[CANCER RESEARCH57. 1030-1034. March 15. 9971 Advances in Brief Identification of DNA Methylation Markers for Human Breast Carcinomas Using the Methylation-sensitive Restriction Fingerprinting Technique1 Tim Hw-Ming Huang,2 Douglas E. Laux, Brian C. Hamlin, Phuong Tran, Hoa Tran, and Dennis B. Lubahn Department of Pathology and Anatomical Sciences, Ellis Fischel Cancer Center IT. H-M. H., B. C H., P. T., H. T.J, and Departments of Biochemistry and C'hild Health ID. E. L, D. B. LI, School of Medicine, University of Missouri. Columbia, Missouri 65203 igenesis, abnormally hypermethylated or hypomethylated sequences occurring in the tumor genome need to be identified. We have developed a PCR-based method, called methylation-sensitive In this study, we have developed a PCR-based method, called restiiction fingerprinting (MSRF), to screen changes in DNA methylation In MSRF,3 to identify abnormally methylated CpG sites in breast carci breast carcInomas. Two hypennethylatios-containing fragments, HBC-1 (for nomas. Initially, genomic DNA was digested with a 4-base restriction “hypennethylation In breast cancer―) and HBC-2, were identified In the endonuclease known to cut bulk DNA into small fragments but rarely amplified breast tumor DNA relative to the amplified normal breast DNA of to cut in the CG-rich regions. The digests were treated with a second a patient Nucleotide sequence analysis revealed no significant matches be restriction endonuclease, which discriminates between methylated and tween the sequence of HBC-1 and the known sequences In the GenBank database, whereas the sequence ofHBC-2 matched the upstream region of an unmethylated CpG sites, and then amplified by PCR with short antisense WTJ (Wilma' tumor suppressor gene) promoter. The methylation arbitrary primers (lO-mers) at low stringency. Amplified products or status In the breast tumor DNA from this patient was confirmed by Southern DNA fingerprints were resolved by high-resolution gel electrophore Abstract hybrklization usIng HBC-1 and HBC-2 as probes, respectively. Further anal sis, and aberrantly ysis showed that HBC-1 was methylated aberrantly In 90% (17 of 19 patients) of the primary breast carcinomas examined. This study demonstrates that MSRF provides a useful means for screening aberrant changes In DNA methylation during tumorigenesis. The commonly methylated fragments identified by MSRF could potentially supplement pathological markers cur rently used for cancers and additionally lead to the discovery of novel methylated tumor suppressor genes. methylated patterns were detected in the amplified tumor DNA relative to the amplified normal DNA of the same patient. Here we have successfully employed the technique to identify and clone genomic fragments that frequently undergo methylation changes in primary breast carcinomas. Materials and Methods Tissue Samples. Tumor specimens were obtained from patients with in Introduction vasive breast carcinomas undergoing mastectomies or biopsies at the Ellis Fischel Cancer Center (Columbia, MO; this study has been approved by our Abnormal changes in DNA methylation have been observed in tumor cells (for a review, see Refs. 1 and 2). These changes usually occur in CpG dinucleotides that are clustered frequently in regions of about 1—2kb in length, called CpG islands, in or near the promoter and first exon regions of genes (3). Hypermethylation within CpG obtained from the same patient to serve as a control (designated as “normal―). High molecular weight DNA was extracted using standard methods. MSRF. Genomic DNA was digested with MseI alone or digested with islands mended by the supplier (New England Biolabs). The PCR reaction