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ZAR1 is a novel epigenetically inactivated tumour suppressor in lung cancer
Clinical Epigenetics volume 9, Article number: 60 (2017)
Lung cancer is the leading cause of cancer-related deaths with 1.8 million new cases each year and poor 5-year prognosis. Promoter hypermethylation of tumour suppressors leads to their inactivation and thereby can promote cancer development and progression.
In this study, we analysed ZAR1 (zygote arrest 1), which has been said to be a maternal-effect gene and its expression mostly limited to certain reproductive tissues. Our study shows that ZAR1 is expressed in normal lung but inactivated by promoter methylation in lung cancer. ZAR1 is hypermethylated in primary lung cancer samples (22% small cell lung carcinoma (SCLC) and 76% non-small cell lung carcinoma (NSCLC), p < 0.001) vs. normal control lung tissue (11%). In lung cancer cell lines, ZAR1 was significantly methylated in 75% of SCLC and 83% of NSCLC vs. normal tissue (p < 0.005/0.05). In matching tumours and control tissues, we observed that NSCLC primary tumour samples exhibited a tumour-specific promoter methylation of ZAR1 in comparison to the normal control lung tissue. Demethylation treatment of various lung cancer cell lines reversed ZAR1 promoter hypermethylation and subsequently re-established ZAR1 expression. In addition, we could show the growth inhibitory potential of ZAR1 in lung cancer cell lines and cancer cell lines. Exogenous expression of ZAR1 not only inhibited colony formation but also blocked cell cycle progression of cancer cell lines.
Our study shows for the first time the lung tumour-specific epigenetic inactivation of ZAR1 due to DNA methylation of its CpG island promoter. Furthermore, ZAR1 was characterised by the ability to block tumour growth through the inhibition of cell cycle progression in cancer cell lines. We propose that ZAR1 could serve as an epigenetically inactivated biomarker in lung cancer.
Lung cancer is currently the leading cause of cancer related deaths in men and the second leading cause of cancer death in women worldwide . Lung cancer has a high incidence coupled with a poor 5-year survival rate of less than 17% . In 2012, 1.8 million cases were newly diagnosed worldwide and 1.6 million deaths from lung cancer occurred . Tobacco smoking still is the main cause for lung cancer development . Lung cancer can be classified histologically as small cell lung carcinoma (SCLC, 20% of cases) and non-small cell lung carcinoma (NSCLC, 80% of cases), and NSCLC can further be divided into adenocarcinoma, squamous cell carcinoma, and large cell carcinoma subtypes . Lung cancer treatment as well as prognosis differ depending on lung cancer subtypes . There are a plethora of known lung cancer associated genomic and epigenetic alterations, and it was summarised that epigenetic modulators, modifiers, and mediators play a crucial role in lung cancer initiation and progression [5, 7].
Our own experiments regarding lung cancer analysed epigenetic alterations in the lung cancer cell line A549 using the Infinium HumanMethylation450K BeadChip Array (Illumina). We found the maternal effect gene ZAR1 was one of the best candidates . Human ZAR1 or zygote arrest 1 is located on chromosome 4 (4p11) and covered by a 1.5 kb large CpG island (Additional file 1: Figure S1). CpG islands are genomic regions defined by the enrichment of CpG dinucleotides . ZAR1’s 1275 nt transcript from 4 exons encodes 424 amino acid proteins containing a C-terminal zinc finger (CpG plot, NCBI and UCSC genome browser).
ZAR1 was described as a novel maternal-effect gene critical for oocyte to embryo transition in mouse and especially the C-terminus of its protein is evolutionarily highly conserved in vertebrates [10, 11], but later studies found that its expression was not limited to the oocyte [12,13,14].
Regarding an association of human ZAR1 and cancer only, few reports exist. In malignant melanoma, ZAR1 was intra-genically methylated (exon 1) and ZAR1 was overexpressed in some hypermethylated melanoma cell lines . Non-promoter hypermethylation was found in brain tumours and neuroblastoma [16, 17]. Expression of ZAR1 was absent in hypermethylated glioma cell lines , but ZAR1 was detected in hypermethylated neuroblastoma . It was proposed that methylation-related aberrant ZAR1 expression was unlikely to be related to glioma tumorigenesis . ZAR1 intragenic methylation (first exon to intron 1) in sporadic bladder cancer was decreased in high-grade vs. low-grade tumours . In hepatitits C virus, positive hepatocellular carcinoma ZAR1 hypermethylation of exon 1 was found . These previous data concentrated on non-promoter methylation and ZAR1 expression levels were inconsistent.
