Colorectal cancer arises from the progressive accumulation of mutations and epigenetic alterations in colon epithelial cells. Such alterations often deregulate signaling pathways that affect the formation of colon cancer, such as the Wnt, RAS-MAPK and TGF-b pathways. The tumor promoting effects of mutations in genes, such as APC, have been demonstrated in cancer cell lines and in mouse models of intestinal cancer; however, the biological effects of most epigenetic events identified in colorectal cancer remain unknown. Consequently, we assessed whether the aberrant methylation of TSP1, the gene for thrombospondin 1, a regulator of TGF-b ligand activation, is an epigenetic mechanism for inhibiting the TGF-b signaling pathway. We found methylated TSP1 occurs in colon cancer cell lines (33%), colon adenomas (14%) and colon adenocarcinomas (21%). In primary colorectal cancers, loss of TSP1 expression correlated with impaired TGF-b signaling as indicated by decreased Smad2 phosphorylation and nuclear localization. Furthermore, methylation-induced silencing of TSP1 expression reduced the concentration of secreted active TGF-b1 and attenuated TGF-b signaling. Reversal of TSP1 methylation resulted in increased TSP1 mediated activation of the latent LAP:TGF-b complex and subsequent TGF-b receptor activation. Our results demonstrate that the aberrant methylation of TSP1 has biological consequences and provide evidence that the aberrant methylation of TSP1 is a novel epigenetic mechanism for suppressing TGF-b signaling in colorectal cancer. ' 2008 Wiley-Liss, Inc.Key words: thrombospondin; transforming growth factor b; methylation; colorectal cancer; epigenetics Colorectal cancer is the third most common cancer in the United States. In 2008, 154,000 new cases of colorectal cancer will be diagnosed and more than 52,000 people are predicted to die from the disease. 1 Colon cancer arises from the accumulation of DNA alterations in colon epithelial cells, which mediate the initiation and progression of this cancer. Mutations in genes such as KRAS, TP53 and members of the transforming growth factor (TGF-b) signaling pathway play a pathogenic role in the polypcarcinoma sequence. [2][3][4] TGF-b is a pluripotent cytokine that has a multitude of effects on epithelial cells including the inhibition of proliferation, the induction of apoptosis and the stimulation of differentiation. Inactivating mutations in central members of the TGF-b signaling pathway, TGFBR2 and SMAD4, have been identified in approximately half of colon cancers. [5][6][7][8] The biological effects of TGF-b in the colon and the identification of inactivating mutations in TGFBR2 and SMAD4 in colon cancers have demonstrated that the TGF-b signaling pathway can act as a colon cancer tumor suppressor pathway.The TGF-b signaling pathway consists of the TGF-b ligand; the heteromeric TGF-b receptor composed of the type I and type II TGF-b receptors (TGFBR1 and TGFBR2); and the post-receptor signaling proteins, including SMAD2, 3, and 4. TGF-b1 is the most commonly expre...