SHOX2 DNA Methylation is a Biomarker for the diagnosis of lung cancer based on bronchial aspirates

<p>Abstract</p> <p>Background</p> <p>This study aimed to show that SHOX2 DNA methylation is a tumor marker in patients with suspected lung cancer by using bronchial fluid aspirated during bronchoscopy. Such a biomarker would be clinically valuable, especially when, foll...

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Main Authors: Liloglou Triantafillos, Wille Ulrike, Weickmann Sabine, Tetzner Reimo, Distler Jürgen, Lewin Jörn, Seemann Stefanie, Flemming Nadja, Seegebarth Anke, Schlegel Thomas, Kneip Christoph, Dietrich Dimo, Liebenberg Volker, Schmidt Bernd, Raji Olaide, Walshaw Martin, Fleischhacker Michael, Witt Christian, Field John K
Format: Article
Language:English
Published: BMC 2010-11-01
Series:BMC Cancer
Online Access:http://www.biomedcentral.com/1471-2407/10/600
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author Liloglou Triantafillos
Wille Ulrike
Weickmann Sabine
Tetzner Reimo
Distler Jürgen
Lewin Jörn
Seemann Stefanie
Flemming Nadja
Seegebarth Anke
Schlegel Thomas
Kneip Christoph
Dietrich Dimo
Liebenberg Volker
Schmidt Bernd
Raji Olaide
Walshaw Martin
Fleischhacker Michael
Witt Christian
Field John K
author_facet Liloglou Triantafillos
Wille Ulrike
Weickmann Sabine
Tetzner Reimo
Distler Jürgen
Lewin Jörn
Seemann Stefanie
Flemming Nadja
Seegebarth Anke
Schlegel Thomas
Kneip Christoph
Dietrich Dimo
Liebenberg Volker
Schmidt Bernd
Raji Olaide
Walshaw Martin
Fleischhacker Michael
Witt Christian
Field John K
author_sort Liloglou Triantafillos
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>This study aimed to show that SHOX2 DNA methylation is a tumor marker in patients with suspected lung cancer by using bronchial fluid aspirated during bronchoscopy. Such a biomarker would be clinically valuable, especially when, following the first bronchoscopy, a final diagnosis cannot be established by histology or cytology. A test with a low false positive rate can reduce the need for further invasive and costly procedures and ensure early treatment.</p> <p>Methods</p> <p>Marker discovery was carried out by differential methylation hybridization (DMH) and real-time PCR. The real-time PCR based HeavyMethyl technology was used for quantitative analysis of DNA methylation of SHOX2 using bronchial aspirates from two clinical centres in a case-control study. Fresh-frozen and Saccomanno-fixed samples were used to show the tumor marker performance in different sample types of clinical relevance.</p> <p>Results</p> <p>Valid measurements were obtained from a total of 523 patient samples (242 controls, 281 cases). DNA methylation of SHOX2 allowed to distinguish between malignant and benign lung disease, i.e. abscesses, infections, obstructive lung diseases, sarcoidosis, scleroderma, stenoses, at high specificity (68% sensitivity [95% CI 62-73%], 95% specificity [95% CI 91-97%]).</p> <p>Conclusions</p> <p>Hypermethylation of SHOX2 in bronchial aspirates appears to be a clinically useful tumor marker for identifying subjects with lung carcinoma, especially if histological and cytological findings after bronchoscopy are ambiguous.</p>
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spelling doaj.art-9e4f522dc19b4178aca16f83dfd499592022-12-21T21:05:18ZengBMCBMC Cancer1471-24072010-11-0110160010.1186/1471-2407-10-600SHOX2 DNA Methylation is a Biomarker for the diagnosis of lung cancer based on bronchial aspiratesLiloglou TriantafillosWille UlrikeWeickmann SabineTetzner ReimoDistler JürgenLewin JörnSeemann StefanieFlemming NadjaSeegebarth AnkeSchlegel ThomasKneip ChristophDietrich DimoLiebenberg VolkerSchmidt BerndRaji OlaideWalshaw MartinFleischhacker MichaelWitt ChristianField John K<p>Abstract</p> <p>Background</p> <p>This study aimed to show that SHOX2 DNA methylation is a tumor marker in patients with suspected lung cancer by using bronchial fluid aspirated during bronchoscopy. Such a biomarker would be clinically valuable, especially when, following the first bronchoscopy, a final diagnosis cannot be established by histology or cytology. A test with a low false positive rate can reduce the need for further invasive and costly procedures and ensure early treatment.</p> <p>Methods</p> <p>Marker discovery was carried out by differential methylation hybridization (DMH) and real-time PCR. The real-time PCR based HeavyMethyl technology was used for quantitative analysis of DNA methylation of SHOX2 using bronchial aspirates from two clinical centres in a case-control study. Fresh-frozen and Saccomanno-fixed samples were used to show the tumor marker performance in different sample types of clinical relevance.</p> <p>Results</p> <p>Valid measurements were obtained from a total of 523 patient samples (242 controls, 281 cases). DNA methylation of SHOX2 allowed to distinguish between malignant and benign lung disease, i.e. abscesses, infections, obstructive lung diseases, sarcoidosis, scleroderma, stenoses, at high specificity (68% sensitivity [95% CI 62-73%], 95% specificity [95% CI 91-97%]).</p> <p>Conclusions</p> <p>Hypermethylation of SHOX2 in bronchial aspirates appears to be a clinically useful tumor marker for identifying subjects with lung carcinoma, especially if histological and cytological findings after bronchoscopy are ambiguous.</p>http://www.biomedcentral.com/1471-2407/10/600
spellingShingle Liloglou Triantafillos
Wille Ulrike
Weickmann Sabine
Tetzner Reimo
Distler Jürgen
Lewin Jörn
Seemann Stefanie
Flemming Nadja
Seegebarth Anke
Schlegel Thomas
Kneip Christoph
Dietrich Dimo
Liebenberg Volker
Schmidt Bernd
Raji Olaide
Walshaw Martin
Fleischhacker Michael
Witt Christian
Field John K
SHOX2 DNA Methylation is a Biomarker for the diagnosis of lung cancer based on bronchial aspirates
BMC Cancer
title SHOX2 DNA Methylation is a Biomarker for the diagnosis of lung cancer based on bronchial aspirates
title_full SHOX2 DNA Methylation is a Biomarker for the diagnosis of lung cancer based on bronchial aspirates
title_fullStr SHOX2 DNA Methylation is a Biomarker for the diagnosis of lung cancer based on bronchial aspirates
title_full_unstemmed SHOX2 DNA Methylation is a Biomarker for the diagnosis of lung cancer based on bronchial aspirates
title_short SHOX2 DNA Methylation is a Biomarker for the diagnosis of lung cancer based on bronchial aspirates
title_sort shox2 dna methylation is a biomarker for the diagnosis of lung cancer based on bronchial aspirates
url http://www.biomedcentral.com/1471-2407/10/600
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