DNA methylation: past, present and future directions

Keith D. Robertson and Peter A.Jones1

University of Southern California, Norris Comprehensive Cancer Center, 1441 Eastlake Avenue, MS 83, Los Angeles, CA 90033, USA


    Abstract
 Top
 Abstract
 Introduction
 5-Azacytidine, DNA methylation...
 DNA methylation and cancer
 5-Methylcytosine as an...
 Interaction between DNA...
 DNA methylation and repair
 DNA methylation and chromatin...
 The methylation machinery
 Future directions
 References
 
DNA methylation, or the covalent addition of a methyl group to cytosine within the context of the CpG dinucleotide, has profound effects on the mammalian genome. These effects include transcriptional repression via inhibition of transcription factor binding or the recruitment of methyl-binding proteins and their associated chromatin remodeling factors, X chromosome inactivation, imprinting and the suppression of parasitic DNA sequences. DNA methylation is also essential for proper embryonic development; however, its presence can add an additional burden to the genome. Normal methylation patterns are frequently disrupted in tumor cells with global hypomethylation accompanying region-specific hypermethylation. When these hypermethylation events occur within the promoter of a tumor suppressor gene they will silence the gene and provide the cell with a growth advantage in a manner akin to deletions or mutations. Recent work indicating that DNA methylation is an important player in both DNA repair and genome stability as well as the discovery of a new family of DNA methyltransferases makes now a very exciting period for the methylation field. This review will highlight the major findings in the methylation field over the past 20 years then summarize the most important and interesting future directions the field is likely to take in the next millennium.


    Introduction
 Top
 Abstract
 Introduction
 5-Azacytidine, DNA methylation...
 DNA methylation and cancer
 5-Methylcytosine as an...
 Interaction between DNA...
 DNA methylation and repair
 DNA methylation and chromatin...
 The methylation machinery
 Future directions
 References
 
Mammalian cells possess the capacity to epigenetically modify their genomes via the covalent addition of a methyl group to the 5-position of the cytosine ring within the context of the CpG dinucleotide (1). Approximately 70% of the CpG residues in the mammalian genome are methylated; however, the distribution of CpG is non-random with the majority of the genome being CpG-poor (2). Certain regions of the genome, which are often clustered at the 5'-ends of genes, possess the expected CpG frequency and have been termed CpG islands (1). CpG islands are protected from methylation in normal cells by mechanisms which remain unclear. DNA methylation has been shown to be essential for normal development (3), X-chromosome inactivation (4), imprinting (5) and the suppression of parasitic DNA sequences (6); however, its presence in mammalian cells also adds additional burdens. DNA methylation can cause an increase in mutation rate (7) and heritably silence genes whose promoters are associated with CpG islands and which control cellular proliferation (8,9). When this occurs in the promoter region of a growth-regulatory gene it can act as one of the steps in the Knudson `two-hit' model of tumor formation. Mechanisms, which remain unclear, prevent de novo methylation of CpG island-associated promoter regions in normal cells. Recent studies on the potential roles for DNA methylation in DNA repair (10,11), genomic instability (12) and the cloning and characterization of new enzymatic activities which both add (13) and remove 5-methylcytosine from DNA (14,15), make this an extremely interesting period for the DNA methylation field. This review will discuss the major advances in the methylation field over the past twenty years and then end with a discussion of the most current and exciting directions the field is likely to take in the next millennium.


    5-Azacytidine, DNA methylation and gene expression
 Top
 Abstract
 Introduction
 5-Azacytidine, DNA methylation...
 DNA methylation and cancer
 5-Methylcytosine as an...
 Interaction between DNA...
 DNA methylation and repair
 DNA methylation and chromatin...
 The methylation machinery
 Future directions
 References
 
Studies carried out >20 years ago first revealed a connection between DNA methylation and gene expression. In these early studies the methylation inhibitor 5-azacytidine was used to treat an undifferentiated mouse embryo cell line (10T1/2) with the striking result being the formation of several differentiated cell phenotypes (such as muscle and fat cells) (16). Such changes in phenotype were stably inherited and DNA isolated from such variants was capable of inducing differentiation when transfected back into the undifferentiated parental line (17).

