Accelerated Epigenetic Age Among Women with Invasive Cervical Cancer and HIV-Infection in Nigeria

BackgroundInvasive cervical cancer (ICC) is a serious public health burden in Nigeria, where human immunodeficiency virus (HIV) remains highly prevalent. Previous research suggested that epigenetic age acceleration (EAA) could play a role in detection of HIV-associated ICC. However, little research...

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Main Authors: Jonah Musa, Kyeezu Kim, Yinan Zheng, Yishu Qu, Brian T. Joyce, Jun Wang, Drew R. Nannini, Demirkan B. Gursel, Olugbenga Silas, Fatimah B. Abdulkareem, Godwin Imade, Alani S. Akanmu, Jian-Jun Wei, Masha Kocherginsky, Kwang-Youn A. Kim, Firas Wehbe, Chad J. Achenbach, Rose Anorlu, Melissa A. Simon, Atiene Sagay, Folasade T. Ogunsola, Robert L. Murphy, Lifang Hou
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.834800/full
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author Jonah Musa
Jonah Musa
Jonah Musa
Kyeezu Kim
Yinan Zheng
Yinan Zheng
Yishu Qu
Brian T. Joyce
Brian T. Joyce
Jun Wang
Jun Wang
Drew R. Nannini
Demirkan B. Gursel
Demirkan B. Gursel
Olugbenga Silas
Fatimah B. Abdulkareem
Godwin Imade
Alani S. Akanmu
Jian-Jun Wei
Jian-Jun Wei
Masha Kocherginsky
Masha Kocherginsky
Kwang-Youn A. Kim
Kwang-Youn A. Kim
Firas Wehbe
Firas Wehbe
Chad J. Achenbach
Rose Anorlu
Melissa A. Simon
Atiene Sagay
Folasade T. Ogunsola
Robert L. Murphy
Lifang Hou
Lifang Hou
author_facet Jonah Musa
Jonah Musa
Jonah Musa
Kyeezu Kim
Yinan Zheng
Yinan Zheng
Yishu Qu
Brian T. Joyce
Brian T. Joyce
Jun Wang
Jun Wang
Drew R. Nannini
Demirkan B. Gursel
Demirkan B. Gursel
Olugbenga Silas
Fatimah B. Abdulkareem
Godwin Imade
Alani S. Akanmu
Jian-Jun Wei
Jian-Jun Wei
Masha Kocherginsky
Masha Kocherginsky
Kwang-Youn A. Kim
Kwang-Youn A. Kim
Firas Wehbe
Firas Wehbe
Chad J. Achenbach
Rose Anorlu
Melissa A. Simon
Atiene Sagay
Folasade T. Ogunsola
Robert L. Murphy
Lifang Hou
Lifang Hou
author_sort Jonah Musa
collection DOAJ
description BackgroundInvasive cervical cancer (ICC) is a serious public health burden in Nigeria, where human immunodeficiency virus (HIV) remains highly prevalent. Previous research suggested that epigenetic age acceleration (EAA) could play a role in detection of HIV-associated ICC. However, little research has been conducted on this topic in Africa where the population is most severely affected by HIV-associated ICC. Here, we investigated the association between ICC and EAA using cervical tissues of ICC-diagnosed Nigerian women living with HIV.MethodsWe included 116 cervical tissue samples from three groups of Nigerian women in this study: (1) HIV+/ICC+ (n = 39); (2) HIV+/ICC- (n = 53); and (3) HIV-/ICC + (n = 24). We utilized four DNA methylation-based EAA estimators; IEAA, EEAA, GrimAA, and PhenoAA. We compared EAA measurements across the 3 HIV/ICC groups using multiple linear regression models. We also compared EAA between 26 tumor tissues and their surrounding normal tissues using paired t-tests. We additionally performed a receiver operating characteristics (ROC) curve analysis to illustrate the area under the curve (AUC) of EAA in ICC.ResultsWe found the most striking associations between HIV/ICC status and PhenoAge acceleration (PhenoAA). Among HIV-positive women, PhenoAA was on average 13.4 years higher in women with ICC compared to cancer-free women (P = 0.005). PhenoAA was 20.7 and 7.1 years higher in tumor tissues compared to surrounding normal tissues among HIV-positive women (P = 0.009) and HIV-negative women (P = 0.284), respectively. We did not find substantial differences in PhenoAA between HIV-positive and HIV-negative women with ICC.ConclusionPhenoAA is associated with ICC in HIV-infected women in our study. Our findings suggest that PhenoAA may serve as a potential biomarker for further risk stratification of HIV-associated ICC in Nigeria and similar resource-constrained settings.
