Review Article

Genetics, Cytogenetics, and Epigenetics of Colorectal Cancer

Table 4

Epigenetic alterations in colorectal cancer.

Genes involved in CRCGene functions and epigenetic changes

APC Adenomatosis polyposis coliTumour suppressor gene, antagonist of Wnt signaling pathway.
MGMT O-6-methylguanine-DNA methyltransferaseInvolved in repairing DNA damage; silencing by hypermethylation correlates with G to A mutations in the K-RAS oncogene.
CDKN2A/P14 Cyclin-dependent kinase inhibitor 2A, alternated reading frameTumour suppressor gene, involved in cell cycle regulation; its silencing by hypermethylation is associated with increased risk of CRC.
HLTF Helicase-like transcription factorThis gene encodes for a chromatin remodelling factor. Members of this family have helicase and ATPase activities and are thought to regulate transcription of certain genes by altering the chromatin structure around those genes. Its silencing could increase CRC risk.
hMLH1, hMLH2 MutL homolog 1, 2DNA repair genes; their silencing, by hypermethylation is associated with MSI CRC.
CDKN2A/P16 Cyclin-dependent kinase inhibitor 2ATumor suppressor gene that plays an important role in regulating the cell cycle; mutations or inactivation by hypermethylation in the CDKN2A gene are associated with increased risk of a wide range of cancers.
CDH13 H-cadherinIt is a regulator of cellular adhesion-deadhesion processes, and its inactivation through hypermethylation contributes to the dissemination of cancer cells.
UNC5C Unc-5 homolog CUNC5C is one of the Netrin-1 receptors, has tumor-suppressor activity. The loss of UNC5C expression is particularly prominent in colorectal cancer.
DCC Deleted in colorectal carcinomaEncodes for a membrane-bound protein of the immunoglobulin-CAM family and may function as tumor suppressor gene which controls programmed cell death. DCC has been identified on a region of chromosome 18, which is deleted in 70% of colorectal cancer.
COX2 Prostaglandineendoperoxide synthase 2Involved in inflammation and mitogenesis, tumour angiogenesis and metastasis.
HACE 1 E3 ubiquitin ligaseHACE1 might act as a tumor suppressor in colorectal carcinomas and HACE1 methylation might present a malignant potential in colorectal cancer.
RASSF1A Ras association (RalGDS/AF-6) domain family 1Suppressor protein involved in death receptor-dependent apoptosis and it is localized to microtubules.
RUNX3 Runt-related transcription factor 3This gene encodes a member of the runt domain-containing family of transcription factors and can either activate or suppress transcription. It also interacts with other transcription factors. It functions as a tumor suppressor, and its silencing by hypermethylation could influence CRC risk.
SOCS1 Suppressor of cytokine signaling 1SOCS1 is involved in negative regulation of cytokines that signal through the JAK/STAT3 pathway; its silencing by hypermethylation could influence CRC risk.
CHFR Checkpoint with FHA and RING fingerCHFR functions as part of an early G2/M checkpoint. CHFR might act as a tumor suppressor and CHFR methylation might, therefore, be a particular phenomenon of early colorectal cancer.
ADAM23 A disintegrin and metalloproteinase domain 23Members of this family are membrane-anchored proteins and have been implicated in a variety of biological processes involving cell-cell and cell-matrix interactions. ADAM23 may be downregulated by aberrant promoter hypermethylation during the progression of colorectal cancer.
DLEC1 Deleted in lung and oesophageal cancer 1May act as a tumor suppressor by inhibiting cell proliferation and its silencing by hypermethylation correlates with CRC risk.
SERF1Secreted frizzled -related protein 1Epigenetic silencing of SFRP genes lead to aberrant activation of the Wnt pathway.
MYOD Myogenic factor 3MyoD removes cells from the cell cycle (halt proliferation) by enhancing the transcription of p21. Its silencing could influence CRC risk.
P15Cyclin-dependent kinase inhibitor 2BTIS gene is a tumor suppressor, which encodes a cyclin-dependent kinase inhibitor and it is positively regulated by transforming growth factor- (TGF-). hypermethylation of the P15 gene promoter, which should silence gene expression, correlates with CRC risk.
P73 Tumor protein p73P73 maps to chromosome region 1p36.3, which is frequently deleted in a variety of solid tumors. Participates in the apoptotic response to DNA damage. May be a tumor suppressor protein, so its silencing by aberrant methylation correlates with CRC risk.
WT1 Wilms tumor 1It has a tumor suppressor as well as an oncogenic role in tumor formation. Then aberrant methylation could influence CRC risk.
Cyclin A1 Cyclin A1Binds to trascription factor E2F-1, p21, Rb family protein; aberrant methylation in this gene could influence CRC risk.
MINTProbably represses transcription via the recruitment of large complexes containing histone deacetylase proteins. May bind both to DNA and RNA.
RAR-bRetinoic acid receptor betaTumor suppressor gene, mediates the growth inhibitory action of retinoic acid; its silencing by hypermethylation promotes tumour progression.
CDH5Chromodomain helicase DNA-binding protein 5Tumor suppressor gene involved in regulating chromatin architecture and in modifying chromatin structure in an ATP-dependent manner.
RGC-32Response gene to complementRGC-32 regulate a group of genes involved in chromatin assembly. RGC-32 knockdown induced an increase in acetylation of histones H2B lysine 5 (H2BK5), H2BK15, H3K9, H3K18, and H4K8, a decreased expression of SIRT1 and trimethylation of histone H3K27. RGC-32 silencing is associated with chromatin remodeling and activation of cell cycle.
miRNA124aIt could be repressed by CpG island hypermethylation, relative to normal tissue; it could so influence expression of oncogenic protein.
miR-34b/c, miR-9-1, miR-129-2 and R-137Methylation of these genes was observed in CRC cell lines and in primary CRC tumour respect to normal mucosa.
miR-21Alterated methylation could upregulate this microRNA in colorectal cancer, promoting invasion and metastasis.
miR-143Down regulated in colon cancer; expression of K-RAS was found inversely correlated with this microRNA in vivo; miR-143 was inversely correlated with mRNA and the protein expression of DNMT3A in CRC.
miR135 Inversed association between this microRNA and the level of APC mRNA was observed in colorectal adenomas and carcinoma.
miR-34amiR-34a may act as a tumor suppressor by blocking SIRT1, thereby permitting increased p53 activity. By deacetylating p53, SIRT1 decreases the ability of p53 to promote cell cycle arrest. SIRT1 activity may increase the risk of cancer. MiR 34a silencing, by hypermethylation cannot inhibit SIRT1 activity.