It was later shown that 5-azacytidine, and its deoxy version 5-aza-2'-deoxycytidine, trap the DNA methyltransferase (DNMT) enzyme in a covalent complex with the DNA, resulting in a progressive loss of DNA methylation with each round of cell division (18). While both compounds are relatively poor chemotherapeutic agents they have been extremely valuable in studying the role of DNA methylation in gene expression. Treatment of a variety of cell lines revealed that a large number of genes could be reactivated; however, there appeared to be some specificity to this effect. It was later realized that cell lines contained altered patterns of 5-methylcytosine distribution relative to primary cells, presumably an adaptation to tissue culture conditions, and it was mostly this `abnormal' or culture-associated methylation which was preferentially removed, and the associated gene reactivated, by 5-azacytidine treatment (17,19).

Detailed studies of the effects of DNA methylation on promoter activity have revealed that DNA methylation is a potent suppressor of gene activity (20). Two mechanisms have been proposed for this repression. The first involves the direct inhibition of binding of sequence-specific transcription factors whose binding sites contain CpG sites such as c-Myc/Myn, AP-2, E2F and ATF/CREB-like proteins binding to cAMP responsive elements (21). This mechanism requires that a CpG dinucleotide be present within the binding site, a criterion clearly not fulfilled by all transcription factors. The second mechanism of repression is mediated by methyl-CpG binding proteins (for example MeCP1 and MeCP2 also known as the MBD family) which are not sequence-specific but are specific for methylated DNA. Such proteins may compete with transcription factors for their binding sites in methylated DNA or reorganize DNA into tightly packed chromatin structures incompatible with transcription (22), as will be discussed later. Studies utilizing a variety of different systems have shown that repression of transcription from some promoters appears to rely more on the former mechanism (23) while others have indicated a more prominent role for the latter mechanism (24). The exact mode of transcriptional repression in vivo most likely results from a combination of these two mechanisms and is also dependent on the CpG density and regulatory element composition of the specific promoter.


    DNA methylation and cancer
 Top
 Abstract
 Introduction
 5-Azacytidine, DNA methylation...
 DNA methylation and cancer
 5-Methylcytosine as an...
 Interaction between DNA...
 DNA methylation and repair
 DNA methylation and chromatin...
 The methylation machinery
 Future directions
 References
 
It has been recognized for >15 years that methylation patterns in tumor cells are altered relative to those of normal cells. A global hypomethylation of the genome (25) is accompanied by region-specific hypermethylation (20). The regions which appear to be frequent targets of hypermethylation events are CpG islands (9). CpG islands are GpC and CpG-rich regions of ~1 kb that are usually associated with genes (26). CpG island methylation is rare in normal cells, playing a role in X-chromosome inactivation (4) and imprinting (5), increasing with age (27), and with in vitro cell culture (19). Numerous examples of CpG island promoter hypermethylation of tumor suppressor genes, accompanied by silencing and presumably a growth advantage for that cell, have been described and are summarized in Table IGo.


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Table 1. Examples of CpG island promoters of tumor suppressor genes which can become hypermethylated and silenced in human tumors
 
There has been some debate as to the direct role of DNA methylation in carcinogenesis. Selection of cells containing hypermethylated alleles of tumor suppressor genes such as those listed in Table IGo most likely represent a more generalized defect in the maintenance of methylation-free CpG islands (20) (Figure 1AGo). Several lines of evidence point to a direct causal role for DNA methylation in tumorigenesis. The first is that reduced DNA methylation suppresses the formation of intestinal polyps in ApcMin/+ mice (28). Secondly, promoter-region methylation of the retinoblastoma (pRB) gene and the von Hippel Lindau (VHL) gene have been documented in familial cases of unilateral retinoblastoma (29) and renal cancer (30), respectively. Thirdly, studies of sporadic cases of colorectal carcinomas exhibiting microsatallite instability demonstrated a high frequency of promoter region hypermethylation of the mismatch repair (MMR) gene hMLH1. Treatment of colon cell lines containing a hypermethylated hMLH1 gene with 5-aza-2'-deoxycytidine resulted in re-expression of hMLH1 and restoration of MMR ability indicating that hypermethylation of the hMLH1 CpG island was the primary inactivating event (31). Lastly, there are now several examples in which one copy of a tumor suppressor gene is wild-type but silenced by hypermethylation while the second copy is either mutated or lost, again supporting the role of DNA hypermethylation as one of the primary, inactivating events contributing to tumorigenesis (32).