was was found to be associated with inactivation of tumor sup institutional BstU review board). The adjacent I and MseI at 10 units per nonneoplastic @tgDNA following breast tissue the conditions was also recom pressor genes, including the estrogen receptor gene (4) and the MDGI (mammary-derived growth inhibitor) gene (5) in breast carcinoma, the glutathione S-transferase gene in prostate carcinoma (6), the von performed with the digested DNA (20—100ng) in a 20-s.d volume containing Hippel-Lindau (pH 8.4), 2 mM MgCl2, 5 mr@if3-mercaptoethanol,0.01% (w/v) gelatin, and 0.1% (w/v) thesiti (13). The primers were as follows: Bsl, 5'-AGCGGC CGCG; Bs5, 5'-CTCCCACGCG; Bs7, 5'-GAGGTGCGCG; BslO, 5'-AGGG tumor suppressor gene in renal cell carcinoma a pair of primers (0.4 jIM), 0.15 units of Taq DNA (7), the RB gene in retinoblastoma (8), and the hypermethylation in cancer 1 gene (9), the cyclin-dependent kinase N2/p16 gene (10, Il), and the E-cadherin gene (12) in several types of tumor cells. In addition, aberrant hypermethylation may contribute to tumorigenesis through the C-to-T mutation at the methylated CpG dinucleotides (2). Hypo methylation was also observed in nucleotide sequences of several proto-oncogenes. Potentially, hypomethylation is linked to aberrant increases in the transcription of these genes. However, a direct cor relation between hypomethylation and the up-regulation of proto oncogene expression in tumor cells has yet to be established. As a further step to understanding the role of DNA methylation in tumor polymerase (Life Tech nologies, Inc.), 5% (v/v) DMSO, 200 p.M deoxynucleotide triphosphates, 2 III [30 mM Tricine @Ci[a-32P] dCTP (3000 Ci/mmol; Amersham) in buffer and GACGCG; Bsl 1, 5'-GAGAGGCGCG; Bsl2, 5'-GCCCCCGCGA; Bs13, 5'CGGGGCGCGA; Bs17, 5'-GQGGACGCGA; and Bsl8, 5'-ACCCCACCCG. Initial denaturation was for 5 mm at 94°C.DNA samples were then subjected to 30 cycles of amplification consisting of 2 mm of denaturation at 94°C,1 mm of annealing at 40°C,and 2 mm of extension at 72°Cin a PTC-l00 thermo cycler (M. J. Research, Inc.). The final extension was lengthened to 10 mm. The products (20 pA)of each amplification reaction were mixed with 5 pi of loading dye. Four pAof each DNA sample were size fractionated on a 4.5% nondenaturing polyacrylamide gel. Samples were loaded onto the gel at —16 V/cm to prevent diffusion from each lane into its neighboring lanes. The gel was then run for 2 h at 60 W until the bromphenol blue dye front reached 5—10 Received I0/I 8/96; accepted 1/27/97. cm from the bottom The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. I This work was supported by NIH grant R29-CA-69065 (to T. H-M. H.) and 2 To whom requests for reprints should be addressed, at the Department of the gel. After electrophoresis, 24—48 h with DuPont Ultra-vision wet gels were film. Cloning and Sequencing. Target bands were excised from polyacrylamide by United States Army Medical Research Command Grant DAMD17-96-l-6055 (to D. B. L.). edge wrapped with plastic film and subjected to autoradiography at —70°C for gels, and gel fragments were shattered by being centrifuged through a pinhole of a microfuge tube into a second intact microfuge tube. DNA was eluted in of Pathology and Anatomical Sciences, Ellis Fischel Cancer Center, University of Missouri, 115 Business Loop 1-70 West, Columbia, MO 65203. Phone: 573-882-1283; 5206. Fax: 573-884- 3 The abbreviations used are: MSRF, methylation-sensitive restriction fingerprinting; HBC, hypermethylation in breast cancer; RLGS, restriction landmark genomic scanning. 