“…Several studies have shown that the epigenetic changes that occur in cancer include not only promoter CpG island hypermethylation and silencing of tumor suppressor genes (Herman and Baylin, 2003), but also promoter CpG island hypomethylation (Feinberg and Vogelstein, 1983;Kaneda et al, 2004). Such promoter hypomethylations in different cancers were associated with upregulated expression of tumor promoting genes such as BCL2 (Hanada et al, 1993), MDR1 (Nakayama et al, 1998), HOX11 (Watt et al, 2000), MYC, c-Ha-RAS, c-FOS and ALPHA FETOPROTEIN (Fang and Xiao, 2001), MASPIN (Ogasawara et al, 2004), MEL1S (Yoshida et al, 2004), EGR1 that upregulates expression of heparanase (Ogishima et al, 2005), SYNUCLEIN GAMMA (Gupta et al, 2003;Liu et al, 2005) and some other genes (Sato et al, 2003). Exogenously added estrogen or tamoxifen can induce promoter hypomethylation of PAX2 , and treatment with chemotherapeutic compounds can induce Histone-H3 acetylation and Histone-H3 lysine-4 methylation at the MDR1 promoter (Baker et al, 2005) that result in upregulation of these tumor promoting genes.…”