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Recently, we have identified <jats:italic><jats:styled-content style=\"fixed-case\">SOX<\/jats:styled-content>1<\/jats:italic>, <jats:styled-content style=\"fixed-case\">SRY<\/jats:styled-content> (sex determining region <jats:styled-content style=\"fixed-case\">Y<\/jats:styled-content>)\u2010box 1, is hypermethylated in cervical cancer and ovarian cancer. Therefore, we investigated whether promoter hypermethylation of <jats:italic><jats:styled-content style=\"fixed-case\">SOX<\/jats:styled-content>1<\/jats:italic> is common in hepatocellular carcinoma (<jats:styled-content style=\"fixed-case\">HCC<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We used methylation\u2010specific polymerase chain reaction (<jats:styled-content style=\"fixed-case\">MS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">PCR<\/jats:styled-content>) and bisulfite sequencing to analyze the methyaltion level of the <jats:italic><jats:styled-content style=\"fixed-case\">SOX<\/jats:styled-content>1<\/jats:italic> promoter in seven <jats:styled-content style=\"fixed-case\">HCC<\/jats:styled-content> cell lines, 54 clinical <jats:styled-content style=\"fixed-case\">HCC<\/jats:styled-content>s, 42 cirrhotic livers, 21 livers with chronic hepatitis, and 15 control livers. Then, we employed quantitative <jats:styled-content style=\"fixed-case\">MS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">PCR<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">QMSP<\/jats:styled-content>) to validate in an independent set of samples (60 paired <jats:styled-content style=\"fixed-case\">HCC<\/jats:styled-content>s and 30 control livers). Finally, we used luciferase reporter and colony formation assay to check the effect of <jats:styled-content style=\"fixed-case\">SOX<\/jats:styled-content>1 in <jats:styled-content style=\"fixed-case\">HCC<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Promoter methylation of <jats:italic><jats:styled-content style=\"fixed-case\">SOX<\/jats:styled-content>1<\/jats:italic> was significantly frequent in <jats:styled-content style=\"fixed-case\">HCC<\/jats:styled-content> cell lines and clinical <jats:styled-content style=\"fixed-case\">HCC<\/jats:styled-content>s, cirrhotic livers, but not in control livers (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001). There is a significant correlation between downregulation of <jats:italic><jats:styled-content style=\"fixed-case\">SOX<\/jats:styled-content>1<\/jats:italic> expression and promoter methylation. <jats:styled-content style=\"fixed-case\">QMSP<\/jats:styled-content> results confirmed that promoter hypermethylation of <jats:italic><jats:styled-content style=\"fixed-case\">SOX<\/jats:styled-content>1<\/jats:italic> is significantly more frequent in <jats:styled-content style=\"fixed-case\">HCC<\/jats:styled-content>s than control livers (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001). The frequency of <jats:italic><jats:styled-content style=\"fixed-case\">SOX<\/jats:styled-content>1<\/jats:italic> methylation in patients with secreted frizzled\u2010related proteins (<jats:italic><jats:styled-content style=\"fixed-case\">SFRP<\/jats:styled-content><\/jats:italic>s) methylation is significantly higher than in patients without <jats:italic><jats:styled-content style=\"fixed-case\">SFRP<\/jats:styled-content><\/jats:italic>s methylation (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001). Furthermore, ectopic expression of <jats:italic><jats:styled-content style=\"fixed-case\">SOX<\/jats:styled-content>1<\/jats:italic> could suppress <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>\u2010cell factor\u2010dependent transcriptional activity and colony formation number in <jats:styled-content style=\"fixed-case\">HCC<\/jats:styled-content>s.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Concomitant epigenetic silencing of <jats:italic><jats:styled-content style=\"fixed-case\">SOX<\/jats:styled-content>1<\/jats:italic> and <jats:italic><jats:styled-content style=\"fixed-case\">SFRP<\/jats:styled-content>s<\/jats:italic> through promoter hypermethylation is frequent in <jats:styled-content style=\"fixed-case\">HCC<\/jats:styled-content>s, and this might contribute to abnormal activation of canonical Wnt signal pathway.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jgh.12078","type":"journal-article","created":{"date-parts":[[2012,12,6]],"date-time":"2012-12-06T13:49:13Z","timestamp":1354801753000},"page":"551-559","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Frequent concomitant epigenetic silencing of <i><scp>SOX<\/scp>1<\/i> and secreted frizzled\u2010related proteins (<i><scp>SFRP<\/scp><\/i>s) in human hepatocellular carcinoma"],"prefix":"10.1111","volume":"28","author":[{"given":"Yu\u2010Lueng","family":"Shih","sequence":"first","affiliation":[{"name":"Division of Gastroenterology Department of Internal Medicine Tri\u2010Service General Hospital National Defense Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chung\u2010Bao","family":"Hsieh","sequence":"additional","affiliation":[{"name":"Division of General Surgery Department of Surgery Tri\u2010Service General Hospital National Defense Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming\u2010De","family":"Yan","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology Department of Internal Medicine Wan Fang Hospital Taipei Medical University  Taipei"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chun\u2010Ming","family":"Tsao","sequence":"additional","affiliation":[{"name":"Graduate Institute of Medical Sciences National Defense Medical Center"},{"name":"Bureau of Investigation Ministry of Justice  New Taipei City Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsai\u2010Yuan","family":"Hsieh","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology Department of Internal Medicine Tri\u2010Service General Hospital National Defense Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chang\u2010Hsin","family":"Liu","sequence":"additional","affiliation":[{"name":"Department and Graduate Institute of Microbiology and Immunology National Defense Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ya\u2010Wen","family":"Lin","sequence":"additional","affiliation":[{"name":"Department and Graduate Institute of Microbiology and Immunology National Defense Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,2,26]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/gast.2002.33411"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2004.09.013"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199903113401001"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cld.2004.12.009"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrc1934"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2007.06.016"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.21651"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1593\/neo.07469"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1586\/egh.10.74"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1101\/gad.11.24.3286"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1242\/dev.126.2.345"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1101\/gad.14.15.1837"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1101\/gad.10.12.1443"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/382638a0"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1746.2003.02973.x"},{"key":"e_1_2_6_17_1","doi-asserted-by":"crossref","first-page":"8847","DOI":"10.1073\/pnas.95.15.8847","article-title":"Somatic mutations of the beta\u2010catenin gene are frequent in mouse and human hepatocellular carcinomas","volume":"95","author":"La Coste A","year":"1998","journal-title":"Proc. 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