1030 METHYLATION-SENSITIVE RESTRICTION water and reamplified by 30 cycles of PCR with appropriate primers. Unmod ified PCR products were ligated directly into the TA cloning vector, FINGERPRINTING within CpG islands (once per 90 bp) but is rare in bulk DNA (one site per 5,000—10,000bp) (20); and (c) methylated CpG islands protected from pCR II, and transformed into Escherichia coli competent cells following the supplier's protocol (Invitrogen). Six to eight white colonies were selected, and plasmid DNA was isolated using minipreparation protocols (Qiagen). Double-stranded plasmid DNA was prepared and sequenced with an automated ABI model 373 the BstU I digestion were PCR-amplified with short arbitrary primers (lO-mers) attaching to the flanking homologous sequences in the genome in opposite directions. Except for primer Bs18 (see “Materialsand Meth sequencer (Applied Biosystems, Inc.). The resulting nucleotide sequence was compared to GenBank using the BLAST program (14). Southern Hybridization Analysis. Five @gof genomic DNA were di ods―),these primers were designed further to contain CGCG at their 3' ends, which would enhance the chance of amplifying regions harboring gested with MseI alone or digested At least four conditions related to DNA methylation are distin guished by MSRF (Fig. 1A). In a condition showing no methylation (condition 1), PCR products are identified only in the MseI-digested with MseI and BstU I at high concentration (15 units4tg) to ensure complete digestion of both tumor and normal DNAs. The digestion products were separated on a 1.5% agarose gel and transferred to nylon membrane (Schleicher & Schuell). Filters were hybridized with a 32P-labeled HBC-l probe (230 bp) or a 32P-labeled fragment, HBC-2. 1 (119 bp; positions 21—139; see Fig. 2B). Hybridization carried out essentially as described and washing conditions were (15). Filters were exposed to KOdak the BstU I sites. tumor and normal DNAs (Fig. 1 A, Lanes 2 and 4) but not in the MseIJBstU I-digested tumor and normal DNAs (Fig. 1 A, Lanes 1 and 3). The absence of products in Lanes 1 and 3 (Fig. 1A) occurs because BioMax film in the presence of an intensifying screen for 7 days at —70°C. the given genomic sequence, which contains an internal CGCG site(s), is restricted with BstU I and cannot be amplified by PCR using Results and Discussion appropriate primers. In condition 2, an internal CGCG site(s) for a given Several fingerprinting techniques based on arbitrarily primed PCR (16, 17) have previously been applied to identify genomic alterations (18) and differentially expressed transcripts (19) in several types oftumor cells. In the present report, we describe an improved fingerprinting technique, MSRF, to identify abnormally methylated CpG sites in the breast tumor genome. Three unique features have been implemented genomic sequence is methylated in both tumor and normal genomes and thus is protected from the BstU I digestion. Alterna tively, the given genomic sequence does not contain an internal BstU I recognition sequence(s). In either situation, amplified products are present in all four lanes (Fig. 1A). An aberrant hypermethylation event (condition 3) occurs in tumor when an amplified product is observed to preferentially analyze methylation changes within CpG islands: (a) the system used a 4-base cutter, MseI, which has previously been shown to restrict genomic DNA into small fragments (once per 140 bp) but preserve the integrity of the CpG islands (once per 1,000 bp; Ref. 20); (b) the methylation sensitive endonuclease BstU I was used for differentiating CpG methy lation between tumor and normal genomes. This endonuclease was chosen because its recognition sequence (CGCG) occurs frequently (or shows a relative increase in band intensity) in the MseI/BstU I-digested tumor DNA (Fig. 1A, Lane 1) but not in the double digested normal DNA (Fig. lA, Lane 3). Amplified products are seen in the MseI-digested tumor and normal DNAs (Fig. 1A, Lanes 2 and 4). This indicatesthat a BstU I site(s) is specifically methylatedin tumor DNA, but not in normal DNA. Hypomethylation (condition 4) is detected in tumor when a PCR product is observed in the double B Panel Patient# a b 27 TN 47 TN rn @uI +- rn +. 