AIM:To investigate whether gene methylation in the peritoneal fluid (PF) predicts peritoneal recurrence in gastric cancer patients.METHODS: The gene methylation of CHFR (checkpoint with forkhead and ring finger domain...AIM:To investigate whether gene methylation in the peritoneal fluid (PF) predicts peritoneal recurrence in gastric cancer patients.METHODS: The gene methylation of CHFR (checkpoint with forkhead and ring finger domains), p16, RUNX3 (runt-related transcription factor 3), E-cadherin, hMLH1 (mutL homolog 1), ABCG2 (ATP-binding cassette, sub-family G, member 2) and BNIP3 (BCL2/adenovirus E1B 19 kDa interacting protein 3) were analyzed in 80 specimens of PF by quantitative methylation-specific polymerase chain reaction (PCR). Eighty patients were divided into 3 groups; Group A (n=35):the depth of cancer invasion was less than the muscularis propria; Group B (n=31): the depth of cancer invasion was beyond the muscularis propria. Both group A and B were diagnosed as no cancer cells in peritoneal cytology and histology; Group C (n=14): disseminated nodule was histologically diagnosed or cancer cells were cytologically defi ned in the peritoneal cavity.RESULTS: The positive rates of methylation in CHFR, E-cadherin and BNIP3 were significantly different among the 3 groups and increased in order of group A, B and C (0%,0% and 21% in CHFR, P<0.05; 20%, 45% and 50% in E-cadherin, P<0.05;26%,35% and 71% in BNIP3, P<0.05). In addition, the multigene methylation rate among CHFR, E-cadherin and BNIP3 was correlated with group A, B and C (9%,19% and 57%, P<0.001). Moreover, the prognosis was analyzed in group B, excluding 3 patients who underwent a non-curative resection. Two of the 5 patients with multigene methylation showed peritoneal recurrence after surgery, while those without or with a single gene methylation did not experience recurrence (P<0.05).CONCLUSION: This study suggested that gene methylation in the PF could detect occult neoplastic cells in the peritoneum and might be a risk factor for peritoneal metastasis.展开更多
目的:探讨lgr5甲基化与人类卵巢癌临床病理之间的联系,以及其作为判定总的生存率的价值。方法:采用甲基化特异性聚合酶链式反应(methylation specific polymerase chain reaction,MSP)方法分析卵巢癌患者石蜡组织中lgr5启动子DNA甲基化...目的:探讨lgr5甲基化与人类卵巢癌临床病理之间的联系,以及其作为判定总的生存率的价值。方法:采用甲基化特异性聚合酶链式反应(methylation specific polymerase chain reaction,MSP)方法分析卵巢癌患者石蜡组织中lgr5启动子DNA甲基化情况。结果:lgr5在正常卵巢组织中几乎无甲基化改变,而在良性卵巢肿瘤中频率升高,上皮性卵巢癌组织中甲基化频率明显升高(P<0.01);lgr5甲基化与低分化上皮性卵巢癌(P<0.01)、肿瘤分期Ⅲ～Ⅳ(P<0.05)以及淋巴结转移(P<0.01)相关,但与组织类型关系不明显(P>0.05)。在70例上皮性卵巢癌患者组织中,lgr5甲基化频率为62.9%(44/70),并且5年总的生存率明显低于未甲基化的患者(P<0.05)。结论:lgr5甲基化与上皮性卵巢癌分化程度、肿瘤分期Ⅲ～Ⅳ以及淋巴结转移密切相关,同时也可以作为上皮性卵巢癌患者总的生存率的判定指标之一。展开更多
基金Supported by Fund from the Department of Surgery,Saga University Faculty of Medicine
文摘AIM:To investigate whether gene methylation in the peritoneal fluid (PF) predicts peritoneal recurrence in gastric cancer patients.METHODS: The gene methylation of CHFR (checkpoint with forkhead and ring finger domains), p16, RUNX3 (runt-related transcription factor 3), E-cadherin, hMLH1 (mutL homolog 1), ABCG2 (ATP-binding cassette, sub-family G, member 2) and BNIP3 (BCL2/adenovirus E1B 19 kDa interacting protein 3) were analyzed in 80 specimens of PF by quantitative methylation-specific polymerase chain reaction (PCR). Eighty patients were divided into 3 groups; Group A (n=35):the depth of cancer invasion was less than the muscularis propria; Group B (n=31): the depth of cancer invasion was beyond the muscularis propria. Both group A and B were diagnosed as no cancer cells in peritoneal cytology and histology; Group C (n=14): disseminated nodule was histologically diagnosed or cancer cells were cytologically defi ned in the peritoneal cavity.RESULTS: The positive rates of methylation in CHFR, E-cadherin and BNIP3 were significantly different among the 3 groups and increased in order of group A, B and C (0%,0% and 21% in CHFR, P<0.05; 20%, 45% and 50% in E-cadherin, P<0.05;26%,35% and 71% in BNIP3, P<0.05). In addition, the multigene methylation rate among CHFR, E-cadherin and BNIP3 was correlated with group A, B and C (9%,19% and 57%, P<0.001). Moreover, the prognosis was analyzed in group B, excluding 3 patients who underwent a non-curative resection. Two of the 5 patients with multigene methylation showed peritoneal recurrence after surgery, while those without or with a single gene methylation did not experience recurrence (P<0.05).CONCLUSION: This study suggested that gene methylation in the PF could detect occult neoplastic cells in the peritoneum and might be a risk factor for peritoneal metastasis.
文摘目的:探讨lgr5甲基化与人类卵巢癌临床病理之间的联系,以及其作为判定总的生存率的价值。方法:采用甲基化特异性聚合酶链式反应(methylation specific polymerase chain reaction,MSP)方法分析卵巢癌患者石蜡组织中lgr5启动子DNA甲基化情况。结果:lgr5在正常卵巢组织中几乎无甲基化改变,而在良性卵巢肿瘤中频率升高,上皮性卵巢癌组织中甲基化频率明显升高(P<0.01);lgr5甲基化与低分化上皮性卵巢癌(P<0.01)、肿瘤分期Ⅲ～Ⅳ(P<0.05)以及淋巴结转移(P<0.01)相关,但与组织类型关系不明显(P>0.05)。在70例上皮性卵巢癌患者组织中,lgr5甲基化频率为62.9%(44/70),并且5年总的生存率明显低于未甲基化的患者(P<0.05)。结论:lgr5甲基化与上皮性卵巢癌分化程度、肿瘤分期Ⅲ～Ⅳ以及淋巴结转移密切相关,同时也可以作为上皮性卵巢癌患者总的生存率的判定指标之一。
