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Autoimmune gastritis induces aberrant DNA methylation reflecting its carcinogenic potential

  • Original Article—Alimentary Tract
  • Published:
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Abstract

Background

Autoimmune gastritis (AIG) is a chronic inflammatory condition in gastric mucosa and is associated with increased cancer risk, though not as high as that by Helicobacter pylori (H. pylori)-associated gastritis (HPG). Although aberrant DNA methylation is induced by HPG and the level correlates with the risk of gastric cancer, DNA methylation induction by AIG is unknown.

Methods

Gastric mucosa samples from the corpus were collected from 12 people with AIG without H. pylori infection, 10 people with HPG, and eight healthy volunteers. Genome-wide DNA methylation analysis was conducted using Infinium Methylation EPIC array. Gene expression was analyzed by quantitative RT-PCR.

Results

The AIG samples had extensive aberrant DNA methylation but presented unique methylation profiles against the HPG samples after correction of leucocyte fractions. Comparison between the AIG and HPG samples showed that AIG induced methylation, but less than HPG, in overall CpG sites and also in promoter CpG islands. Promoter CpG islands of tumor-suppressor genes in the pathway of cell cycle, cell adhesion, p53, and WNT were highly methylated in the AIG samples, but more so in the HPG samples. The expression levels of IL1B and IL8, secreted by macrophage, were significantly lower in the AIG samples than in the HPG samples, suggesting that a difference in inflammatory response affected the degree and patterns of aberrant DNA methylation.

Conclusions

AIG induced aberrant DNA methylation in gastric mucosa. However, the degree of DNA methylation was less than that by HPG, which reflected carcinogenic risk.

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Data availability

The microarray data of genome-wide DNA methylation analysis were deposited at Gene Expression Omnibus (GSE178925).

Abbreviations

AIG:

Autoimmune gastritis

H. pylori :

Helicobacter pylori

HPG:

Helicobacter pylori-associated gastritis

PCA:

Anti-parietal cell antibodies

TSSs:

Transcription start sites

CGIs:

CpG islands

References

  1. Strickland RG, Mackay IR. A reappraisal of the nature and significance of chronic atrophic gastritis. Am J Dig Dis. 1973;18:426–40.

    Article  CAS  PubMed  Google Scholar 

  2. Neumann WL, Coss E, Rugge M, et al. Autoimmune atrophic gastritis–pathogenesis, pathology and management. Nat Rev Gastroenterol Hepatol. 2013;10:529–41.

    Article  CAS  PubMed  Google Scholar 

  3. Lenti MV, Rugge M, Lahner E, et al. Autoimmune gastritis. Nat Rev Dis Primers. 2020;6:56.

    Article  PubMed  Google Scholar 

  4. Murphy G, Dawsey SM, Engels EA, et al. Cancer risk after pernicious anemia in the US elderly population. Clin Gastroenterol Hepatol. 2015;13:2282-2289 e1-4.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Vannella L, Lahner E, Osborn J, et al. Systematic review: gastric cancer incidence in pernicious anaemia. Aliment Pharmacol Ther. 2013;37:375–82.

    Article  CAS  PubMed  Google Scholar 

  6. Terao S, Suzuki S, Yaita H, et al. Multicenter study of autoimmune gastritis in Japan: clinical and endoscopic characteristics. Dig Endosc. 2020;32:364–72.

    Article  PubMed  Google Scholar 

  7. Grady WM, Yu M, Markowitz SD. Epigenetic alterations in the gastrointestinal tract: current and emerging use for biomarkers of cancer. Gastroenterology. 2021;160:690–709.

    Article  CAS  PubMed  Google Scholar 

  8. Bates SE. Epigenetic therapies for cancer. N Engl J Med. 2020;383:650–63.

    Article  CAS  PubMed  Google Scholar 

  9. Okugawa Y, Grady WM, Goel A. Epigenetic alterations in colorectal cancer: emerging biomarkers. Gastroenterology. 2015;149:1204-1225 e12.

    Article  CAS  PubMed  Google Scholar 

  10. Nakagawa H, Whelan K, Lynch JP. Mechanisms of Barrett’s oesophagus: intestinal differentiation, stem cells, and tissue models. Best Pract Res Clin Gastroenterol. 2015;29:3–16.

    Article  CAS  PubMed  Google Scholar 

  11. Maekita T, Nakazawa K, Mihara M, et al. High levels of aberrant DNA methylation in Helicobacter pylori-infected gastric mucosae and its possible association with gastric cancer risk. Clin Cancer Res. 2006;12:989–95.

