Human Oncology and Pathogenesis Program, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
Sci Transl Med. 2011 Mar 23;3(75):75ra25. doi: 10.1126/scitranslmed.3001875.
Cancer-specific alterations in DNA methylation are hallmarks of human malignancies; however, the nature of the breast cancer epigenome and its effects on metastatic behavior remain obscure. To address this issue, we used genome-wide analysis to characterize the methylomes of breast cancers with diverse metastatic behavior. Groups of breast tumors were characterized by the presence or absence of coordinate hypermethylation at a large number of genes, demonstrating a breast CpG island methylator phenotype (B-CIMP). The B-CIMP provided a distinct epigenomic profile and was a strong determinant of metastatic potential. Specifically, the presence of the B-CIMP in tumors was associated with low metastatic risk and survival, and the absence of the B-CIMP was associated with high metastatic risk and death. B-CIMP loci were highly enriched for genes that make up the metastasis transcriptome. Methylation at B-CIMP genes accounted for much of the transcriptomal diversity between breast cancers of varying prognosis, indicating a fundamental epigenomic contribution to metastasis. Comparison of the loci affected by the B-CIMP with those affected by the hypermethylator phenotype in glioma and colon cancer revealed that the CIMP signature was shared by multiple human malignancies. Our data provide a unifying epigenomic framework linking breast cancers with varying outcome and transcriptomic changes underlying metastasis. These findings significantly enhance our understanding of breast cancer oncogenesis and aid the development of new prognostic biomarkers for this common malignancy.
癌症特异性 DNA 甲基化改变是人类恶性肿瘤的标志;然而,乳腺癌的表观基因组的性质及其对转移行为的影响仍然不清楚。为了解决这个问题,我们使用全基因组分析来描述具有不同转移行为的乳腺癌的甲基组。通过大量基因的协同高甲基化的存在或不存在来描述乳腺癌肿瘤的分组,证明了乳腺癌 CpG 岛甲基化表型(B-CIMP)的存在。B-CIMP 提供了一个独特的表观基因组图谱,是转移潜力的一个强有力的决定因素。具体来说,肿瘤中存在 B-CIMP 与低转移风险和生存相关,而不存在 B-CIMP 则与高转移风险和死亡相关。B-CIMP 基因座高度富集构成转移转录组的基因。B-CIMP 基因的甲基化解释了不同预后的乳腺癌之间转录组多样性的大部分原因,表明其对转移具有根本的表观基因组贡献。B-CIMP 影响的基因与神经胶质瘤和结肠癌中高甲基化表型影响的基因进行比较,结果表明 CIMP 特征在多种人类恶性肿瘤中是共有的。我们的数据提供了一个统一的表观基因组框架,将具有不同结果的乳腺癌与转移背后的转录组变化联系起来。这些发现极大地增强了我们对乳腺癌发生的理解,并有助于为这种常见的恶性肿瘤开发新的预后生物标志物。