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Fig. 1. (A) Schematic diagram showing how interaction of the various DNMTs (DNMT1, 3a or 3b in this case) with other cellular proteins may target methylation to the proper regions (shown by interaction with hypothetical protein X) and protect CpG islands from de novo methylation (shown by hypothetical protein Y blocking access of the DNMT to DNA). Aberrant methylation patterns in tumors may result from mistargeting of the DNMT or improper expression during the cell cycle (left) or through any one or a combination of loss of Y, mutation in X, and overexpression of one or more of the DNMTs (right). (B) Mechanisms by which CpG methylation may contribute to tumorigenesis. The presence of a methylated CpG within the coding region of a gene may predispose that region to mutation due to deamination and failure to repair resulting in a point mutation (left). Alternatively, alteration in the normal cellular methylation patterns, by mechanisms that remain unknown, result in gene silencing and altered chromatin structure (right). If de novo methylation occurs within the promoter region of a tumor suppressor gene or a gene involved in maintaining genome stability then that cell may gain a growth advantage. Black lollipops are methylated CpGs and open lollipops are unmethylated CpGs. An `X' represents a point mutation or promoter silence. Filled boxes are exons and bent arrows are promoters.

 

    5-Methylcytosine as an endogenous mutagen
 Top
 Abstract
 Introduction
 5-Azacytidine, DNA methylation...
 DNA methylation and cancer
 5-Methylcytosine as an...
 Interaction between DNA...
 DNA methylation and repair
 DNA methylation and chromatin...
 The methylation machinery
 Future directions
 References
 
CpG sites have been shown to act as hotspots for mutations and have been estimated to contribute to 30% of all point mutations in the germline (33). In addition, CpG sites in the coding regions of tumor suppressor genes are strong hotspots for acquired somatic mutations leading to cancer (7,34). For example, the CpG sites in the p53 coding region are methylated in all human tissues studied (35) and contribute to as many as 50% of all inactivating mutations in colon cancer and 25% in cancers in general (34) (Figure 1BGo).

The increased mutability of 5-methylcytosine versus cytosine is thought to be influenced by three factors: differential repair efficiency, rate of spontaneous deamination, and rate of cell division. Deamination of cytosine forms uracil, which is readily recognized and repaired by the highly abundant and efficient uracil DNA glycosylase (UDG). However, deamination of 5-methylcytosine forms thymine, a naturally occurring DNA base which is significantly more difficult to detect and repair via the thymine DNA glycosylase (TDG) (36). The end result is an increased C->T transition rate at methylated CpG sites. Aberrations in the repair pathways themselves do not seem to be common in human tumors (37). The second factor, the rate of spontaneous deamination, appears to be relatively constant and is more than sufficient to account for all mutations observed in double-stranded DNA (38). The third factor influencing the enhanced mutability of 5-methylcytosine versus cytosine is the rate of cell division. In a model bacterial system, 5-methylcytosine was as stable as cytosine when the cells were not dividing (39). It has in fact been noted that CpG mutations are more common in human cancers where cell division is stimulated by hormones, or in damaged tissues undergoing repair (34).

The methylation machinery itself may contribute to the increased mutability of 5-methylcytosine. Mutations in prokaryotic DNA methylases which leave DNA binding functions intact but destroy catalytic function or result in a methylase unable to bind the methyl donor S-adenosyl-L-methionine (SAM), result in a mutator enzyme which increases 5-methylcytosine deamination (40). Such mutant DNA methylases can also actively block repair of deaminated 5-methylcytosine, presumably due to a steric hindrance mechanism (41). Similar naturally occurring catalytic site mutations in the human DNMT1 have not been detected in human cancers, and human tumors appear to have levels of SAM sufficient for catalysis (42) so it remains unclear if these mechanisms contribute significantly to the enhanced mutability of 5-methylcytosine in vivo.


    Interaction between DNA methylation and carcinogens
 Top
 Abstract
 Introduction
 5-Azacytidine, DNA methylation...
 DNA methylation and cancer
 5-Methylcytosine as an...
 Interaction between DNA...
 DNA methylation and repair
 DNA methylation and chromatin...
 The methylation machinery
 Future directions
 References
 
As mentioned in the previous section, CpG sites frequently act as mutational hotspots in the p53 gene. The p53 mutation spectrum for a given tumor type varies, however, and while transition mutations resulting from spontaneous deamination at CpG sites are frequent in colon carcinomas and other internal cancers, G->T transversion mutations predominate in lung cancer, and transition mutations at dipyrimidine sequences predominate in skin cancer, reflecting the specificity of the causative exogenous carcinogen (34,43). Elegant studies from several groups have shown that the occurrence of the latter two types of p53 mutations were also enhanced by methylated cytosine (43).

