Abstract
Objective
Evaluation of promoter methylation of the death-associated protein kinase (DAPK) gene and HPV and EBV infections in cervical cells from patients with normal cytology and colposcopy.
Study design
Twenty women, who had been patients at the Institute of Gynecology of the Federal University of Rio de Janeiro (UFRJ) for routine examinations and who showed normal cytology and colposcopy, were selected for this work. Cervical brushings were used for DNA extraction, and the analysis of methylation patterns of the DAPK gene was done through chemical modification with sodium bisulfite. Analysis of viral infection was done using polymerase chain reaction (PCR).
Results
Of the 20 patients studied, six (30%) presented methylation of the DAPK gene, five (25%) presented infection with EBV and three (15%) presented coinfection with HPV/EBV. Associating methylation with viral infection, we found methylated DAPK in one patient (16%) with EBV, in two patients (33%) with co-infection and in three patients (50%) with no viral infection.
Conclusions
In the present study, we verified, for the first time, the methylation pattern of the DAPK gene in cervical smears from patients with normal cytology and colposcopy. The results also showed the presence of viral infections in these patients. EBV infection, irrespective of whether associated with HPV or not, may contribute to cervical carcinogenesis as a cofactor. Methylation of the DAPK gene is associated with cell transformation, suggesting that DAPK methylation might be an important marker for the development of cervical epithelial neoplasias.
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References
Ministério da Saúde. Instituto Nacional do Câncer [Internet homepage] Câncer do colo do útero. 2005. http://www.inca.gov.br/conteudo_view.asp?id=326. Accessed December 2006
Au WW, Sierra-Torres CH, Tyring SK (2003) Acquired and genetic susceptibility to cervical cancer. Mutat Res 544(2):361–364
Serraino D, Piselli P, Scognamiglio P (2001) Viral infections and cancer: epidemiological aspects. J Biol Regul Homeost Agents 15(5):224–228
Glaser SL, Hsu JL, Gulley ML (2004) Epstein–Barr and breast cancer: state of the evidence for viral carcinogenesis. Cancer Epidemiol Biomarkers Prev 13(5):688–697
Takada K (2000) Epstein–Barr virus and gastric carcinoma. J Clin Pathol Mol Pathol 53(5):255–261
Kang GH, Lee S, Kim WH, Lee HW, Kim JC, Rhyu M et al (2002) Epstein–Barr virus-positive gastric carcinoma demonstrates frequent aberrant methylation of multiple genes and constitutes CpG island methylator phenotype-positive gastric carcinoma. Am J Pathol 160(3):787–794
Vo QN, Geradts J, Gulley ML, Boudreau DA, Bravo JC, Schneider BG (2002) Epstein–Barr virus in gastric adenocarcinomas: association with ethnicity and CDKN2A promoter methylation. J Clin Pathol 55(9):669–675
Kim NR, Lin Z, Kim KR, Cho HY, Kim I (2005) Epstein–Barr virus and p16ink4A methylation in squamous cell carcinoma and precancerous lesions of the cervix uteri. J Korean Med Sci 20(4):636–642
Wong KY, Collins RJ, Srivastava G, Pittaluga S, Cheung AN, Wong LC (1993) Epstein–Barr virus in carcinoma of the cervix. Int J Gynecol Pathol 12(3):224–227
Sasagawa T, Shimakage M, Nakamura M, Sakaike J, Ishikawa H, Inoue M (2000) Epstein–Barr (EBV) genes expression on cervical intraepithelial neoplasia and invasive cervical cancer: a comparative study with human papillomavirus (HPV) infection. Hum Pathol 31(3):318–326
Praytino A (2006) Cervical cancer with human papilloma virus and Epstein–Barr virus positive. J carcinog 5(1):13–16
Dueñas-González A, Lizano M, Candelaria M, Cetina L, Arce C, Cervera E (2005) Epigenetics of cervical cancer. An overview and therapeutic perspectives. Mol Cancer 4(1):38–61
Lin Z, Gao M, Zhang X, Kim Y, Lee E, Kim H et al (2005) The hipermethylation and protein expression of p16INK4A and DNA repair gene O6-methylguanine-DNA methyltransferase in various uterine cervical lesions. J Cancer Res Clin Oncol 131(6):364–370
Chan AW, Chan MW, Lee TL, Ng EK, Leung WK, Lau JY et al (2005) Promoter hypermethylation of death-associated protein-kinase gene associated with advance stage gastric cancer. Oncol Rep 13(5):937–941