We hypothesised that ZAR is a tumour suppressor inactivated in cancer by its promoter hypermethylation. In our study, we found that ZAR1 is epigenetically inactivated in lung cancer. We further found evidence that ZAR1 acts as a tumour suppressor and therefore suggest it could serve as a biomarker in lung cancer cells.
ZAR1 is epigenetically inactivated in lung cancer
In an Infinium HumanMethylation450K BeadChip Array (Illumina), we observed altered promoter methylation of the lung cancer cell line A549 . ZAR1 (zygote arrest 1) was amongst the most strongly deregulated genes, and up to date, no study investigated the epigenetic inactivation of the ZAR1 promoter and its consequences in lung cancer. We found that ZAR1 is expressed in normal lung (Fig. 1b), but its expression is lost in lung cancer cell lines (Fig. 1a, b). Studying the genomic organisation of ZAR1, we found a CpG island of 1.5 kb, which covered the promoter and its first exon (Additional file 1: Figure S1). ZAR1 is encoded by four exons, it contains 424 aa and an uncharacteristic C-terminal zinc finger. In ZAR1’s structure, we could not find an NLS signal and in accordance, it was said that ZAR’s zinc finger possibly facilitates RNA binding .
In our epigenetic work on ZAR1, we investigated the connection of promoter hypermethylation and repression of expression in the context of lung cancer. For promoter hypermethylation analysis, we chose bisulfite treatment and subsequent restriction analysis with TaqI enzyme (COBRA; combined bisulfite restriction analysis) and pyrosequencing for quantification (Additional file 1: Figure S1, target CpGs are shown). ZAR1 expression was undetectable in various lung cancer cell lines as A427, A549 and H322, HTB171 and also in HeLa cervix cancer cells. H358 lung cancer cells however expressed ZAR1 (Fig. 1a, b). In normal control tissues from an RNA panel, we found that ZAR1 was detectable in the lung (set 100%), but relatively low (<10%) in breast, kidney, liver and heart. All lung cancer cell lines exhibited decreased ZAR1 levels (<5%) vs. normal lung, except for H358, which was 15% (Fig. 1b). In lung cancer cell lines (A247, A549, HTB171, H322, H1299) and HEK cells, the ZAR1 promoter was highly methylated as analysed by COBRA, in HeLa and H358 lung cancer cells partially methylated and in HCC-15 lung cancer cells unmethylated (Figs. 1c and 4a). The according quantification by pyrosequencing (Fig. 1d) confirmed the COBRA results and found methylation levels between 78 and 93% for A427, A549, HEK, HTB171 and H322 and partial promoter methylation of 50% for H358. An unmethylated sample (SC26, Fig. 3a) was used as a negative control (Fig. 1d). We then investigated ZAR1 promoter hypermethylation by COBRA in a set of non-small cell lung cancer (NSCLC) and small cell lung cancer cells (SCLC) from cell lines and primary tumour samples (Additional file 2: Table S1). In SCLC cell lines, we observed ZAR1 promoter hypermethylation in 15 out of 20 samples (75%), and in the smaller set of NSCLC, five of six samples (83%) were methylated (Figs. 1, 2, 3c and 4a and Additional file 2: Table S1 and Additional file 3: Table S2). In primary tumour samples from SCLC, the ZAR1 promoter was methylated in 5 out of 23 (22%) and in NSCLC, 16 out of 21 (76%) (Fig. 3 and Additional file 2: Table S1 and Additional file 3: Table S2). Control tissues of SCLC and NSCLC tumour samples were mostly unmethylated (11%; Fig. 3, Additional file 2: Table S1 and Additional file 3: Table S2). ZAR1 promoter methylation increased from matching control tissues to tumour samples (LT1 to LN1, LT3 to LN3, LT39 to LN39, Fig. 3b).
