Regate changes of multiple small clones or individual cells induced by

Regate changes of multiple small clones or individual cells induced by a common environmental factor such as inflammation. An additional consideration is that most studies have targeted promoter regions of tumor-associated genes, which raises the issues of non-neutral lineage markers considered previously. A lineage mapping approach developed by Shibata’s group to circumvent some of these complications, entails bisulfite conversion and direct sequencing across CpG islands in portions of the genome not transcribed in the tissue type under study [104]. The technique retrieves the exact base-by-base pattern of spontaneously methylated CpG sites in densely clustered regions, yielding multiple data points from loci HS-173 side effects presumably under neither negative or positive selection. So far this group has used the accumulation of epimutations as a molecular clock to study dynamics of replicative units in the colon [90,105], small Naramycin A msds intestine [106] and endometrium [107]. They have recently used the method to investigate how the spatial distance within colorectal cancers compares with epigenetic lineage distances and demonstrated that the terminal outgrowth of these tumors represent relatively uniform clonal expansions [108].NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author Manuscript8. Emerging genome-wide technologiesThe mutation-based methods described so far all rely upon targeted screening of a relatively modest number of uniquely mutable hotspots. Such loci are experimentally practical to work with using conventional technologies, but encompass only a small fraction of the total mutational lineage information encoded in the genome. Recent large-scale sequencing studies have illustrated that a diversity of tumor types carry tens of thousands of somatic alterations in non-hotspot DNA [6], most of which are likely to be neutral passengersSemin Cancer Biol. Author manuscript; available in PMC 2011 October 15.Salk and HorwitzPage[27,29,30]. Presumably the bulk of these arose well before the terminal cancer outgrowth and could serve as markers of early clones, but their identification would require screening hundreds of millions of base pairs. A new generation of genomic technologies is rapidly bringing such an approach into the realm of possibility for individualized diagnostics. Early methods that may be considered “whole genome” mutation screens include measurement of ploidy imbalances by DNA content cytometry [109] and cytogenetic assessment by traditional G-banding, florescent in situ hybridization (FISH) [110] or spectral karyotyping (SKY) [111]. The granular resolution of these approaches necessitates that deletions, amplifications or structural rearrangements be on the order of 105-109 bases in size to be detectable. Another technique, known as DNA fingerprinting, can detect significantly smaller changes by using one or more short primers to randomly amplify a fraction of the genome during low-stringency PCR. The appearance, disappearance or change in size of product fragments during electrophoresis reflects clonal alterations that may be used as a marker of preneoplastic fields [112]. Newer technologies for identifying focal copy number changes by hybridization to solidstate probe arrays enable tens of thousands of sites across the genome to be systematically interrogated. Comparative genomic hybridization (CGH) and single nucleotide polymorphism (SNP) arrays have been used in the last several years to investigate preneoplastic populat.Regate changes of multiple small clones or individual cells induced by a common environmental factor such as inflammation. An additional consideration is that most studies have targeted promoter regions of tumor-associated genes, which raises the issues of non-neutral lineage markers considered previously. A lineage mapping approach developed by Shibata’s group to circumvent some of these complications, entails bisulfite conversion and direct sequencing across CpG islands in portions of the genome not transcribed in the tissue type under study [104]. The technique retrieves the exact base-by-base pattern of spontaneously methylated CpG sites in densely clustered regions, yielding multiple data points from loci presumably under neither negative or positive selection. So far this group has used the accumulation of epimutations as a molecular clock to study dynamics of replicative units in the colon [90,105], small intestine [106] and endometrium [107]. They have recently used the method to investigate how the spatial distance within colorectal cancers compares with epigenetic lineage distances and demonstrated that the terminal outgrowth of these tumors represent relatively uniform clonal expansions [108].NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author Manuscript8. Emerging genome-wide technologiesThe mutation-based methods described so far all rely upon targeted screening of a relatively modest number of uniquely mutable hotspots. Such loci are experimentally practical to work with using conventional technologies, but encompass only a small fraction of the total mutational lineage information encoded in the genome. Recent large-scale sequencing studies have illustrated that a diversity of tumor types carry tens of thousands of somatic alterations in non-hotspot DNA [6], most of which are likely to be neutral passengersSemin Cancer Biol. Author manuscript; available in PMC 2011 October 15.Salk and HorwitzPage[27,29,30]. Presumably the bulk of these arose well before the terminal cancer outgrowth and could serve as markers of early clones, but their identification would require screening hundreds of millions of base pairs. A new generation of genomic technologies is rapidly bringing such an approach into the realm of possibility for individualized diagnostics. Early methods that may be considered “whole genome” mutation screens include measurement of ploidy imbalances by DNA content cytometry [109] and cytogenetic assessment by traditional G-banding, florescent in situ hybridization (FISH) [110] or spectral karyotyping (SKY) [111]. The granular resolution of these approaches necessitates that deletions, amplifications or structural rearrangements be on the order of 105-109 bases in size to be detectable. Another technique, known as DNA fingerprinting, can detect significantly smaller changes by using one or more short primers to randomly amplify a fraction of the genome during low-stringency PCR. The appearance, disappearance or change in size of product fragments during electrophoresis reflects clonal alterations that may be used as a marker of preneoplastic fields [112]. Newer technologies for identifying focal copy number changes by hybridization to solidstate probe arrays enable tens of thousands of sites across the genome to be systematically interrogated. Comparative genomic hybridization (CGH) and single nucleotide polymorphism (SNP) arrays have been used in the last several years to investigate preneoplastic populat.