Promoter methylation of CDKN2A and lack of p16 expression characterize patients with hepatocellular carcinoma

<p>Abstract</p> <p>Background</p> <p>The product of CDKN2A, p16 is an essential regulator of the cell cycle controlling the entry into the S-phase. Herein, we evaluated CDKN2A promoter methylation and p16 protein expression for the differentiation of hepatocellular carc...

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Main Authors: Schneider-Stock Regine, Röcken Christoph, Ebert Matthias PA, Csepregi Antal, Hoffmann Juliane, Schulz Hans-Ulrich, Roessner Albert, Malfertheiner Peter
Format: Article
Language:English
Published: BMC 2010-06-01
Series:BMC Cancer
Online Access:http://www.biomedcentral.com/1471-2407/10/317
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author Schneider-Stock Regine
Röcken Christoph
Ebert Matthias PA
Csepregi Antal
Hoffmann Juliane
Schulz Hans-Ulrich
Roessner Albert
Malfertheiner Peter
author_facet Schneider-Stock Regine
Röcken Christoph
Ebert Matthias PA
Csepregi Antal
Hoffmann Juliane
Schulz Hans-Ulrich
Roessner Albert
Malfertheiner Peter
author_sort Schneider-Stock Regine
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>The product of CDKN2A, p16 is an essential regulator of the cell cycle controlling the entry into the S-phase. Herein, we evaluated CDKN2A promoter methylation and p16 protein expression for the differentiation of hepatocellular carcinoma (HCC) from other liver tumors.</p> <p>Methods</p> <p>Tumor and corresponding non-tumor liver tissue samples were obtained from 85 patients with liver tumors. CDKN2A promoter methylation was studied using MethyLight technique and methylation-specific PCR (MSP). In the MethyLight analysis, samples with ≥ 4% of PMR (percentage of methylated reference) were regarded as hypermethylated. p16 expression was evaluated by immunohistochemistry in tissue sections (n = 148) obtained from 81 patients using an immunoreactivity score (IRS) ranging from 0 (no expression) to 6 (strong expression).</p> <p>Results</p> <p>Hypermethylation of the CDKN2A promoter was found in 23 HCCs (69.7%; mean PMR = 42.34 ± 27.8%), six (20.7%; mean PMR = 31.85 ± 18%) liver metastases and in the extralesional tissue of only one patient. Using MSP, 32% of the non-tumor (n = 85), 70% of the HCCs, 40% of the CCCs and 24% of the liver metastases were hypermethylated. Correspondingly, nuclear p16 expression was found immunohistochemically in five (10.9%, mean IRS = 0.5) HCCs, 23 (92%; mean IRS = 4.9) metastases and only occasionally in hepatocytes of non-lesional liver tissues (mean IRS = 1.2). The difference of CDKN2A-methylation and p16 protein expression between HCCs and liver metastases was statistically significant (p < 0.01, respectively).</p> <p>Conclusion</p> <p>Promoter methylation of CDKN2A gene and lack of p16 expression characterize patients with HCC.</p>
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spelling doaj.art-7453412545d84c08801b17bb4d5bdfd42022-12-22T03:05:33ZengBMCBMC Cancer1471-24072010-06-0110131710.1186/1471-2407-10-317Promoter methylation of CDKN2A and lack of p16 expression characterize patients with hepatocellular carcinomaSchneider-Stock RegineRöcken ChristophEbert Matthias PACsepregi AntalHoffmann JulianeSchulz Hans-UlrichRoessner AlbertMalfertheiner Peter<p>Abstract</p> <p>Background</p> <p>The product of CDKN2A, p16 is an essential regulator of the cell cycle controlling the entry into the S-phase. Herein, we evaluated CDKN2A promoter methylation and p16 protein expression for the differentiation of hepatocellular carcinoma (HCC) from other liver tumors.</p> <p>Methods</p> <p>Tumor and corresponding non-tumor liver tissue samples were obtained from 85 patients with liver tumors. CDKN2A promoter methylation was studied using MethyLight technique and methylation-specific PCR (MSP). In the MethyLight analysis, samples with ≥ 4% of PMR (percentage of methylated reference) were regarded as hypermethylated. p16 expression was evaluated by immunohistochemistry in tissue sections (n = 148) obtained from 81 patients using an immunoreactivity score (IRS) ranging from 0 (no expression) to 6 (strong expression).</p> <p>Results</p> <p>Hypermethylation of the CDKN2A promoter was found in 23 HCCs (69.7%; mean PMR = 42.34 ± 27.8%), six (20.7%; mean PMR = 31.85 ± 18%) liver metastases and in the extralesional tissue of only one patient. Using MSP, 32% of the non-tumor (n = 85), 70% of the HCCs, 40% of the CCCs and 24% of the liver metastases were hypermethylated. Correspondingly, nuclear p16 expression was found immunohistochemically in five (10.9%, mean IRS = 0.5) HCCs, 23 (92%; mean IRS = 4.9) metastases and only occasionally in hepatocytes of non-lesional liver tissues (mean IRS = 1.2). The difference of CDKN2A-methylation and p16 protein expression between HCCs and liver metastases was statistically significant (p < 0.01, respectively).</p> <p>Conclusion</p> <p>Promoter methylation of CDKN2A gene and lack of p16 expression characterize patients with HCC.</p>http://www.biomedcentral.com/1471-2407/10/317
spellingShingle Schneider-Stock Regine
Röcken Christoph
Ebert Matthias PA
Csepregi Antal
Hoffmann Juliane
Schulz Hans-Ulrich
Roessner Albert
Malfertheiner Peter
Promoter methylation of CDKN2A and lack of p16 expression characterize patients with hepatocellular carcinoma
BMC Cancer
title Promoter methylation of CDKN2A and lack of p16 expression characterize patients with hepatocellular carcinoma
title_full Promoter methylation of CDKN2A and lack of p16 expression characterize patients with hepatocellular carcinoma
title_fullStr Promoter methylation of CDKN2A and lack of p16 expression characterize patients with hepatocellular carcinoma
title_full_unstemmed Promoter methylation of CDKN2A and lack of p16 expression characterize patients with hepatocellular carcinoma
title_short Promoter methylation of CDKN2A and lack of p16 expression characterize patients with hepatocellular carcinoma
title_sort promoter methylation of cdkn2a and lack of p16 expression characterize patients with hepatocellular carcinoma
url http://www.biomedcentral.com/1471-2407/10/317
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