The G->T transversion mutations in the p53 gene, which occur with high frequency in smoking-related lung cancers, are thought to result from the bulky adduct-producing compounds [polycyclic aromatic hydrocarbons, for example benzo[a] pyrene (B[a]P)] present in tobacco smoke (43). Denissenko et al. (44) used a highly sensitive ligation-mediated PCR method to show that benzo[a]pyrene diolepoxide (B[a]PDE; the activated form of B[a]P) reacted preferentially (3–10 fold) with guanines flanked by 5-methylcytosine. This site preference of B[a]PDE for guanines adjacent to 5-methylcytosine was also observed for other bulky chemical carcinogens (43).

The majority of mutations observed in skin cancer are C->T transitions or CC->TT mutations at dipyrimidine sequences resulting from UV-light-induced cyclobutane pyrimidine dimer formation (45). Methylation of cytosine was shown to enhance pyrimidine dimer formation resulting from exposure of cells to sunlight by 5–15-fold due to the higher energy absorption ({lambda}max) of 5-methylcytosine versus cytosine in DNA (45). Thus the presence of 5-methylcytosine in mammalian DNA adds to the mutational burden via several different mechanisms.


    DNA methylation and repair
 Top
 Abstract
 Introduction
 5-Azacytidine, DNA methylation...
 DNA methylation and cancer
 5-Methylcytosine as an...
 Interaction between DNA...
 DNA methylation and repair
 DNA methylation and chromatin...
 The methylation machinery
 Future directions
 References
 
Several recent lines of evidence point toward a role for DNA methylation in DNA repair, particularly the MMR system. In the first study, it was demonstrated that DNMT1 is targeted to newly replicated DNA via the replication-associated protein or proliferating cell nuclear antigen (PCNA) (10). PCNA, also known as the polymerase processivity factor or sliding clamp, is required for DNA replication (46) as well as DNA repair [both MMR (47) and nucleotide excision repair (48)]. The cell cycle regulatory protein p21WAF1/CIP1 also interacts with PCNA and mediates the ability of p53 to arrest cell division in response to DNA damage (49). The studies of Chuang et al. (10) showed that the binding of p21WAF1/CIP1 and DNMT1 to PCNA were mutually exclusive and their levels were inversely related in both normal and transformed cells. Since p53 function is commonly lost in cancer (50) with a concomitant loss of p21WAF1/CIP1, this may result in a disruption in the balance between the p21WAF1/CIP1DNMT1 interaction with PCNA and could result in a mistargeting of methylation especially since damaged DNA is a good substrate for DNMT1 (51).

A clear link between DNA methylation and MMR has been established through the demonstration that the hMLH1 promoter is frequently hypermethylated and silenced in sporadic colorectal tumors (31). An additional connection between DNA methylation and MMR came from a paper by Lengauer et al. (11) which described an interesting phenomenon in which retroviral infection of MMR-deficient cell lines led to de novo methylation and transcriptional silencing of the proviral DNA, whereas infection of MMR-proficient cell lines did not lead to de novo methylation of proviral DNA and these lines were competent to express the retrovirally encoded reporter gene. This led to the proposal that there were two distinct pathways which may lead to the genomic instability observed in many tumors and which have been termed MMR+/MET (methylation proficiency) and MMR/MET+ (11). Other studies lend support to this idea by showing differences in the methylation patterns of several cellular genes in MMR-deficient versus MMR-proficient cell lines (52). While it is still unclear exactly what the relationship is between MMR and DNA methylation, the role of the PCNA–DNMT1 interaction in repair, and the nature of the genes involved in causing the MET phenotype, these results all point toward a major role for DNA methylation in the DNA repair process.


