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CpG Islands

Molecular Biology · NLM MeSH · updated 2026-10-29 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 4 min read

Areas of increased density of the dinucleotide sequence cytosine--phosphate diester--guanine.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (713 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

Areas of increased density of the dinucleotide sequence cytosine--phosphate diester--guanine. They form stretches of DNA several hundred to several thousand base pairs long. In humans there are about 45,000 CpG islands, mostly found at the 5' ends of genes. They are unmethylated except for those on the inactive X chromosome and some associated with imprinted genes.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: CpG Island; Island, CpG; Islands, CpG; CpG-Rich Islands; CpG-Rich Island; CpG Rich Islands; Island, CpG-Rich; Islands, CpG-Rich.

Where it fits in the MeSH classification

Broader topics
GC Rich Sequence; Genome Components

Research landscape

PubMed indexes 16,294 records tagged with the MeSH heading “CpG Islands” (counts retrieved 2026-10-29). 3,214 of them (19.7%) were published from 2020 onward, and the busiest period so far is 2010-2019 with 7,882 records.

Reviews account for 1,203 records (7.4%) and meta-analyses for 135. Randomized controlled trials number 57 (0.3%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 371 records; 2000-2009: 4,827 records; 2010-2019: 7,882 records; 2020 onward: 3,214 records371through 19994,8272000-20097,8822010-20193,2142020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 1999371
2000-20094,827
2010-20197,882
2020 onward3,214
Share of records by publication typeReviews: 7.4 percent; Meta-analyses: 0.8 percent; Randomized controlled trials: 0.3 percentReviews7.4% (1,203)Meta-analyses0.8% (135)Randomized controlled trials0.3% (57)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 16,294 PubMed records
TypeRecordsShare
Reviews1,2037.4%
Meta-analyses1350.8%
Randomized controlled trials570.3%

Method: PubMed query "CpG Islands"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-29.

Reading the evidence in molecular biology

Molecular biology establishes mechanisms through controlled experiments, often in simplified systems such as purified proteins, cultured cells or model organisms. Such work can show what is possible in a defined system, but whether a pathway matters in a whole organism or in human disease needs further evidence. Check the experimental system, whether findings were reproduced by independent groups, and whether the authors tested the mechanism directly or inferred it from correlation.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Comprehensive structure-function characterization of DNMT3B and DNMT3A reveals distinctive de novo DNA methylation mechanisms
Gao L, Emperle M, Guo Y, Grimm SA, Ren W, Adam S, et al.
2020Research article
Design not recorded in structured metadata
165cc by
PMID 32620778 · DOI · PMC7335073
Systematic benchmarking of tools for CpG methylation detection from nanopore sequencing
Yuen ZW, Srivastava A, Daniel R, McNevin D, Jack C, Eyras E
2021Research article
Design not recorded in structured metadata
140cc by
PMID 34103501 · DOI · PMC8187371
Mitochondrial DNA copy number can influence mortality and cardiovascular disease via methylation of nuclear DNA CpGs
Castellani CA, Longchamps RJ, Sumpter JA, Newcomb CE, Lane JA, Grove ML, et al.
2020Research article
Design not recorded in structured metadata
107cc by
PMID 32988399 · DOI · PMC7523322
TET CpG sequence-context-specific DNA demethylation shapes progression of IDH-mutant gliomas
Hoogstrate Y, Ghisai SA, van Hijfte L, Head R, de Heer I, Padovan M, et al.
2026Research article
Design not recorded in structured metadata
2cc by
PMID 41850239 · DOI · PMC13006442

Comprehensive structure-function characterization of DNMT3B and DNMT3A reveals distinctive de novo DNA methylation mechanisms [1]

Research article Gao L, Emperle M, Guo Y, Grimm SA, Ren W, Adam S, et al. · · 2020 · cited 165 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Mammalian DNA methylation patterns are established by two de novo DNA methyltransferases, DNMT3A and DNMT3B, which exhibit both redundant and distinctive methylation activities.
Closing excerpt
Together, this study reveals distinctive substrate-readout mechanisms of the two DNMT3 enzymes, implicative of their differential roles during development and pathogenesis.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (147 words)

