促凋亡基因caspase-8的CpG岛启动子高甲基化是复发性多形性胶质母细胞瘤的常见特征。
CpG island promoter hypermethylation of the pro-apoptotic gene caspase-8 is a common hallmark of relapsed glioblastoma multiforme.
作者信息
Martinez Ramon, Setien Fernando, Voelter Christiane, Casado Sara, Quesada Maria P, Schackert Gabriele, Esteller Manel
机构信息
Department of Neurosurgery, University of Dresden, Fetscherstrasse 74, Dresden, Germany.
出版信息
Carcinogenesis. 2007 Jun;28(6):1264-8. doi: 10.1093/carcin/bgm014. Epub 2007 Feb 1.
Glioblastoma multiforme (GBM) is an incurable malignancy with inherent tendency to recur. In this study, we have comparatively analyzed the epigenetic profile of 32 paired tumor samples of relapsed GBM and their corresponding primary neoplasms with special attention to genes involved in the mitochondria-independent apoptotic pathway. The CpG island promoter hypermethylation status was assessed by methylation-specific polymerase chain reaction and selected samples were double checked by bisulfite genomic sequencing. Thirteen genes were analyzed for DNA methylation: the pro-apoptotic CASP8, CASP3, CASP9, DcR1, DR4, DR5 and TMS1; the cell adherence CDH1 and CDH13; the candidate tumor suppressor RASSF1A and BLU; the cell cycle regulator CHFR and the DNA repair MGMT. The CpG island promoter hypermethylation profile of relapsed GBM in comparison with their corresponding primary tumors was identical in 37.5% of the cases, whereas in 62.5% of patients, differences in the DNA methylation patterns of the 13 genes were observed. The most prominent distinction was the presence of previously undetected CASP8 hypermethylation in the GBM relapses (P = 0.031). This finding was also linked to the observation that an unmethylated CASP8 CpG island together with methylated BLU promoter in the primary GBM was associated with prolonged time to tumor progression (P = 0.0035). Our data strongly suggest that hypermethylation of the pro-apoptotic CASP8 is a differential feature of GBM relapses. These remarkable findings may foster the development of therapeutic approaches using DNA demethylating drugs and activators of the extrinsic apoptotic pathway to improve the dismal prognosis of GBM.
多形性胶质母细胞瘤(GBM)是一种无法治愈的恶性肿瘤,具有复发的内在倾向。在本研究中,我们对32对复发性GBM肿瘤样本及其相应的原发性肿瘤的表观遗传特征进行了比较分析,特别关注参与线粒体非依赖性凋亡途径的基因。通过甲基化特异性聚合酶链反应评估CpG岛启动子的高甲基化状态,并通过亚硫酸氢盐基因组测序对选定的样本进行二次检查。分析了13个基因的DNA甲基化情况:促凋亡基因CASP8、CASP3、CASP9、DcR1、DR4、DR5和TMS1;细胞黏附相关基因CDH1和CDH13;候选肿瘤抑制基因RASSF1A和BLU;细胞周期调节基因CHFR以及DNA修复基因MGMT。与相应原发性肿瘤相比,复发性GBM的CpG岛启动子高甲基化谱在37.5%的病例中是相同的,而在62.5%的患者中,观察到13个基因的DNA甲基化模式存在差异。最显著的区别是在GBM复发中存在先前未检测到的CASP8高甲基化(P = 0.031)。这一发现还与以下观察结果相关:原发性GBM中未甲基化的CASP8 CpG岛与甲基化的BLU启动子一起与肿瘤进展时间延长相关(P = 0.0035)。我们的数据强烈表明,促凋亡基因CASP8的高甲基化是GBM复发的一个特征性差异。这些显著发现可能会促进使用DNA去甲基化药物和外源性凋亡途径激活剂的治疗方法的发展,以改善GBM的不良预后。