    Article  CAS  PubMed  Google Scholar 

  12. Asada K, Nakajima T, Shimazu T, et al. Demonstration of the usefulness of epigenetic cancer risk prediction by a multicentre prospective cohort study. Gut. 2015;64:388–96.

    Article  CAS  PubMed  Google Scholar 

  13. Maeda M, Nakajima T, Oda I, et al. High impact of methylation accumulation on metachronous gastric cancer: 5-year follow-up of a multicentre prospective cohort study. Gut. 2017;66:1721–3.

    Article  PubMed  Google Scholar 

  14. Kim HJ, Kim N, Kim HW, et al. Promising aberrant DNA methylation marker to predict gastric cancer development in individuals with family history and long-term effects of H. pylori eradication on DNA methylation. Gastric Cancer. 2021;24:302–13.

    Article  CAS  PubMed  Google Scholar 

  15. Schneider BG, Peng DF, Camargo MC, et al. Promoter DNA hypermethylation in gastric biopsies from subjects at high and low risk for gastric cancer. Int J Cancer. 2010;127:2588–97.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Takeshima H, Niwa T, Yamashita S, et al. TET repression and increased DNMT activity synergistically induce aberrant DNA methylation. J Clin Invest. 2020;130:5370–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Fong TL, Dooley CP, Dehesa M, et al. Helicobacter pylori infection in pernicious anemia: a prospective controlled study. Gastroenterology. 1991;100:328–32.

    Article  CAS  PubMed  Google Scholar 

  18. Presotto F, Sabini B, Cecchetto A, et al. Helicobacter pylori infection and gastric autoimmune diseases: is there a link? Helicobacter. 2003;8:578–84.

    Article  PubMed  Google Scholar 

  19. Notsu T, Adachi K, Mishiro T, et al. Prevalence of autoimmune gastritis in individuals undergoing medical checkups in Japan. Intern Med. 2019;58:1817–23.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Iida N, Okuda Y, Ogasawara O, et al. MACON: a web tool for computing DNA methylation data obtained by the illumina infinium human DNA methylation BeadArray. Epigenomics. 2018;10:249–58.

    Article  CAS  PubMed  Google Scholar 

  21. Shiwa Y, Hachiya T, Furukawa R, et al. Adjustment of cell-type composition minimizes systematic bias in blood DNA methylation profiles derived by DNA collection protocols. PLoS ONE. 2016;11: e0147519.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  22. Yamashita S, Nanjo S, Rehnberg E, et al. Distinct DNA methylation targets by aging and chronic inflammation: a pilot study using gastric mucosa infected with Helicobacter pylori. Clin Epigenet. 2019;11:191.

    Article  CAS  Google Scholar 

  23. Reinius LE, Acevedo N, Joerink M, et al. Differential DNA methylation in purified human blood cells: implications for cell lineage and studies on disease susceptibility. PLoS ONE. 2012;7: e41361.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Bateman AR, El-Hachem N, Beck AH, et al. Importance of collection in gene set enrichment analysis of drug response in cancer cell lines. Sci Rep. 2014;4:4092.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  25. Kanehisa M, Goto S. KEGG: kyoto encyclopedia of genes and genomes. Nucleic Acids Res. 2000;28:27–30.

    CAS  PubMed  PubMed Central  Google Scholar 

  26. Yoda Y, Takeshima H, Niwa T, et al. Integrated analysis of cancer-related pathways affected by genetic and epigenetic alterations in gastric cancer. Gastric Cancer. 2015;18:65–76.

    Article  CAS  PubMed  Google Scholar 

  27. Padmanabhan N, Ushijima T, Tan P. How to stomach an epigenetic insult: the gastric cancer epigenome. Nat Rev Gastroenterol Hepatol. 2017;14:467–78.

    Article  PubMed  Google Scholar 

  28. Sun Y, Deng D, You WC, et al. Methylation of p16 CpG islands associated with malignant transformation of gastric dysplasia in a population-based study. Clin Cancer Res. 2004;10:5087–93.

    Article  CAS  PubMed  Google Scholar 

  29. Guilford P, Hopkins J, Harraway J, et al. E-cadherin germline mutations in familial gastric cancer. Nature. 1998;392:402–5.

    Article  CAS  PubMed  Google Scholar 

  30. Yamashita S, Tsujino Y, Moriguchi K, et al. Chemical genomic screening for methylation-silenced genes in gastric cancer cell lines using 5-aza-2’-deoxycytidine treatment and oligonucleotide microarray. Cancer Sci. 2006;97:64–71.

