Ogino Shuji, Kawasaki Takako, Ogawa Akiyo, Kirkner Gregory J, Loda Massimo, Fuchs Charles S
Department of Pathology, Brigham and Women's Hospital, Boston, MA 02115, USA.
Hum Pathol. 2007 Apr;38(4):585-92. doi: 10.1016/j.humpath.2006.09.014. Epub 2007 Jan 19.
Cytoplasmic mislocalization of p27 (CDKN1B/KIP1) is caused by activated AKT1 and has been associated with poor prognosis in various cancers. CIMP in colorectal cancer is characterized by extensive promoter methylation and is associated with MSI-MSI-H and BRAF mutations. We have recently shown a positive correlation between MSI/CIMP and loss of nuclear p27. However, no study has examined cytoplasmic p27 mislocalization in relation to CIMP and MSI in colorectal cancer. Using MethyLight assays, we quantified DNA methylation in 8 CIMP-specific gene promoters (CACNA1G, CDKN2A (p16), CRABP1, IGF2, MLH1, NEUROG1, RUNX3, and SOCS1) in 853 colorectal cancer samples obtained from 2 large prospective cohorts. We assessed expressions of nuclear and cytoplasmic p27 and nuclear p53 by immunohistochemistry. Cytoplasmic p27 expression was inversely associated with loss of nuclear p27 (P < .0001), CIMP-high (P < .0001), MSI-H (P < .0001), and BRAF mutations (P < .0001). The inverse association of cytoplasmic p27 with CIMP-high (or MSI-H) was independent of MSI (or CIMP) status. In addition, the inverse association of cytoplasmic p27 with CIMP-high was independent of KRAS/BRAF status. BRAF and CDKN2A (p16) methylation were not correlated with cytoplasmic p27 after stratification by CIMP status. The inverse associations of cytoplasmic p27 with MSI-H and CIMP-high were much more pronounced in p53-negative than p53-positive tumors. In conclusion, cytoplasmic p27 expression is inversely associated with MSI-H and CIMP-high, particularly in p53-negative tumors, suggesting interplay of functional losses of p27 and p53 in the development of various molecular subtypes of colorectal cancer.
p27(CDKN1B/KIP1)的细胞质定位错误由激活的AKT1引起,并与多种癌症的不良预后相关。结直肠癌中的CIMP以广泛的启动子甲基化为特征,并与微卫星高度不稳定(MSI-H)和BRAF突变相关。我们最近发现MSI/CIMP与细胞核p27缺失之间存在正相关。然而,尚无研究探讨结直肠癌中细胞质p27定位错误与CIMP和MSI的关系。我们使用MethyLight分析方法,对从2个大型前瞻性队列中获得的853份结直肠癌样本的8个CIMP特异性基因启动子(CACNA1G、CDKN2A(p16)、CRABP1、IGF2、MLH1、NEUROG1、RUNX3和SOCS1)中的DNA甲基化进行了定量。我们通过免疫组织化学评估细胞核和细胞质p27以及细胞核p53的表达。细胞质p27表达与细胞核p27缺失(P <.0001)、CIMP高(P <.0001)、MSI-H(P <.0001)和BRAF突变(P <.0001)呈负相关。细胞质p27与CIMP高(或MSI-H)的负相关独立于MSI(或CIMP)状态。此外,细胞质p27与CIMP高的负相关独立于KRAS/BRAF状态。按CIMP状态分层后,BRAF和CDKN2A(p16)甲基化与细胞质p27不相关。在p53阴性肿瘤中,细胞质p27与MSI-H和CIMP高的负相关比p53阳性肿瘤中更为明显。总之,细胞质p27表达与MSI-H和CIMP高呈负相关,尤其是在p53阴性肿瘤中,提示p27和p53功能缺失在结直肠癌各种分子亚型发生发展中存在相互作用。