Plasma DNA Methylation‐Based Biomarkers for MPNST Detection in Patients With Neurofibromatosis Type 1

ABSTRACT Malignant peripheral nerve sheath tumor (MPNST) development is characterized by an altered DNA methylation landscape, which presents a promising area for developing MPNST‐specific biomarkers for screening patients with NF1. Genome‐wide DNA methylation profiling of a cohort of 13 patients wi...

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Veröffentlicht in:Molecular carcinogenesis 2024-11, Vol.64 (1), p.44-56
Hauptverfasser: Tomczak, Katarzyna, Patel, Manishkumar S., Bhalla, Angela D., Peterson, Christine B., Landers, Sharon M., Callahan, S. Carson, Zhang, Di, Wong, Justin, Landry, Jace P., Lazar, Alexander J., Livingston, J. Andrew, Guadagnolo, B. Ashleigh, Lyu, Heather G., Lillemoe, Heather, Roland, Christina L., Keung, Emily Z., Scally, Christopher P., Hunt, Kelly K., McCutcheon, Ian E., Slopis, John M., Gu, Jian, Scheet, Paul, Wang, Liang, Rai, Kunal, Torres, Keila E.
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container_end_page 56
container_issue 1
container_start_page 44
container_title Molecular carcinogenesis
container_volume 64
creator Tomczak, Katarzyna
Patel, Manishkumar S.
Bhalla, Angela D.
Peterson, Christine B.
Landers, Sharon M.
Callahan, S. Carson
Zhang, Di
Wong, Justin
Landry, Jace P.
Lazar, Alexander J.
Livingston, J. Andrew
Guadagnolo, B. Ashleigh
Lyu, Heather G.
Lillemoe, Heather
Roland, Christina L.
Keung, Emily Z.
Scally, Christopher P.
Hunt, Kelly K.
McCutcheon, Ian E.
Slopis, John M.
Gu, Jian
Scheet, Paul
Wang, Liang
Rai, Kunal
Torres, Keila E.
description ABSTRACT Malignant peripheral nerve sheath tumor (MPNST) development is characterized by an altered DNA methylation landscape, which presents a promising area for developing MPNST‐specific biomarkers for screening patients with NF1. Genome‐wide DNA methylation profiling of a cohort of 13 patients with MPNST (29 samples of tumor and adjacent neurofibroma tissues) and of NF1‐MPNST cell lines was performed to identify and validate candidate MPNST‐specific CpG sites (CpGs). A logistic regression prediction model was constructed to select MPNST‐specific CpGs distinct from adjacent neurofibromas and normal tissues. To test if hypermethylation at selected CpGs can also be detected in plasma from patients with MPNST, cfMBD‐seq was applied to profile the cfDNA methylome of blood from patients with MPNST and NF1. Based on stringent feature‐selection criteria and predictive modeling, we identified 73 candidate MPNST‐specific CpGs (67 with unique CpG island locations) that reliably discriminated MPNSTs from neurofibromas. Validation of five candidate biomarkers confirmed successful MPNST detection (sensitivity: > 88%, specificity: > 91%) in tissues. In plasma samples, 63 of 67 selected genomic regions had greater than 1.2‐fold higher methylation in patients with MPNST than those with NF1. Further, we identified 15 CpG islands that consistently separated plasma from patients with confirmed MPNST diagnosis from plasma of individuals with NF1 without a diagnosis of malignant transformation (FDR 
doi_str_mv 10.1002/mc.23825
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Ashleigh ; Lyu, Heather G. ; Lillemoe, Heather ; Roland, Christina L. ; Keung, Emily Z. ; Scally, Christopher P. ; Hunt, Kelly K. ; McCutcheon, Ian E. ; Slopis, John M. ; Gu, Jian ; Scheet, Paul ; Wang, Liang ; Rai, Kunal ; Torres, Keila E.