Prognostic implications of CpG island hypermethylator phenotype in colorectal cancers

CpG island methylator phenotype (CIMP) refers to a subset of colorectal cancers (CRCs) that are characterized by concordant hypermethylation of multiple CpG island loci. CIMP+ CRCs have peculiar clinicopathological features. However, controversy exists over prognostic implications of CIMP in CRCs. W...

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Veröffentlicht in:Virchows Archiv : an international journal of pathology 2009-12, Vol.455 (6), p.485-494
Hauptverfasser: Kim, Jung Ho, Shin, So Hyun, Kwon, Hyeong Ju, Cho, Nam Yun, Kang, Gyeong Hoon
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container_issue 6
container_start_page 485
container_title Virchows Archiv : an international journal of pathology
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creator Kim, Jung Ho
Shin, So Hyun
Kwon, Hyeong Ju
Cho, Nam Yun
Kang, Gyeong Hoon
description CpG island methylator phenotype (CIMP) refers to a subset of colorectal cancers (CRCs) that are characterized by concordant hypermethylation of multiple CpG island loci. CIMP+ CRCs have peculiar clinicopathological features. However, controversy exists over prognostic implications of CIMP in CRCs. We analyzed 320 cases of CRCs for their CIMP status using the MethyLight assay and determined clinicopathological features and prognostic implications of CIMP alone or in combination with microsatellite instability (MSI). With methylation of five or more markers among eight markers examined, CIMP+ tumors were significantly associated with female gender, proximal tumor location, poor differentiation, nodal metastasis, more advanced cancer, BRAF mutations, MSI, and poor prognosis (all P values
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CIMP+ CRCs have peculiar clinicopathological features. However, controversy exists over prognostic implications of CIMP in CRCs. We analyzed 320 cases of CRCs for their CIMP status using the MethyLight assay and determined clinicopathological features and prognostic implications of CIMP alone or in combination with microsatellite instability (MSI). With methylation of five or more markers among eight markers examined, CIMP+ tumors were significantly associated with female gender, proximal tumor location, poor differentiation, nodal metastasis, more advanced cancer, BRAF mutations, MSI, and poor prognosis (all P values &lt;0.05). Ogino’s combined eight-marker panel outperformed the Ogino and the Laird five-marker panels in detecting these features. Of the four molecular subtypes generated by the combination of CIMP and MSI status, the CIMP+/MSI− subtype showed the worst clinical outcome ( P  = 0.0003). However, poor prognosis of CIMP+/MSI− subtype was found to be attributed to BRAF mutation. In conclusion, the CIMP+/MSI− subtype tends to present with distinct clinicopathological and molecular features and shows the worst clinical outcome among the four molecular subtypes of CRCs.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>19911194</pmid><doi>10.1007/s00428-009-0857-0</doi><tpages>10</tpages></addata></record>
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subjects Adult
Aged
Biological and medical sciences
Colorectal cancer
Colorectal Neoplasms - genetics
Colorectal Neoplasms - pathology
CpG Islands - genetics
DNA Methylation
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Investigative techniques, diagnostic techniques (general aspects)
Kaplan-Meier Estimate
Male
Medical sciences
Medicine
Medicine & Public Health
Microsatellite Instability
Middle Aged
Mutation
Original Article
Pathology
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Prognosis
Proto-Oncogene Proteins - genetics
Proto-Oncogene Proteins B-raf - genetics
Proto-Oncogene Proteins p21(ras)
ras Proteins - genetics
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Tumors
title Prognostic implications of CpG island hypermethylator phenotype in colorectal cancers
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