| Title |
Combined DNA methylation and gene expression profiling in gastrointestinal stromal tumors reveals hypomethylation of SPP1 as an independent prognostic factor
|
|---|---|
| Published in |
International Journal of Cancer, August 2014
|
| DOI | 10.1002/ijc.29088 |
| Pubmed ID | |
| Authors |
Florian Haller, Jitao David Zhang, Evgeny A. Moskalev, Alexander Braun, Claudia Otto, Helene Geddert, Yasser Riazalhosseini, Aoife Ward, Aleksandra Balwierz, Inga‐Marie Schaefer, Silke Cameron, B. Michael Ghadimi, Abbas Agaimy, Jonathan A. Fletcher, Jörg Hoheisel, Arndt Hartmann, Martin Werner, Stefan Wiemann, Özgür Sahin |
| Abstract |
GISTs have distinct gene expression patterns according to localisation, genotype and aggressiveness. DNA methylation at CpG dinucleotides is an important mechanism for regulation of gene expression. We performed targeted DNA methylation analysis of 1.505 CpG loci in 807 cancer-related genes in a cohort of 76 GISTs, combined with genome-wide mRNA expression analysis in 22 GISTs, to identify signatures associated with clinico-pathological parameters and prognosis. Principal component analysis revealed distinct DNA methylation patterns associated with anatomical localisation, genotype, mitotic counts and clinical follow-up. Methylation of a single CpG dinucleotide in the non-CpG island promoter of SPP1 was significantly correlated with shorter disease-free survival. Hypomethylation of this CpG was an independent prognostic parameter in a multivariate analysis compared to anatomical localisation, genotype, tumor size and mitotic counts in a cohort of 141 GISTs with clinical follow-up. The epigenetic regulation of SPP1 was confirmed in vitro, and the functional impact of SPP1 protein on tumorigenesis-related signalling pathways was demonstrated. In summary, SPP1 promoter methylation is a novel and independent prognostic parameter in GISTs, and might be helpful in estimating the aggressiveness of GISTs from the intermediate risk category. © 2014 Wiley Periodicals, Inc. |
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