Gene Regulation and Epigenetics · USMLE Step 1

What is the likely effect of hypermethylation of a tumor suppressor gene promoter in a cancer cell?

  1. Increased tumor suppressor expression
  2. Stable gene silencing of the tumor suppressor
  3. Enhanced DNA repair
  4. Splicing of tumor suppressor transcripts
Show answer and explanation

Correct answer: Stable gene silencing of the tumor suppressor

Hypermethylation of promoter CpG islands drives chromatin condensation and transcriptional silencing; when this silences a tumor suppressor gene, loss of its expression can contribute to cancer.

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