Genome-wide characterization of dynamic DNA 5-hydroxymethylcytosine and TET2-related DNA demethylation during breast

Shuang-Ling Wu1,2, Lin Yang2, Changcai Huang3

  • 1Department of Surgical Oncology and Breast Surgery, The First Affiliated Hospital of China Medical University, Shenyang, 110000, China.

Clinical Epigenetics
|September 11, 2024
PubMed
Abstract

Insights

Dynamic changes in DNA 5-hydroxymethylcytosine (5hmC) and 5-methylcytosine (5mC) are crucial in early breast cancer development. These epigenetic marks, along with TET2, transcription factors, and histone marks, drive tumorigenesis and may aid in breast cancer screening using cell-free DNA (cfDNA).

Area of Science:

  • Epigenetics
  • Cancer Biology
  • Genomics

Background:

  • Breast tumorigenesis involves complex genetic and epigenetic changes.
  • The roles of 5-hydroxymethylcytosine (5hmC) and 5-methylcytosine (5mC) in early breast cancer development are not well understood.

Purpose of the Study:

  • To investigate the dynamic changes in DNA 5hmC and 5mC during early breast tumorigenesis.
  • To explore the relationship between these epigenetic modifications, gene expression, and breast cancer progression.
  • To identify potential biomarkers for breast cancer screening.

Main Methods:

  • Analysis of DNA 5hmC and 5mC levels across different stages of breast hyperplasia and carcinoma.
  • Genomic analysis to identify differentially modified regions (DhMRs and DMRs) and their association with gene expression.
  • Investigation of TET2 involvement, transcription factor enrichment, and histone modifications.
  • Comparison of epigenetic marks in tumor samples and cell-free DNA (cfDNA).

Main Results:

  • A significant decrease in 5hmC and 5mC was observed from usual ductal hyperplasia to ductal carcinoma in situ (DCIS), with a modest increase in 5hmC in invasive breast cancer.
  • Epigenetic changes occurred near transcription start sites (TSSs) and correlated with gene expression.
  • Overlapping DhMRs and DMRs in early stages were associated with active histone marks and TET2-related DNA demethylation.
  • Enrichment of specific transcription factor binding sites (ESR1, FOXA1, GATA3, FOS) in TET2-related regions.
  • Common DhMRs were identified between tumor tissue and cfDNA.

Conclusions:

  • Dynamic alterations in DNA 5hmC and 5mC are critical drivers of breast tumorigenesis.
  • TET2-mediated DNA demethylation, influenced by transcription factors and histone marks, plays a key role.
  • Concurrent 5hmC changes in primary tumors and cfDNA show promise for breast cancer screening.