DNA demethylation is associated with malignant progression of lower-grade gliomas

Sci Rep. 2019 Feb 13;9(1):1903. doi: 10.1038/s41598-019-38510-0.

Abstract

To elucidate the mechanisms of malignant progression of lower-grade glioma, molecular profiling using methylation array, whole-exome sequencing, and RNA sequencing was performed for 122, 36 and 31 gliomas, respectively. This cohort included 24 matched pairs of initial lower-grade gliomas and recurrent tumors, most of which showed malignant progression. Nearly half of IDH-mutant glioblastomas that had progressed from lower-grade gliomas exhibited characteristic partial DNA demethylation in previously methylated genomic regions of their corresponding initial tumors, which had the glioma CpG island methylator phenotype (G-CIMP). In these glioblastomas, cell cycle-related genes, RB and PI3K-AKT pathway genes were frequently altered. Notably, late-replicating domain was significantly enriched in the demethylated regions that were mostly located in non-regulatory regions, suggesting that the loss of DNA methylation during malignant transformation may involve mainly passive demethylation due to a delay in maintenance of methylation during accelerated cell division. Nonetheless, a limited number of genes including IGF2BP3, which potentially drives cell proliferation, were presumed to be upregulated due to demethylation of their promoter. Our data indicated that demethylation of the G-CIMP profile found in a subset of recurrent gliomas reflects accelerated cell divisions accompanied by malignant transformation. Oncogenic genes activated by such epigenetic change represent potential therapeutic targets.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Brain Neoplasms / genetics
  • Brain Neoplasms / mortality
  • Brain Neoplasms / pathology*
  • Cell Cycle Proteins / genetics
  • CpG Islands
  • DNA Demethylation*
  • Disease Progression
  • Glioma / genetics
  • Glioma / mortality
  • Glioma / pathology*
  • Humans
  • Isocitrate Dehydrogenase / genetics
  • Kaplan-Meier Estimate
  • Mutation
  • Neoplasm Grading
  • Oncogene Proteins, Fusion / genetics
  • Promoter Regions, Genetic
  • RNA-Binding Proteins / genetics
  • Up-Regulation

Substances

  • Cell Cycle Proteins
  • IGF2BP3 protein, human
  • Oncogene Proteins, Fusion
  • RNA-Binding Proteins
  • Isocitrate Dehydrogenase