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Updated: Mar 1, 2026

Methyl-binding DNA capture Sequencing for Patient Tissues
Published on: October 31, 2016
CRY2 is suppressed by FOXM1 mediated promoter hypermethylation in breast cancer
Lingling Liu1, Hong Shen2, Yang Wang3
1Department of Clinical Laboratory, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong 250021, China.
Abstract:
Loss of CRY2 confers aggressive phenotypes to breast cancer. However, the mechanism of its downregulation and its prognostic value in breast cancer are still not clear. Our data mining in TCGA breast cancer cohort (TCGA-BRCA) showed that the luminal A subtype of breast cancer had the highest CRY2 expression, while the basal-like subtype had the lowest CRY2 expression. The ER+ group had significantly higher CRY2 expression than the ER- group. Demethylation treatment using 5-AZA-dC significantly restored CRY2 expression in MDA-MB-231 and BT549 cells. Co-expression analysis in TCGA-BRCA showed a strong negative correlation between CRY2 and FOXM1 (Pearson's r = -0.62). FOXM1 overexpression in MCF-7 cells reduced CRY2 expression, while FOXM1 knockdown in MDA-MB-231 cells increased CRY2 expression. Demethylation significantly abrogated FOXM1 induced CRY2 suppression in MCF-7 cells. Bioinformatic scanning predicted a common FOXM1 binding site in CRY2 transcript 1 and transcript 2 promoter. The following studies confirmed that through binding with DNMT3b, FOXM1 can bind to CRY2 promoter and enhance methylation in this region. Univariate analysis based on Cox proportional hazards model and the following NPI and AOL adjusted studies in bc-GenExMiner 4.0 showed that high CRY2 expression was an independent indicator of reduced risk of metastatic relapse (MR) in ER+ breast cancer patients, but not in ER- breast cancer. With these findings, we infer that FOXM1 is a negative regulator of CRY2 in breast cancer via enhancing methylation in CRY2 promoter and its high expression is an independent predictor of favorable MR-free survival in ER+ breast cancer patients.
Insights
Loss of CRY2 is linked to aggressive breast cancer. FOXM1 suppresses CRY2 via methylation, and high CRY2 predicts better outcomes in ER+ breast cancer patients, suggesting a new therapeutic target.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Loss of CRY2 is associated with aggressive breast cancer phenotypes.
- The mechanisms of CRY2 downregulation and its prognostic significance in breast cancer remain unclear.
Purpose of the Study:
- To investigate the mechanism of CRY2 downregulation in breast cancer.
- To evaluate the prognostic value of CRY2 expression in breast cancer patients.
Main Methods:
- Data mining of the TCGA breast cancer cohort (TCGA-BRCA).
- In vitro experiments involving demethylation treatment (5-AZA-dC) and gene manipulation (overexpression/knockdown) of FOXM1.
- Bioinformatic analysis to predict transcription factor binding sites.
- Correlation analysis (Pearson's r) and Cox proportional hazards model for prognostic evaluation using bc-GenExMiner 4.0.
Main Results:
- CRY2 expression varied by breast cancer subtype (Luminal A highest, Basal-like lowest) and ER status (ER+ higher than ER-).
- Demethylation restored CRY2 expression, and FOXM1 was found to be a negative regulator of CRY2, suppressing its expression via promoter methylation.
- High CRY2 expression independently predicted a reduced risk of metastatic relapse (MR) in ER+ breast cancer patients.
Conclusions:
- FOXM1 acts as a negative regulator of CRY2 in breast cancer by enhancing promoter methylation.
- High CRY2 expression is an independent predictor of favorable MR-free survival in ER+ breast cancer patients.
- CRY2 may serve as a potential prognostic biomarker and therapeutic target in ER+ breast cancer.
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