Our findings showed a strong methylation of the ZAR1 promoter, and we therefore aimed to test the epigenetic inactivation of ZAR1 by reversal of promoter methylation. We chose lung cancer cell lines with ZAR1 promoter hypermethylation for demethylation treatment in cell culture. 5-Aza-2’-deoxycytidine (Aza) is an inhibitor of DNA methyltransferases and demethylating agent. It was used to reverse promoter methylation and thereby verify the epigenetic inactivation of ZAR1. ZAR1 methylated cell lines HEK, NSCLC cell lines A549, A427, H1299, H358, H322 and SCLC cell line HTB171 exhibited promoter demethylation with 5 or 10 μM Aza treatment, but unmethylated HCC-15 (NSCLC) remained unaffected (Fig. 4a). An in vitro methylated DNA was used as a positive control for.
Cancer cell lines (A427, A549, H322, HTB171 and HeLa) with ZAR1 promoter hypermethylation (Figs. 1c, d and 4a) and missing ZAR1 expression (Fig. 1a, b) were chosen for testing reexpression of ZAR1 under demethylation treatment. All tested cancer cell lines showed endogenous reexpression of ZAR1 with 5 μM Aza and further increased expression under 10 μM Aza in a semiquantitative PCR (Fig. 4b), which was consistent when quantified for 5 μM Aza by real-time PCR (Fig. 4c). Demethylation treatment restored ZAR1 levels in H322 to almost normal lung expression levels (Fig. 4c). Coherently, the ZAR1 promoter luciferase reporter construct was significantly silenced by in vitro methylation (ivm) compared to the unmethylated promoter or the empty control luciferease reporter construct (Fig. 4d).
ZAR1 is a tumour suppressor in human cancer cell lines
Based on our findings that ZAR1 is epigenetically inactivated in lung cancer cell lines and primary lung cancer tumours, we aimed to test its tumour suppressive properties. Colony formation assays were performed in A549, A427 and HTB171 lung cancer cells that are epigenetically inactivated for ZAR1 (Figs. 1 and 4). ZAR1 reexpression reduced colony numbers compared to vector control in A549 by 89%, in A427 by 71% and in HTB171 by 51% (Fig. 5a). This growth reduction by ZAR1 was significant for all three lung cancer cell lines when quantified (Fig. 5b). For expression control and determining ZAR1 localisation, we used EGFP tagged ZAR1. ZAR1 is found throughout the cytosol, but not within the nucleus, which is exemplarily shown for A549 and HeLa cells (Fig. 6a, b). We next questioned if the observed growth inhibition of lung cancer cells by reexpressed ZAR1 could be due to increased apoptosis or arrest of cell cycle progression. We chose different cancer cells as A549 (lung cancer), HeLa (cervix carcinoma) and HCT116 (colon carcinoma) for reexpression of ZAR1. We performed flow cytometry analysis using propidium iodide staining to determine the nuclear DNA content. Flow cytometry in HeLa cells showed that ZAR1 overexpression increased the number of cells in S phase, but at the same time, no increase in mitosis was observed (Fig. 6c and Additional file 4: Figure S2A). Likewise, ZAR1 expression arrested HCT116 cells in S phase (Fig. 6d, e and Additional file 4: Figure S2C + D) as well as A549 cells (Additional file 4: Figure S2B).
In summary, we could show the epigenetic inactivation of ZAR1 in lung cancer for the first time. Additionally, we characterised the tumour suppressive properties of ZAR1 in cancer cells. ZAR1 inhibited cancer cell growth by arresting cell cycle progression.
ZAR1 has been studied for a bit more than a decade and has been reported to be a maternal-effect gene critical for oocyte-to-embryo transition . Subsequent reports found that the expression of ZAR1 was not limited to the oocyte. In cattle , pig  and chicken , the Zar1 expression pattern differs from mouse and ZAR1 was not only expressed in ovary. ZAR1 is also expressed in porcine and bovine brain and testis , additionally in bovine heart and muscle  and amongst others in chicken testis . During the course of this project, it was reported that expression levels of rabbit Zar1 are highest in lung tissue in comparison to other tissues, which supports our findings of strong ZAR1 expression in human lung . However, functionally, there is little known about ZAR1. ZAR1 female double-knockout mice are infertile due to developmental failure of their embryos . In mouse, Cis-acting elements necessary for oocyte-specific gene expression were found in the ZAR1 promoter . Concerning xenopus Zar1, it has been said to bind to the 3’UTRs in maternal mRNAs through its zinc finger . In our study, we aimed to establish ZAR1, which we found as a candidate from a 450 K methylation array, as an epigenetically inactivated tumour suppressor in human lung cancer.
