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Differential DNA methylation delineated using Illumina Infinium HumanMethylation450 BeadChip microarray platform in blood DNA collected prior to conventional diagnosis (pre-diagnostic) with hepatocellular carcinoma (HCC). Comparison of Illumina 450K array data of pre-diagnostic and post-diagnostic study groups. (A) Pie chart of the 971 CpG sites differentially methylated between pre-diagnostic HCC cases and matched healthy controls. Diff. refers to differential methylation (delta beta = case beta value -control beta value, where delta beta refers to methylation level). 76% of all differentially methylated CpGs in pre-diagnostic subgroup were hypomethylated. (B) A color-coded table showing median methylation levels and first and third quartile values (in brackets) in cases (average of n = 21) and matched controls (average of n = 21) for 11 CpG sites corresponding to 10 genes (probes) selected for further validation. (C) A bar chart shows CpG sites and genes differentially methylated in pre-and post-diagnostic subgroups as compared with matched healthy controls. (D) Classification of differentially methylated CpG sites in pre-diagnostic and post-diagnostic subgroups according to the location relative to CpG islands (CpGI, left panel) and transcription start site (TSS, right panel). Red bars correspond to hypermethylation (positive values) and blue bars represent hypomethylation (negative values). (E) Manhattan plots displaying differentially methylated CpG sites in pre-diagnostic (left panel) and post-diagnostic (middle panel) cases vs. matched healthy controls. Chromosomes are color coded to demonstrate the distribution of methylation changes. Each dot corresponds to a single CpG site and reflects a level of significance. The higher value of -log(P value) the more significant difference. (F) A bar chart shows common CpG sites and common genes differentially methylated in both pre-and post-diagnostic subgroups as compared with matched healthy controls.

Differential DNA methylation delineated using Illumina Infinium HumanMethylation450 BeadChip microarray platform in blood DNA collected prior to conventional diagnosis (pre-diagnostic) with hepatocellular carcinoma (HCC). Comparison of Illumina 450K array data of pre-diagnostic and post-diagnostic study groups. (A) Pie chart of the 971 CpG sites differentially methylated between pre-diagnostic HCC cases and matched healthy controls. Diff. refers to differential methylation (delta beta = case beta value -control beta value, where delta beta refers to methylation level). 76% of all differentially methylated CpGs in pre-diagnostic subgroup were hypomethylated. (B) A color-coded table showing median methylation levels and first and third quartile values (in brackets) in cases (average of n = 21) and matched controls (average of n = 21) for 11 CpG sites corresponding to 10 genes (probes) selected for further validation. (C) A bar chart shows CpG sites and genes differentially methylated in pre-and post-diagnostic subgroups as compared with matched healthy controls. (D) Classification of differentially methylated CpG sites in pre-diagnostic and post-diagnostic subgroups according to the location relative to CpG islands (CpGI, left panel) and transcription start site (TSS, right panel). Red bars correspond to hypermethylation (positive values) and blue bars represent hypomethylation (negative values). (E) Manhattan plots displaying differentially methylated CpG sites in pre-diagnostic (left panel) and post-diagnostic (middle panel) cases vs. matched healthy controls. Chromosomes are color coded to demonstrate the distribution of methylation changes. Each dot corresponds to a single CpG site and reflects a level of significance. The higher value of -log(P value) the more significant difference. (F) A bar chart shows common CpG sites and common genes differentially methylated in both pre-and post-diagnostic subgroups as compared with matched healthy controls.

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Late onset of clinical symptoms in hepatocellular carcinoma (HCC) results in late diagnosis and poor disease outcome. Approximately 85% of individuals with HCC have underlying liver cirrhosis. However, not all cirrhotic patients develop cancer. Reliable tools that would distinguish cirrhotic patients who will develop cancer from those who will not...

