DNA methylation is crucial for normal development, but gene expression altered by DNA hypermethylation is often associated with human diseases, especially cancers. The gene TSPYL5, encoding testis-specific Y-like protein, was previously identified in microarray screens for genes induced by the inhibition of DNA methylation and histone deacetylation in glioma cell lines. The TSPYL5 showed a high frequency of DNA methylation-mediated silencing in both glioma cell lines and primary glial tumors. We now report that TSPYL5 is also inactivated by DNA methylation and could be a putative epigenetic target gene in gastric cancers. We found that the expression of TSPYL5 mRNA was frequently downregulated and inversely correlated with DNA methylation in seven out of nine gastric cancer cell lines. TSPYL5 mRNA expression was also restored after treating with a DNA methyltransferase inhibitor. In primary gastric tumors, methylation-specific PCR results in 23 of the 36 (63.9%) cases revealed that the hypermethylation at CpG islands of the TSPYL5 was detectable at a high frequency. Furthermore, TSPYL5 suppressed the growth of gastric cancer cells as demonstrated by a colony formation assay. Thus, strong associations between TSPYL5 expression and hypermethylation were observed, and aberrant methylation at a CpG island of TSPYL5 may play an important role in development of gastric cancers. Epigenetic events are heritable modifications that regulate gene expression and can contribute to cancer development. 1 In particular, changes in DNA methylation are among the most common molecular alterations in human neoplasia, because the hypermethylation of a tumor suppressor gene at a promoter can lead to transcriptional silencing and the loss of gene function. 1-4 Gastric cancer is one of the most common malignancies in the world. 5 The promoter hypermethylation of multiple tumor suppressor genes resulting in gene silencing has been recognized as an important mechanism in gastrointestinal carcinogenesis. [6][7][8][9][10][11][12][13][14][15] In a previous study, TSPYL5 was identified as one of the genes induced after treatment with DNA methylation and histone deacetylation inhibitors in glioma cell lines using microarray analysis. 16 The TSPYL5 showed a high frequency of DNA methylation-mediated silencing in both glioma cell lines and primary glial tumors. A human TSPYL5 encoding testis-specific Y-like protein 5 (TSPYL5) is located on chromosome 8q22.1, but its role in human cancer has not been fully understood. The TSPYL5 protein is a member of TSPYL family that includes TSPYL1, TSPYL2, TSPYL3, TSPYL4, and TSPYL6. TSPYL proteins are also members of the nucleosome assembly protein (NAP) superfamily. The TSPYLs show sequence homology to NAPs, which have a highly conserved domain (the NAP domain) of approximately 180 amino acids. 17,18 The NAP domain is known to be required and sufficient for histone binding. 19 Members of the NAP family of proteins were identified in different systems and were classified with the NAPs based on their sequenc...