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JNCI Journal of the National Cancer Institute 2001 93(9):691-699; doi:10.1093/jnci/93.9.691
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Journal of the National Cancer Institute, Vol. 93, No. 9, 691-699, May 2, 2001
© 2001 Oxford University Press

Epigenetic Inactivation of RASSF1A in Lung and Breast Cancers and Malignant Phenotype Suppression

David G. Burbee, Eva Forgacs, Sabine Zöchbauer-Müller, Latha Shivakumar, Kwun Fong, Boning Gao, Dwight Randle, Masashi Kondo, Arvind Virmani, Scott Bader, Yoshitaka Sekido, Farida Latif, Sara Milchgrub, Shinichi Toyooka, Adi F. Gazdar, Michael I. Lerman, Eugene Zabarovsky, Michael White, John D. Minna

Affiliations of authors: D. G. Burbee, E. Forgacs, S. Zöchbauer-Müller, B. Gao, D. Randle, M. Kondo, A. Virmani, S. Bader, Y. Sekido, S. Toyooka, A. F. Gazdar, J. D. Minna (Hamon Center for Therapeutic Oncology Research), L. Shivakumar, M. White (Department of Cell Biology), S. Milchgrub (Department of Pathology), The University of Texas Southwestern Medical Center at Dallas; K. Fong, Department of Thoracic Medicine, The Prince Charles Hospital, Queensland, Australia; F. Latif, Department of Reproductive and Child Health, University of Birmingham, U.K.; M. Lerman, Laboratory of Immunobiology, National Cancer Institute-Frederick Cancer Research and Development Center, Frederick, MD; E. Zabarovsky, Karolinska Institute, Stockholm, Sweden.

Correspondence to: John D. Minna, M.D., Hamon Center for Therapeutic Oncology Research, The University of Texas Southwestern Medical Center at Dallas, 6000 Harry Hines Blvd., Dallas, TX 75390-8593 (e-mail: John.Minna@ UTSouthwestern.edu).

Background: The recently identified RASSF1 locus is located within a 120-kilobase region of chromosome 3p21.3 that frequently undergoes allele loss in lung and breast cancers. We explored the hypothesis that RASSF1 encodes a tumor suppressor gene for lung and breast cancers. Methods: We assessed expression of two RASSF1 gene products, RASSF1A and RASSF1C, and the methylation status of their respective promoters in 27 non-small-cell lung cancer (NSCLC) cell lines, in 107 resected NSCLCs, in 47 small-cell lung cancer (SCLC) cell lines, in 22 breast cancer cell lines, in 39 resected breast cancers, in 104 nonmalignant lung samples, and in three breast and lung epithelial cultures. We also transfected a lung cancer cell line that lacks RASSF1A expression with vectors containing RASSF1A complementary DNA to determine whether exogenous expression of RASSF1A would affect in vitro growth and in vivo tumorigenicity of this cell line. All statistical tests were two-sided. Results: RASSF1A messenger RNA was expressed in nonmalignant epithelial cultures but not in 100% of the SCLC, in 65% of the NSCLC, or in 60% of the breast cancer lines. By contrast, RASSF1C was expressed in all nonmalignant cell cultures and in nearly all cancer cell lines. RASSF1A promoter hypermethylation was detected in 100% of SCLC, in 63% of NSCLC, in 64% of breast cancer lines, in 30% of primary NSCLCs, and in 49% of primary breast tumors but in none of the nonmalignant lung tissues. RASSF1A promoter hypermethylation in resected NSCLCs was associated with impaired patient survival (P = .046). Exogenous expression of RASSF1A in a cell line lacking expression decreased in vitro colony formation and in vivo tumorigenicity. Conclusion: RASSF1A is a potential tumor suppressor gene that undergoes epigenetic inactivation in lung and breast cancers through hypermethylation of its promoter region.



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J. Wang, J. J. Lee, L. Wang, D. D. Liu, C. Lu, Y.-H. Fan, W. K. Hong, and L. Mao
Value of p16INK4a and RASSF1A Promoter Hypermethylation in Prognosis of Patients with Resectable Non-Small Cell Lung Cancer
Clin. Cancer Res., September 15, 2004; 10(18): 6119 - 6125.
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T. Takahashi, N. Shivapurkar, E. Riquelme, H. Shigematsu, J. Reddy, M. Suzuki, K. Miyajima, X. Zhou, B. N. Bekele, A. F. Gazdar, et al.
Aberrant Promoter Hypermethylation of Multiple Genes in Gallbladder Carcinoma and Chronic Cholecystitis
Clin. Cancer Res., September 15, 2004; 10(18): 6126 - 6133.
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V. S. Dhillon, M. Aslam, and S. A. Husain
The Contribution of Genetic and Epigenetic Changes in Granulosa Cell Tumors of Ovarian Origin
Clin. Cancer Res., August 15, 2004; 10(16): 5537 - 5545.