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... 971 differentially methylated CpG sites were identified in pre-diagnostic HCC cases as compared with healthy controls (P <0.05, paired Wilcoxon test, ICC ≥0.5) (Figure 4(A)). Among 735 hypomethylated CpG sites, 438 sites were assigned to gene coding regions whereas 236 hypermethylated sites corresponded to 144 genes. ...
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... most robust changes with delta beta (diff.) higher than 0.30 were identified within 5ʹUTR of ACAN, CpG island of ATHL1, and CpG island shelf of RPTOR (Figure 4(B)). Figure 3. Differentially methylated regions within 5 hypomethylated probes: PCGF3, KDM2B, CTTN, TSPAN5, and SPATA13; and 7 hypermethylated probes: DPPA5, HIVEP3, JPH3, KIAA1210, LYNX1, LSP1, and SERPINB9, in hepatocellular carcinoma (HCC) cases vs. matched healthy controls. ...
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... the number of hyper-and hypo-methylated sites in post-diagnostic samples was practically equal (Figure 2(A-C)), nearly 76% of differentially methylated CpG sites in Study Group #2 (pre-diagnostic) showed lower levels of methylation in cases vs. controls (P = 2.973E-11, Wilcoxon test) (Figure 4(C)). This suggests a stronger regulatory role of hypomethylation in gene transcription in blood cells of individuals developing cancer which is consistent with previous findings [54]. ...
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... suggests a stronger regulatory role of hypomethylation in gene transcription in blood cells of individuals developing cancer which is consistent with previous findings [54]. Indeed, those hypomethylated loci are located in regulatory regions important for gene transcription such as CpG island shores, promoters, and 5'UTR (Figure 4(B,D)). The distribution of differentially methylated CpGs relative to CpG islands and TSS is similar between pre-and post-diagnostic groups (Figure 4(D)). ...
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... those hypomethylated loci are located in regulatory regions important for gene transcription such as CpG island shores, promoters, and 5'UTR (Figure 4(B,D)). The distribution of differentially methylated CpGs relative to CpG islands and TSS is similar between pre-and post-diagnostic groups (Figure 4(D)). Similarly to post-diagnostic patterns, genes hypomethylated in the Study Group #2 (prediagnostic) fall into category of multiple signaling pathways indicating a potential role for those genes in regulating functions of immune cells and subsequently the immune response at very early stages of cancer development. ...
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... in methylation expressed as median case -median control (delta beta = differential methylation) was higher than 0.1 in 20% of identified changes in Study Group #2 (pre-diagnostic) (Figure 4(A)). Level of significance for changes observed in the pre-diagnostic group was lower than at the post-diagnostic stage as indicated by Manhattan plots in Figure 4(E). ...
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... in methylation expressed as median case -median control (delta beta = differential methylation) was higher than 0.1 in 20% of identified changes in Study Group #2 (pre-diagnostic) (Figure 4(A)). Level of significance for changes observed in the pre-diagnostic group was lower than at the post-diagnostic stage as indicated by Manhattan plots in Figure 4(E). It could suggest progression of changes along with the disease development. ...
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... indeed observed numerous such examples including genes selected as candidates for validation in pyrosequencing based on the microarray data in Study Group #1 (depicted in squares in Figure 2(F) (cg26764761) show a difference of 0.008 and 0.1, respectively, at pre-diagnostic stages, which progressed to 0.28 and 0.34 in diagnosed HCC. As shown in Figure 4(F), 44 CpG sites corresponding to 27 genes are differentially methylated at both preand post-diagnostic stages of HCC (Supplementary Table S3). Interestingly, although significant, changes at those common CpGs are subtle and rather constant throughout the disease development. ...
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... methylation within ATHL1, ACAN, BRUNOL5, BARD1, MAGEB3, FXYD6, TET1, PSG4, RPTOR, and CHRDL1, as quantified by pyrosequencing distinguishes blood of HCC cases prior to diagnosis from healthy controls Among DNA methylation differences detected in Study Group #2 (pre-diagnostic), we selected 11 CpG loci corresponding to 10 genes for further validation by pyrosequencing (Figures 4(B) and 5, Supplementary Figure S2). To increase the probability that the CpG loci are ubiquitously differentially methylated in pre-diagnostic blood samples of HCC cases vs. controls, we applied several criteria as described above. ...
