DNA methylation of promoter-associated CpG islands may function as an alter
nate mechanism of silencing tumor suppressor genes in multiple neoplasias i
ncluding colorectal cancer. De novo methylation of genes appears to be an e
arly and frequent event in most neoplasias, For the ER and IGF2 genes, we h
ave previously shown that methylation actually begins in the normal colon m
ucosa as an age-related event and progresses to hypermethylation in cancer.
In this study, we have determined the frequency of age-related methylation
in normal colonic mucosa among the genes hypermethylated in colorectal can
cer. We studied six genes, including N33, MYOD, p16, HIC-1, THBS1, and CALC
A, The N33 gene showed partial methylation in normal colon mucosa, which wa
s age-related (r = 0.7; P = 0.003 using regression analysis). Adenomas and
cancers showed further hypermethylation at this locus. Similarly, the MYOD
gene showed age-related methylation in normal colon mucosa (r = 0.7; P < 0.
00001 using regression analysis) and hypermethylation in cancers. Age-relat
ed methylation seems to be gene specific, because p16, THBS1, HIC-1, and CA
LCA were not affected. Furthermore, this process may also be modulated by t
issue-specific factors. Our study suggests that aging is a major contributi
ng factor to hypermethylation in cancer.