strategies.
- Findings in gastric cancer epigenetics may have implications for other gastrointestinal cancers.
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