DOK6 promoter methylation serves as a potential biomarker affecting prognosis in de novo acute myeloid leukemia

Abstract Background Downstream of tyrosine kinase 6 (DOK6), which is specifically expressed in the nervous system, was previously recognized as an adapter only in neurite outgrowth. Recent studies also demonstrated the potential role of DOK6 in solid tumors such as gastric cancer and breast cancer....

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Main Authors: Guo‐Kang Sun, Li‐Juan Tang, Jing‐Dong Zhou, Zi‐Jun Xu, Lan Yang, Qian Yuan, Ji‐Chun Ma, Xing‐Hui Liu, Jiang Lin, Jun Qian, Dong‐Ming Yao
Format: Article
Language:English
Published: Wiley 2019-10-01
Series:Cancer Medicine
Subjects:
Online Access:https://doi.org/10.1002/cam4.2540
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author Guo‐Kang Sun
Li‐Juan Tang
Jing‐Dong Zhou
Zi‐Jun Xu
Lan Yang
Qian Yuan
Ji‐Chun Ma
Xing‐Hui Liu
Jiang Lin
Jun Qian
Dong‐Ming Yao
author_facet Guo‐Kang Sun
Li‐Juan Tang
Jing‐Dong Zhou
Zi‐Jun Xu
Lan Yang
Qian Yuan
Ji‐Chun Ma
Xing‐Hui Liu
Jiang Lin
Jun Qian
Dong‐Ming Yao
author_sort Guo‐Kang Sun
collection DOAJ
description Abstract Background Downstream of tyrosine kinase 6 (DOK6), which is specifically expressed in the nervous system, was previously recognized as an adapter only in neurite outgrowth. Recent studies also demonstrated the potential role of DOK6 in solid tumors such as gastric cancer and breast cancer. However, previous studies of DOK6 have not dealt with its roles in myeloid malignancies. Herein, we verified the promoter methylation status of DOK6 and further explored its clinical implication in de novo acute myeloid leukemia (AML). Methods A total of 100 newly diagnosed adult AML patients were involved in the current study. DOK6 expression and methylation were detected by real‐time qPCR and methylation‐specific PCR (MSP), respectively. Bisulfite sequencing PCR (BSP) was performed to assess the methylation density of the DOK6 promoter. Results Downstream of tyrosine kinase 6 promoter methylation was significantly increased in AML patients compared to controls (P = .037), whereas DOK6 expression significantly decreased in AML patients (P < .001). The expression of DOK6 was markedly up‐regulated after treated by 5‐aza‐2′‐deoxycytidine (5‐aza‐dC) in THP‐1 cell lines. The methylation status of the DOK6 promoter was associated with French‐American‐British classifications (P = .037). There was no significant correlation existed between DOK6 expression and its promoter methylation (R = .077, P = .635). Interestingly, of whole‐AML and non‐APL AML patients, both have a tendency pertaining to the DOK6 methylation group and a significantly longer overall survival (OS) than the DOK6 unmethylation group (P = .042 and .036, respectively). Conclusion Our study suggested that DOK6 promoter hypermethylation was a common molecular event in de novo AML patients. Remarkably, DOK6 promoter methylation could serve as an independent and integrated prognostic biomarker not only in non‐APL AML patients but also in AML patients who are less than 60 years old.