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S. Rabizadeh, R. J. Xavier, K. Ishiguro, J. Bernabeortiz, M. Lopez-Ilasaca, A. Khokhlatchev, P. Mollahan, G. P. Pfeifer, J. Avruch, and B. Seed
The Scaffold Protein CNK1 Interacts with the Tumor Suppressor RASSF1A and Augments RASSF1A-induced Cell Death
J. Biol. Chem., July 9, 2004; 279(28): 29247 - 29254.
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M. J. Fackler, M. McVeigh, J. Mehrotra, M. A. Blum, J. Lange, A. Lapides, E. Garrett, P. Argani, and S. Sukumar
Quantitative Multiplex Methylation-Specific PCR Assay for the Detection of Promoter Hypermethylation in Multiple Genes in Breast Cancer
Cancer Res., July 1, 2004; 64(13): 4442 - 4452.
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A. Dallol, A. Agathanggelou, S. L. Fenton, J. Ahmed-Choudhury, L. Hesson, M. D. Vos, G. J. Clark, J. Downward, E. R. Maher, and F. Latif
RASSF1A Interacts with Microtubule-Associated Proteins and Modulates Microtubule Dynamics
Cancer Res., June 15, 2004; 64(12): 4112 - 4116.
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R. Pio, I. Zudaire, I. Pino, Z. Castano, N. Zabalegui, S. Vicent, F. Garcia-Amigot, M. D. Odero, M. D. Lozano, J. Garcia-Foncillas, et al.
{alpha}CP-4, Encoded by a Putative Tumor Suppressor Gene at 3p21, But Not Its Alternative Splice Variant {alpha}CP-4a, Is Underexpressed in Lung Cancer
Cancer Res., June 15, 2004; 64(12): 4171 - 4179.
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N. Sunaga, K. Miyajima, M. Suzuki, M. Sato, M. A. White, R. D. Ramirez, J. W. Shay, A. F. Gazdar, and J. D. Minna
Different Roles for Caveolin-1 in the Development of Non-Small Cell Lung Cancer versus Small Cell Lung Cancer
Cancer Res., June 15, 2004; 64(12): 4277 - 4285.
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M. Suzuki, N. Sunaga, D. S. Shames, S. Toyooka, A. F. Gazdar, and J. D. Minna
RNA Interference-Mediated Knockdown of DNA Methyltransferase 1 Leads to Promoter Demethylation and Gene Re-Expression in Human Lung and Breast Cancer Cells
Cancer Res., May 1, 2004; 64(9): 3137 - 3143.
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CarcinogenesisHome page
J. C. Lindsey, M. E. Lusher, J. A. Anderton, S. Bailey, R. J. Gilbertson, A. D.J. Pearson, D. W. Ellison, and S. C. Clifford
Identification of tumour-specific epigenetic events in medulloblastoma development by hypermethylation profiling
Carcinogenesis, May 1, 2004; 25(5): 661 - 668.
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T. Takahashi, N. Shivapurkar, J. Reddy, H. Shigematsu, K. Miyajima, M. Suzuki, S. Toyooka, S. Zochbauer-Muller, J. Drach, G. Parikh, et al.
DNA Methylation Profiles of Lymphoid and Hematopoietic Malignancies
Clin. Cancer Res., May 1, 2004; 10(9): 2928 - 2935.
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Epigenetics in Lung Cancer: Focus on Progression and Early Lesions
Chest, May 1, 2004; 125(5_suppl): 119S - 122S.
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S. Yegnasubramanian, J. Kowalski, M. L. Gonzalgo, M. Zahurak, S. Piantadosi, P. C. Walsh, G. S. Bova, A. M. De Marzo, W. B. Isaacs, and W. G. Nelson
Hypermethylation of CpG Islands in Primary and Metastatic Human Prostate Cancer
Cancer Res., March 15, 2004; 64(6): 1975 - 1986.
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M. J. Shrubsole, Y.-T. Gao, Q. Cai, X. O. Shu, Q. Dai, J. R. Hebert, F. Jin, and W. Zheng
MTHFR Polymorphisms, Dietary Folate Intake, and Breast Cancer Risk: Results from the Shanghai Breast Cancer Study
Cancer Epidemiol. Biomarkers Prev., February 1, 2004; 13(2): 190 - 196.
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I. H. N. Wong, J. Chan, J. Wong, and P. K. H. Tam
Ubiquitous Aberrant RASSF1A Promoter Methylation in Childhood Neoplasia1
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S. L. Fenton, A. Dallol, A. Agathanggelou, L. Hesson, J. Ahmed-Choudhury, S. Baksh, C. Sardet, R. Dammann, J. D. Minna, J. Downward, et al.
