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Updated: Feb 17, 2026

Genome-Wide Analysis of DNA Methylation in Gastrointestinal Cancer
Published on: September 18, 2020
Insulin-like growth factor 2 expression in prostate cancer is regulated by promoter-specific methylation
Stefan Küffer1, Tobias Gutting2,3, Djeda Belharazem2
1Institute of Pathology, University Medical Center Göttingen, University of Göttingen, Germany.
Abstract:
Deregulation of the insulin-like growth factor (IGF) axis and dysbalance of components of the IGF system as potential therapeutic targets have been described in different tumor types. IGF2 is a major embryonic growth factor and an important activator of IGF signaling. It is regulated by imprinting in a development- and tissue-dependent manner and has been implicated in a broad range of malignancies including prostate cancer (PCa). Loss of imprinting (LOI) usually results in bi-allelic gene expression and increased levels of IGF2. However, the regulatory mechanisms and the pathophysiological impact of altered IGF2 expression in PCa remain elusive. Here, we show that in contrast to many other tumors, IGF2 mRNA and protein levels were decreased in 80% of PCa in comparison with non-neoplastic adjacent prostate and were independent of LOI status. Instead, IGF2 expression in both tumors and adjacent prostate depended on preferential usage of the IGF2 promoters P3 and P4. Decreased IGF2 expression in tumors was strongly related to hypermethylation of these two promoters. Methylation of the A region in promoter P4 correlated specifically with IGF2 expression in the 20% of PCa where IGF2 was higher in tumors than in adjacent prostate. We conclude that IGF2 is downregulated in most PCa and may be particularly relevant during early stages of tumor development or during chemotherapy and androgen deprivation. PCa differs from other tumors in that IGF2 expression is mainly regulated through methylation of promoter-specific and not by imprinting. Targeting of promoter-specific regions may have relevance for the adjuvant treatment of PCa.
Insights
Insulin-like growth factor 2 (IGF2) is downregulated in most prostate cancers (PCa), contrary to other tumors. This decrease is linked to promoter methylation, not imprinting changes, suggesting new therapeutic targets for PCa.
Area of Science:
- Oncology
- Molecular Biology
- Epigenetics
Background:
- The insulin-like growth factor (IGF) axis is implicated in various cancers.
- IGF2, a key growth factor, plays a role in malignancies, but its regulation in prostate cancer (PCa) is unclear.
- Loss of imprinting (LOI) typically increases IGF2, but its role in PCa is not well understood.
Purpose of the Study:
- Investigate the expression patterns and regulatory mechanisms of IGF2 in prostate cancer.
- Determine the role of IGF2 imprinting and promoter methylation in PCa development.
- Identify potential therapeutic targets within the IGF2 pathway for PCa treatment.
Main Methods:
- Quantitative analysis of IGF2 mRNA and protein levels in PCa tissues and adjacent normal prostate tissues.
- Assessment of IGF2 imprinting status (LOI) in tumor samples.
- Analysis of DNA methylation patterns in IGF2 promoters (P3 and P4) using methylation-specific techniques.
Main Results:
- IGF2 expression was decreased in 80% of PCa compared to adjacent prostate tissue, independent of LOI status.
- IGF2 expression primarily utilized promoters P3 and P4 in both tumor and normal tissues.
- Hypermethylation of IGF2 promoters P3 and P4 correlated with decreased IGF2 expression in most PCa.
- Specific methylation in promoter P4's A region was associated with increased IGF2 in the remaining 20% of PCa.
Conclusions:
- IGF2 is predominantly downregulated in prostate cancer, primarily through promoter-specific methylation, differing from other tumor types.
- Altered IGF2 expression may be relevant in early PCa development and during specific treatments like chemotherapy and androgen deprivation.
- Targeting IGF2 promoter regions presents a potential strategy for adjuvant therapy in prostate cancer.
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