</creatorcontrib><description>ABSTRACT Malignant peripheral nerve sheath tumor (MPNST) development is characterized by an altered DNA methylation landscape, which presents a promising area for developing MPNST‐specific biomarkers for screening patients with NF1. Genome‐wide DNA methylation profiling of a cohort of 13 patients with MPNST (29 samples of tumor and adjacent neurofibroma tissues) and of NF1‐MPNST cell lines was performed to identify and validate candidate MPNST‐specific CpG sites (CpGs). A logistic regression prediction model was constructed to select MPNST‐specific CpGs distinct from adjacent neurofibromas and normal tissues. To test if hypermethylation at selected CpGs can also be detected in plasma from patients with MPNST, cfMBD‐seq was applied to profile the cfDNA methylome of blood from patients with MPNST and NF1. Based on stringent feature‐selection criteria and predictive modeling, we identified 73 candidate MPNST‐specific CpGs (67 with unique CpG island locations) that reliably discriminated MPNSTs from neurofibromas. Validation of five candidate biomarkers confirmed successful MPNST detection (sensitivity: &gt; 88%, specificity: &gt; 91%) in tissues. In plasma samples, 63 of 67 selected genomic regions had greater than 1.2‐fold higher methylation in patients with MPNST than those with NF1. Further, we identified 15 CpG islands that consistently separated plasma from patients with confirmed MPNST diagnosis from plasma of individuals with NF1 without a diagnosis of malignant transformation (FDR &lt; 0.1). Our findings confirmed a unique hypermethylation pattern present during malignant transformation. This study highlights the potential to be investigated further as biomarkers in clinical settings for early MPNST detection in patients with NF1.</description><identifier>ISSN: 0899-1987</identifier><identifier>ISSN: 1098-2744</identifier><identifier>EISSN: 1098-2744</identifier><identifier>DOI: 10.1002/mc.23825</identifier><identifier>PMID: 39600120</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adult ; Aged ; biomarker ; Biomarkers ; Biomarkers, Tumor - blood ; Biomarkers, Tumor - genetics ; Cell Line, Tumor ; CpG Islands ; Diagnosis ; DNA fingerprinting ; DNA Methylation ; Female ; Genetic transformation ; Humans ; Male ; Middle Aged ; MPNST ; Neurofibromatosis ; Neurofibromatosis 1 - blood ; Neurofibromatosis 1 - diagnosis ; Neurofibromatosis 1 - genetics ; neurofibromatosis type 1 ; Neurofibrosarcoma - blood ; Neurofibrosarcoma - diagnosis ; Neurofibrosarcoma - genetics ; Peripheral nerves ; Plasma ; Prediction models ; Recklinghausen's disease ; Tumor cell lines ; Tumors</subject><ispartof>Molecular carcinogenesis, 2024-11, Vol.64 (1), p.44-56</ispartof><rights>2024 The Author(s). published by Wiley Periodicals LLC.</rights><rights>2024 The Author(s). 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Carson</creatorcontrib><creatorcontrib>Zhang, Di</creatorcontrib><creatorcontrib>Wong, Justin</creatorcontrib><creatorcontrib>Landry, Jace P.</creatorcontrib><creatorcontrib>Lazar, Alexander J.</creatorcontrib><creatorcontrib>Livingston, J. Andrew</creatorcontrib><creatorcontrib>Guadagnolo, B. Ashleigh</creatorcontrib><creatorcontrib>Lyu, Heather G.</creatorcontrib><creatorcontrib>Lillemoe, Heather</creatorcontrib><creatorcontrib>Roland, Christina L.</creatorcontrib><creatorcontrib>Keung, Emily Z.</creatorcontrib><creatorcontrib>Scally, Christopher P.</creatorcontrib><creatorcontrib>Hunt, Kelly K.</creatorcontrib><creatorcontrib>McCutcheon, Ian E.</creatorcontrib><creatorcontrib>Slopis, John M.</creatorcontrib><creatorcontrib>Gu, Jian</creatorcontrib><creatorcontrib>Scheet, Paul</creatorcontrib><creatorcontrib>Wang, Liang</creatorcontrib><creatorcontrib>Rai, Kunal</creatorcontrib><creatorcontrib>Torres, Keila E.</creatorcontrib><title>Plasma DNA Methylation‐Based Biomarkers for MPNST Detection in Patients With Neurofibromatosis Type 1</title><title>Molecular carcinogenesis</title><addtitle>Mol Carcinog</addtitle><description>ABSTRACT Malignant peripheral nerve sheath tumor (MPNST) development is characterized by an altered DNA methylation landscape, which presents a promising area for developing MPNST‐specific biomarkers for screening patients with NF1. 