Circulating methylated THBS1 DNAs as a novel marker for predicting peritoneal dissemination in gastric cancer

Objectives Thrombospondin 1 (THBS1) is known to play a key role in tumor metastasis, and aberrant DNA methylation is one of the mechanisms regulating THBS1. The present study investigated whether methylated THBS1 in circulating cell‐free DNA from preoperative peritoneal lavage fluid (PPLF) and perip...

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Veröffentlicht in:Journal of clinical laboratory analysis 2021-09, Vol.35 (9), p.e23936-n/a
Hauptverfasser: Hu, Xuan‐Yu, Ling, Zhe‐Nan, Hong, Lian‐Lian, Yu, Qi‐Ming, Li, Pei, Ling, Zhi‐Qiang
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container_title Journal of clinical laboratory analysis
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creator Hu, Xuan‐Yu
Ling, Zhe‐Nan
Hong, Lian‐Lian
Yu, Qi‐Ming
Li, Pei
Ling, Zhi‐Qiang
description Objectives Thrombospondin 1 (THBS1) is known to play a key role in tumor metastasis, and aberrant DNA methylation is one of the mechanisms regulating THBS1. The present study investigated whether methylated THBS1 in circulating cell‐free DNA from preoperative peritoneal lavage fluid (PPLF) and peripheral blood could be used as a potential biomarker for predicting peritoneal dissemination in gastric cancer (GC) patients. Methods The status of THBS1 methylation was detected by quantitative methylation‐specific PCR (MSP) in tumor tissues, paired PPLF, and serum from 92 GC patients. The correlation between methylated THBS1 levels and peritoneal dissemination of GC was studied, and its diagnostic value for predicting peritoneal dissemination was clarified by the receiver operating characteristic (ROC) curve. Results Aberrant THBS1 methylation in tumor tissues was significantly higher than that in paracancerous normal tissues (p 
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The present study investigated whether methylated THBS1 in circulating cell‐free DNA from preoperative peritoneal lavage fluid (PPLF) and peripheral blood could be used as a potential biomarker for predicting peritoneal dissemination in gastric cancer (GC) patients. Methods The status of THBS1 methylation was detected by quantitative methylation‐specific PCR (MSP) in tumor tissues, paired PPLF, and serum from 92 GC patients. The correlation between methylated THBS1 levels and peritoneal dissemination of GC was studied, and its diagnostic value for predicting peritoneal dissemination was clarified by the receiver operating characteristic (ROC) curve. Results Aberrant THBS1 methylation in tumor tissues was significantly higher than that in paracancerous normal tissues (p &lt; 0.0001). No THBS1 methylation was found in 40 healthy controls, and partial methylation was detected in 3 of 48 patients with chronic non‐atrophic gastritis. The frequency of THBS1 methylation in pairing PPLF and serum from 92 GC patients was 52.2% (48/92) and 58.7% (54/92), respectively. The results of methylated THBS1 in pairing PPLF and serum were similar to those of tumor tissues. Aberrant THBS1 methylation in tumor tissues and pairing PPLF or serum was closely related to peritoneal dissemination, tumor progression, and poor prognosis (all p &lt; 0.0001). Conclusion Circulating methylated THBS1 DNAs in PPLF/serum may predict peritoneal dissemination, a potential poor prognostic factor for GC patients. Postoperative recurrence of gastric cancer usually occurs in the peritoneum, and peritoneal dissemination and recurrence are the main causes of poor prognosis. Therefore, it is very necessary to find a biomarker that can predict peritoneal dissemination of gastric cancer cells. Here, we found that THBS1 methylation levels in preoperative serum or peritoneal fluid can accurately predict peritoneal dissemination and suggest a poor prognosis in patients with gastric cancer.