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©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Oncol. Mar 15, 2017; 9(3): 105-120
Published online Mar 15, 2017. doi: 10.4251/wjgo.v9.i3.105
CpG island methylator phenotype in adenocarcinomas from the digestive tract: Methods, conclusions, and controversies
Francisco Sánchez-Vega, Valer Gotea, Yun-Ching Chen, Laura Elnitski
Francisco Sánchez-Vega, Valer Gotea, Yun-Ching Chen, Laura Elnitski, Genomic Functional Analysis Section, National Human Genome Research Institute, National Institutes of Health, Rockville, MD 20852, United States
Author contributions: Sánchez-Vega F, Gotea V, Chen YC and Elnitski L have all read and approved the final manuscript; Elnitski L developed the idea and supervised the research; Sánchez-Vega F, Gotea V and Chen YC generated and analyzed data; and all authors contributed to the writing and editing of the final manuscript; Sánchez-Vega F and Gotea V contributed equally to this work.
Conflict-of-interest statement: None.
Correspondence to: Laura Elnitski, PhD, Senior Investigator, Head, Genomic Functional Analysis Section, National Human Genome Research Institute, National Institutes of Health, 5625 Fishers Lane, Rockville, MD 20852, United States. elnitski@mail.nih.gov
Telephone: +1-301-4510265 Fax: +1-301-4356170
Received: June 2, 2016
Peer-review started: June 6, 2016
First decision: September 2, 2016
Revised: November 3, 2016
Accepted: January 2, 2017
Article in press: January 3, 2017
Published online: March 15, 2017
Processing time: 280 Days and 10.3 Hours
Core Tip

Core tip: Awareness of the CpG island methylator phenotype (CIMP) is growing for all adenocarcinomas. Here, we summarize previous work on the topic and discuss unanswered questions regarding commonalities and differences of CIMP tumors from esophageal, gastric, and colorectal adenocarcinomas, where data has been made available from the Cancer Genome Atlas. Our analysis includes a review of our pan-cancer method to stratify tumors based on CIMP and addresses the most frequent mutations found in those samples. We include new data implicating truncating mutations in RNF43 and silencing of WIF1I. We also describe in detail the methylation of CpG sites within the MLH1 promoter across these tumor types.