Mammalian DNA methylation patterns are established by two de novo DNA methyltransferases, DNMT3A and DNMT3B, which exhibit both redundant and distinctive methylation activities. However, the related molecular basis remains undetermined. Through comprehensive structural, enzymology and cellular characterization of DNMT3A and DNMT3B, we here report a multi-layered substrate-recognition mechanism underpinning their divergent genomic methylation activities. A hydrogen bond in the catalytic loop of DNMT3B causes a lower CpG specificity than DNMT3A, while the interplay of target recognition domain and homodimeric interface fine-tunes the distinct target selection between the two enzymes, with Lysine 777 of DNMT3B acting as a unique sensor of the +1 flanking base. The divergent substrate preference between DNMT3A and DNMT3B provides an explanation for site-specific epigenomic alterations seen in ICF syndrome with DNMT3B mutations. Together, this study reveals distinctive substrate-readout mechanisms of the two DNMT3 enzymes, implicative of their differential roles during development and pathogenesis.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 32620778 · DOI · PMC7335073

Systematic benchmarking of tools for CpG methylation detection from nanopore sequencing [2]

Research article Yuen ZW, Srivastava A, Daniel R, McNevin D, Jack C, Eyras E · · 2021 · cited 140 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
DNA methylation plays a fundamental role in the control of gene expression and genome integrity.
Closing excerpt
Snakemake pipelines are also provided for reproducibility and to enable the systematic application of our analyses to other datasets.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (145 words)

DNA methylation plays a fundamental role in the control of gene expression and genome integrity. Although there are multiple tools that enable its detection from Nanopore sequencing, their accuracy remains largely unknown. Here, we present a systematic benchmarking of tools for the detection of CpG methylation from Nanopore sequencing using individual reads, control mixtures of methylated and unmethylated reads, and bisulfite sequencing. We found that tools have a tradeoff between false positives and false negatives and present a high dispersion with respect to the expected methylation frequency values. We described various strategies to improve the accuracy of these tools, including a consensus approach, METEORE ( https://github.com/comprna/METEORE ), based on the combination of the predictions from two or more tools that shows improved accuracy over individual tools. Snakemake pipelines are also provided for reproducibility and to enable the systematic application of our analyses to other datasets.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 34103501 · DOI · PMC8187371

Mitochondrial DNA copy number can influence mortality and cardiovascular disease via methylation of nuclear DNA CpGs [3]

Research article Castellani CA, Longchamps RJ, Sumpter JA, Newcomb CE, Lane JA, Grove ML, et al. · · 2020 · cited 107 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
BackgroundMitochondrial DNA copy number (mtDNA-CN) has been associated with a variety of aging-related diseases, including all-cause mortality.
Closing excerpt
ConclusionsThese results demonstrate that changes in mtDNA-CN influence nDNA methylation at specific loci and result in differential expression of specific genes that may impact human health and disease via altered cell signaling.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (277 words)

BackgroundMitochondrial DNA copy number (mtDNA-CN) has been associated with a variety of aging-related diseases, including all-cause mortality. However, the mechanism by which mtDNA-CN influences disease is not currently understood. One such mechanism may be through regulation of nuclear gene expression via the modification of nuclear DNA (nDNA) methylation.MethodsTo investigate this hypothesis, we assessed the relationship between mtDNA-CN and nDNA methylation in 2507 African American (AA) and European American (EA) participants from the Atherosclerosis Risk in Communities (ARIC) study. To validate our findings, we assayed an additional 2528 participants from the Cardiovascular Health Study (CHS) (N = 533) and Framingham Heart Study (FHS) (N = 1995). We further assessed the effect of experimental modification of mtDNA-CN through knockout of TFAM, a regulator of mtDNA replication, via CRISPR-Cas9.ResultsThirty-four independent CpGs were associated with mtDNA-CN at genome-wide significance (P - 8). Meta-analysis across all cohorts identified six mtDNA-CN-associated CpGs at genome-wide significance (P - 8). Additionally, over half of these CpGs were associated with phenotypes known to be associated with mtDNA-CN, including coronary heart disease, cardiovascular disease, and mortality. Experimental modification of mtDNA-CN demonstrated that modulation of mtDNA-CN results in changes in nDNA methylation and gene expression of specific CpGs and nearby transcripts. Strikingly, the "neuroactive ligand receptor interaction" KEGG pathway was found to be highly overrepresented in the ARIC cohort (P = 5.24 × 10- 12), as well as the TFAM knockout methylation (P = 4.41 × 10- 4) and expression (P = 4.30 × 10- 4) studies.ConclusionsThese results demonstrate that changes in mtDNA-CN influence nDNA methylation at specific loci and result in differential expression of specific genes that may impact human health and disease via altered cell signaling.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 32988399 · DOI · PMC7523322

TET CpG sequence-context-specific DNA demethylation shapes progression of IDH-mutant gliomas [4]

Research article Hoogstrate Y, Ghisai SA, van Hijfte L, Head R, de Heer I, Padovan M, et al. · · 2026 · cited 2 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Treatment decisions in IDH-mutant oligodendrogliomas are shaped by tumor aggressiveness, underscoring the need for objective grading of these malignant brain tumors.
Closing excerpt
Our findings underscore the potential of DNA methylation-based grading to more accurately reflect tumor biology and inform clinical decision-making in IDH-mutant gliomas.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (144 words)