Identification of the E1A-Regulated Transcription Factor p120E4F as an Interacting Partner of the RASSF1A Candidate Tumor Suppressor Gene
Cancer Res., January 1, 2004; 64(1): 102 - 107.
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C. Garnis, C. Baldwin, L. Zhang, M. P. Rosin, and W. L. Lam
Use of Complete Coverage Array Comparative Genomic Hybridization to Define Copy Number Alterations on Chromosome 3p in Oral Squamous Cell Carcinomas
Cancer Res., December 15, 2003; 63(24): 8582 - 8585.
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CarcinogenesisHome page
Y. Liu, Q. An, L. Li, D. Zhang, J. Huang, X. Feng, S. Cheng, and Y. Gao
Hypermethylation of p16INK4a in Chinese lung cancer patients: biological and clinical implications
Carcinogenesis, December 1, 2003; 24(12): 1897 - 1901.
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J. G. Herman and S. B. Baylin
Gene Silencing in Cancer in Association with Promoter Hypermethylation
N. Engl. J. Med., November 20, 2003; 349(21): 2042 - 2054.
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P. S. Yan, H. Shi, F. Rahmatpanah, T. H-C. Hsiau, A. H-A. Hsiau, Y.-W. Leu, J. C. Liu, and T. H.-M. Huang
Differential Distribution of DNA Methylation within the RASSF1A CpG Island in Breast Cancer
Cancer Res., October 1, 2003; 63(19): 6178 - 6186.
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D.-H. Kim, J. S. Kim, J.-H. Park, S. K. Lee, Y.-I. Ji, Y. M. Kwon, Y. M. Shim, J. Han, and J. Park
Relationship of Ras Association Domain Family 1 Methylation and K-Ras Mutation in Primary Non-Small Cell Lung Cancer
Cancer Res., October 1, 2003; 63(19): 6206 - 6211.
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ThoraxHome page
K M Fong, Y Sekido, A F Gazdar, and J D Minna
Lung cancer * 9: Molecular biology of lung cancer: clinical implications
Thorax, October 1, 2003; 58(10): 892 - 900.
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T. Ohira, R. M. Gemmill, K. Ferguson, S. Kusy, J. Roche, E. Brambilla, C. Zeng, A. Baron, L. Bemis, P. Erickson, et al.
WNT7a induces E-cadherin in lung cancer cells
PNAS, September 2, 2003; 100(18): 10429 - 10434.
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A. Agathanggelou, I. Bieche, J. Ahmed-Choudhury, B. Nicke, R. Dammann, S. Baksh, B. Gao, J. D. Minna, J. Downward, E. R. Maher, et al.
Identification of Novel Gene Expression Targets for the Ras Association Domain Family 1 (RASSF1A) Tumor Suppressor Gene in Non-Small Cell Lung Cancer and Neuroblastoma
Cancer Res., September 1, 2003; 63(17): 5344 - 5351.
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S. M. Dong, D.-I. Sun, N. E. Benoit, I. Kuzmin, M. I. Lerman, and D. Sidransky
Epigenetic Inactivation of RASSF1A in Head and Neck Cancer
Clin. Cancer Res., September 1, 2003; 9(10): 3635 - 3640.
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W. A. Palmisano, K. P. Crume, M. J. Grimes, S. A. Winters, M. Toyota, M. Esteller, N. Joste, S. B. Baylin, and S. A. Belinsky
Aberrant Promoter Methylation of the Transcription Factor Genes PAX5 {alpha} and {beta} in Human Cancers
Cancer Res., August 1, 2003; 63(15): 4620 - 4625.
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Y. Cohen, G. Singer, O. Lavie, S. M. Dong, U. Beller, and D. Sidransky
The RASSF1A Tumor Suppressor Gene Is Commonly Inactivated in Adenocarcinoma of the Uterine Cervix
Clin. Cancer Res., August 1, 2003; 9(8): 2981 - 2984.
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S. Zhong, W. Yeo, M. W. Tang, N. Wong, P. B. S. Lai, and P. J. Johnson
Intensive Hypermethylation of the CpG Island of Ras Association Domain Family 1A in Hepatitis B Virus-associated Hepatocellular Carcinomas
Clin. Cancer Res., August 1, 2003; 9(9): 3376 - 3382.
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T. Kuroki, F. Trapasso, S. Yendamuri, A. Matsuyama, H. Alder, M. Mori, and C. M. Croce
Allele Loss and Promoter Hypermethylation of VHL, RAR-{beta}, RASSF1A, and FHIT Tumor Suppressor Genes on Chromosome 3p in Esophageal Squamous Cell Carcinoma
Cancer Res., July 1, 2003; 63(13): 3724 - 3728.
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D.-H. Kim, J. S. Kim, Y.-I. Ji, Y. M. Shim, H. Kim, J. Han, and J. Park
Hypermethylation of RASSF1A Promoter Is Associated with the Age at Starting Smoking and a Poor Prognosis in Primary Non-Small Cell Lung Cancer
Cancer Res., July 1, 2003; 63(13): 3743 - 3746.