1234 rn 1234 d e 47 25 TN rn TN rn +-+- +-+- ++++ ++++ ++++ 1234 5234 1234 +- ++++ A C 45 TN +- .. @ølS bp Methylationconditions in tumor DNA relative to normalDNAGellanesThmor Mu I/BstU @ 1 4I. DNA I Mse I/BstUI 2Normal 3 Mse I DNA Mse I — 1,500 methylation2. No Normalmethylation sites)3. (ornoBstUI Hypermethylationa. Complete—@-b. _ Enhanced4. , -00 Hypomethylationa. Completeb. ‘a Incomplete— .. —— . @2 00 Fig. 1. MSRF. A, possible outcomes of DNA methylation changes in tumor detected by MSRF. B, genomic DNAs from breast tumor (7)/normal (N) tissue pairs were treated (+) with MseI. The digests were further treated (+) or untreated (—)with BstU I. Patient numbers are shown above lanes. The digests were separately amplified with primer pairs Bs7IBslO (a), Bsl/Bs18 (b), Bs12/Bsl3 (c), Bs13/Bs17 (d), and BsllIBsS (e). The amplified products were size fractionated on 4.5% polyacrylamide gels. Patient numbers are shown above lanes. Molecular weight markers (l00-bp ladder; Life Technologies, Inc.) are shown to the right. Arrowheads, hypermethylation-containing DNA fragments in tumor DNA. 1031 @ @@J: METHYLATION-SENSITIVE A FINGERPRINTING B HBC -1 1 IAac:cIGc:cGc@IGGAGGG!rrGA RESTRICI1ON CTTTGCCACG CCATTCGTTG TGGGCTTCTA @.rJJI 51 TGCAGT'rGTc TATAAAG'rcT GGTCAGTGATGGATGGGATTTTGGAAGATG 101 TAGTGGGTAC CAAACACAGA CCCAAGATCC ATMACAACT GAAT'PrATI'C 151 TACAGAGCCATGGAAGGATGTGGAGGATGCGGAGGATACCCTGAC@C@ EBC-2 1 lCGGGGC@O@M ‘rc'rGATcAAA GAACACA.AGC CTCAGCGACCAGTAACT1'GT @,wI 51CCCAACGCCC c'rSGAOTACA 1.AMACTAAT TPCM@?AACT @C-2 .I. 101 AG'rGGAGGcA ACCCTTGGGT CTGC'N'GCGG TTCCTCCACA GGACAGTGAT 151 CCCAGATTCT CCCGAAGAAA ACCGCGG@1'T CGATT'I'CTCC AAGGC!I@ @tJJI @rJJI 2 01 @GACAGTAACGGC'l'GGGGTA 201 @GGGTGGGG @1 T N I T II I I BatUl +-+-BstUIMieX + ++++MaeI 1 @GGGGt2 2 N ii + + 3 4 bp @1,530 Fig. 2. A and B, upperpanels, nucleotide sequences of HBC-l and HBC-2. Both strands of the inserts were sequenced with Ti and SP6 promoter primers. Primers used in MSRF are shown in the boxed regions. The restriction endonuclease sites for BstU I are underlined. An internal fragment, HBC-2.l(underlined), was used as a probe in Southern hybridization; lowerpanels, methylation analysis of breast tumor-normal DNA pairs by Southern hybridization. Genomic DNA (5 @g) was treated (+) or untreated (—)with restriction endonucleases as indicated and subjected to Southern hybridization analysis using HBC-l and HBC-2.l, respectively, as probes. T, breast tumor, N, normal breast tissue. Molecular weight markers (100 bp ladder; Life Technologies, Inc.) are shown to the right. digested normal DNA (Fig. 1A, Lane 3), but not (or in a reduced quantity) in the double-digested tumor DNA (Fig. 1A, Lane 1). Representative results of MSRF screening using a panel of primer We further confirmed the findings of aberrant hypermethylation in breast tumors by Southern hybridization analysis. The HBC-l probe detected an —-800-bpband (Fig. 2A, Lanes 2 and 4) in the MseI pairs are shown in Fig. lB. The majority of amplified products showed digested tumor and normal DNAs from patient 47. HBC-l also either condition 1 (no methylation) or condition 2 (normal methylation or detected an —800-bp fragment in the MseI/BstU I-digested breast no internal BstU I sites). Two