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... the magnitude of the difference in DNA methylation was ≥0.1 with P <0.05, ICC threshold ≥0.70 [40], consistent difference within a given CpG locus across the majority of matched pairs (≥17/21 pairs), and location of the CpG locus in a gene regulatory region. Relative methylation levels (beta values) in cases (median of n = 21) and matched controls (median of n = 21) for those loci are shown in a color map in Figure 4(B). Two CpG sites were hypermethylated in cases vs. controls and corresponded to CHRDL1 and RPTOR. ...
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... remaining CpG sites, located within ACAN, ATHL1, PSG4, BRUNOL5, BARD1, FXYD6, TET1, or MAGEB3, demonstrated lower methylation levels in cases vs. controls based on the array data. All selected loci are located in regulatory gene regions including CpGI, CpGI shores and shelves, 5'UTR, or promoters (TSS1500) (Figure 4(B), gene maps in Supplementary Figure S2, left panel). The genes encompassing the selected loci are associated with a wide range of functions. ...
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... highest differences within CpG sites of interest (covered on the array, marked in squares) were detected for CpG#2 of ATHL1 (42.5% difference in median), CpG#1 of ACAN (26% difference in median), CpG#3 of CHRDL1 (17% difference in median), and CpG#4 of BARD1 (13.3% difference in median). Interestingly, ATHL1 and ACAN also show the highest differences on the microarray (Figure 4(B)). As in post-diagnostic samples, several genes do not show significant changes at a CpG covered on the array but instead have differences at neighboring CpGs. ...
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... was also found to be expressed in T-lymphoid cells [46]. 9 candidate probes indeed maintain consistent differences in DNA methylation in post-diagnostic Study Group #1 as compared with cirrhotic controls (Supplementary Figure S4(A)) and healthy controls (Figure 3, Supplementary Figure S4(B)). ...
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... was also found to be expressed in T-lymphoid cells [46]. 9 candidate probes indeed maintain consistent differences in DNA methylation in post-diagnostic Study Group #1 as compared with cirrhotic controls (Supplementary Figure S4(A)) and healthy controls (Figure 3, Supplementary Figure S4(B)). ...
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... discover more differences characteristic of pre-diagnostic stages of HCC, we mapped DNA methylation patterns in pre-diagnostic cases and matched healthy controls. Interestingly, we detected 7 times less differences in pre-diagnostic Study Group #2 than in HCC patients (Figures 2(A) and Figure 4(A)). The majority of differentially methylated CpG sites were hypomethylated in cases vs. controls (Figure 4(A)) and were located in gene regulatory regions (Figure 4(D)). ...
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... we detected 7 times less differences in pre-diagnostic Study Group #2 than in HCC patients (Figures 2(A) and Figure 4(A)). The majority of differentially methylated CpG sites were hypomethylated in cases vs. controls (Figure 4(A)) and were located in gene regulatory regions (Figure 4(D)). In both Study Groups, hypomethylated CpG sites were located in genes associated with regulation of transcription and signal transduction. ...
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... we detected 7 times less differences in pre-diagnostic Study Group #2 than in HCC patients (Figures 2(A) and Figure 4(A)). The majority of differentially methylated CpG sites were hypomethylated in cases vs. controls (Figure 4(A)) and were located in gene regulatory regions (Figure 4(D)). In both Study Groups, hypomethylated CpG sites were located in genes associated with regulation of transcription and signal transduction. ...