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M. D. Vos, A. Martinez, C. A. Ellis, T. Vallecorsa, and G. J. Clark
The Pro-apoptotic Ras Effector Nore1 May Serve as a Ras-regulated Tumor Suppressor in the Lung
J. Biol. Chem., June 6, 2003; 278(24): 21938 - 21943.
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I. Kuzmin, L. Liu, R. Dammann, L. Geil, E. J. Stanbridge, S. P. Wilczynski, M. I. Lerman, and G. P. Pfeifer
Inactivation of RAS Association Domain Family 1A Gene in Cervical Carcinomas and the Role of Human Papillomavirus Infection
Cancer Res., April 15, 2003; 63(8): 1888 - 1893.
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M. Spugnardi, S. Tommasi, R. Dammann, G. P. Pfeifer, and D. S. B. Hoon
Epigenetic Inactivation of RAS Association Domain Family Protein 1 (RASSF1A) in Malignant Cutaneous Melanoma
Cancer Res., April 1, 2003; 63(7): 1639 - 1643.
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T. Kuroki, F. Trapasso, S. Yendamuri, A. Matsuyama, H. Alder, M. Mori, and C. M. Croce
Promoter Hypermethylation of RASSF1A in Esophageal Squamous Cell Carcinoma
Clin. Cancer Res., April 1, 2003; 9(4): 1441 - 1445.
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R. Danesi, F. De Braud, S. Fogli, T. M. De Pas, A. Di Paolo, G. Curigliano, and M. Del Tacca
Pharmacogenetics of Anticancer Drug Sensitivity in Non-Small Cell Lung Cancer
Pharmacol. Rev., March 1, 2003; 55(1): 57 - 103.
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E. C. Chan, S. Y. Lam, K. W. Tsang, B. Lam, J. C. M. Ho, K. H. Fu, W. K. Lam, and Y. L. Kwong
Aberrant Promoter Methylation in Chinese Patients with Non-Small Cell Lung Cancer: Patterns in Primary Tumors and Potential Diagnostic Application in Bronchoalevolar Lavage
Clin. Cancer Res., December 1, 2002; 8(12): 3741 - 3746.
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A. Rathi, A. K. Virmani, J. O. Schorge, K. J. Elias, R. Maruyama, J. D. Minna, S. C. Mok, L. Girard, D. A. Fishman, and A. F. Gazdar
Methylation Profiles of Sporadic Ovarian Tumors and nonmalignant Ovaries from High-Risk Women
Clin. Cancer Res., November 1, 2002; 8(11): 3324 - 3331.
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K. Harada, S. Toyooka, N. Shivapurkar, A. Maitra, J. L. Reddy, H. Matta, K. Miyajima, C. F. Timmons, G. E. Tomlinson, D. Mastrangelo, et al.
Deregulation of Caspase 8 and 10 Expression in Pediatric Tumors and Cell Lines
Cancer Res., October 15, 2002; 62(20): 5897 - 5901.
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M. E. Lusher, J. C. Lindsey, F. Latif, A. D. J. Pearson, D. W. Ellison, and S. C. Clifford
Biallelic Epigenetic Inactivation of the RASSF1A Tumor Suppressor Gene in Medulloblastoma Development
Cancer Res., October 15, 2002; 62(20): 5906 - 5911.
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Hum Mol GenetHome page
D. Bodmer, W. van den Hurk, J. J. M. van Groningen, M. J. Eleveld, G. J. M. Martens, M. A. J. Weterman, and A. Geurts van Kessel
Understanding familial and non-familial renal cell cancer
Hum. Mol. Genet., October 1, 2002; 11(20): 2489 - 2498.
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The OncologistHome page
S. Zochbauer-Muller, J. D. Minna, and A. F. Gazdar
Aberrant DNA Methylation in Lung Cancer: Biological and Clinical Implications
Oncologist, October 1, 2002; 7(5): 451 - 457.
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S. Sarkar, B. C. Roy, N. Hatano, T. Aoyagi, K. Gohji, and R. Kiyama
A Novel Ankyrin Repeat-containing Gene (Kank) Located at 9p24 Is a Growth Suppressor of Renal Cell Carcinoma
J. Biol. Chem., September 20, 2002; 277(39): 36585 - 36591.
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R. Diaz, D. Ahn, L. Lopez-Barcons, M. Malumbres, I. Perez de Castro, J. Lue, N. Ferrer-Miralles, R. Mangues, J. Tsong, R. Garcia, et al.
The N-ras Proto-oncogene Can Suppress the Malignant Phenotype in the Presence or Absence of Its Oncogene
Cancer Res., August 1, 2002; 62(15): 4514 - 4518.
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