Abstract
Objective
To investigate the methylation status of CpG island in E-cadherin(CDH 1 ), P16INK4a(P16) promoter region,and to analyze their role in gastrointestinal stromal tumor (GISTs).
Methods
A total of 56 surgically resected GISTs were obtained from January 2003 to December 2005. The routine H&E-stained sections and CD117, CD34-immunoreactions were reviewed to verify the morphologic diagnosis. Methylation status of the CDH 1 , P16INK4a promoter region was analyzed by methylation specific polymerase chain reaction (MSP) from chemically modified DNA after Na-bisulfite treatment.
Results
The frequency of CDH 1 gene methylation was 32% (18 of 56) in GISTs. The rate was 9% (1 of 11), 21% (4 of 19), 41.6% (5 of 12), and 57% (8 of 14) for very low risk, low risk, intermediate risk, and high risk GISTs; P16 INK4a methylation was found in 19 of 56(34%) cases. The rate was 0% (0 of 11), 16% (3 of 19), 50% (6 of 12), and 71% (10 of 14) for very low risk, low risk, intermediate risk, and high risk GISTs. Statistical analysis indicated that of the 56 cases, there was significant association of CDH 1 and/or P16 INK4a methylation status with tumor malignant behavior (methylation rate 23/56, 41%, P<0.01) and site (P<0.05).
Conclusion
E-cadherin (CDH 1 ) and/or P16 INK4a promoter hypermethylation is strongly associated with risk grade, may be a useful biomarker for GISTs risk assessment, and may shed light on new therapeutic options to treat GISTs
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Foundation item: This work was supported by the Natural Science Foundation of Shanxi Province (No. 2006011122).
Biography: LIANG Jian-fang (1959–), female, associate professor, candidate for doctor of medicine, Tongji Medical College, majors in Pathology.
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Liang, Jf. Hypermethylation status of E-cadherin and p16INK4a in gastrointestinal stromal tumor. Chin. J. Cancer Res. 18, 270–275 (2006). https://doi.org/10.1007/s11670-006-0270-z
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DOI: https://doi.org/10.1007/s11670-006-0270-z