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Carson ; Zhang, Di ; Wong, Justin ; Landry, Jace P. ; Lazar, Alexander J. ; Livingston, J. Andrew ; Guadagnolo, B. Ashleigh ; Lyu, Heather G. ; Lillemoe, Heather ; Roland, Christina L. ; Keung, Emily Z. ; Scally, Christopher P. ; Hunt, Kelly K. ; McCutcheon, Ian E. ; Slopis, John M. ; Gu, Jian ; Scheet, Paul ; Wang, Liang ; Rai, Kunal ; Torres, Keila E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3305-d9ca6a7f50bf7db9a4c707e774764a546cf297eab342592e02e67016587014133</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>biomarker</topic><topic>Biomarkers</topic><topic>Biomarkers, Tumor - blood</topic><topic>Biomarkers, Tumor - genetics</topic><topic>Cell Line, Tumor</topic><topic>CpG Islands</topic><topic>Diagnosis</topic><topic>DNA fingerprinting</topic><topic>DNA Methylation</topic><topic>Female</topic><topic>Genetic transformation</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>MPNST</topic><topic>Neurofibromatosis</topic><topic>Neurofibromatosis 1 - blood</topic><topic>Neurofibromatosis 1 - diagnosis</topic><topic>Neurofibromatosis 1 - genetics</topic><topic>neurofibromatosis type 1</topic><topic>Neurofibrosarcoma - blood</topic><topic>Neurofibrosarcoma - diagnosis</topic><topic>Neurofibrosarcoma - genetics</topic><topic>Peripheral nerves</topic><topic>Plasma</topic><topic>Prediction models</topic><topic>Recklinghausen's disease</topic><topic>Tumor cell lines</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tomczak, Katarzyna</creatorcontrib><creatorcontrib>Patel, Manishkumar S.</creatorcontrib><creatorcontrib>Bhalla, Angela D.</creatorcontrib><creatorcontrib>Peterson, Christine B.</creatorcontrib><creatorcontrib>Landers, Sharon M.</creatorcontrib><creatorcontrib>Callahan, S. 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Carson</au><au>Zhang, Di</au><au>Wong, Justin</au><au>Landry, Jace P.</au><au>Lazar, Alexander J.</au><au>Livingston, J. Andrew</au><au>Guadagnolo, B. Ashleigh</au><au>Lyu, Heather G.</au><au>Lillemoe, Heather</au><au>Roland, Christina L.</au><au>Keung, Emily Z.</au><au>Scally, Christopher P.</au><au>Hunt, Kelly K.</au><au>McCutcheon, Ian E.</au><au>Slopis, John M.</au><au>Gu, Jian</au><au>Scheet, Paul</au><au>Wang, Liang</au><au>Rai, Kunal</au><au>Torres, Keila E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Plasma DNA Methylation‐Based Biomarkers for MPNST Detection in Patients With Neurofibromatosis Type 1</atitle><jtitle>Molecular carcinogenesis</jtitle><addtitle>Mol Carcinog</addtitle><date>2024-11-26</date><risdate>2024</risdate><volume>64</volume><issue>1</issue><spage>44</spage><epage>56</epage><pages>44-56</pages><issn>0899-1987</issn><issn>1098-2744</issn><eissn>1098-2744</eissn><abstract>ABSTRACT Malignant peripheral nerve sheath tumor (MPNST) development is characterized by an altered DNA methylation landscape, which presents a promising area for developing MPNST‐specific biomarkers for screening patients with NF1. Genome‐wide DNA methylation profiling of a cohort of 13 patients with MPNST (29 samples of tumor and adjacent neurofibroma tissues) and of NF1‐MPNST cell lines was performed to identify and validate candidate MPNST‐specific CpG sites (CpGs). A logistic regression prediction model was constructed to select MPNST‐specific CpGs distinct from adjacent neurofibromas and normal tissues. To test if hypermethylation at selected CpGs can also be detected in plasma from patients with MPNST, cfMBD‐seq was applied to profile the cfDNA methylome of blood from patients with MPNST and NF1. Based on stringent feature‐selection criteria and predictive modeling, we identified 73 candidate