Cancer is often viewed as a genetic process in which the developing ca
ncer cell acquires successive mutational lesions that each provide the
cell with a growth or survival advantage. The focus on genetic altera
tions in cancer research has perhaps led to an underestimation of the
contribution by epigenetics. Epigenetic events ave heritable alteratio
ns in gene function that are mediated by factors other than changes in
primary DNA sequence; 5-methylcytosine DNA methylation is a good exam
ple. This article reviews current insights into the contribution of DN
A methylation to mutational and epigenetic mechanisms of oncogenesis.