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波形蛋白甲基化作为晚期结直肠癌的标志物。

Vimentin methylation as a marker for advanced colorectal carcinoma.

作者信息

Shirahata Atsushi, Sakata Makiko, Sakuraba Kazuma, Goto Tetsuhiro, Mizukami Hiroki, Saito Mitsuo, Ishibashi Kazuyoshi, Kigawa Gaku, Nemoto Hiroshi, Sanada Yutaka, Hibi Kenji

机构信息

Department of Surgery, Showa University Fujigaoka Hospital, Aoba-ku, Yokohama 227-8501, Japan.

出版信息

Anticancer Res. 2009 Jan;29(1):279-81.

Abstract

BACKGROUND

Recently, it was shown that the Vimentin gene, usually activated in mesenchymal cells, was highly methylated in colorectal carcinoma. Moreover, Vimentin methylation can be applied for the screening or as a diagnostic tool of colorectal carcinomas in the fecal DNA test.

MATERIALS AND METHODS

The methylation status of the Vimentin gene was examined in primary carcinomas and the corresponding normal tissues derived from 48 patients with colorectal cancer using quantitative methylation-specific PCR (qMSP) and the correlation between the methylation status and the clinicopathological findings was evaluated.

RESULTS

Aberrant methylation of the Vimentin gene was detected in 31 out of 48 (65%) primary colorectal carcinomas. This result suggested that the aberrant methylation of the Vimentin gene was frequent in colorectal carcinomas. Subsequently, clinicopathological data were correlated with the methylation score. A significant difference was observed in age and Dukes' stage (p = 0.001 and p = 0.034, respectively). Moreover, a trend was shown toward preferentially developing liver metastasis and peritoneal dissemination in colorectal carcinomas with Vimentin methylation (p = 0.052 and p = 0.080, respectively).

CONCLUSION

Vimentin was frequently methylated in advanced colorectal carcinoma.

摘要

背景

最近研究表明,波形蛋白基因通常在间充质细胞中被激活,在结直肠癌中高度甲基化。此外,波形蛋白甲基化可用于粪便DNA检测中结直肠癌的筛查或作为诊断工具。

材料与方法

采用定量甲基化特异性PCR(qMSP)检测48例结直肠癌患者原发癌组织及相应正常组织中波形蛋白基因的甲基化状态,并评估甲基化状态与临床病理结果之间的相关性。

结果

48例原发性结直肠癌中,31例(65%)检测到波形蛋白基因异常甲基化。这一结果表明,波形蛋白基因异常甲基化在结直肠癌中很常见。随后,将临床病理数据与甲基化评分相关联。在年龄和杜克分期方面观察到显著差异(分别为p = 0.001和p = 0.034)。此外,波形蛋白甲基化的结直肠癌有优先发生肝转移和腹膜播散的趋势(分别为p = 0.052和p = 0.080)。

结论

波形蛋白在晚期结直肠癌中经常发生甲基化。

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