</description><identifier>ISSN: 0887-8013</identifier><identifier>EISSN: 1098-2825</identifier><identifier>DOI: 10.1002/jcla.23936</identifier><identifier>PMID: 34390026</identifier><language>eng</language><publisher>United States: John Wiley &amp; Sons, Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Angiogenesis ; Antigens ; Ascitic Fluid - metabolism ; Ascitic Fluid - pathology ; Biomarkers ; Biomarkers, Tumor - blood ; Biomarkers, Tumor - genetics ; Biopsy ; Case-Control Studies ; Cellular biology ; Circulating Tumor DNA - blood ; Circulating Tumor DNA - genetics ; Deoxyribonucleic acid ; DNA ; DNA Methylation ; Female ; Follow-Up Studies ; Gastric cancer ; gastric carcinoma ; Gastritis ; Genetic testing ; Hospitals ; Humans ; Male ; Medical prognosis ; Medical research ; Metastases ; Metastasis ; methylation ; Middle Aged ; Peripheral blood ; peritoneal dissemination ; Peritoneal Neoplasms - blood ; Peritoneal Neoplasms - genetics ; Peritoneal Neoplasms - secondary ; Peritoneal Neoplasms - surgery ; Peritoneum ; Prognosis ; Stomach Neoplasms - blood ; Stomach Neoplasms - genetics ; Stomach Neoplasms - pathology ; Stomach Neoplasms - surgery ; Survival analysis ; Survival Rate ; THBS1 gene ; Thrombospondin ; Thrombospondin 1 - blood ; Thrombospondin 1 - genetics ; Tumorigenesis</subject><ispartof>Journal of clinical laboratory analysis, 2021-09, Vol.35 (9), p.e23936-n/a</ispartof><rights>2021 The Authors. published by Wiley Periodicals LLC</rights><rights>2021 The Authors. Journal of Clinical Laboratory Analysis published by Wiley Periodicals LLC.</rights><rights>2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4486-f4225ddd569ba5af1df984062d388681606db4dc199f133463cf2abcb97fe5a33</citedby><cites>FETCH-LOGICAL-c4486-f4225ddd569ba5af1df984062d388681606db4dc199f133463cf2abcb97fe5a33</cites><orcidid>0000-0003-2155-1111</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8418496/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8418496/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,1411,11541,27901,27902,45550,45551,46027,46451,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34390026$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hu, Xuan‐Yu</creatorcontrib><creatorcontrib>Ling, Zhe‐Nan</creatorcontrib><creatorcontrib>Hong, Lian‐Lian</creatorcontrib><creatorcontrib>Yu, Qi‐Ming</creatorcontrib><creatorcontrib>Li, Pei</creatorcontrib><creatorcontrib>Ling, Zhi‐Qiang</creatorcontrib><title>Circulating methylated THBS1 DNAs as a novel marker for predicting peritoneal dissemination in gastric cancer</title><title>Journal of clinical laboratory analysis</title><addtitle>J Clin Lab Anal</addtitle><description>Objectives Thrombospondin 1 (THBS1) is known to play a key role in tumor metastasis, and aberrant DNA methylation is one of the mechanisms regulating THBS1. The present study investigated whether methylated THBS1 in circulating cell‐free DNA from preoperative peritoneal lavage fluid (PPLF) and peripheral blood could be used as a potential biomarker for predicting peritoneal dissemination in gastric cancer (GC) patients. Methods The status of THBS1 methylation was detected by quantitative methylation‐specific PCR (MSP) in tumor tissues, paired PPLF, and serum from 92 GC patients. The correlation between methylated THBS1 levels and peritoneal dissemination of GC was studied, and its diagnostic value for predicting peritoneal dissemination was clarified by the receiver operating characteristic (ROC) curve. Results Aberrant THBS1 methylation in tumor tissues was significantly higher than that in paracancerous normal tissues (p &lt; 0.0001). No THBS1 methylation was found in 40 healthy controls, and partial methylation was detected in 3 of 48 patients with chronic non‐atrophic gastritis. The frequency of THBS1 methylation in pairing PPLF and serum from 92 GC patients was 52.2% (48/92) and 58.7% (54/92), respectively. The results of methylated THBS1 in pairing PPLF and serum were similar to those of tumor tissues. Aberrant THBS1 methylation in tumor tissues and pairing PPLF or serum was closely related to peritoneal dissemination, tumor progression, and poor prognosis (all p &lt; 0.0001). Conclusion Circulating methylated THBS1 DNAs in PPLF/serum may predict peritoneal dissemination, a potential poor prognostic factor for GC patients. Postoperative recurrence of gastric cancer usually occurs in the peritoneum, and peritoneal dissemination and recurrence are the main causes of poor prognosis. Therefore, it is very necessary to find a biomarker that can predict peritoneal dissemination of gastric cancer cells. Here, we found that THBS1 methylation levels in preoperative serum or peritoneal fluid can accurately predict peritoneal dissemination and suggest a poor prognosis in patients with gastric cancer.