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spelling doaj.art-4189762c3c40486db8f9d0dfd114347b2022-12-22T02:09:28ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-04-011010.3389/fpubh.2022.834800834800Accelerated Epigenetic Age Among Women with Invasive Cervical Cancer and HIV-Infection in NigeriaJonah Musa0Jonah Musa1Jonah Musa2Kyeezu Kim3Yinan Zheng4Yinan Zheng5Yishu Qu6Brian T. Joyce7Brian T. Joyce8Jun Wang9Jun Wang10Drew R. Nannini11Demirkan B. Gursel12Demirkan B. Gursel13Olugbenga Silas14Fatimah B. Abdulkareem15Godwin Imade16Alani S. Akanmu17Jian-Jun Wei18Jian-Jun Wei19Masha Kocherginsky20Masha Kocherginsky21Kwang-Youn A. Kim22Kwang-Youn A. Kim23Firas Wehbe24Firas Wehbe25Chad J. Achenbach26Rose Anorlu27Melissa A. Simon28Atiene Sagay29Folasade T. Ogunsola30Robert L. Murphy31Lifang Hou32Lifang Hou33Department of Preventive Medicine, Division of Cancer Epidemiology and Prevention, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesCenter for Global Oncology, Institute for Global Health, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Obstetrics and Gynecology, College of Health Sciences, University of Jos, Jos, NigeriaDepartment of Preventive Medicine, Division of Cancer Epidemiology and Prevention, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Preventive Medicine, Division of Cancer Epidemiology and Prevention, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesCenter for Global Oncology, Institute for Global Health, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Preventive Medicine, Division of Cancer Epidemiology and Prevention, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Preventive Medicine, Division of Cancer Epidemiology and Prevention, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesCenter for Global Oncology, Institute for Global Health, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Preventive Medicine, Division of Cancer Epidemiology and Prevention, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesCenter for Global Oncology, Institute for Global Health, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Preventive Medicine, Division of Cancer Epidemiology and Prevention, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesCenter for Global Oncology, Institute for Global Health, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Pathology, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Pathology, University of Jos, Jos, NigeriaDepartment of Pathology, College of Medicine, University of Lagos, Lagos, NigeriaDepartment of Obstetrics and Gynecology, College of Health Sciences, University of Jos, Jos, NigeriaDepartment of Hematology and Blood Transfusion, Lagos University Teaching Hospital and College of Medicine, University of Lagos, Lagos, NigeriaCenter for Global Oncology, Institute for Global Health, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Pathology, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Preventive Medicine, Division of Cancer Epidemiology and Prevention, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesCenter for Global Oncology, Institute for Global Health, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Preventive Medicine, Division of Cancer Epidemiology and Prevention, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesCenter for Global Oncology, Institute for Global Health, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesCenter for Global Oncology, Institute for Global Health, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Preventive Medicine, Division of Health and Biomedical Informatics, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesCenter for Global Oncology, Institute for Global Health, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Obstetrics and Gynecology, College of Medicine, University of Lagos, Lagos, Nigeria0Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Obstetrics and Gynecology, College of Health Sciences, University of Jos, Jos, Nigeria1Department of Medical Microbiology, College of Medicine, University of Lagos, Lagos, NigeriaCenter