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... samples from a cirrhotic Study Group #3, we found that 9 of the 19 validated probes located within regulatory regions of BARD1, MAGEB3, BRUNOL5, FXYD6, TET1, TSPAN5, DPPA5, KIAA1210, and LSP1 could potentially distinguish cirrhotic patients who will develop HCC within next 2 years from those who will stay cancer free within the same period of follow up ( Figure 6). They consistently separated pre-diagnostic HCC cases with underlying liver cirrhosis from cirrhotic controls ( Figure 6) as well as post-diagnostic HCC cases in Study Group #1 from cirrhotic controls (Supplementary Figure S4(A)). Hence, the discriminative power of those probes persist when the disease progresses which ensures lack of false negative results where a patient with developed HCC could be assessed as a cancer free-control ( Figure 6). ...
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... 971 differentially methylated CpG sites were identified in pre-diagnostic HCC cases as compared with healthy controls (P <0.05, paired Wilcoxon test, ICC ≥0.5) (Figure 4(A)). Among 735 hypomethylated CpG sites, 438 sites were assigned to gene coding regions whereas 236 hypermethylated sites corresponded to 144 genes. ...
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... most robust changes with delta beta (diff.) higher than 0.30 were identified within 5ʹUTR of ACAN, CpG island of ATHL1, and CpG island shelf of RPTOR (Figure 4(B)). Figure 3. Differentially methylated regions within 5 hypomethylated probes: PCGF3, KDM2B, CTTN, TSPAN5, and SPATA13; and 7 hypermethylated probes: DPPA5, HIVEP3, JPH3, KIAA1210, LYNX1, LSP1, and SERPINB9, in hepatocellular carcinoma (HCC) cases vs. matched healthy controls. ...
Context 21
... the number of hyper-and hypo-methylated sites in post-diagnostic samples was practically equal (Figure 2(A-C)), nearly 76% of differentially methylated CpG sites in Study Group #2 (pre-diagnostic) showed lower levels of methylation in cases vs. controls (P = 2.973E-11, Wilcoxon test) (Figure 4(C)). This suggests a stronger regulatory role of hypomethylation in gene transcription in blood cells of individuals developing cancer which is consistent with previous findings [54]. ...
Context 22
... suggests a stronger regulatory role of hypomethylation in gene transcription in blood cells of individuals developing cancer which is consistent with previous findings [54]. Indeed, those hypomethylated loci are located in regulatory regions important for gene transcription such as CpG island shores, promoters, and 5'UTR (Figure 4(B,D)). The distribution of differentially methylated CpGs relative to CpG islands and TSS is similar between pre-and post-diagnostic groups (Figure 4(D)). ...
Context 23
... those hypomethylated loci are located in regulatory regions important for gene transcription such as CpG island shores, promoters, and 5'UTR (Figure 4(B,D)). The distribution of differentially methylated CpGs relative to CpG islands and TSS is similar between pre-and post-diagnostic groups (Figure 4(D)). Similarly to post-diagnostic patterns, genes hypomethylated in the Study Group #2 (prediagnostic) fall into category of multiple signaling pathways indicating a potential role for those genes in regulating functions of immune cells and subsequently the immune response at very early stages of cancer development. ...
Context 24
... in methylation expressed as median case -median control (delta beta = differential methylation) was higher than 0.1 in 20% of identified changes in Study Group #2 (pre-diagnostic) (Figure 4(A)). Level of significance for changes observed in the pre-diagnostic group was lower than at the post-diagnostic stage as indicated by Manhattan plots in Figure 4(E). ...
Context 25
... in methylation expressed as median case -median control (delta beta = differential methylation) was higher than 0.1 in 20% of identified changes in Study Group #2 (pre-diagnostic) (Figure 4(A)). Level of significance for changes observed in the pre-diagnostic group was lower than at the post-diagnostic stage as indicated by Manhattan plots in Figure 4(E). It could suggest progression of changes along with the disease development. ...
Context 26
... indeed observed numerous such examples including genes selected as candidates for validation in pyrosequencing based on the microarray data in Study Group #1 (depicted in squares in Figure 2(F) (cg26764761) show a difference of 0.008 and 0.1, respectively, at pre-diagnostic stages, which progressed to 0.28 and 0.34 in diagnosed HCC. As shown in Figure 4(F), 44 CpG sites corresponding to 27 genes are differentially methylated at both preand post-diagnostic stages of HCC (Supplementary Table S3). Interestingly, although significant, changes at those common CpGs are subtle and rather constant throughout the disease development. ...