    DNA methylation and chromatin structure
 Top
 Abstract
 Introduction
 5-Azacytidine, DNA methylation...
 DNA methylation and cancer
 5-Methylcytosine as an...
 Interaction between DNA...
 DNA methylation and repair
 DNA methylation and chromatin...
 The methylation machinery
 Future directions
 References
 
A strong correlation between DNA hypermethylation, transcriptional silence and tightly compacted chromatin has been established in many different systems (53). Work over the past 5 years has led to a remarkable increase in the knowledge of the mechanisms of chromatin structure modulation and have revealed that chromatin is a dynamic structure which plays a large role in transcriptional regulation (54). At least a major portion of chromatin remodeling appears to be accomplished through acetylation and deacetylation of the histone octamer `tails'. Many of the acetylation and deacetylation enzymes turn out to be known transcriptional enhancer and repressor proteins, respectively (54). Inactive regions of DNA which were demonstrated to be heavily methylated were also found to be enriched in hypoacetylated histones (55). A major advancement in understanding the link between DNA methylation, histone hypoacetylation, and gene silencing came from the recent studies of two laboratories. Both groups demonstrated that the methyl-binding protein MeCP2, known to be involved in transcriptional repression of methylated DNA (56), recruited a histone deacetylase, HDAC1, via the bridging protein Sin3 (57,58). This provided the first direct connection between two transcriptional silencing pathways. These findings also have implications for cancer where altered methylation patterns, both hypo- and hypermethylation events, may result in inappropriate gene expression or silencing by altered targeting of the histone deacetylase and also indicates that inhibitors of histone deacetylases, alone or in combination with DNA hypomethylating agents, may be useful in reactivating silenced tumor suppressor genes in cancer cells.


    The methylation machinery
 Top
 Abstract
 Introduction
 5-Azacytidine, DNA methylation...
 DNA methylation and cancer
 5-Methylcytosine as an...
 Interaction between DNA...
 DNA methylation and repair
 DNA methylation and chromatin...
 The methylation machinery
 Future directions
 References
 
Until recently, only one DNMT, DNMT1, had been cloned from human and mouse cells. DNMT1 is a large enzyme (~200 kDa) composed of a C-terminal catalytic domain with homology to bacterial cytosine-5 methylases and a large N-terminal regulatory domain with several functions, including targeting to replication foci (59). Disruption of Dnmt1 in mice results in abnormal imprinting (5), embryonic lethality, greatly reduced levels of DNA methylation (3) and derepression of endogenous retroviruses known as IAPs (6). Dnmt1–/– embryonic stem (ES) cells, however, are viable and still possess the ability to de novo methylate viral DNA, which suggested the existence of an independently encoded de novo DNMT (60).

Targeting of DNMT1 to replication foci via the N-terminal domain is believed to allow for copying of methylation patterns from the parental to the newly synthesized daughter DNA strand. Several forms of DNMT1 have been detected which differ in their translation start sites and their preferences for hemimethylated versus unmethylated substrates (61). Forced overexpression of DNMT1 or cleavage between the N-terminal regulatory domain and C-terminal catalytic domain has been shown to result in increased de novo methylation activity (62,63) and cellular transformation (64). Furthermore, inhibition of DNMT1 activity through the use of antisense, knockout, pharmacologic means, or a combination of the latter two, inhibits tumor cell growth and induces differentiation (28,65).

Since de novo methylation activity remains in Dnmt1 knockout ES cells and because the exact role of DNMT1 in tumor-specific methylation abnormalities remain unclear, a search for additional DNMTs was carried out by several groups. A second potential DNMT, Dnmt2, was isolated by two groups but has not been shown to possess methylation ability (66,67). Recently, another group of DNMTs, Dnmt3a and 3b, was isolated by database search. These enzymes were shown to be expressed at increased levels in undifferentiated ES cells and were downregulated in differentiating ES cells and adult murine tissues. Furthermore both Dnmt3a and 3b methylated hemimethylated and unmethylated DNA with equal efficiencies, making them potential candidates for the long sought de novo methyltransferases (13). Overexpression of both DNMT1 as well as the DNMT3 family has been reported in human tumors and may contribute to the global methylation abnormalities seen in cancer cells although increased expression of the DNMTs is likely to be only partially responsible for the observed methylation abnormalities since not all tumors overexpress these enzymes (68,69) (Figure 1AGo).

The enzymatic removal of 5-methylcytosine from DNA has also been described but has been far less extensively studied. One mechanism identified involves a 5-methylcytosine DNA glycosylase activity (14). A more recent mechanism has been reported which appears to involve specific removal of the methyl group from 5-methylcytosine in the form of methanol by a single polypeptide which also contains a methyl-CpG binding motif (15). It is likely that there is an interplay between both methyltransferases (de novo and maintenance) and demethylase(s) when new methylation patterns are established during embryogenesis (70), and a dysregulation of these pathways is likely responsible for the global hypomethylation and CpG island hypermethylation observed in tumor cells.