for Global Oncology, Institute for Global Health, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Preventive Medicine, Division of Cancer Epidemiology and Prevention, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesCenter for Global Oncology, Institute for Global Health, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesBackgroundInvasive cervical cancer (ICC) is a serious public health burden in Nigeria, where human immunodeficiency virus (HIV) remains highly prevalent. Previous research suggested that epigenetic age acceleration (EAA) could play a role in detection of HIV-associated ICC. However, little research has been conducted on this topic in Africa where the population is most severely affected by HIV-associated ICC. Here, we investigated the association between ICC and EAA using cervical tissues of ICC-diagnosed Nigerian women living with HIV.MethodsWe included 116 cervical tissue samples from three groups of Nigerian women in this study: (1) HIV+/ICC+ (n = 39); (2) HIV+/ICC- (n = 53); and (3) HIV-/ICC + (n = 24). We utilized four DNA methylation-based EAA estimators; IEAA, EEAA, GrimAA, and PhenoAA. We compared EAA measurements across the 3 HIV/ICC groups using multiple linear regression models. We also compared EAA between 26 tumor tissues and their surrounding normal tissues using paired t-tests. We additionally performed a receiver operating characteristics (ROC) curve analysis to illustrate the area under the curve (AUC) of EAA in ICC.ResultsWe found the most striking associations between HIV/ICC status and PhenoAge acceleration (PhenoAA). Among HIV-positive women, PhenoAA was on average 13.4 years higher in women with ICC compared to cancer-free women (P = 0.005). PhenoAA was 20.7 and 7.1 years higher in tumor tissues compared to surrounding normal tissues among HIV-positive women (P = 0.009) and HIV-negative women (P = 0.284), respectively. We did not find substantial differences in PhenoAA between HIV-positive and HIV-negative women with ICC.ConclusionPhenoAA is associated with ICC in HIV-infected women in our study. Our findings suggest that PhenoAA may serve as a potential biomarker for further risk stratification of HIV-associated ICC in Nigeria and similar resource-constrained settings.https://www.frontiersin.org/articles/10.3389/fpubh.2022.834800/fullinvasive cervical cancerhuman immunodeficiency virusepigenetic age accelerationDNA methylationLMIC
spellingShingle Jonah Musa
Jonah Musa
Jonah Musa
Kyeezu Kim
Yinan Zheng
Yinan Zheng
Yishu Qu
Brian T. Joyce
Brian T. Joyce
Jun Wang
Jun Wang
Drew R. Nannini
Demirkan B. Gursel
Demirkan B. Gursel
Olugbenga Silas
Fatimah B. Abdulkareem
Godwin Imade
Alani S. Akanmu
Jian-Jun Wei
Jian-Jun Wei
Masha Kocherginsky
Masha Kocherginsky
Kwang-Youn A. Kim
Kwang-Youn A. Kim
Firas Wehbe
Firas Wehbe
Chad J. Achenbach
Rose Anorlu
Melissa A. Simon
Atiene Sagay
Folasade T. Ogunsola
Robert L. Murphy
Lifang Hou
Lifang Hou
Accelerated Epigenetic Age Among Women with Invasive Cervical Cancer and HIV-Infection in Nigeria
Frontiers in Public Health
invasive cervical cancer
human immunodeficiency virus
epigenetic age acceleration
DNA methylation
LMIC
title Accelerated Epigenetic Age Among Women with Invasive Cervical Cancer and HIV-Infection in Nigeria
title_full Accelerated Epigenetic Age Among Women with Invasive Cervical Cancer and HIV-Infection in Nigeria
title_fullStr Accelerated Epigenetic Age Among Women with Invasive Cervical Cancer and HIV-Infection in Nigeria
title_full_unstemmed Accelerated Epigenetic Age Among Women with Invasive Cervical Cancer and HIV-Infection in Nigeria
title_short Accelerated Epigenetic Age Among Women with Invasive Cervical Cancer and HIV-Infection in Nigeria
title_sort accelerated epigenetic age among women with invasive cervical cancer and hiv infection in nigeria
topic invasive cervical cancer
human immunodeficiency virus
epigenetic age acceleration
DNA methylation
LMIC
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.834800/full
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