In our study, we found that ZAR1 was predominantly expressed in human lung, but relatively lowered in other tested tissues. This finding was in accordance with data we analysed from The GTEx Consortium Analysis Working Group , showing that the expression of ZAR1 is not limited to oocytes in humans. In addition, we observed the absence of ZAR1 expression in lung cancer cell lines. This observation prompted us to suspect an epigenetic regulation of ZAR1 and a possible function of ZAR1 in cancer inhibition. Earlier reports found non-promoter hypermethylation of ZAR1; however, a functional consequence was not reported [15,16,17,18,19]. In contrast, we found promoter hypermethylation of ZAR1 not only in lung cancer cell lines but also in primary lung cancer of the SCLC and NSCLC subtype. Furthermore, we could restore ZAR1 expression in lung cancer cell lines pharmacologically by inhibition of DNA methyltransferases. Our analyses of ZAR1 therefore define ZAR1 as a heavily methylated CpG island carrying gene, which is epigenetically inactivated in lung cancer. It will be interesting to study the ZAR1 hypermethylation together with other known lung cancer tumour suppressors, e.g. RASSF1A and RASSF10 [24,25,26,27,28]. Defining a set of tumour suppressor that are specifically inactivated in lung cancer could serve as a tool for lung cancer detection in, e.g. liquid biopsies and as a cancer prognostic outcome predictor in the future. In larger sample sets of SCLC and NSCLC as well as lung cancer metastases, one could narrow the time point when ZAR1 becomes hypermethylated and inactivated during lung carcinogenesis.
Interestingly, enhancer of zeste homolog 2 (EZH2), a part of the Polycomb Repressive Complex 2, was found to bind to the ZAR1 promoter by ChIPseq as shown by the UCSC genome browser using the ENCODE project data (Additional file 5: Figure S3). EZH2 was said to be required for DNA methylation of EZH2-target promoters . This observation supports the hypothesis that ZAR1 can be deliberately inactivated by DNA methylation in cancer. It is already well studied that methylated DNA in CpG island promoters is associated with the binding methylated DNA-binding proteins, which in turn recruit histone deacetylases to the region. This mechanism holds the promoter in a stably repressed state .
We found that overexpressed ZAR1 localised throughout the cytosol. Where endogenous ZAR1 is localised will be verified with later experiments when an appropriate antibody for ZAR1 is available. With this tool on-hand, we could not only study ZAR1 expression in primary cancer samples and correlate expression with ZAR1 promoter methylation but also study interacting partners, which would give insight into its network and signalling pathways. This could elucidate its precise biological function in somatic lung cells, as to whether it controls proliferation, could induce apoptosis upon cellular stress and regulates mRNA translatability via binding to 3’UTRs . In our present study, we further found that ZAR1 inhibited proliferation irrespective of the cancer type, as we observed ZAR1 blocked growth of three lung cancer cell lines, a cervix carcinoma and one colon cancer cell line. In detail, we found that ZAR1 interferes with S phase progression of the cell cycle. Further studies are needed to reveal through which pathways and by what partners ZAR1 inhibits cancer progression.
Our findings give insight into the properties of ZAR1 in non-oocyte tissues and its tumour suppressive role in lung cancer. Together with the observed epigenetic inactivation of ZAR1 in lung cancer and other cancer cell lines, we propose ZAR1 to be an epigenetically inactivated tumour suppressor in lung cancer. We demonstrated that ZAR1 could repress growth of cancer cell lines by inhibiting cell cycle progression. We therefore suggest that in the future, ZAR1 could serve as a hypermethylated biomarker for lung cancer detection and possibly could help differentiate between SCLC and NSCLC.
Analysis of the genomic and protein structure of ZAR1
The promoter region of ZAR1 was analysed by CpG plot http://www.ebi.ac.uk/Tools/seqstats/emboss_cpgplot/ and shows the existence of a 1.5 kb large CpG island. Primers for bisulfite-treated DNA were designed to bind only fully converted DNA and amplify the promoter region of ZAR1. The precise promoter region was chosen for CpG content and presence of according restriction enzymes for COBRA analysis. The size of the ZAR1 COBRA PCR product is 186 bp (with TaqI site at 89). Additional file 1: Figure S1 shows an overview of the ZAR1 gene and protein product, ZAR1 CpG island, COBRA PCR product, primer positions, TaqI restriction site and pyrosequencing region.
