To evaluate the significance of alterations in DNA methylation during human hepatocarcinogenesis, we examined levels of mRNA for DNA methyltransferases and methylCpG-binding proteins and the DNA methylation status in 67 hepatocellular carcinomas (HCCs). The average level of mRNA for DNMT1 and DNMT3a was significantly higher in noncancerous liver tissues showing chronic hepatitis or cirrhosis than in histologically normal liver tissues, and was even higher in HCCs. Significant overexpression of DNMT3b and reduced expression of DNMT2 were observed in HCCs compared with the corresponding noncancerous liver tissues. DNA hypermethylation on CpG islands of the p16 (8% and 66%) and hMLH1 (0% and 0%) genes and methylated in tumor (MINT) 1 (6% and 34%), 2 (24% and 58%), 12 (21% and 33%), 25 (0% and 5%), and 31 (0% and 23%) clones, and DNA hypomethylation on satellites 2 and 3 (18% and 67%), were detected in noncancerous liver tissues and HCCs, respectively. There was no significant correlation between the expression level of any DNA methyltransferase and DNA methylation status. Reduced expression of DNA repair protein, MBD4, was significantly correlated with poorer tumor differentiation and involvement of portal vein. Slightly reduced expression of MBD2 was detected in HCCs, and the expression of MeCP2 was particularly reduced in HCCs with portal vein involvement. These data suggest that overexpression of DNMT1 and DNMT3a, DNA hypermethylation on CpG islands, and DNA hypomethylation on pericentromeric satellite regions are early events during hepatocarci- Aberrant DNA cytosine methylation is one of the most consistent epigenetic changes in human cancers. 1 Generally, the overall DNA methylation level is lower in cancer cells than in normal cells. 2 However, some loci tend to show increased DNA methylation in cancer cells, 3-6 whereas others are often hypomethylated in human cancers. 7 DNA methylation may play roles in carcinogenesis by virtue of 3 mechanisms: 1) DNA cytosine methylation facilitates gene mutation, as 5-methylcytosine is deaminated to thymine 8 ; 2) aberrant DNA methylation may be associated with allelic loss 3-7,9-11 ; and 3) DNA methylation occurs frequently in CpG islands near regulatory regions of genes and affects the transcription of specific genes. 1,12,13 Recently, 2 types of DNA methylation were described; methylation of CpG islands in a cancer-specific manner (type C methylation) differs from age-dependent methylation (type A methylation). 14 CpG islands of the p16 and hMLH1 genes and the methylated in tumor (MINT) 1, 2, 12, 25, and 31 clones show type C methylation, 14 although the genes whose expression were regulated by MINT clones were not identified. A high level of type C methylation in human cancer has been referred to as the CpG island methylator phenotype (CIMP). 14,15 With respect to hepatocarcinogenesis, we reported previously that aberrant DNA methylation on chromosome 16, a hot spot for loss of heterozygosity (LOH) in hepatocellular carcinomas (HCCs), is observed frequently in chroni...