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Aberrant epigenetics in the molecular pathogenesis of human acute myeloid leukemia

dc.contributor.advisorDeCoteau, Johnen_US
dc.contributor.committeeMemberXiang, Jimen_US
dc.contributor.committeeMemberSaxena, Anuragen_US
dc.contributor.committeeMemberQureshi, Mabooden_US
dc.contributor.committeeMemberMassey, K. Lorneen_US
dc.contributor.committeeMemberDong, Wei-Fengen_US
dc.contributor.committeeMemberBanerjee, Diponkaren_US
dc.creatorScott, Stuart Alexanderen_US
dc.date.accessioned2005-05-24T15:32:30Zen_US
dc.date.accessioned2013-01-04T04:31:59Z
dc.date.available2005-05-30T08:00:00Zen_US
dc.date.available2013-01-04T04:31:59Z
dc.date.created2005-05en_US
dc.date.issued2005-05-18en_US
dc.date.submittedMay 2005en_US
dc.description.abstractPromoter hypermethylation mediated gene silencing is a frequent epigenetic finding in many cancers that affects genes known to have important roles in several aspects of cell biology. Hematological malignancies have been reported to harbor multiple genes aberrantly silenced by promoter hypermethylation and as a result, cytosine analogs known to inhibit the DNA methylation machinery are currently being evaluated in clinical trials. As such, the general goal of this thesis was to identify genes silenced by promoter hypermethylation in human acute myeloid leukemia (AML) and to study the mechanism of promoter hypermethylation mediated gene silencing. Interestingly, the cyclin dependent kinase inhibitor p15 was found to be methylated at a high frequency in AML patients and cell lines in association with a lack of detectable p15 mRNA. Treatment with the cytosine analog 5-Aza-2’-deoxycytidine (5-Aza-dC) in vitro resulted in promoter demethylation and p15 mRNA re-expression, which was associated with a release of a transcriptionally repressive complex at the p15 promoter. Importantly, 5-Aza-dC treatment also reversed specific histone amino-terminal modifications at the p15 promoter which are normally associated with transcriptionally inactive chromatin regions, implicating chromatin remodeling in promoter hypermethylation mediated gene silencing. The recently discovered DNA methylation inhibitor, zebularine – considered more stable than 5-Aza-dC – was also able to reconstitute p15 mRNA in vitro in association with promoter demethylation, regional enrichment of histone acetylation, and growth inhibition. To identify novel genes silenced by promoter hypermethylation in AML, cDNA microarray analysis was employed following in vitro pharmacological inhibition of DNA methylation and histone deacetylation. Of note, four genes from the metallothionein family of cysteine rich small molecules were consistently upregulated following drug treatment and further evaluation identified the gene MT1H to be hypermethylated at a high frequency in AML patients and cell lines. Taken together, the data suggests that aberrant promoter hypermethylation mediated gene silencing occurs in multiple genes from different gene families during the molecular pathogenesis of human AML. Furthermore, the mechanism of promoter methylation mediated transcriptional silencing acts in concert with specific histone modifications which, importantly, can be reversed by treatment with pharmacological inhibitors of DNA methylation.en_US
dc.identifier.urihttp://hdl.handle.net/10388/etd-05242005-153230en_US
dc.language.isoen_USen_US
dc.subjecthistone modificationen_US
dc.subjectp15INK4Ben_US
dc.subject5-Aza-2'-deoxycytidineen_US
dc.subjectzebularineen_US
dc.subjectcDNA microarrayen_US
dc.subjectmetallothioneinen_US
dc.subjectpromoter hypermethylationen_US
dc.titleAberrant epigenetics in the molecular pathogenesis of human acute myeloid leukemiaen_US
dc.type.genreThesisen_US
dc.type.materialtexten_US
thesis.degree.departmentPathologyen_US
thesis.degree.disciplinePathologyen_US
thesis.degree.grantorUniversity of Saskatchewanen_US
thesis.degree.levelDoctoralen_US
thesis.degree.nameDoctor of Philosophy (Ph.D.)en_US

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