    Future directions
 Top
 Abstract
 Introduction
 5-Azacytidine, DNA methylation...
 DNA methylation and cancer
 5-Methylcytosine as an...
 Interaction between DNA...
 DNA methylation and repair
 DNA methylation and chromatin...
 The methylation machinery
 Future directions
 References
 
One of the greatest tasks for researchers in the DNA methylation field in the next millennium will be to use the new knowledge of the methylation machinery just described to determine how dysregulation of one or more of these systems contributes to cancer or can be used to specifically target tumor cells for destruction. While we and others have reported that DNMT1 and the recently discovered DNMT3 family of methyltransferases are overexpressed in tumors relative to adjacent normal tissue (68,69) there is clearly more to the story. The frequency and degree of DNMT1 overexpression in tumors remains a controversial issue (71). With the new enzymes in hand it will be essential to characterize the catalytic activity of the new DNMTs and compare this with the more well-characterized DNMT1 as well as determine the preferred substrate of each DNMT. For example a particular DNMT, or DNMT splice variant, may preferentially bind CpG-rich sequences, like CpG islands, and could thus be responsible for initiating the aberrant CpG island hypermethylation of such sequences in cancer. Furthermore, each DNMT may be targeted to a different region of the nucleus, or be regulated differently during the cell cycle, so for each DNMT it will be crucial to determine their respective cell-cycle profiles, their protein interaction partners, the subcellular localization of each DNMT, whether this targeting varies during the cell cycle, and if targeting is altered in transformed cells (Figure 1AGo).

A second major area of research which is likely to dominate the DNA methylation field in the future is determining its role in DNA repair and genome stability (Figure 1BGo). As discussed above there is evidence that hypermethylation of MMR genes contributes directly to the MMR phenotype and that the MMR status of a cell is inversely related to its ability to de novo methylate foreign DNA sequences (11,31). A recent report suggests that methylation may be involved in targeting MMR. A novel protein termed MED1 (also called MBD4) has been identified which associates with hMLH1, binds preferentially to methylated DNA via a methyl binding domain at its N-terminus, and possesses endonuclease activity at its C-terminus (72). Further investigation will be required to determine if the function of this novel protein is simply to preferentially target repair to deaminated 5-methylcytosine or if MED1 may represent the human homolog of the bacterial MutH gene, which allows for strand discrimination and targeting of the repair apparatus to the newly synthesized DNA strand.

The role of DNA methylation in genome stability (Figure 1BGo), which is only beginning to be explored, is also likely to be a major focus of future research. A recent study using murine embryonic stem cells deficient in Dnmt1 indicated that reduced DNA methylation led to increased genomic instability, as demonstrated by loss of the hprt locus, which may point to a role for DNA methylation in the suppression of mitotic recombination (12). The finding of Lengauer et al. (11) that MMR proficiency was inversely related to methylation proficiency is interesting in the context of genome stability since MMR (MET+) cell lines are known to have a stable (near diploid) chromosome composition while MMR+ (MET) lines have unstable genomes which exhibit aneuploidy, chromosomal losses, duplications and translocations. While the pathways and genes responsible for the MET phenotype are unknown, future work in this area is likely to greatly enhance our knowledge of the role of DNA methylation in tumorigenesis. Two other important areas that are likely to dominate the field in the future include characterization of the demethylation machinery and studies of the relationship between DNA methylation and chromatin structure. Such studies are likely to yield major contributions to understanding the role of DNA methylation in cancer and, since methylation changes are reversible, may also lead to the development of novel therapeutic strategies to reverse the transformed phenotype through the use of known or novel demethylating agents to correct aberrant methylation patterns and restore growth control in tumor cells.


    Notes
 
1 To whom correspondence should addressed Email: jones_p{at}froggy.hsc.usc.edu Back


    Acknowledgments
 
This work was supported by NIH grant R35 CA 49758 (P.A.J). K.D.R was supported by an American Cancer Society postdoctoral fellowship.


    References
 Top
 Abstract
 Introduction
 5-Azacytidine, DNA methylation...
 DNA methylation and cancer
 5-Methylcytosine as an...
 Interaction between DNA...
 DNA methylation and repair
 DNA methylation and chromatin...
 The methylation machinery
 Future directions
 References
 

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Received May 12, 1999; accepted July 15, 1999.