Background: Osteosarcomas commonly arise during the bone growth
and remodeling in puberty, making it plausible to infer the involvement
of epigenetic alterations in their development. Procedure: We
investigated DNA methylation and related genetic variants in 28 primary
osteosarcomas aiming to identify deregulated driver pathways.
Methylation and genomic data was obtained using the Illumina HM450K
beadchips and the TruSight One sequencing panel, respectively.
Results: Aberrant DNA methylation was spread throughout the
osteosarcomas genomes. We identified 3,146 differentially methylated
CpGs comparing osteosarcomas and bone tissue samples, with high
methylation heterogeneity, global hypomethylation and focal
hypermethylation at CpG islands. Differentially methylated regions (DMR)
were detected in 585 loci (319 hypomethylated and 266
hypermethylated), mapped to the promoter regions of 350 genes. These
DMR-genes were enriched for biological processes related to skeletal
system morphogenesis, proliferation, inflammatory response and signal
transduction. Six tumor suppressor genes harbored deletions or promoter
hypermethylation ( DLEC1, GJB2, HIC1, MIR149, PAX6, WNT5A), and
four oncogenes presented gains or hypomethylation ( ASPSCR1,
NOTCH4, PRDM16, RUNX3). Our analysis also revealed
hypomethylation at 6p22, a region that contains several histone genes.
DNMT3B gain was found to be a recurrent copy number change in
osteosarcomas, providing a possible explanation for the observed
phenotype of CpG island hypermethylation. Conclusions: While
the detected open-sea hypomethylation likely contributes to the
well-known osteosarcoma genomic instability, enriched CpG island
hypermethylation suggests an underlying mechanism possibly driven by
overexpression of DNMT3B likely resulting in silencing of tumor
suppressors and DNA repair genes.