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Blood, 1 May 2007, Vol. 109, No. 9, pp. 3895-3905.
Prepublished online as a Blood First Edition Paper on January 18, 2007; DOI 10.1182/blood-2006-08-040147.


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NEOPLASIA

The C/EBP{delta} tumor suppressor is silenced by hypermethylation in acute myeloid leukemia

Shuchi Agrawal1, Wolf-Karsten Hofmann2, Nicola Tidow1, Mathias Ehrich3, Dirk van den Boom3, Steffen Koschmieder1, Wolfgang E. Berdel1, Hubert Serve1, and Carsten Müller-Tidow1

1 Department of Medicine, Hematology and Oncology, University of Münster, Germany; 2 Department of Oncology and Hematology, University Hospital Benjamin Franklin, Berlin, Germany; 3 Sequenom, San Diego, CA

Aberrant DNA methylation is the most frequent molecular alteration in acute myeloid leukemia (AML). To identify methylation-silenced genes in AML, we performed microarray analyses in U937 cells exposed to the demethylating agent 5-aza-deoxy-cytidine. Overall, 274 transcripts were significantly induced. Interestingly, C/EBP{delta} expression was significantly induced (more than 10-fold) by demethylation whereas expression of all other C/EBP family members remained unchanged. The C/EBP{delta} promoter was strongly methylated in different leukemic cell lines and showed signs of a repressed chromatin state. Analyses of the promoter regions of the entire C/EBP family ({alpha}, ß, {gamma}, {delta}, {epsilon}, {zeta}) in bone marrow samples from AML patients (n = 80) and controls (n = 15) by mass spectrometry revealed that C/EBP{delta} is the most commonly hypermethylated C/EBP gene in AML. Hypermethylation occurred in more than 35% of AML patients at primary diagnosis. A significant correlation (P = .016) was observed between hypermethylation of the C/EBP{delta} promoter and low expression of C/EBP{delta} in AML patients. C/EBP{delta} promoter activity was strongly repressed by methylation in vitro, and transcriptional repression partially depended on MeCP2 activity. C/EBP{delta} exhibited growth-inhibitory properties in primary progenitor cells as well as in Flt3-ITD–transformed cells. Taken together, C/EBP{delta} is a novel tumor suppressor gene in AML that is silenced by promoter methylation.


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