    Article  CAS  PubMed  Google Scholar 

  31. Suzuki H, Yamamoto E, Nojima M, et al. Methylation-associated silencing of microRNA-34b/c in gastric cancer and its involvement in an epigenetic field defect. Carcinogenesis. 2010;31:2066–73.

    Article  CAS  PubMed  Google Scholar 

  32. Yu J, Tao Q, Cheng YY, et al. Promoter methylation of the Wnt/beta-catenin signaling antagonist Dkk-3 is associated with poor survival in gastric cancer. Cancer. 2009;115:49–60.

    Article  CAS  PubMed  Google Scholar 

  33. Nojima M, Suzuki H, Toyota M, et al. Frequent epigenetic inactivation of SFRP genes and constitutive activation of Wnt signaling in gastric cancer. Oncogene. 2007;26:4699–713.

    Article  CAS  PubMed  Google Scholar 

  34. Leung SY, Yuen ST, Chung LP, et al. hMLH1 promoter methylation and lack of hMLH1 expression in sporadic gastric carcinomas with high-frequency microsatellite instability. Cancer Res. 1999;59:159–64.

    CAS  PubMed  Google Scholar 

  35. Koch M, Meyer TF, Moss SF. Inflammation, immunity, vaccines for Helicobacter pylori infection. Helicobacter. 2013;18(Suppl 1):18–23.

    Article  PubMed  Google Scholar 

  36. Xu XQ, Wang ZH, Liao JX, et al. Predictive value of neutrophil infiltration as a marker of Helicobacter pylori infection. World J Gastroenterol. 2012;18:5101–5.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Niwa T, Tsukamoto T, Toyoda T, et al. Inflammatory processes triggered by Helicobacter pylori infection cause aberrant DNA methylation in gastric epithelial cells. Cancer Res. 2010;70:1430–40.

    Article  CAS  PubMed  Google Scholar 

  38. McGarvey KM, Van Neste L, Cope L, et al. Defining a chromatin pattern that characterizes DNA-hypermethylated genes in colon cancer cells. Cancer Res. 2008;68:5753–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. Ebrahimi V, Soleimanian A, Ebrahimi T, et al. Epigenetic modifications in gastric cancer: focus on DNA methylation. Gene. 2020;742:144577.

    Article  CAS  PubMed  Google Scholar 

  40. Deaton AM, Bird A. CpG islands and the regulation of transcription. Genes Dev. 2011;25:1010–22.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Lahner E, Esposito G, Pilozzi E, et al. Gastric cancer in patients with type I gastric carcinoids. Gastric Cancer. 2015;18:564–70.

    Article  PubMed  Google Scholar 

  42. Suarez G, Romero-Gallo J, Piazuelo MB, et al. Nod1 imprints inflammatory and carcinogenic responses toward the gastric pathogen Helicobacter pylori. Cancer Res. 2019;79:1600–11.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Kodama M, Murakami K, Okimoto T, et al. Ten-year prospective follow-up of histological changes at five points on the gastric mucosa as recommended by the updated Sydney system after Helicobacter pylori eradication. J Gastroenterol. 2012;47:394–403.

    Article  PubMed  Google Scholar 

  44. Katsurano M, Niwa T, Yasui Y, et al. Early-stage formation of an epigenetic field defect in a mouse colitis model, and non-essential roles of T- and B-cells in DNA methylation induction. Oncogene. 2012;31:342–51.

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

This work was supported by a Grant-in-Aid for Scientific Research (B) from the Japan Society for the Promotion of Science (21H03178).

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Authors

Contributions

Conception and design: CT, JS, KN, NY, and TU. Development of methodology: CT, SY, and TU. Acquisition of data: CT, JS, MW, YS, YT, AS, TA, RA, MY, MI, TF, and SN. Analysis and interpretation of data: CT, SY, YL, and TU. Writing, review, and/or revision of the manuscript: CT, MF, NY, and TU.

Corresponding author

Correspondence to Toshikazu Ushijima.

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There are no potential conflicts of interest. All authors have nothing to disclose.

Human rights statement

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and later versions.

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Informed consent was obtained from all patients to be included in the study.

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Takeuchi, C., Sato, J., Yamashita, S. et al. Autoimmune gastritis induces aberrant DNA methylation reflecting its carcinogenic potential. J Gastroenterol 57, 144–155 (2022). https://doi.org/10.1007/s00535-021-01848-2

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  • DOI: https://doi.org/10.1007/s00535-021-01848-2

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