Cell lines, lung cancer tissues and controls
Lung cancer cell lines (A427, A549, H322, H358, H1299 and HCC15) were described previously . SCLC cancer cell lines (CPC-N, DMS-79, H60, H69, H82, H187, H209, H510, H1092, H1184, H1339, H1963, H2171, H526, HCC-33, SCLC-21H, SCLC-24H, SCLC-86 M1) and HCT116 were obtained from Th. Stiewe. All lung cancer tissues were characterised previously [7, 25, 27]. All patients signed informed consent at initial clinical investigation. The study was approved by local ethic committees [7, 25, 27].
DNA methylation analysis by COBRA and pyrosequencing
Two microgram genomic DNA (isolation by phenol-chloroform extraction) from tumour tissue, control tissue and cancer cell lines was bisulfite treated (12 μl 0.1 M hydroquinone, 208 μl 1.9 M sodium metabisulfite and pH 5.5 with NaOH) and incubated over night at 50 °C. DNA was purified using MSB Spin PCRapace (STRATEC Molecular), eluted in 50 μl H2O and incubated for 10 min with 5 μl 3 M NaOH at 37 °C. DNA was then precipitated with 100% ethanol and 7.5 M ammonium acetate and resolved in 30 μl 1 × TE buffer. Bisulfite treated DNA was subsequently used for 25 μl PCR reaction with ZAR1 COBRA primers. The PCR product was digested with 0.5 μl of TaqI (Thermo Fisher Scientific) 1 h at 65 °C and resolved on 2% TBE gel together with mock control. Pyrosequencing was performed according to manufacturer’s protocol with PyroMark Q24 System (Qiagen). In vitro methylation of genomic/plasmid DNA for positive control in COBRA assay and luciferase promoter assay was performed using CpG methyltransferase M.SssI (NEB) according to manufacturer’s protocol. Primers for COBRA analysis of the ZAR1 promoter (186 bp) were upper primer GGAGAAGGAYGAAGAGGGGTTTTT and lower primer TCCCCCAAAACCRCCATAAAC. For pyrosequencing, the lower ZAR1 primer was biotinylated. Fisher exact test was used for statistical analysis.
RNA expression analysis
RNA was isolated using Isol-RNA lysis procedure (5 Prime). RNA was DNase (Thermo Fisher Scientific) treated and then reversely transcribed by MMLV (Promega). Semi-quantitative PCR was performed in Eppendorf Mastercycler using a standard protocol. Quantitative RT–PCR was performed in triplicate with SYBR select (Thermo Fisher Scientific) using Rotor-Gene 3000 (Qiagen). Normal human RNAs were obtained from Agilent Technologies. All other RNAs were isolated from cultured cancer cell lines. Primers for RT-PCR were upper primer CCTTCCTTCCTGGGCATGGAGTC and lower primer CGGAGTACTTGCGCTCAGGAGGA for ACTB (226 bp), upper primer AGCTGGGCAAGGAGCGGCTG and lower primer GGTGGGGCCGTTTAGGGTCCA for ZAR1 (264 bp) and upper primer TGGAGAAGGCTGGGGCTCAT and lower primer GACCTTGGCCAGGGGTGCTA for GAPDH (176 bp). Student’s t test was used for statistical analysis.
Cell culture, demethylation treatment (Aza) and transfection
Cell lines were grown in appropriate medium (DMEM or RPMI) supplemented with 10% FCS, and 1% penicillin/streptomycin under cell culture conditions (37 °C, 5% CO2). For 5-Aza-2’deoxycytidine (Aza) treatment cancer cell lines were split to 10% density, Aza was added with fresh medium on four consecutive days and RNA as well as DNA were isolated. For cell line transfection, we used Turbofect (Thermo Fisher Scientific), X-tremeGENE HP (Roche) or polyethylenimin (Sigma) with either 4 μg (6-well plates) or 10 μg (10 cm dishes) of ZAR1-pEGFP, EGFP vector, ZAR1-pRLnull or pRLnull empty.