Context 27
... methylation within ATHL1, ACAN, BRUNOL5, BARD1, MAGEB3, FXYD6, TET1, PSG4, RPTOR, and CHRDL1, as quantified by pyrosequencing distinguishes blood of HCC cases prior to diagnosis from healthy controls Among DNA methylation differences detected in Study Group #2 (pre-diagnostic), we selected 11 CpG loci corresponding to 10 genes for further validation by pyrosequencing (Figures 4(B) and 5, Supplementary Figure S2). To increase the probability that the CpG loci are ubiquitously differentially methylated in pre-diagnostic blood samples of HCC cases vs. controls, we applied several criteria as described above. ...
Context 28
... the magnitude of the difference in DNA methylation was ≥0.1 with P <0.05, ICC threshold ≥0.70 [40], consistent difference within a given CpG locus across the majority of matched pairs (≥17/21 pairs), and location of the CpG locus in a gene regulatory region. Relative methylation levels (beta values) in cases (median of n = 21) and matched controls (median of n = 21) for those loci are shown in a color map in Figure 4(B). Two CpG sites were hypermethylated in cases vs. controls and corresponded to CHRDL1 and RPTOR. ...
Context 29
... remaining CpG sites, located within ACAN, ATHL1, PSG4, BRUNOL5, BARD1, FXYD6, TET1, or MAGEB3, demonstrated lower methylation levels in cases vs. controls based on the array data. All selected loci are located in regulatory gene regions including CpGI, CpGI shores and shelves, 5'UTR, or promoters (TSS1500) (Figure 4(B), gene maps in Supplementary Figure S2, left panel). The genes encompassing the selected loci are associated with a wide range of functions. ...
Context 30
... highest differences within CpG sites of interest (covered on the array, marked in squares) were detected for CpG#2 of ATHL1 (42.5% difference in median), CpG#1 of ACAN (26% difference in median), CpG#3 of CHRDL1 (17% difference in median), and CpG#4 of BARD1 (13.3% difference in median). Interestingly, ATHL1 and ACAN also show the highest differences on the microarray (Figure 4(B)). As in post-diagnostic samples, several genes do not show significant changes at a CpG covered on the array but instead have differences at neighboring CpGs. ...
Context 31
... was also found to be expressed in T-lymphoid cells [46]. 9 candidate probes indeed maintain consistent differences in DNA methylation in post-diagnostic Study Group #1 as compared with cirrhotic controls (Supplementary Figure S4(A)) and healthy controls (Figure 3, Supplementary Figure S4(B)). ...
Context 32
... was also found to be expressed in T-lymphoid cells [46]. 9 candidate probes indeed maintain consistent differences in DNA methylation in post-diagnostic Study Group #1 as compared with cirrhotic controls (Supplementary Figure S4(A)) and healthy controls (Figure 3, Supplementary Figure S4(B)). ...
Context 33
... discover more differences characteristic of pre-diagnostic stages of HCC, we mapped DNA methylation patterns in pre-diagnostic cases and matched healthy controls. Interestingly, we detected 7 times less differences in pre-diagnostic Study Group #2 than in HCC patients (Figures 2(A) and Figure 4(A)). The majority of differentially methylated CpG sites were hypomethylated in cases vs. controls (Figure 4(A)) and were located in gene regulatory regions (Figure 4(D)). ...
Context 34
... we detected 7 times less differences in pre-diagnostic Study Group #2 than in HCC patients (Figures 2(A) and Figure 4(A)). The majority of differentially methylated CpG sites were hypomethylated in cases vs. controls (Figure 4(A)) and were located in gene regulatory regions (Figure 4(D)). In both Study Groups, hypomethylated CpG sites were located in genes associated with regulation of transcription and signal transduction. ...