MPNST‐specific CpGs (67 with unique CpG island locations) that reliably discriminated MPNSTs from neurofibromas. Validation of five candidate biomarkers confirmed successful MPNST detection (sensitivity: &gt; 88%, specificity: &gt; 91%) in tissues. In plasma samples, 63 of 67 selected genomic regions had greater than 1.2‐fold higher methylation in patients with MPNST than those with NF1. Further, we identified 15 CpG islands that consistently separated plasma from patients with confirmed MPNST diagnosis from plasma of individuals with NF1 without a diagnosis of malignant transformation (FDR &lt; 0.1). Our findings confirmed a unique hypermethylation pattern present during malignant transformation. This study highlights the potential to be investigated further as biomarkers in clinical settings for early MPNST detection in patients with NF1.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>39600120</pmid><doi>10.1002/mc.23825</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0003-2321-6894</orcidid><orcidid>https://orcid.org/0000-0002-0152-2666</orcidid><orcidid>https://orcid.org/0000-0002-1638-3400</orcidid><orcidid>https://orcid.org/0000-0001-7119-7005</orcidid><orcidid>https://orcid.org/0000-0003-3316-0468</orcidid><orcidid>https://orcid.org/0000-0002-6395-4499</orcidid><orcidid>https://orcid.org/0000-0002-1847-0583</orcidid><orcidid>https://orcid.org/0000-0001-9156-8723</orcidid><orcidid>https://orcid.org/0000-0001-7759-0799</orcidid><orcidid>https://orcid.org/0000-0003-3499-0973</orcidid><orcidid>https://orcid.org/0000-0002-4489-7070</orcidid><orcidid>https://orcid.org/0000-0001-9044-5510</orcidid><orcidid>https://orcid.org/0000-0002-1337-3282</orcidid><orcidid>https://orcid.org/0000-0003-3400-0087</orcidid><orcidid>https://orcid.org/0000-0002-9364-8572</orcidid><orcidid>https://orcid.org/0000-0001-8863-1066</orcidid><orcidid>https://orcid.org/0000-0002-1855-0989</orcidid><orcidid>https://orcid.org/0000-0002-6803-1060</orcidid><orcidid>https://orcid.org/0000-0002-8783-8484</orcidid><orcidid>https://orcid.org/0000-0002-2450-0662</orcidid><orcidid>https://orcid.org/0000-0002-5173-7497</orcidid><orcidid>https://orcid.org/0000-0002-8732-7764</orcidid><orcidid>https://orcid.org/0000-0003-0553-8056</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0899-1987
ispartof Molecular carcinogenesis, 2024-11, Vol.64 (1), p.44-56
issn 0899-1987
1098-2744
1098-2744
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11636586
source Wiley Online Library - AutoHoldings Journals; MEDLINE
subjects Adult
Aged
biomarker
Biomarkers
Biomarkers, Tumor - blood
Biomarkers, Tumor - genetics
Cell Line, Tumor
CpG Islands
Diagnosis
DNA fingerprinting
DNA Methylation
Female
Genetic transformation
Humans
Male
Middle Aged
MPNST
Neurofibromatosis
Neurofibromatosis 1 - blood
Neurofibromatosis 1 - diagnosis
Neurofibromatosis 1 - genetics
neurofibromatosis type 1
Neurofibrosarcoma - blood
Neurofibrosarcoma - diagnosis
Neurofibrosarcoma - genetics
Peripheral nerves
Plasma
Prediction models
Recklinghausen's disease
Tumor cell lines
Tumors
title Plasma DNA Methylation‐Based Biomarkers for MPNST Detection in Patients With Neurofibromatosis Type 1
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-20T08%3A34%3A31IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Plasma%20DNA%20Methylation%E2%80%90Based%20Biomarkers%20for%20MPNST%20Detection%20in%20Patients%20With%20Neurofibromatosis%20Type%201&rft.jtitle=Molecular%20carcinogenesis&rft.au=Tomczak,%20Katarzyna&rft.date=2024-11-26&rft.volume=64&rft.issue=1&rft.spage=44&rft.epage=56&rft.pages=44-56&rft.issn=0899-1987&rft.eissn=1098-2744&rft_id=info:doi/10.1002/mc.23825&rft_dat=%3Cproquest_pubme%3E3133460958%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3143246419&rft_id=info:pmid/39600120&rfr_iscdi=true