We report that CpG island methylation, an epigenetic modification of D
NA known to correlate closely with silencing of gene transcription, ap
pears in the oestrogen receptor (ER) gene in a subpopulation of cells
which increases as a direct function of age in human colonic mucosa. T
his same methylation change characterizes virtually all cells in art 4
5 colorectal tumours examined, including the earliest stages of tumour
formation. ER gene expression is diminished or absent in colorectal t
umours, and introduction of an exogenous ER gene in cultured colon car
cinoma cells resulted in marked growth suppression. Our data suggest t
hat methylation associated inactivation of the ER gene in ageing cotor
ectal mucosa could be one of the earliest events that predispose to sp
oradic cotorectal tumorigenesis.