Methylation profiling

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CpG island hypermethylation and CpG-poor region hypomethylation drive gastric cancer risk after Helicobacter pylori eradication


ABSTRACT: Aberrant DNA methylation is deeply involved in the development of gastric cancer (GC) and has emerged as a promising biomarker for risk prediction. In this study, we performed comprehensive DNA methylation profiling of tumor and non-tumor gastric mucosa from patients who developed GC after Helicobacter pylori (H. pylori) eradication (post-eradication GC, PEGC). The normal mucosa of PEGC patients exhibited substantial CpG island (CGI) hypermethylation, comparable to that observed in H. pylori-infected tissues and intestinal metaplasia. We also identified approximately 4,000 CpG sites recurrently hypomethylated in GC using The Cancer Genome Atlas (TCGA)-STAD data, many of which were already hypomethylated in normal mucosa of PEGC. Majority of the hypomethylated sites are located outside of CGIs, and several of them are located near oncogenes such as CDH17, HNF4A, and CD44, and their methylation levels inversely correlated with gene expression. Importantly, we found a strong positive correlation between CGI hypermethylation and CpG hypomethylation, suggesting that both types of epigenetic alterations occur simultaneously from the early stages of carcinogenesis. These findings indicate that CGI hypermethylation and non-CGI hypomethylation are not independent events but represent a coordinated epigenetic landscape that may contribute to persistent GC risk after H. pylori eradication.

ORGANISM(S): Homo sapiens

PROVIDER: GSE296326 | GEO | 2025/11/01

REPOSITORIES: GEO

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