Context 35
... we detected 7 times less differences in pre-diagnostic Study Group #2 than in HCC patients (Figures 2(A) and Figure 4(A)). The majority of differentially methylated CpG sites were hypomethylated in cases vs. controls (Figure 4(A)) and were located in gene regulatory regions (Figure 4(D)). In both Study Groups, hypomethylated CpG sites were located in genes associated with regulation of transcription and signal transduction. ...
Context 36
... samples from a cirrhotic Study Group #3, we found that 9 of the 19 validated probes located within regulatory regions of BARD1, MAGEB3, BRUNOL5, FXYD6, TET1, TSPAN5, DPPA5, KIAA1210, and LSP1 could potentially distinguish cirrhotic patients who will develop HCC within next 2 years from those who will stay cancer free within the same period of follow up ( Figure 6). They consistently separated pre-diagnostic HCC cases with underlying liver cirrhosis from cirrhotic controls ( Figure 6) as well as post-diagnostic HCC cases in Study Group #1 from cirrhotic controls (Supplementary Figure S4(A)). Hence, the discriminative power of those probes persist when the disease progresses which ensures lack of false negative results where a patient with developed HCC could be assessed as a cancer free-control ( Figure 6). ...

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Hepatitis B virus (HBV) specifically infects liver cells, leading to progressive liver cirrhosis and significantly increasing the risk of hepatocellular carcinoma (HCC). The maturity of sequencing technology, improvement in bioinformatics data analysis and progress of omics technologies had improved research efficiency. The occurrence and progression of HCC are affected by multisystem and multilevel pathological changes. With the application of single-omics technologies, including genomics, transcriptomics, metabolomics and proteomics in tissue and body fluid samples, and even the novel development of multi-omics analysis on a single-cell platform, HBV-associated HCC changes can be better analyzed. The review summarizes the application of single omics and combined analysis of multi-omics data in HBV-associated HCC and proposes the importance of multi-omics analysis in the type of HCC, which provide the possibility for the precise diagnosis and therapy of HBV-associated HCC.
... The prognosis of patients with cirrhosis correlates with the epigenetic modification of TSPAN5. Lubecka et al. reported that among HBV-negative cirrhosis patients, hypomethylation of TSPAN5 gene is more frequently found in the patients who eventually develop HCC (26). Therefore, the locus-specific DNA methylation may be a useful biomarker for screening at-risk populations, and the expression TSPAN5 may be an indicator for carcinogenesis. ...
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Hepatocellular carcinoma (HCC) is characterized by high prevalence, morbidity, and mortality. Liver cancer is the sixth most common cancer worldwide; and its subtype, HCC, accounts for nearly 80% of cases. HCC progresses rapidly, and to date, there is no efficacious treatment for advanced HCC. Tetraspanins belong to a protein family characterized by four transmembrane domains. Thirty-three known tetraspanins are widely expressed on the surface of most nucleated cells and play important roles in different biological processes. In our review, we summarize the functions of tetraspanins and their underlying mechanism in the life cycle of HCC, from its initiation, progression, and finally to treatment. CD9, TSPAN15, and TSPAN31 can promote HCC cell proliferation or suppress apoptosis. CD63, CD151, and TSPAN8 can also facilitate HCC metastasis, while CD82 serves as a suppressor of metastasis. TSPAN1, TSPAN8, and CD151 act as prognosis indicators and are inversely correlated to the overall survival rate of HCC patients. In addition, we discuss the potential of role of the tetraspanin family proteins as novel therapeutic targets and as an approach to overcome drug resistance, and also provide suggestions for further research.
... The determined sites include locus specific hypomethylated with higher frequency than the hypermethylated sites. The locus specific hypomethylated sites are present at the CpG islands and CpG island shores located within the 5 ′ UTR regions and promoter sites [19]. As demonstrated, the dysregulated epigenetic regulators are associated with the interruption in the epigenome. ...
