Methylation of TFPI2 in Stool DNA: A Potential Novel Biomarker for the Detection of Colorectal Cancer

被引:195
作者
Gloeckner, Sabine C. [1 ,7 ]
Dhir, Mashaal [1 ]
Yi, Joo Mi [2 ]
McGarvey, Kelly E. [2 ]
Van Neste, Leander [4 ]
Louwagie, Joost [5 ]
Chan, Timothy A. [6 ]
Kleeberger, Wolfram [2 ,7 ]
de Bruine, Adriaan P. [8 ]
Smits, Kim M. [8 ]
Bakker, Carolina A. J. Khalid-de [9 ]
Jonkers, Daisy M. A. E. [9 ]
Stockbruegger, Reinhold W. [9 ]
Meijer, Gerrit A. [10 ]
Oort, Frank A. [11 ]
Iacobuzio-Donahue, Christine [3 ]
Bierau, Katja [5 ]
Herman, James G. [2 ]
Baylin, Stephen B. [2 ]
Van Engeland, Marion [8 ]
Schuebe, Kornel E. [2 ]
Ahuja, Nita [1 ,2 ]
机构
[1] Johns Hopkins Univ, Dept Surg, Baltimore, MD USA
[2] Johns Hopkins Univ, Dept Oncol, Baltimore, MD USA
[3] Johns Hopkins Univ, Dept Pathol, Baltimore, MD USA
[4] Univ Ghent, Fac Biosci Engn, Dept Mol Biotechnol, B-9000 Ghent, Belgium
[5] Oncomethylome Sci SA, Liege, Belgium
[6] Mem Sloan Kettering Canc Ctr, Dept Radiat Oncol, New York, NY 10021 USA
[7] Univ Regensburg, Dept Pathol, Regensburg, Germany
[8] Maastricht Univ, Med Ctr, Dept Pathol, GROW Sch Oncol & Dev Biol, Maastricht, Netherlands
[9] Maastricht Univ, Med Ctr, Div Gastroenterol & Hepatol, Dept Internal Med, Maastricht, Netherlands
[10] Vrije Univ Amsterdam, Med Ctr, Dept Pathol, Amsterdam, Netherlands
[11] Vrije Univ Amsterdam, Med Ctr, Dept Gastroenterol, Amsterdam, Netherlands
关键词
FACTOR PATHWAY INHIBITOR-2; FECAL OCCULT BLOOD; CHROMATIN PATTERN; CELL FATE; GENE; HYPERMETHYLATION; MUTATIONS; MARKER; SFRP2; MECHANISM;
D O I
10.1158/0008-5472.CAN-08-0142
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
We have used a gene expression array-based strategy to identify the methylation of tissue factor pathway inhibitor 2 (TFPI2), a potential tumor suppressor gene, as a frequent event in human colorectal cancers (CRC). TFPI2 belongs to the recently described group of embryonic cell Polycomb group (PcG)-marked genes that may be predisposed to aberrant DNA methylation in early stages of colorectal carcinogenesis. Aberrant methylation of TFPI2 was detected in almost all CRC adenomas (97%, n = 56) and stages I to IV CRCs (99%, n = 115). We further explored the potential of TFPI2 as a biomarker for the early detection of CRC using stool DNA-based assays in patients with nonmetastatic CRC and average-risk noncancer controls who were candidates for screening. TFPI2 methylation was detected in stool DNA from stage I to III CRC patients with a sensitivity of 76% to 89% and a specificity of 79% to 93%. Detection of TFPI2 methylation in stool DNA may act as a useful adjunct to the noninvasive strategies for screening of CRCs in the future. [Cancer Res 2009;69(11):4691-9]
引用
收藏
页码:4691 / 4699
页数:9
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