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angiogenesis</subject><subject>Antigens</subject><subject>Ascitic Fluid - metabolism</subject><subject>Ascitic Fluid - pathology</subject><subject>Biomarkers</subject><subject>Biomarkers, Tumor - blood</subject><subject>Biomarkers, Tumor - genetics</subject><subject>Biopsy</subject><subject>Case-Control Studies</subject><subject>Cellular biology</subject><subject>Circulating Tumor DNA - blood</subject><subject>Circulating Tumor DNA - genetics</subject><subject>Deoxyribonucleic acid</subject><subject>DNA</subject><subject>DNA Methylation</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastric cancer</subject><subject>gastric carcinoma</subject><subject>Gastritis</subject><subject>Genetic testing</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Medical research</subject><subject>Metastases</subject><subject>Metastasis</subject><subject>methylation</subject><subject>Middle Aged</subject><subject>Peripheral blood</subject><subject>peritoneal dissemination</subject><subject>Peritoneal Neoplasms - blood</subject><subject>Peritoneal Neoplasms - genetics</subject><subject>Peritoneal Neoplasms - secondary</subject><subject>Peritoneal Neoplasms - surgery</subject><subject>Peritoneum</subject><subject>Prognosis</subject><subject>Stomach Neoplasms - blood</subject><subject>Stomach Neoplasms - genetics</subject><subject>Stomach Neoplasms - pathology</subject><subject>Stomach Neoplasms - surgery</subject><subject>Survival analysis</subject><subject>Survival Rate</subject><subject>THBS1 gene</subject><subject>Thrombospondin</subject><subject>Thrombospondin 1 - blood</subject><subject>Thrombospondin 1 - genetics</subject><subject>Tumorigenesis</subject><issn>0887-8013</issn><issn>1098-2825</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kV1rFDEUhoModlu98QdIwBsRpuZrssmNsF0_qix6Yb0OmSSzzTaTbJOZyv77Zru1WC-EAzmQ5zycwwvAK4xOMULk_cYEfUqopPwJmGEkRUMEaZ-CGRJi3giE6RE4LmWDEBIS8-fgiDIq6ySfgWHps5mCHn1cw8GNl7vaOwsvzs9-Yvjx-6JAXQvGdOMCHHS-chn2KcNtdtabu7Gty35M0ekArS_FDT5WX4rQR7jWZczeQKOjcfkFeNbrUNzL-_cE_Pr86WJ53qx-fPm6XKwaw5jgTc8Iaa21LZedbnWPbS8FQ5xYKgQXmCNuO2YNlrLHlDJOTU90Zzo5712rKT0BHw7e7dQNzhoXx6yD2mZfL9ippL16_BP9pVqnGyUYFkzyKnh7L8jpenJlVIMvxoWgo0tTUaTlmAmBmKjom3_QTZpyrOftKYkEnjNUqXcHyuRUSnb9wzIYqX2Kap-iukuxwq__Xv8B_RNbBfAB-O2D2_1Hpb4tV4uD9BbPwqjf</recordid><startdate>202109</startdate><enddate>202109</enddate><creator>Hu, Xuan‐Yu</creator><creator>Ling, Zhe‐Nan</creator><creator>Hong, Lian‐Lian</creator><creator>Yu, Qi‐Ming</creator><creator>Li, Pei</creator><creator>Ling, Zhi‐Qiang</creator><general>John Wiley &amp; 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Ling, Zhe‐Nan ; Hong, Lian‐Lian ; Yu, Qi‐Ming ; Li, Pei ; Ling, Zhi‐Qiang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4486-f4225ddd569ba5af1df984062d388681606db4dc199f133463cf2abcb97fe5a33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angiogenesis</topic><topic>Antigens</topic><topic>Ascitic Fluid - metabolism</topic><topic>Ascitic Fluid - pathology</topic><topic>Biomarkers</topic><topic>Biomarkers, Tumor - blood</topic><topic>Biomarkers, Tumor - genetics</topic><topic>Biopsy</topic><topic>Case-Control Studies</topic><topic>Cellular biology</topic><topic>Circulating Tumor DNA - blood</topic><topic>Circulating Tumor DNA - genetics</topic><topic>Deoxyribonucleic acid</topic><topic>DNA</topic><topic>DNA Methylation</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gastric cancer</topic><topic>gastric carcinoma</topic><topic>Gastritis</topic><topic>Genetic testing</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Medical research</topic><topic>Metastases</topic><topic>Metastasis</topic><topic>methylation</topic><topic>Middle Aged</topic><topic>Peripheral blood</topic><topic>peritoneal dissemination</topic><topic>Peritoneal Neoplasms - blood</topic><topic>Peritoneal Neoplasms - genetics</topic><topic>Peritoneal Neoplasms - secondary</topic><topic>Peritoneal Neoplasms - surgery</topic><topic>Peritoneum</topic><topic>Prognosis</topic><topic>Stomach Neoplasms - blood</topic><topic>Stomach Neoplasms - genetics</topic><topic>Stomach Neoplasms - pathology</topic><topic>Stomach Neoplasms - surgery</topic><topic>Survival analysis</topic><topic>Survival Rate</topic><topic>THBS1 gene</topic><topic>Thrombospondin</topic><topic>Thrombospondin 1 - blood</topic><topic>Thrombospondin 1 - genetics</topic><topic>Tumorigenesis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hu, Xuan‐Yu</creatorcontrib><creatorcontrib>Ling, Zhe‐Nan</creatorcontrib><creatorcontrib>Hong, Lian‐Lian</creatorcontrib><creatorcontrib>Yu, Qi‐Ming</creatorcontrib><creatorcontrib>Li, Pei</creatorcontrib><creatorcontrib>Ling, Zhi‐Qiang</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium &amp; 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Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Biological Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical laboratory analysis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hu, Xuan‐Yu</au><au>Ling, Zhe‐Nan</au><au>Hong, Lian‐Lian</au><au>Yu, Qi‐Ming</au><au>Li, Pei</au><au>Ling, Zhi‐Qiang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Circulating methylated THBS1 DNAs as a novel marker for predicting peritoneal dissemination in gastric cancer</atitle><jtitle>Journal of clinical laboratory analysis</jtitle><addtitle>J Clin Lab Anal</addtitle><date>2021-09</date><risdate>2021</risdate><volume>35</volume><issue>9</issue><spage>e23936</spage><epage>n/a</epage><pages>e23936-n/a</pages><issn>0887-8013</issn><eissn>1098-2825</eissn><abstract>Objectives Thrombospondin 1 (THBS1) is known to play a key role in tumor metastasis, and aberrant DNA methylation is one of the mechanisms regulating THBS1. The present study investigated whether methylated THBS1 in circulating cell‐free DNA from preoperative peritoneal lavage fluid (PPLF) and peripheral blood could be used as a potential biomarker for predicting peritoneal dissemination in gastric cancer (GC) patients. Methods The status of THBS1 methylation was detected by quantitative methylation‐specific PCR (MSP) in tumor tissues, paired PPLF, and serum from 92 GC patients. The correlation between methylated THBS1 levels and peritoneal dissemination of GC was studied, and its diagnostic value for predicting peritoneal dissemination was clarified by the receiver operating characteristic (ROC) curve. Results Aberrant THBS1 methylation in tumor tissues was significantly higher than that in paracancerous normal tissues (p &lt; 0.0001). No THBS1 methylation was found in 40 healthy controls, and partial methylation was detected in 3 of 48 patients with chronic non‐atrophic gastritis. The frequency of THBS1 methylation in pairing PPLF and serum from 92 GC patients was 52.2% (48/92) and 58.7% (54/92), respectively. The results of methylated THBS1 in pairing PPLF and serum were similar to those of tumor tissues. Aberrant THBS1 methylation in tumor tissues and pairing PPLF or serum was closely related to peritoneal dissemination, tumor progression, and poor prognosis (all p &lt; 0.0001). Conclusion Circulating methylated THBS1 DNAs in PPLF/serum may predict peritoneal dissemination, a potential poor prognostic factor for GC patients. Postoperative recurrence of gastric cancer usually occurs in the peritoneum, and peritoneal dissemination and recurrence are the main causes of poor prognosis. Therefore, it is very necessary to find a biomarker that can predict peritoneal dissemination of gastric cancer cells. Here, we found that THBS1 methylation levels in preoperative serum or peritoneal fluid can accurately predict peritoneal dissemination and suggest a poor prognosis in patients with gastric cancer.</abstract><cop>United States</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>34390026</pmid><doi>10.1002/jcla.23936</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-2155-1111</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Angiogenesis
Antigens
Ascitic Fluid - metabolism
Ascitic Fluid - pathology
Biomarkers
Biomarkers, Tumor - blood
Biomarkers, Tumor - genetics
Biopsy
Case-Control Studies
Cellular biology
Circulating Tumor DNA - blood
Circulating Tumor DNA - genetics
Deoxyribonucleic acid
DNA
DNA Methylation
Female
Follow-Up Studies
Gastric cancer
gastric carcinoma
Gastritis
Genetic testing
Hospitals
Humans
Male
Medical prognosis
Medical research
Metastases
Metastasis
methylation
Middle Aged
Peripheral blood
peritoneal dissemination
Peritoneal Neoplasms - blood
Peritoneal Neoplasms - genetics
Peritoneal Neoplasms - secondary
Peritoneal Neoplasms - surgery
Peritoneum
Prognosis
Stomach Neoplasms - blood
Stomach Neoplasms - genetics
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
Survival analysis
Survival Rate
THBS1 gene
Thrombospondin
Thrombospondin 1 - blood
Thrombospondin 1 - genetics
Tumorigenesis
title Circulating methylated THBS1 DNAs as a novel marker for predicting peritoneal dissemination in gastric cancer
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