CpG island methylator phenotype underlies sporadic microsatellite instability and is tightly associated with BRAF mutation in colorectal cancer

DJ Weisenberger, KD Siegmund, M Campan… - Nature …, 2006 - nature.com
Nature genetics, 2006nature.com
Aberrant DNA methylation of CpG islands has been widely observed in human colorectal
tumors and is associated with gene silencing when it occurs in promoter areas. A subset of
colorectal tumors has an exceptionally high frequency of methylation of some CpG islands,
leading to the suggestion of a distinct trait referred to as' CpG island methylator phenotype',
or'CIMP',. However, the existence of CIMP has been challenged,. To resolve this continuing
controversy, we conducted a systematic, stepwise screen of 195 CpG island methylation …
Abstract
Aberrant DNA methylation of CpG islands has been widely observed in human colorectal tumors and is associated with gene silencing when it occurs in promoter areas. A subset of colorectal tumors has an exceptionally high frequency of methylation of some CpG islands, leading to the suggestion of a distinct trait referred to as 'CpG island methylator phenotype', or 'CIMP',. However, the existence of CIMP has been challenged,. To resolve this continuing controversy, we conducted a systematic, stepwise screen of 195 CpG island methylation markers using MethyLight technology, involving 295 primary human colorectal tumors and 16,785 separate quantitative analyses. We found that CIMP-positive (CIMP+) tumors convincingly represent a distinct subset, encompassing almost all cases of tumors with BRAFmutation (odds ratio = 203). Sporadic cases of mismatch repair deficiency occur almost exclusively as a consequence of CIMP-associated methylation of MLH1. We propose a robust new marker panel to classify CIMP+ tumors.
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