Secreted frizzled-related protein 2 (sFRP2) is a negative modulator of the Wingless-type (Wnt) signaling pathway, and shown to be inactivated in renal cell carcinoma (RCC). However, the molecular mechanism of silencing of sFRP2 is not fully understood. Our study was designed to elucidate the silencing mechanism of sFRP2 in RCC. Expression of sFRP2 was examined in 20 pairs of primary cancers by immunohistochemistry. Kidney cell lines (HK-2, Caki-1, Caki-2, A-498 and ACHN) were analyzed for sFRP2 expression using real-time RT-PCR and Western blotting. The methylation status at 46 CpG sites of the 2 CpG islands in the sFRP2 promoter was characterized by bisulfite DNA sequencing. Histone modifications were assessed by chromatin immunoprecipitation (ChIP) assay using antibodies against AcH3, AcH4, H3K4 and H3K9. sFRP2 was frequently repressed in primary cancers and in RCC cells. The majority of sFRP2 negative cells had a methylated promoter. Meanwhile, sFRP2 expression was repressed by a hypomethylated promoter in Caki-1 cells, and these cells had a repressive histone modification at the promoter. In Caki-1 cells, sFRP2 was reactivated by trichostatin A (TSA). Repressive histone modifications were also observed in RCC cells with hypermethylated promoters, but sFRP2 was reactivated only by 5-aza-2 0 -deoxycytidine (DAC) and not by TSA. However, the activation of the silenced sFRP2 gene could be achieved in all cells using a combination of DAC and TSA. This is the first report indicating that aberrant DNA methylation and histone modifications work together to silence the sFRP2 gene in RCC cells. ' 2008 Wiley-Liss, Inc.Key words: sFRP2 gene; Wnt antagonist; DNA methylation; histone modification; renal cell carcinoma Epigenetic mechanisms play a crucial role in regulation of gene expression, and different epigenetic processes are involved in gene silencing. 1 DNA methylation and histone modifications are 2 important reversible mechanisms of epigenetic regulation of gene expression. 2,3 Silencing of cancer-associated genes by hypermethylation of CpG islands within the promoter and/or 5 0 -regions is a common feature of human cancer and is often associated with partial or complete transcriptional block. 4 However, some genes are repressed without apparent hypermethylation at the promoters. 5,6 Histone modifications are another key player in epigenetics. 7 Deacetylation of H3 and H4, demethylation of H3 lysine 4 (H3K4) and methylation of H3 lysine 9 (H3K9) are markers of transcriptionally silent heterochromatin. 8 Today, histone modifications are recognized as playing a primary role in the control of gene expression and chromatin structure and are closely involved with DNA methylation. 7 These processes have been shown to be involved in the inactivation of many tumor suppressor genes. 9,10 sFRP2 is one such putative tumor suppressor gene. This gene is a negative modulator of the Wingless-type (Wnt) signaling pathway and its loss has been associated with aberrant activation of the Wnt signaling cascade. 11 Wnt antagonists, ...