... Furthermore, these variedly expressed loci actively participate in pathways and are related to immune functions like lymphocyte migration. Lubecka et al. [19] for the first time detected differential DNA methylation at the specific gene loci from the blood samples of an individual diagnosed with HCC. Additionally, from their pre-diagnostic study, they also showed hypomethylated genes including CSF2, IFITM5 and IL9 to be implicated in immunomodulation. ...
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Hepatocellular carcinoma (HCC) is the most common primary malignancy of the liver and has a high fatality rate. Genetic and epigenetic aberrations are commonly observed in HCC. The epigenetic processes include chromatin remodelling, histone alterations, DNA methylation, and noncoding RNA (ncRNA) expression and are connected with the progression and metastasis of HCC. Due to their potential reversibility, these epigenetic alterations are widely targeted for the development of biomarkers. In-depth understanding of the epigenetics of HCC is critical for developing rational clinical strategies that can provide a meaningful improvement in overall survival and prediction of therapeutic outcomes. In this article, we have summarised the epigenetic modifications involved in HCC progression and highlighted the potential biomarkers for diagnosis and drug development.
... 76 Epigenetic regulation of both ZBTB47 and HIVEP3 is known to be associated with cancer. 77,78 Because our sample size in combination with a stringent correction for repeated sampling limits the power to detect subtle differences, we do expect to find a fraction of the number of differentially methylated CpGs. 79 All of the three gene-related differentially methylated CpG sites were found in the gene body region, in both intron (IGF2BP1) and exons (ZBTB47 and HIVEP3). ...
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Pollutants, such as toxic metals, negatively influence organismal health and performance, even leading to population collapses. Studies in model organisms have shown that epigenetic marks, such as DNA methylation, can be modulated by various environmental factors, including pollutants, influencing gene expression, and various organismal traits. Yet experimental data on the effects of pollution on DNA methylation from wild animal populations are largely lacking. We here experimentally investigated for the first time the effects of early-life exposure to environmentally relevant levels of a key pollutant, arsenic (As), on genome-wide DNA methylation in a wild bird population. We experimentally exposed nestlings of great tits (Parus major) to arsenic during their postnatal developmental period (3 to 14 days post-hatching) and compared their erythrocyte DNA methylation levels to those of respective controls. In contrast to predictions, we found no overall hypomethylation in the arsenic group. We found evidence for loci to be differentially methylated between the treatment groups, but for five CpG sites only. Three of the sites were located in gene bodies of zinc finger and BTB domain containing 47 (ZBTB47), HIVEP zinc finger 3 (HIVEP3), and insulin-like growth factor 2 mRNA binding protein 1 (IGF2BP1). Further studies are needed to evaluate whether epigenetic dysregulation is a commonly observed phenomenon in polluted populations and what are the consequences for organism functioning and for population dynamics.
... 85% of hepatocellular carcinoma (HCC) cases are preceded by cirrhosis [110], and the high worldwide incidence is largely attributed to viral infection (hepatitis B and C, or HBV and HCV) or fatty liver (alcoholic and non-alcoholic) [98,110]. Therefore, detecting early changes is important as surveillance for the development of liver cancer in cirrhotic patients. ...
... 85% of hepatocellular carcinoma (HCC) cases are preceded by cirrhosis [110], and the high worldwide incidence is largely attributed to viral infection (hepatitis B and C, or HBV and HCV) or fatty liver (alcoholic and non-alcoholic) [98,110]. Therefore, detecting early changes is important as surveillance for the development of liver cancer in cirrhotic patients. ...
... Therefore, detecting early changes is important as surveillance for the development of liver cancer in cirrhotic patients. Lubecka et al. examined DNA methylation in white blood cells (WBCs) of HBV-negative populations and detected pre-diagnostic epigenetic changes that could be utilized for identification of those at risk for the development of HCC [110]. Patients with pre-diagnosed HCC had significant hypomethylation of the BARD1 gene compared to healthy patients as measured by a 13.3% difference between the groups. ...
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