Colony formation and cell cycle analysis
For colony formation, assay cells were seeded at 10% density, transfected the following day. Selection with G418 (Biochrom) with 2.5 mg/ml (A549) and 0.25 mg/ml (A427, HTB171) started the following day and continued for 21 days. After 3 weeks, when visible colonies formed, cells were dried and stained with Giemsa (Sigma). Statistical analysis was performed using paired T test, two-tailed. Regarding flow cytometry analysis, cells were transfected with ZAR1-pEGFP or EGFP vector and cells were ethanol fixed after 24 or 48 h as indicated. The following day, fixed cells were PBS washed and treated with 50 μg/ml RNase A for 30 min at 37 °C. Subsequently, cells were stained with 50 μg/ml propidium iodide prior to measuring DNA content in FACSCantoII (BD Biosciences). FACSDiva Software (BD Biosciences) was used for measurement/gating to distinguish transfected fluorescent cells and to determine cells in G1/G0, S and G2/M phase of the cell cycle. ZAR1-EGFP overexpression is shown in HeLa and A549 cells. Therefore, cells were seeded in 6-well plates on glass slides and transfected the following day (see above). Cells were fixed with 3.7% formaldehyde at according time points, stained with DAPI (0.1 μg/ml in PBS, Sigma), embedded in anti-fading with Mowiol (Sigma) and analysed with Axio Observer Z1 (Zeiss) under ×63 magnification and by Volocity Software (Perkin Elmer).
Plasmids and promoter reporter assay
ZAR1 coding sequence was ordered from GeneArt AG (Regensburg, Germany) and cloned into pEGFP-C2 (Clontech). The ZAR1 promoter (position +526 to −75 relative to transcriptional start site) was amplified from genomic DNA and cloned into pRL-null (Promega). Primers for cloning the ZAR1 promoter were upper GGATCCCTGGGTGGTTCTCCATGCA and lower GAATTCGTAACCGTCCAGCACCTCGTCCCC (601 bp). All plasmids were controlled by sequencing, RT-PCR and immunofluorescence/Western blotting for the expression vector. For the promoter assay of ZAR1, the Dual-Luciferase Reporter Assay System (Promega) was used according to manufacturer’s protocol and HeLa cells were used. Student’s t test was used for statistical analysis.
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We thank Michelle Woods for proofreading the manuscript.
The work was supported by a DZL grant (Deutsches Zentrum für Lungenforschung) to Reinhard Dammann.
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AR, SK and RD conceived and designed the experiments. TS contributed materials. AR, JB and NK performed the experiments. AR, RD and SK analysed the data. AR wrote and revised the manuscript. All authors approved of the submitted manuscript.
The authors declare that they have no competing interests.
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Schematic structure of the ZAR1 gene/protein and CpG island. The ZAR1 gene is shown with its four exons (encoding an 1275 nt transcript), and its protein (424 aa) structure with a C-terminal zinc finger (ZF). The ZAR1 CpG island covers 1.5 kb of the promoter and the first exon. Black vertical lines represent single CpGs, and the restriction enzyme TaqI recognition site is marked (scissors) for COBRA methylation assay. Bent arrow indicates transcriptional start site (TSS). Horizontal arrows mark COBRA methylation analysis PCR product of 186 bp. Methylation analysis by pyrosequencing covers five CpGs (asterisk) within the COBRA analysed region. 1 kb standard is shown. (PDF 118 kb)
Supplemental Table 1. (XLSX 14 kb)
Supplemental Table 2. (XLSX 13 kb)
ZAR1 overexpression blocks cell cycle progression of cancer cell lines. Cell lines HeLa, A549 and HCT116 were transfected with EGFP or ZAR1-EGFP, isolated after 24 h and fixed with ethanol. DNA content was measured by FACS CantoII using propidium iodide staining to determine cell cycle arrest. S phase alteration is marked in red. A–C Flow cytometry gating is shown for HeLa, A549 and HCT116 cancer cells and D shows quantification for HCT116. (PDF 345 kb)
Genomic organisation of ZAR1. UCSC genome browser data revealed that transcription factors as EZH2 (arrowhead) bind to the promoter of ZAR1 as analysed by ChIP-seq by the ENCODE project. EZH2 binding overlaps with the ZAR1 CpG island promoter (green) and its first exon (blue). (PDF 576 kb)
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Cite this article
Richter, A.M., Kiehl, S., Köger, N. et al. ZAR1 is a novel epigenetically inactivated tumour suppressor in lung cancer. Clin Epigenet 9, 60 (2017) doi:10.1186/s13148-017-0360-4
- Lung cancer
- ZAR1 (zygote arrest 1)
- Tumour suppressor
- DNA methylation