High Expression of H3K27me3 in Human Hepatocellular Carcinomas Correlates Closely with Vascular Invasion and Predicts Worse Prognosis in Patients

被引:112
作者
Cai, Mu-Yan [1 ,2 ]
Hou, Jing-Hui [1 ,2 ]
Rao, Hui-Lan [1 ,2 ]
Luo, Rong-Zhen [1 ,2 ]
Li, Mei [1 ,2 ]
Pei, Xiao-Qing [3 ]
Lin, Marie C. [1 ,4 ]
Guan, Xin-Yuan [1 ]
Kung, Hsiang-Fu [1 ,4 ]
Zeng, Yi-Xin [1 ]
Xie, Dan [1 ]
机构
[1] Sun Yat Sen Univ, State Key Lab Oncol S China, Ctr Canc, Guangzhou 510060, Guangdong, Peoples R China
[2] Sun Yat Sen Univ, Dept Pathol, Ctr Canc, Guangzhou 510060, Guangdong, Peoples R China
[3] Sun Yat Sen Univ, Dept Ultrasound, Ctr Canc, Guangzhou 510060, Guangdong, Peoples R China
[4] Chinese Univ Hong Kong, State Key Lab Oncol S China, Hong Kong, Hong Kong, Peoples R China
关键词
HISTONE H3; POLYCOMB; PROGRESSION; LYSINE-27; PROTEIN; EZH2; OVEREXPRESSION; TUMORIGENESIS; METHYLATION; EPIGENETICS;
D O I
10.2119/molmed.2010.00103
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
It has been suggested that trimethylation of lysine 27 on histone H3 (H3K27me3) is a crucial epigenetic process in tumorigenesis. However, the expression dynamics of H3K27me3 and its clinicopathological/prognostic significance in hepatocellular carcinoma (HCC) are unclear. In this study, immunohistochemical analysis (IHC) was used to examine protein expression of H3K27me3 in HCC tissues from two independent cohorts and corresponding nontumorous hepatocellular tissues by tissue microarray. The optimal cutpoint of H3K27me3 expression was assessed by the X-tile program. Our results showed that the cutpoint for high expression of H3K27me3 in HCCs was determined when more than 70% of the tumor cells showed positive staining. High expression of H3K27me3 was observed in 134 of 212 (63.2%) and 76 of 126 (60.4%) of HCCs in the testing and validation cohorts, respectively. Correlation analysis demonstrated that high expression of H3K27me3 in HCCs was significantly correlated with large tumor size, multiplicity, poor differentiation, advanced clinical stage and vascular invasion (P < 0.05). In addition, high expression of H3K27me3 in HCC patients was associated closely with shortened survival time, independent of serum a-fetoprotein levels, tumor size and multiplicity clinical stage, vascular invasion and relapse as evidenced by univariate and multivariate analysis in both cohorts (P < 0.05). In different subsets of HCC patients, H3K27me3 expression was also a prognostic indicator in patients with stage II tumors (P < 0.05). Thus, these findings provide evidence that a high expression of H3K27me3, as detected by IHC, correlates closely with vascular invasion of HCCs and is an independent molecular marker for poor prognosis in patients with HCC. (c) 2011 The Feinstein Institute for Medical Research, www.feinsteininstitute.org Online address: http://www.molmed.org doi: 10.2119/molmed.2010.00103
引用
收藏
页码:12 / 20
页数:9
相关论文
共 37 条
[1]   Decreased expression of PinX1 protein is correlated with tumor development and is a new independent poor prognostic factor in ovarian carcinoma [J].
Cai, Mu-Yan ;
Zhang, Bin ;
He, Wei-Peng ;
Yang, Guo-Fen ;
Rao, Hui-Lan ;
Rao, Zhi-Yue ;
Wu, Qiu-Liang ;
Guan, Xin-Yuan ;
Kung, Hsiang-Fu ;
Zeng, Yi-Xin ;
Xie, Dan .
CANCER SCIENCE, 2010, 101 (06) :1543-1549
[2]   X-tile: A new bio-informatics tool for biomarker assessment and outcome-based cut-point optimization [J].
Camp, RL ;
Dolled-Filhart, M ;
Rimm, DL .
CLINICAL CANCER RESEARCH, 2004, 10 (21) :7252-7259
[3]   The functions of E(Z)/EZH2-mediated methylation of lysine 27 in histone H3 [J].
Cao, R ;
Zhang, Y .
CURRENT OPINION IN GENETICS & DEVELOPMENT, 2004, 14 (02) :155-164
[4]   Role of histone H3 lysine 27 methylation in polycomb-group silencing [J].
Cao, R ;
Wang, LJ ;
Wang, HB ;
Xia, L ;
Erdjument-Bromage, H ;
Tempst, P ;
Jones, RS ;
Zhang, Y .
SCIENCE, 2002, 298 (5595) :1039-1043
[5]   Rising incidence of hepatocellular carcinoma in the United States [J].
El-Serag, HB ;
Mason, AC .
NEW ENGLAND JOURNAL OF MEDICINE, 1999, 340 (10) :745-750
[6]   Molecular origins of cancer: Epigenetics in cancer [J].
Esteller, Manel .
NEW ENGLAND JOURNAL OF MEDICINE, 2008, 358 (11) :1148-1159
[7]   Intratumoral balance of regulatory and cytotoxic T cells is associated with prognosis of hepatocellular carcinoma after resection [J].
Gao, Qiang ;
Qiu, Shuang-Jian ;
Fan, Jia ;
Zhou, Jian ;
Wang, Xiao-Ying ;
Xiao, Yong-Sheng ;
Xu, Yang ;
Li, Yi-Wei ;
Tang, Zhao-You .
JOURNAL OF CLINICAL ONCOLOGY, 2007, 25 (18) :2586-2593
[8]   A model for transmission of the H3K27me3 epigenetic mark [J].
Hansen, Klaus H. ;
Bracken, Adrian P. ;
Pasini, Diego ;
Dietrich, Nikolaj ;
Gehani, Simmi S. ;
Monrad, Astrid ;
Rappsilber, Juri ;
Lerdrup, Mads ;
Helin, Kristian .
NATURE CELL BIOLOGY, 2008, 10 (11) :1291-U89
[9]   Prognostic impact of H3K27me3 expression on locoregional progression after chemoradiotherapy in esophageal squamous cell carcinoma [J].
He, Li-Ru ;
Liu, Meng-Zhong ;
Li, Bin-Kui ;
Rao, Hui-Lan ;
Liao, Yi-Ji ;
Guan, Xin-Yuan ;
Zeng, Yi-Xin ;
Xie, Dan .
BMC CANCER, 2009, 9
[10]   Proline-directed protein kinase FA is a powerful and independent prognostic predictor for progression and patient survival of hepatocellular carcinoma [J].
Hsu, Yu-Chen ;
Fu, Hsiao-Hui ;
Jeng, Yung-Ming ;
Lee, Po-Huang ;
Yang, Shiaw-Der .
JOURNAL OF CLINICAL ONCOLOGY, 2006, 24 (23) :3780-3788