DNA methylation changes in atypical adenomatous hyperplasia, adenocarcinoma in situ, and lung adenocarcinoma

Aberrant DNA methylation is common in lung adenocarcinoma, but its timing in the phases of tumor development is largely unknown. Delineating when abnormal DNA methylation arises may provide insight into the natural history of lung adenocarcinoma and the role that DNA methylation alterations play in...

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Veröffentlicht in:PloS one 2011-06, Vol.6 (6), p.e21443-e21443
Hauptverfasser: Selamat, Suhaida A, Galler, Janice S, Joshi, Amit D, Fyfe, M Nicky, Campan, Mihaela, Siegmund, Kimberly D, Kerr, Keith M, Laird-Offringa, Ite A
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container_title PloS one
container_volume 6
creator Selamat, Suhaida A
Galler, Janice S
Joshi, Amit D
Fyfe, M Nicky
Campan, Mihaela
Siegmund, Kimberly D
Kerr, Keith M
Laird-Offringa, Ite A
description Aberrant DNA methylation is common in lung adenocarcinoma, but its timing in the phases of tumor development is largely unknown. Delineating when abnormal DNA methylation arises may provide insight into the natural history of lung adenocarcinoma and the role that DNA methylation alterations play in tumor formation. We used MethyLight, a sensitive real-time PCR-based quantitative method, to analyze DNA methylation levels at 15 CpG islands that are frequently methylated in lung adenocarcinoma and that we had flagged as potential markers for non-invasive detection. We also used two repeat probes as indicators of global DNA hypomethylation. We examined DNA methylation in 249 tissue samples from 93 subjects, spanning the putative spectrum of peripheral lung adenocarcinoma development: histologically normal adjacent non-tumor lung, atypical adenomatous hyperplasia (AAH), adenocarcinoma in situ (AIS, formerly known as bronchioloalveolar carcinoma), and invasive lung adenocarcinoma. Comparison of DNA methylation levels between the lesion types suggests that DNA hypermethylation of distinct loci occurs at different time points during the development of lung adenocarcinoma. DNA methylation at CDKN2A ex2 and PTPRN2 is already significantly elevated in AAH, while CpG islands at 2C35, EYA4, HOXA1, HOXA11, NEUROD1, NEUROD2 and TMEFF2 are significantly hypermethylated in AIS. In contrast, hypermethylation at CDH13, CDX2, OPCML, RASSF1, SFRP1 and TWIST1 and global DNA hypomethylation appear to be present predominantly in invasive cancer. The gradual increase in DNA methylation seen for numerous loci in progressively more transformed lesions supports the model in which AAH and AIS are sequential stages in the development of lung adenocarcinoma. The demarcation of DNA methylation changes characteristic for AAH, AIS and adenocarcinoma begins to lay out a possible roadmap for aberrant DNA methylation events in tumor development. In addition, it identifies which DNA methylation changes might be used as molecular markers for the detection of preinvasive lesions.
doi_str_mv 10.1371/journal.pone.0021443
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subjects Aberration
Adenocarcinoma
Adenocarcinoma - genetics
Adenocarcinoma - pathology
Adenocarcinoma of Lung
Adenoma - genetics
Adenoma - pathology
Beta2 protein
Biochemistry
Biology
Cancer genetics
CDX2 protein
CpG islands
Deoxyribonucleic acid
Departments
DNA
DNA methylation
DNA Methylation - genetics
DNA probes
Epigenetics
Frizzled-related protein 1
Genes
Genetic Loci - genetics
Genetic research
HOXA1 protein
Humans
Hyperplasia
Hyperplasia - genetics
Hyperplasia - pathology
Islands
Lesions
Loci
Lung - pathology
Lung cancer
Lung carcinoma
Lung Neoplasms - genetics
Lung Neoplasms - pathology
Markers
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Medical prognosis
Medical screening
Medicine
Methylation
Molecular biology
Mortality
Precancerous Conditions - genetics
Precancerous Conditions - pathology
Preventive medicine
Proteins
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Tumors
title DNA methylation changes in atypical adenomatous hyperplasia, adenocarcinoma in situ, and lung adenocarcinoma
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