Abstract
The epigenome has been proposed as a biosensor of past or cumulative exposures and could also be a disease mediator. Human cancers exhibit a wide range of epigenetic alterations characterized by progressive acquisition during tumorigenesis and potential reversibility. Epigenetic changes may occur early in cancer development, supporting the notion that disrupted epigenetic mechanisms precede and promote malignant transformation. Recent exciting advances in epigenomics that allow the analysis of the epigenome with unprecedented resolution have galvanized investigations in epigenetic epidemiology of cancer. Epigenome states are regulated by three basic mechanisms: DNA methylation, posttranslational histone modifications, and non-coding RNAs (ncRNAs). DNA methylation is the best characterized epigenetic modification, and it is the most extensively studied in epigenetic epidemiology. Whereas it has long been established that DNA methylation (and other epigenetic) changes are ubiquitous in tumour tissue, many recent studies provided evidence that cancer risk- and exposure-associated epigenetic changes can be detected in non-malignant adjacent tissues or surrogate tissues (such as peripheral blood), providing attractive targets for discovering novel biomarkers of exposure and risk stratification. In this chapter, we review evidence from retrospective and prospective studies supporting the utility of epigenetic markers as predictors of predisposition to cancer and risk stratification. We also discuss changes in the “epigenetic clock” associated with cancer susceptibility as well as the potential of identifying epigenetic markers from negative surgical margins as predictors of cancer recurrence risk.
Competing financial interest declaration statement: The authors declare no competing financial interests. The authors further certify that their freedom to design, conduct, interpret, and publish research is not compromised by any controlling sponsor.
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Abbreviations
- 450k:
-
Illumina Infinium HumanMethylation450k BeadChip
- 850k:
-
Infinium MethylationEPIC BeadChip
- AHRR :
-
Aryl-Hydrocarbon Receptor Repressor gene
- BRCA1 :
-
BReast CAncer gene 1
- CCGA:
-
Circulating Cell-free Genome Atlas
- cfDNA:
-
cell-free DNA
- CHARM:
-
Comprehensive high-throughput arrays for relative methylation
- CpG:
-
Cytosine followed by a Guanine
- DMR:
-
Differential Methylation Region
- dmrff:
-
Method for identifying differentially methylated regions
- EPIC:
-
The European Prospective Investigation into Cancer and Nutrition
- EWAS:
-
Epigenome-Wide Association Studies
- HNSCC:
-
head and neck squamous cell carcinoma
- LASSO:
-
Least Absolute Shrinkage and Selection Operator
- LINE-1:
-
long interspersed nuclear elements
- lncRNA:
-
long non-coding RNA molecules
- MCCS:
-
Melbourne Collaborative Cohort Study
- MeDIP-seq:
-
methylated DNA immunoprecipitation sequencing
- miRNAs:
-
microRNAs or
- mRNA:
-
messenger RNA
- ncRNAs:
-
non-coding RNAs
- DNMT:
-
DNA methyltransferase
- PLCO:
-
Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial
- PLS-DA:
-
Partial Least Squares Discriminant Analysis
- RCC:
-
renal cell carcinoma
- RLM:
-
Robust Linear Regression
- RNAi:
-
RNA interference
- RRBS:
-
reduced representation bisulphite-sequencing
- seqlm:
-
method for identifying differentially methylated regions in high density methylation data
- Ten-eleven translocation:
-
TET
- WGBS:
-
whole genome bisulphite-sequencing
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Acknowledgment
The work in the Epigenomics and Mechanisms Branch (EGM) at IARC is supported by grants from the Institut National du Cancer (INCa, France), the European Commission (EC) Seventh Framework Programme (FP7) Translational Cancer Research (TRANSCAN) Framework, the Foundation ARC pour la Recherche sur le Cancer (France), and Plan Cancer-Eva-Inserm research grant to Z.H. FC was supported by a Postdoctoral Fellowship from the International Agency for Research on Cancer, partially supported by the EC FP7 Marie Curie Actions—People—Co-funding of regional, national, and international programmes (COFUND).
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Herceg, Z., Ghantous, A., Chung, F.FL. (2022). Epigenetic Epidemiology of Cancer. In: Michels, K.B. (eds) Epigenetic Epidemiology. Springer, Cham. https://doi.org/10.1007/978-3-030-94475-9_13
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