candidate fragments containing abnormally tumor DNA from patient 47 (Fig. 14, Lane 1) but hybridized to a band hypermethylated BstU I sites (condition 3) in the tumor DNA were of a smaller size (—190bp) in the digested normal DNA of the same observed in Fig. lB. b and c at —230and —200bp, respectively (Fig. lB. patient (Fig. 2A, Lane 3). This result indicates that the BstU I sites arrowheads); these DNA bands were detected in the MseI/BstU 1-di located within the —800bp MseI-digested fragment were protected gested tumor DNA, but not in the double-digested normal DNA. Moth (i.e., methylated) from restriction in the tumor DNA. The —-190-bp ylation differences between amplified tumor and normal DNAS were not band detected corresponds to the BstU I-restricted fragment within the noted in Fig. lB. a, d@or e. PCR products were not observed in the control HBC-l sequence, indicating that the two BstU I sites were unmethy reactions (no DNA template) amplified with these primer pairs at the lated in the normal DNA. (A minor band at —-190bp was observed at concentration specified in the protocol. the MseIJBstU I-digested tumor DNA, which can be attributed to the The two hypermethylation-containing fragments (-@-23Oand —‘200 presence of contaminating normal tissue in the tumor sample.) A bp), now designated as HBC-l and HBC-2, respectively, were cloned similar Southern hybridization result was obtained when HBC-2.l (an for sequencing. The fragments were found to have the expected internal fragment of HBC-2 from the antisense WT1 promoter) was primers at the 5' and 3' ends (Fig. 2, A and B, top). A BLAST search used as a probe (Fig. 2B, bottom). The BstU I sites located within the revealed no significant matches between the known sequences in the —1000bp MseI-digested fragment were found to be methylated in the database and the sequence of HBC-l . Subsequent observation has digested tumor DNA (Fig. 2B, Lane 1). HBC-2 detected two frag shown that HBC-1 contains a novel expressed sequence based on a ments (—200and —500bp) in the digested normal DNA (Lane 3); the Northern hybridization analysis.4 —200-bp fragment corresponds to the BstU I-digested fragment Studies are currently underway to clone the full-length cDNA within HBC-2, indicating that the two BstU I sites were unmethylated related to HBC-1. HBC-2 matched the upstream region of the anti in the normal DNA, whereas the —500-bp fragment can be attributed sense WT1 (Wilma' tumor suppressor gene) promoter located in the first intron on the chromosome 1lpl3 region; the 3' end of HBC-2 at to the presence of partially methylated BstU I sites in some normal cells. position 157—206matched the published sequence of the antisense We extended the methylation analysis of HBC-l to an additional 18 WT1 promoter at position 1—50(GenBank accession no. S79781; Ref. 21), while the rest matched the unpublished sequence.5 4 T. H-M. 5 K. T. Huang, A. Malik, unpublished personal data. communication. breast tumor-normal DNA pairs. Fig. 3A shows representative results of four patients using MSRF. The HBC-l fragment was detected in the amplified double-digested tumor DNA ofpatients 19, 25, and 65, but not in that of patient 31. HBC-l was not noted in the double-digested normal 1032 METHYLATION-5ENSITIvE RESTRICTION FINGERPRINTING A Patlent#19253165TNTNTNTNrnrnrnrn@u I+-+-+-+-+-+-+-+-A@ I++++ 1234++++ 1234 1234 1234 t,++++ .@++++ 0 0 .@ Fig. 3. Representative results of methylation sensitive restriction fingerprinting (MSRF) and Southern hybridization. A, Genomic DNA from breast tumor (7)/normal (N) tissue pairs of patients was treated (-) or untreated (+) with restriction endonucleases as indicated. The digests were am .