肺腺癌中频繁甲基化与高级别组织学亚型相关。
Association of frequent hypermethylation with high grade histological subtype in lung adenocarcinoma.
机构信息
Department of General Thoracic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Department of Molecular Oncology, Graduate School of Medicine, Chiba University, Chiba, Japan.
出版信息
Cancer Sci. 2023 Jul;114(7):3003-3013. doi: 10.1111/cas.15817. Epub 2023 Apr 21.
Lung adenocarcinoma is classified morphologically into five histological subtypes according to the WHO classification. While each histological subtype correlates with a distinct prognosis, the molecular basis has not been fully elucidated. Here we conducted DNA methylation analysis of 30 lung adenocarcinoma cases annotated with the predominant histological subtypes and three normal lung cases using the Infinium BeadChip. Unsupervised hierarchical clustering analysis revealed three subgroups with different methylation levels: high-, intermediate-, and low-methylation epigenotypes (HME, IME, and LME). Micropapillary pattern (MPP)-predominant cases and those with MPP components were significantly enriched in HME (p = 0.02 and p = 0.03, respectively). HME cases showed a significantly poor prognosis for recurrence-free survival (p < 0.001) and overall survival (p = 0.006). We identified 365 HME marker genes specifically hypermethylated in HME cases with enrichment of "cell morphogenesis" related genes; 305 IME marker genes hypermethylated in HME and IME, but not in LME, with enrichment "embryonic organ morphogenesis"-related genes; 257 Common marker genes hypermethylated commonly in all cancer cases, with enrichment of "regionalization"-related genes. We extracted surrogate markers for each epigenotype and designed pyrosequencing primers for five HME markers (TCERG1L, CXCL12, FAM181B, HOXA11, GAD2), three IME markers (TBX18, ZNF154, NWD2) and three Common markers (SCT, GJD2, BARHL2). DNA methylation profiling using Infinium data was validated by pyrosequencing, and HME cases defined by pyrosequencing results also showed the worse recurrence-free survival. In conclusion, lung adenocarcinomas are stratified into subtypes with distinct DNA methylation levels, and the high-methylation subtype correlated with MPP-predominant cases and those with MPP components and showed a poor prognosis.
肺腺癌根据世界卫生组织(WHO)分类可分为五种组织学亚型。虽然每种组织学亚型都与特定的预后相关,但分子基础尚未完全阐明。在此,我们对 30 例肺腺癌病例进行了 DNA 甲基化分析,这些病例均标注了主要组织学亚型,同时还分析了 3 例正常肺组织。无监督层次聚类分析显示,有三种不同甲基化水平的亚群:高甲基化表型(HME)、中甲基化表型(IME)和低甲基化表型(LME)。微乳头状模式(MPP)为主的病例和有 MPP 成分的病例在 HME 中明显富集(p=0.02 和 p=0.03)。HME 病例的无复发生存率(p<0.001)和总生存率(p=0.006)显著较差。我们发现 365 个 HME 标记基因在 HME 病例中特异性高甲基化,这些基因富集了与“细胞形态发生”相关的基因;305 个 IME 标记基因在 HME 和 IME 中高甲基化,但在 LME 中不高甲基化,这些基因富集了与“胚胎器官形态发生”相关的基因;257 个常见标记基因在所有癌症病例中共同高甲基化,这些基因富集了与“区域化”相关的基因。我们提取了每个表型的替代标记,并为 5 个 HME 标记(TCERG1L、CXCL12、FAM181B、HOXA11、GAD2)、3 个 IME 标记(TBX18、ZNF154、NWD2)和 3 个常见标记(SCT、GJD2、BARHL2)设计了焦磷酸测序引物。使用 Infinium 数据进行的 DNA 甲基化分析通过焦磷酸测序进行了验证,通过焦磷酸测序结果定义的 HME 病例也显示出无复发生存率较差的情况。总之,肺腺癌可分为具有不同 DNA 甲基化水平的亚型,高甲基化亚型与 MPP 为主的病例和有 MPP 成分的病例相关,并显示出较差的预后。