APC hypermethylation for early diagnosis of colorectal cancer: a meta-analysis and literature review

Adenomatous polyposis coli (APC) promoter hypermethylation has been frequently observed in colorectal cancer (CRC). The association between APC promoter methylation and clinicopathological significance in CRC is under investigation. We performed a meta-analysis to quantitatively evaluate the signifi...

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Veröffentlicht in:Oncotarget 2017-07, Vol.8 (28), p.46468-46479
Hauptverfasser: Liang, Tie-Jun, Wang, Hong-Xu, Zheng, Yan-Yan, Cao, Ying-Qing, Wu, Xiaoyu, Zhou, Xin, Dong, Shu-Xiao
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container_end_page 46479
container_issue 28
container_start_page 46468
container_title Oncotarget
container_volume 8
creator Liang, Tie-Jun
Wang, Hong-Xu
Zheng, Yan-Yan
Cao, Ying-Qing
Wu, Xiaoyu
Zhou, Xin
Dong, Shu-Xiao
description Adenomatous polyposis coli (APC) promoter hypermethylation has been frequently observed in colorectal cancer (CRC). The association between APC promoter methylation and clinicopathological significance in CRC is under investigation. We performed a meta-analysis to quantitatively evaluate the significance of APC methylation in CRC. The study included a total of 24 articles and 2025 CRC patients. The frequency of APC promoter hypermethylation was significantly higher in colorectal adenoma than in normal colorectal tissue, OR was 5.76, 95% CI, 2.45-13.56; p
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The association between APC promoter methylation and clinicopathological significance in CRC is under investigation. We performed a meta-analysis to quantitatively evaluate the significance of APC methylation in CRC. The study included a total of 24 articles and 2025 CRC patients. The frequency of APC promoter hypermethylation was significantly higher in colorectal adenoma than in normal colorectal tissue, OR was 5.76, 95% CI, 2.45-13.56; p&lt;0.0001, I2=0%. APC promoter more frequently hypermethylated in CRC stage I compared to normal colorectal tissue, OR was 13.42, 95% CI, 3.66-49.20; p&lt;0.0001, I2=31%. The risk of incidence of CRC was significantly correlated to APC promoter hypermethylation, pooled OR was 9.80, 95%CI, 6.07-15.81; p&lt;0.00001, I2=43%. APC methylation was not associated with grade, stage of CRC as well as tumor location, patients' gender, and smoking behavior. The results indicate that APC promoter hypermethylation is an early event in carcinogenesis of CRC, could be a valuable diagnostic marker for early-stage CRC. APC methylation is not significantly associated with overall survival in patients with CRC. APC is a potential drug target for development of personalized treatment.</description><identifier>ISSN: 1949-2553</identifier><identifier>EISSN: 1949-2553</identifier><identifier>DOI: 10.18632/oncotarget.17576</identifier><identifier>PMID: 28515349</identifier><language>eng</language><publisher>United States: Impact Journals LLC</publisher><subject>Adenomatous Polyposis Coli Protein - genetics ; Biomarkers, Tumor ; Colorectal Neoplasms - diagnosis ; Colorectal Neoplasms - genetics ; DNA Methylation ; Early Detection of Cancer ; Epigenesis, Genetic ; Female ; Genetic Association Studies ; Genetic Predisposition to Disease ; Humans ; Male ; Meta-Analysis ; Neoplasm Grading ; Neoplasm Staging ; Odds Ratio ; Promoter Regions, Genetic ; Publication Bias ; Sex Factors</subject><ispartof>Oncotarget, 2017-07, Vol.8 (28), p.46468-46479</ispartof><rights>Copyright: © 2017 Liang et al. 2017</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-17e8cb55611db68ea8abdb54c0c55ff8357f8ee3e33ca976447a696d327e3b493</citedby><cites>FETCH-LOGICAL-c422t-17e8cb55611db68ea8abdb54c0c55ff8357f8ee3e33ca976447a696d327e3b493</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5542282/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5542282/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28515349$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liang, Tie-Jun</creatorcontrib><creatorcontrib>Wang, Hong-Xu</creatorcontrib><creatorcontrib>Zheng, Yan-Yan</creatorcontrib><creatorcontrib>Cao, Ying-Qing</creatorcontrib><creatorcontrib>Wu, Xiaoyu</creatorcontrib><creatorcontrib>Zhou, Xin</creatorcontrib><creatorcontrib>Dong, Shu-Xiao</creatorcontrib><title>APC hypermethylation for early diagnosis of colorectal cancer: a meta-analysis and literature review</title><title>Oncotarget</title><addtitle>Oncotarget</addtitle><description>Adenomatous polyposis coli (APC) promoter hypermethylation has been frequently observed in colorectal cancer (CRC). The association between APC promoter methylation and clinicopathological significance in CRC is under investigation. We performed a meta-analysis to quantitatively evaluate the significance of APC methylation in CRC. The study included a total of 24 articles and 2025 CRC patients. The frequency of APC promoter hypermethylation was significantly higher in colorectal adenoma than in normal colorectal tissue, OR was 5.76, 95% CI, 2.45-13.56; p&lt;0.0001, I2=0%. APC promoter more frequently hypermethylated in CRC stage I compared to normal colorectal tissue, OR was 13.42, 95% CI, 3.66-49.20; p&lt;0.0001, I2=31%. The risk of incidence of CRC was significantly correlated to APC promoter hypermethylation, pooled OR was 9.80, 95%CI, 6.07-15.81; p&lt;0.00001, I2=43%. APC methylation was not associated with grade, stage of CRC as well as tumor location, patients' gender, and smoking behavior. The results indicate that APC promoter hypermethylation is an early event in carcinogenesis of CRC, could be a valuable diagnostic marker for early-stage CRC. APC methylation is not significantly associated with overall survival in patients with CRC. 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subjects Adenomatous Polyposis Coli Protein - genetics
Biomarkers, Tumor
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - genetics
DNA Methylation
Early Detection of Cancer
Epigenesis, Genetic
Female
Genetic Association Studies
Genetic Predisposition to Disease
Humans
Male
Meta-Analysis
Neoplasm Grading
Neoplasm Staging
Odds Ratio
Promoter Regions, Genetic
Publication Bias
Sex Factors
title APC hypermethylation for early diagnosis of colorectal cancer: a meta-analysis and literature review
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