@ plified with a primer pair (Bsl and Bs18).The amplified products were size-fractionated on 4.5% polyacrylamide a gels. Patient numbers are shown at II.. the top oflanes. Molecular weight markers (lOO-bp ladder, Life Technologies, Inc.) are shown to the tight.Arrowheads,the locationof a hypermethyla tion-containing fragment HBC-l (see explanation in Fig. lA). B, Genomic DNA (5 gig) was treated (+) or untreated (-) with restriction endonucleases as indicated and subjected to Southern hybridiza tion analysis using HBC-l as a probe. T, breast tumor, N, normal breast tissue. Patient numbers are shown at the top of lanes. Molecular weight mark ers (100 bp ladder; Life Technologies, -@ — 1— @ucHBC-1 Inc.) are shown to the tight. B @uI h@I 25 19 Patlent# 65 31 N T N T N + + + + + + + + T N T N + + + + + + + + bp —1, 530 h • —600 ii' @“ —200 DNA of these patients (Residual intensifies of bands seen in the double to determine whether hypermethylation of HBC-1 is correlated with digested normal DNA could be due to incomplete restriction ofBstU I or specific cinicopathological parameters of the patients with breast cancer. low-level methylation). A parallel Southern hybridization analysis (Fig. Hypermethylation of HBC-2 within the antisense promoter in the intron 1 of WT1 also appeared to be common in primary breast 3B) was also conducted, showing a consistent finding of hypermethyla carcinomas.4 We are currently extending the methylation study to the tion detected in the tumor DNA of patients 19, 25, and 65. The digested tumor DNA of patient 31 showed at least two smaller fragments (Fig. 3 promoter and first exon regions of WT1 . The results will be reported B, arrowheads), —200and --‘400 bp, that can be attributed to partially in a separate paper. methylated or unmethylated BstU I sites within the MseI-restiicted frag Several conditions may interfere with identification of true abnor mal methylation sites from breast tumors. As discussed by others, mont. This condition may reflect the heterogeneous nature ofthis primary artifacts occur in the PCR-based methodologies such as represents tumor or contamination of normal cells in the tumor specimen analyzed. tional difference analysis (22) or differential display (23). As shown The methylation data based on Southern hybridization as well as patients' in Fig. 3A, this potential problem can be minimized by studying clinical information are summarized in Table 1. Taken together, HBC-l independent tumors and by scoring the same aberrant PCR products was methylated aberrantly in 90% (17 of 19 patients) of the primary only consistently revealed in a group of patients. Secondly, because breast tumors examined. Currently, we are studying more tumor samples 1033 METHYLATION-SENSI11VERESTRICTION FINGERPRINTING Acknowledgments Table 1 Clinical information and methylation studies offemale patients with breast tumors The authors thank Dr. Wade V. Welshons and Christina M. Khojasteh for status at Patient critical reading of the manuscript. tumorc364MD,IDC11Th+964MD,IDClib+1964MD,IDCIV+2542MD,IDClila+2750MD,IDCifib+2977WD, of HBC-l in diagnosis (yr)Histological @aClinical staging'@Methylation no.Age References 1. Baylin, S. B., Makos, M., Wu, J. J., Yen, R. W. C., de Bustros, A., Vertino, P., and Nelkin, B. D. Abnormal patterns of DNA methylation in human neoplasia: potential IDCND+3160PD,IDCFIb-3340Lobularlila+4335PD, consequences for tumor progression. Cancer Cells (Cold Spring Harbor), 3: 383—390, 1991. 2. Jones, P. A. DNA methylation errors and cancer. Cancer Res., 56: 2463—2467, 1996. 3. Adam, R. L. P., and Burdon, R. H. Molecular biology of DNA methylation. New IDCHib—4544MD,IDCifia+4738PD,IDClila+6542PD, York: Springer-Verlag New York, Inc., 1985. 