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spelling doaj.art-a4e6d0fba603476c86011a6f3b4f375a2022-12-22T01:55:34ZengWileyCancer Medicine2045-76342019-10-018146393640210.1002/cam4.2540DOK6 promoter methylation serves as a potential biomarker affecting prognosis in de novo acute myeloid leukemiaGuo‐Kang Sun0Li‐Juan Tang1Jing‐Dong Zhou2Zi‐Jun Xu3Lan Yang4Qian Yuan5Ji‐Chun Ma6Xing‐Hui Liu7Jiang Lin8Jun Qian9Dong‐Ming Yao10Laboratory Center Affiliated People's Hospital of Jiangsu University Zhenjiang Jiangsu People's Republic of ChinaLaboratory Center Affiliated People's Hospital of Jiangsu University Zhenjiang Jiangsu People's Republic of ChinaLaboratory Center Affiliated People's Hospital of Jiangsu University Zhenjiang Jiangsu People's Republic of ChinaLaboratory Center Affiliated People's Hospital of Jiangsu University Zhenjiang Jiangsu People's Republic of ChinaLaboratory Center Affiliated People's Hospital of Jiangsu University Zhenjiang Jiangsu People's Republic of ChinaThe Key Lab of Precision Diagnosis and Treatment of Zhenjiang City Zhenjiang Jiangsu People's Republic of ChinaThe Key Lab of Precision Diagnosis and Treatment of Zhenjiang City Zhenjiang Jiangsu People's Republic of ChinaDepartment of Clinical Laboratory Shanghai Gongli Hospital The Second Military Medical University Shanghai ChinaThe Key Lab of Precision Diagnosis and Treatment of Zhenjiang City Zhenjiang Jiangsu People's Republic of ChinaThe Key Lab of Precision Diagnosis and Treatment of Zhenjiang City Zhenjiang Jiangsu People's Republic of ChinaLaboratory Center Affiliated People's Hospital of Jiangsu University Zhenjiang Jiangsu People's Republic of ChinaAbstract Background Downstream of tyrosine kinase 6 (DOK6), which is specifically expressed in the nervous system, was previously recognized as an adapter only in neurite outgrowth. Recent studies also demonstrated the potential role of DOK6 in solid tumors such as gastric cancer and breast cancer. However, previous studies of DOK6 have not dealt with its roles in myeloid malignancies. Herein, we verified the promoter methylation status of DOK6 and further explored its clinical implication in de novo acute myeloid leukemia (AML). Methods A total of 100 newly diagnosed adult AML patients were involved in the current study. DOK6 expression and methylation were detected by real‐time qPCR and methylation‐specific PCR (MSP), respectively. Bisulfite sequencing PCR (BSP) was performed to assess the methylation density of the DOK6 promoter. Results Downstream of tyrosine kinase 6 promoter methylation was significantly increased in AML patients compared to controls (P = .037), whereas DOK6 expression significantly decreased in AML patients (P < .001). The expression of DOK6 was markedly up‐regulated after treated by 5‐aza‐2′‐deoxycytidine (5‐aza‐dC) in THP‐1 cell lines. The methylation status of the DOK6 promoter was associated with French‐American‐British classifications (P = .037). There was no significant correlation existed between DOK6 expression and its promoter methylation (R = .077, P = .635). Interestingly, of whole‐AML and non‐APL AML patients, both have a tendency pertaining to the DOK6 methylation group and a significantly longer overall survival (OS) than the DOK6 unmethylation group (P = .042 and .036, respectively). Conclusion Our study suggested that DOK6 promoter hypermethylation was a common molecular event in de novo AML patients. Remarkably, DOK6 promoter methylation could serve as an independent and integrated prognostic biomarker not only in non‐APL AML patients but also in AML patients who are less than 60 years old.https://doi.org/10.1002/cam4.2540AMLbiomarkerDOK6methylationprognosis
spellingShingle Guo‐Kang Sun
Li‐Juan Tang
Jing‐Dong Zhou
Zi‐Jun Xu
Lan Yang
Qian Yuan
Ji‐Chun Ma
Xing‐Hui Liu
Jiang Lin
Jun Qian
Dong‐Ming Yao
DOK6 promoter methylation serves as a potential biomarker affecting prognosis in de novo acute myeloid leukemia
Cancer Medicine
AML
biomarker
DOK6
methylation
prognosis
title DOK6 promoter methylation serves as a potential biomarker affecting prognosis in de novo acute myeloid leukemia
title_full DOK6 promoter methylation serves as a potential biomarker affecting prognosis in de novo acute myeloid leukemia
title_fullStr DOK6 promoter methylation serves as a potential biomarker affecting prognosis in de novo acute myeloid leukemia
title_full_unstemmed DOK6 promoter methylation serves as a potential biomarker affecting prognosis in de novo acute myeloid leukemia
title_short DOK6 promoter methylation serves as a potential biomarker affecting prognosis in de novo acute myeloid leukemia
title_sort dok6 promoter methylation serves as a potential biomarker affecting prognosis in de novo acute myeloid leukemia
topic AML
biomarker
DOK6
methylation
prognosis
url https://doi.org/10.1002/cam4.2540
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