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Human Molecular Genetics Advance Access published online on September 22, 2004

Human Molecular Genetics, doi:10.1093/hmg/ddh298
© 2004 by Oxford University Press
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Article

Epigenetic loss of the familial tumor-suppressor gene exostosin-1 (EXT1) disrupts heparan sulfate synthesis in cancer cells

Santiago Ropero 1, Fernando Setien 1, Jesus Espada 1, Mario F. Fraga 1, Michel Herranz 1, Julia Asp 2, Maria Serena Benassi 3, Alessandro Franchi 4, Ana Patiño 5, Laura S. Ward 6, Judith Bovee 7, Juan C. Cigudosa 8, Wuyts Wim 9, and Manel Esteller 1*

1 Cancer Epigenetics Laboratory, Spanish National Cancer Centre (CNIO), Melchor Fernandez Almagro 3, 28029 Madrid, Spain
2 Department of Clinical Chemistry and Transfusion Medicine, Research Center for Endocrinology and Metabolism, Institution of Laboratory Medicine, Sahlgrenska University Hospital, Goteborg, Sweden
3 Department of Musculoskeletal Oncology, Laboratory of Oncologic Research, Rizzoli Orthopedic Institute, Bologna, Italy
4 Department of Human Pathology and Oncology, Universita Degli Studi di Firenze, Italy
5 Department of Pediatrics, Clinica Universitaria de Navarra, Pamplona, Spain
6 Laboratory of Molecular Genetics of Cancer - GEMOCA, School of Medicine, Sao Paulo, Brasil
7 Department of Pathology, Leiden University Medical Center, Leiden, The Netherlands
8 Cytogenetics Laboratory, Spanish National Cancer Centre (CNIO), Melchor Fernandez Almagro 3, 28029 Madrid, Spain
9 Department of Medical Genetics, University of Antwerp, Universiteitsplein 1, Building T, 6th floor, 2610 Antwerp, Belgium

* To whom correspondence should be addressed. E-mail: mesteller{at}cnio.es.


   Abstract

Germline mutations in the Exostoses-1 gene (EXT1) are found in hereditary multiple exostoses (HME) syndrome, which is characterized by the formation of osteochondromas and an increased risk of chondrosarcomas and osteosarcomas. However, despite its putative tumor-suppressor function, little is known of the contribution of EXT1 to human sporadic malignancies. Here, we report that EXT1 function is abrogated in human cancer cells by transcriptional silencing associated with CpG island-promoter hypermethylation. We also show that, at the biochemical and cellular levels, the epigenetic inactivation of EXT1, a glycosyltransferase, leads to the loss of heparan sulfate synthesis. Reduced heparan sulfate production can be reversed by the use of a DNA demethylating agent. Furthermore, the reintroduction of EXT1 into cancer-cell lines displaying methylation-dependent silencing of EXT1 induces tumor-suppressor-like features, e.g., reduced colony formation density and tumor growth in nude mouse xenograft models. Screening a large collection of human cancer-cell lines (n=79) and primary tumors (n=454) from different cell types, we found that EXT1 CpG island hypermethylation was common in leukemia, especially acute promyelocytic leukemia and acute lymphoblastic leukemia, and non-melanoma skin cancer. These findings highlight the importance of EXT1 epigenetic inactivation, leading to an abrogation of heparan sulfate biosynthesis, in the processes of tumor onset and progression.


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