Joe F. Costello
University of California, San Francisco, USA
To an epigeneticist, cancer is encrypted in genes and their packaging.
Early in my career I had the good fortune to study epigenetics in a lab focused on the molecular genetics of cancer. At the time, geneticists typically thought that in cancer, epigenetic changes — which affect regulation of the genome but not the genome's sequence — were epiphenomena less worthy of study.
This might have made the experience akin to being a Republican mayoral candidate in left-leaning San Francisco; instead it was positively transforming.
As my own research group took shape, I began to integrate genetic and epigenetic theories of malignant transformation. Now, hereditary human cancers and genetically engineered mice once held up as evidence for genetic models also provide evidence for epigenetic models, and we study the interactions of the two mechanisms.
In this light, a recent paper (G. G. Wang et al. Nature Cell Biol. 9, 804–812; 2007) captured my attention because it dissects how one genetic change leads to epigenetic changes that ultimately cause leukaemia.
The work focuses on an abnormal fusion protein — produced after part of one gene fused, or translocated, with part of another — and narrows down its cancer-causing properties to a particular region of the protein. This region mediates an epigenetic change: it adds a methyl group to one amino acid of a histone, part of a gene's packaging in the nucleus.
The team found that the fusion protein misdirects its methylation to the histones that package HoxA genes, triggering further miscoding of the histones. This activates the genes, which promote self-renewal of blood-cell precursors, contributing to leukaemia.
I wonder if the interactions could be traced back even further. Given the role of epigenetics in stabilizing chromosomes; might it have been epigenetic miscoding that made the gene susceptible to translocation in the first place?

Comments
I really enjoyed your post . I was also wondering if your last question could also pose a question that goes a further step back in the process. Perhaps a previous mutation to some factors controlling chromosome stability/distribution would give origin to that first epigenetic cause that could trigger the fusion of chromosomes leading to the formation of the oncogenic fusion protein. Could it be perhaps a protein affecting the 3D “chromosome territories” in the nucleus?
Posted by: Yolanda | August 30, 2007 10:57 AM
Thank you for your comment and alternative possible ending. I agree, in addition to speculating on an epigenetic cause of translocation, one also should wonder if the translocation was secondary to another genetic mutation, particularly of a chromosome territory-influencing protein. Did you have one particular protein, or protein family in mind? Perhaps even the hypothetical mutation itself is a result of deamination of an epigenetically modified cytosine, allowing a CpG to TpG change.
Posted by: Joe Costello | August 30, 2007 05:31 PM
I agree that epigenetic change may expose certain genes and/or their regulatory elements to become more easily accessed by mutagens, and genetic mutation may also induce certain epigenetic changes which cause more genetic mutation. In order to prevent genetic mutation, DNA repair system and apoptosis mechanism exist as the barrier to cancer. I am just curious to ask: if epigenetic change is a common cause to cancer, is there any epigenomic repair system, or DNA repair system is already sufficient to stop undesirable epigenetic change by preventing gene mutation? Also, will an epigenetic change triggers apoptosis?
Posted by: Bill | September 1, 2007 02:21 PM
Bill,
Epigenetic changes can induce cell death. For example, the substantial loss of DNA methylation following inhibition of DNA methyltransferase 1 (DNMT1) results in cell cycle arrest and massive cell death in human colon cancer cells (see Nature Genetics 39, 391 - 396 (2007)). In mouse fibroblasts removing DNMT1 results in p53-dependent apoptosis (see Nat Genet. 2001 Jan;27(1):31-9.). The DNA damage response and DNA repair machinery are also critical for epigenetic changes such as DNA demethylation, particularly GADD45A and XPG (see Nature. 2007 Feb 8;445(7128):671-5). I will not be able to comment adequately on potential "repair" systems for epigenetic modifications, but in general the fidelity of reproducing DNA methylation patterns from one cell generation to the next is not as high as DNA sequence fidelity. However, since there are proteins that read epigenetic modifications, and enzymes that reverse specific epigenetic changes, there does seem to be a possibility for "repair".
Posted by: Joe Costello | September 4, 2007 11:11 PM
Has anyone considered a role of epigenetics in triplet repeat expansions?
Posted by: Diane | October 24, 2007 08:15 PM
Joe- Thanks for choosing our paper for journal club and we are all exited. As for your last question, how DNA translocations occur in the first place is still a mystery. In the case of the common leukemia translocation locus MLL/ALL, it has been shown that the usage of topoisomerase II inhibitors dramatically increases the possibility of MLL locus rearrangement in infant leukemias and therapy-related secondary leukemias, suggesting a direct involvement of topoisomerase II in the maintenance of proper chromatin structure (Cancer Res. 1997 Jul 15;57(14):2879-83). But why it affects this locus? A recent paper reports that the known DNA translocation breakpoints share a common pattern in chromatin/histone modifications (Fig 6, Cell. 2007 May 18;129(4):823-37). These histone modification patterns, together with DNA methylation pattern, may create a “open” chromatin structures that are more susceptible to DNA damage agents. Since it is known that chromatin modifications can be actively and selectively added or erased in specific cellular contexts, genetic mutations affecting all these processes and the resulting epigenetic patterns will affect the susceptibility of DNA translocations.
Greg Wang
Posted by: Greg Wang | October 31, 2007 01:04 AM
My interpretation of (Cell. 2007 May 18;129(4):823-37) is that they said not that known translocation breakpoints share a common methylation pattern, but that breakpoints sharing a common methylation pattern tended to be associated with the same diseases.
Posted by: Phil Goetz | May 11, 2009 03:06 AM