LINE-1 hypomethylation in gastric cancer, detected by bisulfite pyrosequencing, is associated with poor prognosis.

LINE-1 hypomethylation in gastric cancer, detected by bisulfite pyrosequencing, is associated with poor prognosis.
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DOI:
10.1007/s10120-012-0209-7
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发表时间:
2013-10
期刊:
影响因子:
7.4
通讯作者:
Baba, Hideo
Baba, Hideo
中科院分区:
医学1区
文献类型:
--
作者:
Shigaki, Hironobu;Baba, Yoshifumi;Watanabe, Masayuki;Murata, Asuka;Iwagami, Shiro;Miyake, Keisuke;Ishimoto, Takatsugu;Iwatsuki, Masaaki;Baba, Hideo

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全基因组DNA低甲基化在基因组不稳定和肿瘤发生中起着重要作用。长分布的核苷酸元件-1、L1(line-1)重复元件中的DNA甲基化是全球DNA甲基化水平的良好指标。在某些类型的人类肿瘤中,LINE-1甲基化水平作为患者预后的预测标记物正引起人们的兴趣。然而,LINE-1低甲基化在胃癌中的预后意义尚不清楚。利用亚硫酸氢盐-焦磷酸测序技术,对203例胃癌切除标本中LINE-1甲基化进行了定量。采用COX比例风险模型计算危险比(HR),并对临床和病理变量进行了调整。与匹配的正常胃粘膜相比,胃癌组织中LINE-1甲基化水平显著降低(P<0.0001)。肿瘤LINE-1甲基化范围为11.6-97.5(n=0.203;平均71.4,中位数74.4,标准差12.9)。LINE-1低甲基化与较短的总生存期显著相关[对数等级p=0.029;单变量HR 2.01,95%可信区间(CI)1.09~3.99,p=0.023;分期匹配HR 1.88,95%CI 1.02~3.74,p=0.041;多变量HR 1.98,95%CI 1.04~4.04,p=0.036]。在生存分析中,没有观察到任何协变量的显著影响修正(均为p交互作用&gt;0.25)。LINE-1在胃癌中的低甲基化与较短的生存期有关,这表明它有可能被用作预后生物标记物。
Genome-wide DNA hypomethylation plays an important role in genomic instability and carcinogenesis. DNA methylation in the long interspersed nucleotide element-1, L1 (LINE-1) repetitive element is a good indicator of the global DNA methylation level. In some types of human neoplasms, LINE-1 methylation level is attracting interest as a predictive marker for patient prognosis. However, the prognostic significance of LINE-1 hypomethylation in gastric cancer remains unclear. Using 203 resected gastric cancer specimens, we quantified LINE-1 methylation using bisulfite-pyrosequencing technology. A Cox proportional hazards model was used to calculate the hazard ratio (HR), adjusted for the clinical and pathological variables. Gastric cancers showed significantly lower LINE-1 methylation levels compared to matched normal gastric mucosa (p < 0.0001; n = 74). Tumoral LINE-1 methylation range was 11.6–97.5 on a 0–100 scale (n = 203; mean 71.4, median 74.4, standard deviation 12.9). LINE-1 hypomethylation was significantly associated with shorter overall survival [log-rank p = 0.029; univariate HR 2.01, 95 % confidence interval (CI) 1.09–3.99, p = 0.023; stage-matched HR 1.88, 95 % CI 1.02–3.74, p = 0.041; multivariate HR 1.98, 95 % CI 1.04–4.04, p = 0.036]. No significant effect modification was observed by any of the covariates in survival analysis (all p interaction >0.25). LINE-1 hypomethylation in gastric cancer is associated with shorter survival, suggesting that it has potential for use as a prognostic biomarker.
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发表时间: 2011
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影响因子: 3.7
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