4. Ottaviano, Y. L., Issa, J-P., Parl, F. F., Smith, H. S., and Baylin, S. B. 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Basic local MSRF, one future improvement would be the use of microdissection alignment search tool. J. Mol. Biol., 215: 403—410,1990. techniques (24), which allows the isolation of pure cell populations. 15. Huang, T. H-M., Hejtmancik. J. F., Edwards, A., Pettigrew, A. L, Herrera, C. A., To our knowledge, only one other technique, RLGS, has previously Harnmand, H. A., Caskey, C. T., Zoghbi, H. Y., and Ledbeuer, D. H. Linkage ofthe gene for an X-linked mental retardation disorder to a hypervariable (AGAT)n repeat motif been developed for screening changes of CpG methylation between within the human HPRT locus (Xq26). Am. I. Hum. Genet., 49: 1312-1319, 1991. different cell types (25, 26). RLGS employed digestion of genomic 16. Williams, J. G. K., Kubelik, A. R., Livak, K. I., Rafalski, J. A., and Tingey, S. V. DNA with a series of restriction endonucleases, one being methylation DNA polymorphisms amplified by arbitrary primers are useful as genetic markers. 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Science (Washington DC), 257: 967-971, 1992. limitation of RLGS is that a substantial amount of genomic DNA is 20. Cross, S. H., Charlton, J. A., Nan, X., and Bird, A. P. Purification of CpG islands using a methylated DNA binding column. Nat. Genet., 6: 236—244,1994. required to start with, to enable the subsequent cloning of differential 21. Malik, K. T. A., Wallace, J. I., Ivins, S. M., and Brown, K. W. Identification of an spots. For example, 500 @gof genomic DNA was used by Kawai et antisense WT1 promoter in intron 1: implication for Wil gene regulation. Oncogene, II: 1589—1595,1995. a!. (25) in RLGS to clone methylation-specific DNA spots for differ 22. Lisitsyn, N., Lisitsyn, N., and Wigler, M. Cloning the differences between two ent stages of brain development in the mouse. complex genomes. Science (Washington DC), 259: 946—951, 1993. MSRF, described here, provides an additional approach to study CpG 23. Watson, M. A., and Fleming, 1. P. Isolation of differentially expressed sequence tags from human breast cancer. Cancer Res., 54: 4598—4602,1994. methylation throughout the genome. The procedure is PCR based, only 24. Zheng, Z., Merino, M. J., Chuaqui, R., Lioua, L. A., and Emmett-Buck, M. R. needs a small amount of genomic DNA, and, thus, is suitable for ana Identical allelic loss on chromosome 11q13 in micmdissected in situ and invasive lyzing clinical specimens. DNA of interest is isolated directly from gels human breast cancer. Cancer Res., 55: 467—471, 1995. 25. Kawai, J., Hirotsune, S., Hirose, K., Fushiki, S., Watanabe, S., and Hayashizaki, Y. and reamplified by PCR for cloning. Additionally, it should be possible Methylation profiles of genomic DNA of mouse developmental brain detected by to speed up methylation screening with more short primers by a high restriction landmark genomic scanning (RLGS) method. Nucleic Acids Res., 21: throughput protocol using a 96—wellplate format thermocycler. There 5604—5608,1993. fore, it is expected that MSRF should have a wide-ranging application in 26. Hatada, I., Sugama, S., and Mukai, T. A new imprinted gene cloned by a methylation sensitive genome scanning method. Nucleic Acids Res., 21: 5577—5582,1993. the study of changes in DNA methylation in cancer as well as in aging, 27. American Joint Committee on Cancer. Manual for Staging of Cancer, pp. 93—99. cell differentiation, and development. Philadelphia: J. B. Lippincots Co., 1989. 1034
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