Kim WS, Son HJ, Park JO, Song SY, Park C (2003) Promoter methylation and down-regulation of DAPK is associated with gastric atrophy. Int J Mol Med 12(6):827–830
Hasegawa M, Nelson HH, Peters E, Ringstrom E, Posner M, Kelsey KT (2002) Patterns of gene promoter methylation ins squamous cell cancer of the head and neck. Oncogene 21(27):4231–4236
Bai T, Tanaka T, Yukawa K, Maeda M, Umesaki N (2004) Reduced expression of death-associated protein kinase in human uterine and ovarian carcinoma cells. Oncol Rep 11(3):661–665
Pestaner C, Bibbo M, Bobroski L, Seshamma T, Bagasra O (1994) Potential of the in situ polymerase chain reaction in diagnostic cytology. Acta Cytol 38(5):676–680
Ting Y, Manos MM (1990) In: Innis MA et al (eds) PCR protocols: a geode to methods and applications. Academic, San Diego, pp 356–367
Sotlar K, Diemer D, Dethleffs A, Hack Y, Stubner A et al (2004) Detection and typing of Human Papillomavirus by E6 nested multiplex PCR. J Clin Microbiol 42(7):3176–3184
Saito I, Servenius B, Compton T, Fox RI (1989) Detection of Epstein–Barr virus DNA by polymerase chain reaction in blood and tissue biopsies from patients with Sjogren’s syndrome. J Exp Med 169(6):2191–2198
Rosenbauer V, Riesner D (1987) Temperature-gradient gel electrophoresis-thermodynamic analysis of nucleic acids and proteins in purified form and extracellular extracts. Biophys Chem 26(2–3):235–246
Rosas SLB, Caballero OL, Dong SM, Carvalho MGC, Sidransky D, Jen J (2001) Methylation status in the promoter region of human PGP9.5 gene in cancer and normal tissues. Cancer Lett 170(1):73–79
Dong SM, Kim HS, Rha SH, SIdransky D (2001) Promoter hypermethylation of multiple genes in carcinoma of the cervix. Clin Cancer Res 7(7):1982–1986
Yang HJ, Liu VWS, Wang Y, Chan KYK, Tsang PCK, Khoo US et al (2004) Detection of hypermethylated genes in tumor and plasma of cervical cancer patients. Gynecol Oncol 93(2):435–440
Lattario F, Furtado YL, Fonseca R, Silveira FA, do Val IC, Almeida G, Carvalho MGC (2007) Analysis of Human Papillomavirus and Epstein–Barr virus infection and aberrant death associated protein kinase methylation in high-grade squamous intraepithelial lesions. Int. J. Gynecol. Cancer (Online Early Articles). doi:10.1111/j.1525-1438.2007.01060.x
Issa JP, Ahuja N, Toyota M, Bronner MP, Brentanall TA (2001) Accelerated age-regulated CpG island methylation in ulcerative colitis. Cancer Res 61(9):3573–3577
Kwong J, Lo KW, To KF, Teo PM, Johnson PJ, Huang DP (2002) Promoter hypermethylation of multiple genes in nasopharyngeal carcinoma. Clin Cancer Res 8(1):131–137
Maruyama R, Toyooka S, Toyooka KO, Harada K, Virmani AK, Zochbauer-Muller S et al (2001) Aberrant promoter methylation profile of bladder cancer and its relationship to clinicopathological features. Cancer res 61(24):8659–8663
Zou HZ, Yu BM, Wang ZW, Sun JY, Cang H, Gao F et al (2002) Detection of aberrant p16 methylation in the serum of colorectal cancer patients. Clin Cancer Res 8(1):188–191
Soria JC, Rodriguez M, Liu DD, Lee JJ, Hong WK, Mao L (2002) Aberrant promoter methylation of multiple genes in bronchial brush samples from former cigarette smokers. Cancer Res 62(2):351–355
Müller HM, Widschwendter A, Fiegl H, Goebel G, Wiedemair A, Müller-Holzner E et al (2004) A DNA methylation pattern similar to normal tissue is associated with better prognosis in human cervical cancer. Cancer Lett 209(2):231–236
Acknowledgments
Our thanks to Brenda Maiolino Bucco and Marcelo Soares da Mota e Silva for their assistance during development of the study, and to Siane Lopes Bittencourt Rosas for her professional review. This study was financed by the National Council for Scientific and Technological Development (CNPq) and by the Ary Frauzino Foundation for Cancer Research and Prevention.
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Lattario, F., Furtado, Y.L., Silveira, F.A. et al. Evaluation of DAPK gene methylation and HPV and EBV infection in cervical cells from patients with normal cytology and colposcopy. Arch Gynecol Obstet 277, 505–509 (2008). https://doi.org/10.1007/s00404-007-0511-5
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DOI: https://doi.org/10.1007/s00404-007-0511-5