Tumor clonality, an important issue in tumor biology, has been analyzed: us
ing X-chromosome inactivation studies based on the differential methylation
patterns of active and inactive alleles, Recently, a PCR-based androgen re
ceptor gene (AR) analysis method was developed that takes advantage of high
ly polymorphic CAG repeats and nearby HpaII and HhaI sites in exon 1 of AR
at the Xq13 region. However, the data from this assay, which is now widely
used, are sometimes uninterpretable and irreproducible For some currently u
nclear reason. To determine that reason, we analyzed a panel of lung cancer
cell lines, using HpaII or HhaI restriction enzymes, methylation-specific
PCR, and bisulfite genomic sequencing of the polymorphic CAG repeat site of
AR exon 1, including neat-by CpG sites. We found direct evidence of a vari
able methylation pattern at the restriction sites that prevented proper enz
yme cleavage in two lung cancer cell lines (NCI-H292 and NCI-H1944) obtaine
d from female patients who had a polymorphic CAG repeat in AR exon 1. Our d
ata suggest that methylation patterns at the CpG sites of AR exon 1 are com
plicated and vary among different individuals. Therefore, the reliability o
f the PCR-based clonality analysis may require further evaluation.