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肝细胞癌中与乙型肝炎病毒感染相关的DNA甲基化差异

Differential DNA methylation associated with hepatitis B virus infection in hepatocellular carcinoma.

作者信息

Su Pei-Fen, Lee Te-Chang, Lin Pei-Ju, Lee Po-Huang, Jeng Yung-Ming, Chen Chien-Hung, Liang Ja-Der, Chiou Ling-Ling, Huang Guan-Tarn, Lee Hsuan-Shu

机构信息

Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan, Republic of China.

出版信息

Int J Cancer. 2007 Sep 15;121(6):1257-64. doi: 10.1002/ijc.22849.

Abstract

Gene inactivation through DNA hypermethylation plays a pivotal role in carcinogenesis. This study aimed to profile aberrant DNA methylation in different stages of liver disease, namely noncirrhosis, cirrhosis and hepatocellular carcinoma (HCC), and also to clarify the influence of hepatitis B virus (HBV) infection on the aberrant DNA methylation in HCCs. Promoter methylation in p14(ARF), p16(INK4a), O(6)-methylguanine-DNA methyltransferase (MGMT), glutathione S-transferase pi (GSTP1) and E-cadherin (E-Cad) genes of 58 HCCs paired with adjacent nontumorous tissues was assayed by methylation-specific PCR. HBV infection was determined using a hepatitis B virus surface antigen (HBsAg) serological assay. The frequency of p16(INK4a) promoter methylation increased from noncirrhotic, cirrhotic, to HCC tissues (noncirrhotic vs. HCC, p < 0.001), while that of GSTP1 promoter methylation increased in cirrhotic tissues compared to noncirrhotic ones (p = 0.029). The frequency of GSTP1 promoter hypermethylation is significantly higher in HCC than in nontumorous tissues (p = 0.022) from HBsAg-positive patients, but not the HBsAg-negative controls (p = 0.289). While the frequency of E-Cad promoter hypermethylation remained high in both nontumorous tissues and HCCs from HBsAg-positive patients (p = 0.438), it was lower in HCCs than in nontumorous tissues from HBsAg-negative patients (p = 0.002). In contrast, the frequency of p16(INK4a), MGMT and p14(ARF) promoter hypermethylation in HCCs was unrelated to HBsAg status. In conclusion, aberrant DNA methylation may begin at different stages of liver disease in a gene-dependent manner. Moreover, HBV infection may enhance or maintain GSTP1 and E-Cad promoter methylation and thereby affect hepatocarcinogenesis.

摘要

通过DNA高甲基化导致的基因失活在致癌过程中起关键作用。本研究旨在分析不同肝病阶段(即非肝硬化、肝硬化和肝细胞癌(HCC))中异常的DNA甲基化情况,并阐明乙型肝炎病毒(HBV)感染对HCC中异常DNA甲基化的影响。通过甲基化特异性PCR检测了58例HCC及其配对的癌旁非肿瘤组织中p14(ARF)、p16(INK4a)、O(6)-甲基鸟嘌呤-DNA甲基转移酶(MGMT)、谷胱甘肽S-转移酶pi(GSTP1)和E-钙黏蛋白(E-Cad)基因的启动子甲基化情况。采用乙型肝炎病毒表面抗原(HBsAg)血清学检测法确定HBV感染情况。从非肝硬化组织到肝硬化组织再到HCC组织,p16(INK4a)启动子甲基化频率逐渐升高(非肝硬化组织与HCC组织相比,p < 0.001),而与非肝硬化组织相比,肝硬化组织中GSTP1启动子甲基化频率升高(p = 0.029)。在HBsAg阳性患者的HCC中,GSTP1启动子高甲基化频率显著高于非肿瘤组织(p = 0.022),但在HBsAg阴性对照中无显著差异(p = 0.289)。在HBsAg阳性患者的非肿瘤组织和HCC中,E-Cad启动子高甲基化频率均保持较高水平(p = 0.438),而在HBsAg阴性患者中,HCC中的E-Cad启动子高甲基化频率低于非肿瘤组织(p = 0.002)。相反,HCC中p16(INK4a)、MGMT和p14(ARF)启动子高甲基化频率与HBsAg状态无关。总之,异常的DNA甲基化可能以基因依赖的方式在肝病的不同阶段开始。此外,HBV感染可能增强或维持GSTP1和E-Cad启动子甲基化,从而影响肝癌发生。

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