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Updated: Jul 11, 2025

Continuous Fluorescence-Based Endonuclease-Coupled DNA Methylation Assay to Screen for DNA Methyltransferase Inhibitors
Published on: August 5, 2022
Alterations to DNA methylation patterns induced by chemotherapy treatment are associated with negative impacts on the
Peh Joo Ho1,2,3, Alexis Jiaying Khng1, Benita Kiat-Tee Tan4,5,6
1Genome Institute of Singapore (GIS), Agency for Science, Technology and Research (A*STAR), 60 Biopolis Street, Genome, Singapore, 138672, Republic of Singapore.
Background:
Exposure to cytotoxic chemotherapy treatment may alter DNA methylation (DNAm) in breast cancer patients.
Methods:
We performed DNAm analysis in 125 breast cancer patients with blood drawn before and after chemotherapy, using the Illumina MethylationEPIC array. DNAm changes of 588,798 individual CpGs (including 41,207 promoter regions) were evaluated using linear regression models adjusted for monocyte proportion. Gene set enrichment analyses (GSEA) were conducted to identify key Gene Ontology (GO) biological processes or Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways associated with chemotherapy. Results were validated in a separate cohort of breast cancer patients who were treated (n = 1273) and not treated (n = 872) by chemotherapy (1808 blood, 337 saliva).
Results:
A total of 141 differentially methylated CpGs and 11 promoters were significantly associated with chemotherapy after multiple testing corrections in both the paired sample and single time point analyses. GSEA of promoter regions (pre-ranked by test statistics) identified six suppressed biological processes (p < 4.67e-8) related to sensory perception and detection of chemical stimuli, including smell perception (GO:0007606, GO:0007608, GO:0009593, GO:0050906, GO:0050907, and GO:0050911). The same six biological processes were significantly suppressed in the validation dataset (p < 9.02e-14). The KEGG pathway olfactory transduction (hsa04740) was also found to be significantly suppressed (ppaired-samples = 1.72e-9, psingle-timepoint-blood = 2.03e-15 and psingle-timepoint-saliva = 7.52e-56).
Conclusion:
The enrichment of imprinted genes within biological processes and pathways suggests a biological mechanism by which chemotherapy could affect the perception of smell.
Insights
Chemotherapy alters DNA methylation (DNAm) in breast cancer patients, affecting smell perception. This study reveals suppressed biological processes related to smell, suggesting a link between DNAm changes and sensory alterations post-treatment.
Area of Science:
- Epigenetics
- Genomics
- Cancer Biology
Background:
- Cytotoxic chemotherapy can induce changes in DNA methylation (DNAm) in breast cancer patients.
- Understanding these epigenetic alterations is crucial for managing treatment side effects.
Purpose of the Study:
- To investigate DNA methylation changes associated with chemotherapy in breast cancer patients.
- To identify biological processes and pathways affected by chemotherapy-induced DNAm.
Main Methods:
- DNAm analysis using Illumina MethylationEPIC array in 125 breast cancer patients before and after chemotherapy.
- Linear regression models and gene set enrichment analyses (GSEA) were employed.
- Validation in a separate cohort of 1273 treated and 872 untreated patients using blood and saliva samples.
Main Results:
- 141 differentially methylated CpGs and 11 promoters were significantly associated with chemotherapy.
- GSEA identified six suppressed biological processes related to smell perception (GO:0007606, GO:0007608, GO:0009593, GO:0050906, GO:0050907, GO:0050911).
- The KEGG pathway olfactory transduction (hsa04740) was also significantly suppressed in validation cohorts.
Conclusions:
- Chemotherapy significantly impacts DNA methylation patterns in breast cancer patients.
- Suppressed olfactory transduction pathways suggest chemotherapy may alter smell perception.
- Enrichment of imprinted genes points to a potential mechanism for chemotherapy-induced sensory changes.
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