Table 1 Key regulatory factors of DNA methylation in cancer.
From: Targeting epigenetic regulators for cancer therapy: mechanisms and advances in clinical trials
Enzyme | Roles in cancer | Cancer type | Associated biological process (involved mechanism and molecules) |
|---|---|---|---|
DNA methyltransferases | |||
DNMT1: DNMT1 is responsible for maintenance of DNA methylation and is expressed at high concentrations in dividing cells to guard existing methylated sites. | |||
|  | Promoter | AML, CML, cervical cancer, colorectal cancer, glioma, lung cancer, pancreatic cancer, gastric cancer, hepatocellular carcinoma, breast cancer, esophageal cancer, bladder cancer, prostate cancer, thyroid cancer, ovarian cancer92,93,94,95,96,97,98,99,100 | Promotes EMT phenotype, cell apoptosis, cell proliferation, migration, cancer stemness, and cisplatin sensitivity (β-catenin, E-cadherin, PTEN, p18, p27, P21, P16, miR-124, miR-148a, miR-152, miR-185, miR-506), DNMT1 is also upregulated by Helicobacter pylori CagA |
| Â | Suppressor | Cell migration, EMT and stem cell potential | |
DNMT3a: DNMT3a methylates unmethylated DNA de novo and is required for maternal imprinting at different methylated regions. | |||
|  | Promoter | Cervical cancer, CML, breast cancer, gastric cancer, prostate cancer, ovarian cancer, bone cancer, testicular cancer52,103,104,105,106,107 | Promotes cell proliferation and invasion. (VEGFA, Wnt/β-catenin signaling, miR-182, miR-708-5p) |
| Â | Suppressor | Lymphoma, AML, breast cancer, colorectal cancer, lung cancer108,109,110 | Low level of DNMT3a is associated with the poor survival of cancer patients and promotes tumor progression but not initiation |
DNMT3b: DNMT3b is also responsible for de novo methylation and is required for methylation of centromeric minor satellite repeats and CGIs in inactive X chromosomes. | |||
| Â | Promoter | CML, AML, glioma, lung cancer, breast cancer, gastric cancer, colorectal cancer, prostate cancer, pancreatic cancer, bladder cancer, cervical cancer52,94,111,112,113 | Promotes cell proliferation, and invasion and the chemotherapy effects of cisplatin; is associated with poor prognosis (E-cadherin, PTEN, P21, P16, miR-29b, miR-124, miR-506) |
| Â | Suppressor | Downregulation of DNMT3a is associated with poor prognosis | |
Methyl-CpG binding proteins | |||
MeCP2 | Promoter | Prostate cancer, colorectal cancer, breast cancer, gastric cancer115,116 | Promotes cell proliferation, invasion, metastasis, apoptosis, cell cycle arrest in the G0/G1 phase, chemotherapy effects, regulation of estrogen receptor status, involves the MEK1/2-ERK1/2 signaling pathway (miR-638, miR-212) |
| Â | Suppressor | Pancreatic cancer117 | Decreased expression of MeCP2 contributes to cancer development |
MBD1 | Promoter | Promotes cell EMT, proliferation, invasion, and metastasis and the chemoradioresistance of cancer cells and induces an antioxidant response (E-cadherin) | |
MBD2 | Promoter | Lung cancer, colon cancer, breast cancer, prostate cancer94,120,121,122 | Promotes cell invasion and metastasis (p14) |
MBD4 | Promoter | Causes dominant negative impairment of DNA repair | |
KAISO (ZBTB33) | Promoter | Colon cancer, cervical cancer, prostate cancer, ovarian cancer, lung cancer, breast cancer, and chronic myeloid leukemia125,126,127,128 | Silencing of tumor suppressor genes, EMT, apoptosis, migration and invasion (Wnt/β-catenin, TGFβ, EGFR, Notch, miR-4262, miR-31) |
ZBTB4 | Suppressor | Breast cancer, Ewing sarcoma, prostate cancer, bladder cancer77,129,130,131 | Promotes cell growth and apoptosis and controls the cellular response to p53 activation, promoting long-term cell survival (miR-17-92/106b-25 |
ZBTB38 | Promoter | Bladder cancer132 | Promotes cell migration and invasion (Wnt/β‑catenin pathway) |
UHRF1 | Promoter | Hepatocellular carcinoma, bladder cancer, renal cell carcinoma, lung cancer, retinoblastoma, intrahepatic cholangiocarcinoma, colon cancer, pancreatic cancer, gastric cancer, prostate cancer, melanoma, hepatoblastoma, esophageal squamous cell carcinoma, cervical cancer, breast cancer, thyroid cancer133,134,135,136,137,138 | Promotes cell proliferation, EMT, and viability, increases hypoxia inducible factor (HIF)1α, CSCs, taxane resistance correlates with poor pathological characteristics, human papillomavirus (HPV) contributes to overexpression of UHRF1 (miR-101, miR-124, PI3K/Akt signaling pathway, MEK/ERK pathway) |
UHRF2 | Promoter | Intrahepatic cholangiocarcinoma, hepatocellular carcinoma, colon cancer139,140 | Promotes cell migration and invasion, and is associated with lower disease-free survival |
| Â | suppressor | Low level of UHRF2 is associated with shorter overall survival, vascular invasion and poor prognosis | |
DNA demethylases | |||
TET1: TET1 is highly expressed in mouse embryonic stem cells, the inner cell mass of blastocysts, and developing PGCs. | |||
| Â | Promoter | MLL-rearranged leukemia, AML, breast cancer, ovarian cancer, lung cancer, renal cancer143,144,145,146,147 | TET1-MLL fusion, cell migration, anchorage-independent growth, cancer stemness, and tumorigenicity, prevention of senescence via loss of p53, associated with a worse overall survival and sensitivity to drugs (PI3K-mTOR pathway) |
|  | Suppressor | Hematopoietic malignancy, hepatocellular carcinoma, prostate cancer, colon cancer, gastric cancer, breast cancer, nasopharyngeal carcinoma cells, ovarian cancer90,148,149 | Promotes EMT and increases cancer cell growth, migration, and invasion (miR-21-5p, Wnt/β-catenin signaling pathway, AKT and FAK pathways) |
TET2/TET3: TET2 and TET3 are present in multiple mouse adult tissues, whereas only TET3 is present in mouse oocytes and one-cell zygotes | |||
TET2 | Suppressor | MDS, AML, CML, prostate cancer, gastric cancer, breast cancer, colorectal cancer, ovarian cancer, hepatocellular carcinoma, leukemia87,150,151,152,153 | Promotes cell proliferation, colony formation, metastasis, is associated with reduced patient survival, pathologic stage, tumor grading, lymph node metastasis, and vascular thrombosis (caspase-4, ET2/E-cadherin/β-catenin regulatory loop) |
TET3 | Promoter | Renal cell carcinoma154 | Acts as an independent predictor of poor outcome |
| Â | Suppressor | Is associated with EMT, overall survival, disease-free survival (miR-30d) | |