Treatment decisions in IDH-mutant oligodendrogliomas are shaped by tumor aggressiveness, underscoring the need for objective grading of these malignant brain tumors. We collect 302 primary and recurrent resections from oligodendrogliomas and perform Ki-67 staining, proteomics, and DNA methylation profiling. During tumor progression, DNA methylation of oligodendrogliomas changes along a continuum. This continuum is linked to increased epigenetic aging, methylation of transcription factors and Ki-67+ cell density, and large-scale DNA demethylation. Demethylation correlates with CpG flanking sequences preferred by TET enzymes. We confirm these findings in previously profiled astrocytomas, indicating IDH-mutant gliomas progress along a shared epigenetic axis. We develop an objective DNA methylation-based prognostic continuous grading coefficient (CGCψ) that captures these changes and outperforms the World Health Organization (WHO) grading for oligodendrogliomas. Our findings underscore the potential of DNA methylation-based grading to more accurately reflect tumor biology and inform clinical decision-making in IDH-mutant gliomas.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 41850239 · DOI · PMC13006442

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Functions of DNA methylation: islands, start sites, gene bodies and beyond [5]
    Jones PA · Nat Rev Genet · 2012 · cited 4,668 times (Europe PMC)
  • Research article CpG islands and the regulation of transcription [6]
    Deaton AM, Bird A · Genes Dev · 2011 · cited 2,391 times (Europe PMC)
  • Research article CpG motifs in bacterial DNA and their immune effects [7]
    Krieg AM · Annu Rev Immunol · 2002 · cited 1,846 times (Europe PMC)
  • Research article Immunotherapeutic uses of CpG oligodeoxynucleotides [8]
    Klinman DM · Nat Rev Immunol · 2004 · cited 746 times (Europe PMC)
  • Research article CpG islands--'a rough guide' [9]
    Illingworth RS, Bird AP · FEBS Lett · 2009 · cited 615 times (Europe PMC)
  • Research article Immunotherapeutic applications of CpG oligodeoxynucleotide TLR9 agonists [10]
    Vollmer J, Krieg AM · Adv Drug Deliv Rev · 2009 · cited 447 times (Europe PMC)

References

  1. Gao L, Emperle M, Guo Y, Grimm SA, Ren W, Adam S, et al.. Comprehensive structure-function characterization of DNMT3B and DNMT3A reveals distinctive de novo DNA methylation mechanisms. . 2020. PMID 32620778 · DOI · PMC7335073
  2. Yuen ZW, Srivastava A, Daniel R, McNevin D, Jack C, Eyras E. Systematic benchmarking of tools for CpG methylation detection from nanopore sequencing. . 2021. PMID 34103501 · DOI · PMC8187371
  3. Castellani CA, Longchamps RJ, Sumpter JA, Newcomb CE, Lane JA, Grove ML, et al.. Mitochondrial DNA copy number can influence mortality and cardiovascular disease via methylation of nuclear DNA CpGs. . 2020. PMID 32988399 · DOI · PMC7523322
  4. Hoogstrate Y, Ghisai SA, van Hijfte L, Head R, de Heer I, Padovan M, et al.. TET CpG sequence-context-specific DNA demethylation shapes progression of IDH-mutant gliomas. . 2026. PMID 41850239 · DOI · PMC13006442
  5. Jones PA. Functions of DNA methylation: islands, start sites, gene bodies and beyond. Nat Rev Genet. 2012. PMID 22641018 · DOI
  6. Deaton AM, Bird A. CpG islands and the regulation of transcription. Genes Dev. 2011. PMID 21576262 · DOI · PMC3093116
  7. Krieg AM. CpG motifs in bacterial DNA and their immune effects. Annu Rev Immunol. 2002. PMID 11861616 · DOI
  8. Klinman DM. Immunotherapeutic uses of CpG oligodeoxynucleotides. Nat Rev Immunol. 2004. PMID 15057783 · DOI
  9. Illingworth RS, Bird AP. CpG islands--'a rough guide'. FEBS Lett. 2009. PMID 19376112 · DOI
  10. Vollmer J, Krieg AM. Immunotherapeutic applications of CpG oligodeoxynucleotide TLR9 agonists. Adv Drug Deliv Rev. 2009. PMID 19211030 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-29.

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At a glance

16,294
PubMed records on this heading
20%
published since 2020
1,203
review articles
57
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-29; they show how much has been written, not how strong the evidence is.

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