Promoter hypermethylation inactivates CDKN2A, CDKN2B and RASSF1A genes in sporadic parathyroid adenomas
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Updated: Feb 28, 2026

Two Techniques to Create Hypoparathyroid Mice: Parathyroidectomy Using GFP Glands and Diphtheria-Toxin-Mediated Parathyroid Ablation
Published on: March 14, 2017
Ashutosh Kumar Arya1, Sanjay Kumar Bhadada2, Priyanka Singh1
1Department of Endocrinology, Postgraduate Institute of Medical Education & Research (PGIMER), Chandigarh, India.
Abstract:
Cyclin D1, a G1-S phase regulator, is upregulated in parathyroid adenomas. Since cyclin-dependent kinase (CDK) inhibitors, CDKN2A and CDKN2B, and RASSF1A (Ras-association domain family 1, isoform A) are involved in G1-S phase arrest and act as potential tumor suppressor genes, we aimed to study potential methylation-mediated inactivation of these genes in parathyroid adenomas. Gene expressions of cyclin D1 (CCND1) and regulatory molecules (CDKN2A, CDKN2B and RASSF1A) was analysed in parathyroid adenoma tissues (n = 30). DNA promoter methylation of cyclin D1 regulators were assessed and correlated with clinicopathological features of the patients. Gene expression analysis showed a relative fold reductions of 0.35 for CDKN2A (p = 0.01), 0.45 for CDKN2B (P = 0.02), and 0.39 for RASSF1A (p < 0.01) in adenomatous compared to normal parathyroid tissue. There was an inverse relationship between the expressions of CDKN2A and CDKN2B with CCND1. In addition, the promoter regions of CDKN2A, CDKN2B, and of RASSF1A were significantly hyper-methylated in 50% (n = 15), 47% (n = 14), and 90% (n = 27) of adenomas respectively. In contrast, no such aberrant methylation of these genes was observed in normal parathyroid tissue. So, promoter hypermethylation is associated with down-regulation of CCND1 regulatory genes in sporadic parathyroid adenomas. This dysregulated cell cycle mechanism may contribute to parathyroid tumorigenesis.
Insights
Methylation inactivates tumor suppressor genes CDKN2A, CDKN2B, and RASSF1A in parathyroid adenomas, leading to CCND1 upregulation and potential tumor growth.
Area of Science:
- Endocrinology
- Molecular Biology
- Oncology
Background:
- Cyclin D1 (CCND1) is upregulated in parathyroid adenomas.
- Cyclin-dependent kinase (CDK) inhibitors (CDKN2A, CDKN2B) and RASSF1A are tumor suppressors involved in cell cycle arrest.
Purpose of the Study:
- Investigate methylation-mediated inactivation of CDKN2A, CDKN2B, and RASSF1A in parathyroid adenomas.
- Correlate gene expression and methylation with clinicopathological features.
Main Methods:
- Analyzed gene expression of CCND1, CDKN2A, CDKN2B, and RASSF1A in 30 parathyroid adenomas and normal tissue.
- Assessed DNA promoter methylation of CCND1 regulators.
Main Results:
- Significant gene expression reduction for CDKN2A (0.35-fold), CDKN2B (0.45-fold), and RASSF1A (0.39-fold) in adenomas vs. normal tissue.
- Hypermethylation observed in 50% of CDKN2A, 47% of CDKN2B, and 90% of RASSF1A promoter regions.
- Inverse relationship found between CDKN2A/CDKN2B expression and CCND1 expression.
Conclusions:
- Promoter hypermethylation correlates with down-regulation of CCND1 regulatory genes in sporadic parathyroid adenomas.
- This dysregulation of cell cycle mechanisms may contribute to parathyroid tumorigenesis.
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