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Updated: Dec 26, 2025

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Published on: April 11, 2018
Epigenetic Modification of CFTR in Head and Neck Cancer
Yonghwan Shin1, Minkyoung Kim1, Jonghwa Won2
1Department of Physiology, School of Dentistry, Seoul National University and Dental Research Institute, Seoul 110-749, Korea.
Abstract:
Cystic fibrosis transmembrane conductance regulator (CFTR), a cyclic AMP (cAMP)-regulated chloride channel, is critical for secretion and absorption across diverse epithelia. Mutations or absence of CFTR result in pathogeneses, including cancer. While CFTR has been proposed as a tumor suppressing gene in tumors of the intestine, lung, and breast cancers, its effects in head and neck cancer (HNC) have yet to be investigated. This study aimed to define expression patterns and epigenetic modifications of CFTR in HNC. CFTR was expressed in normal but not in HNC cells and tissues. Treatment with 5-aza-2'-deoxycytidine (5-Aza-CdR) was associated with rescued expression of CFTR, whose function was confirmed by patch clamp technique. Further experiments demonstrated that CFTR CpG islands were hypermethylated in cancer cells and tissues and hypomethylated in normal cells and tissue. Our results suggest that CFTR epigenetic modifications are critical in both down-regulation and up-regulation of CFTR expression in HNC and normal cells respectively. We then investigated the impact of CFTR on expressions and functions of cancer-related genes. CFTR silencing was closely associated with changes to other cancer-related genes, suppressing apoptosis while enhancing proliferation, cell motility, and invasion in HNC. Our findings demonstrate that hypermethylation of CFTR CpG islands and CFTR deficiency is closely related to HNC.
Insights
Cystic fibrosis transmembrane conductance regulator (CFTR) is silenced in head and neck cancer (HNC) due to hypermethylation. Restoring CFTR function suppressed cancer growth and invasion.
Area of Science:
- Oncology
- Molecular Biology
- Epigenetics
Background:
- Cystic fibrosis transmembrane conductance regulator (CFTR) is a cAMP-regulated chloride channel crucial for epithelial function.
- CFTR dysfunction is linked to various pathologies, including cancer, but its role in head and neck cancer (HNC) is unexplored.
- CFTR is implicated as a tumor suppressor in intestinal, lung, and breast cancers.
Purpose of the Study:
- To investigate CFTR expression patterns and epigenetic modifications in HNC.
- To determine the functional impact of CFTR on cancer-related genes in HNC.
Main Methods:
- Analysis of CFTR expression in normal and HNC tissues and cells.
- Treatment with 5-aza-2'-deoxycytidine (5-Aza-CdR) to assess CFTR expression rescue.
- Patch clamp technique to confirm CFTR channel function.
- Analysis of CFTR CpG island methylation status.
- Assessment of CFTR's impact on apoptosis, proliferation, motility, and invasion.
Main Results:
- CFTR was expressed in normal tissues/cells but absent in HNC tissues/cells.
- 5-Aza-CdR treatment rescued CFTR expression and function.
- CFTR CpG islands were hypermethylated in HNC and hypomethylated in normal tissues/cells.
- CFTR silencing promoted proliferation, motility, and invasion while suppressing apoptosis in HNC.
Conclusions:
- Epigenetic modifications, specifically hypermethylation of CFTR CpG islands, are critical for CFTR down-regulation in HNC.
- CFTR deficiency is closely associated with HNC development and progression.
- Restoring CFTR expression and function may represent a therapeutic strategy for HNC.
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