磷酸酶和肌动蛋白调节因子 3 的 DNA 甲基化可检测粪便中的结直肠癌,并与 FIT 互补。
DNA methylation of phosphatase and actin regulator 3 detects colorectal cancer in stool and complements FIT.
机构信息
Department of Pathology, VU University Medical Center, 1007 MB, Amsterdam, The Netherlands.
出版信息
Cancer Prev Res (Phila). 2012 Mar;5(3):464-72. doi: 10.1158/1940-6207.CAPR-11-0315. Epub 2011 Dec 1.
Using a bioinformatics-based strategy, we set out to identify hypermethylated genes that could serve as biomarkers for early detection of colorectal cancer (CRC) in stool. In addition, the complementary value to a Fecal Immunochemical Test (FIT) was evaluated. Candidate genes were selected by applying cluster alignment and computational analysis of promoter regions to microarray-expression data of colorectal adenomas and carcinomas. DNA methylation was measured by quantitative methylation-specific PCR on 34 normal colon mucosa, 71 advanced adenoma, and 64 CRC tissues. The performance as biomarker was tested in whole stool samples from in total 193 subjects, including 19 with advanced adenoma and 66 with CRC. For a large proportion of these series, methylation data for GATA4 and OSMR were available for comparison. The complementary value to FIT was measured in stool subsamples from 92 subjects including 44 with advanced adenoma or CRC. Phosphatase and Actin Regulator 3 (PHACTR3) was identified as a novel hypermethylated gene showing more than 70-fold increased DNA methylation levels in advanced neoplasia compared with normal colon mucosa. In a stool training set, PHACTR3 methylation showed a sensitivity of 55% (95% CI: 33-75) for CRC and a specificity of 95% (95% CI: 87-98). In a stool validation set, sensitivity reached 66% (95% CI: 50-79) for CRC and 32% (95% CI: 14-57) for advanced adenomas at a specificity of 100% (95% CI: 86-100). Adding PHACTR3 methylation to FIT increased sensitivity for CRC up to 15%. PHACTR3 is a new hypermethylated gene in CRC with a good performance in stool DNA testing and has complementary value to FIT.
我们采用基于生物信息学的策略,旨在鉴定出可作为粪便中结直肠癌(CRC)早期检测标志物的高甲基化基因。此外,还评估了粪便免疫化学检测(FIT)的互补价值。通过对结直肠腺瘤和癌的微阵列表达数据进行簇对齐和计算分析,选择候选基因。在 34 例正常结肠黏膜、71 例高级别腺瘤和 64 例 CRC 组织中,采用定量甲基化特异性 PCR 测量 DNA 甲基化。在总共 193 例受试者的全粪便样本中,包括 19 例高级别腺瘤和 66 例 CRC 进行了生物标志物检测。对于这些系列的很大一部分,GATA4 和 OSMR 的甲基化数据可用于比较。在包括 44 例高级别腺瘤或 CRC 在内的 92 例粪便亚样本中,测量了 FIT 的互补价值。磷酸酶和肌动蛋白调节因子 3(PHACTR3)被鉴定为一种新型高甲基化基因,与正常结肠黏膜相比,高级别肿瘤中的 DNA 甲基化水平增加了 70 多倍。在粪便训练集中,PHACTR3 甲基化对 CRC 的敏感性为 55%(95%CI:33-75),特异性为 95%(95%CI:87-98)。在粪便验证集中,CRC 的敏感性达到 66%(95%CI:50-79),高级别腺瘤的敏感性为 32%(95%CI:14-57),特异性为 100%(95%CI:86-100)。将 PHACTR3 甲基化添加到 FIT 中可将 CRC 的敏感性提高 15%。PHACTR3 是 CRC 中的一种新的高甲基化基因,在粪便 DNA 检测中具有良好的性能,与 FIT 具有互补价值。