The diagram shows a representative region of genomic DNA in a normal cell. The region shown contains repeat-rich, hypermethylated pericentromeric heterochromatin and an actively transcribed tumour suppressor gene (TSG) associated with a hypomethylated CpG island (indicated in red). In tumour cells, repeat-rich heterochromatin becomes hypomethylated and this contributes to genomic instability, a hallmark of tumour cells, through increased mitotic recombination events. De novo methylation of CpG islands also occurs in cancer cells, and can result in the transcriptional silencing of growth-regulatory genes. These changes in methylation are early events in tumorigenesis.
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