Deciphering CHFR Role in Pancreatic Ductal Adenocarcinoma

Checkpoint with forkhead-associated and ring finger domains (CHFR) has been proposed as a predictive and prognosis biomarker for different tumor types, but its role in pancreatic ductal adenocarcinoma (PDAC) remains unknown. The aim of this study was two-pronged: to review the role of CHFR in PDAC a...

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Main Authors: Iranzu González-Borja, Emilia Alors-Pérez, Irene Amat, Laura Alonso, Cristina Viyuela-García, Saioa Goñi, José C. Reyes, María Ceballos-Chávez, Irene Hernández-García, Marina E. Sánchez-Frías, Enrique Santamaría, Socorro Razquin, Álvaro Arjona-Sánchez, Virginia Arrazubi, Jairo Pérez-Sanz, Ruth Vera, Joaquín Fernández-Irigoyen, Justo P. Castaño, Antonio Viúdez
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-11-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2021.720128/full
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author Iranzu González-Borja
Emilia Alors-Pérez
Emilia Alors-Pérez
Emilia Alors-Pérez
Emilia Alors-Pérez
Irene Amat
Laura Alonso
Cristina Viyuela-García
Cristina Viyuela-García
Cristina Viyuela-García
Saioa Goñi
José C. Reyes
María Ceballos-Chávez
Irene Hernández-García
Marina E. Sánchez-Frías
Marina E. Sánchez-Frías
Marina E. Sánchez-Frías
Enrique Santamaría
Socorro Razquin
Álvaro Arjona-Sánchez
Álvaro Arjona-Sánchez
Álvaro Arjona-Sánchez
Virginia Arrazubi
Jairo Pérez-Sanz
Ruth Vera
Joaquín Fernández-Irigoyen
Justo P. Castaño
Justo P. Castaño
Justo P. Castaño
Justo P. Castaño
Antonio Viúdez
Antonio Viúdez
Antonio Viúdez
author_facet Iranzu González-Borja
Emilia Alors-Pérez
Emilia Alors-Pérez
Emilia Alors-Pérez
Emilia Alors-Pérez
Irene Amat
Laura Alonso
Cristina Viyuela-García
Cristina Viyuela-García
Cristina Viyuela-García
Saioa Goñi
José C. Reyes
María Ceballos-Chávez
Irene Hernández-García
Marina E. Sánchez-Frías
Marina E. Sánchez-Frías
Marina E. Sánchez-Frías
Enrique Santamaría
Socorro Razquin
Álvaro Arjona-Sánchez
Álvaro Arjona-Sánchez
Álvaro Arjona-Sánchez
Virginia Arrazubi
Jairo Pérez-Sanz
Ruth Vera
Joaquín Fernández-Irigoyen
Justo P. Castaño
Justo P. Castaño
Justo P. Castaño
Justo P. Castaño
Antonio Viúdez
Antonio Viúdez
Antonio Viúdez
author_sort Iranzu González-Borja
collection DOAJ
description Checkpoint with forkhead-associated and ring finger domains (CHFR) has been proposed as a predictive and prognosis biomarker for different tumor types, but its role in pancreatic ductal adenocarcinoma (PDAC) remains unknown. The aim of this study was two-pronged: to review the role of CHFR in PDAC and evaluating CHFR as a potential predictive biomarker in this disease. For this purpose, we first explored the CHFR messenger (m)RNA expression and promoter methylation through the TCGA database. Secondly, the CHFR expression and promoter methylation were prospectively evaluated in a cohort of patients diagnosed with borderline (n = 19) or resectable (n = 16) PDAC by immunohistochemistry (IHC), methylation specific-PCR (MSP), and pyrosequencing. The results from the TCGA database showed significant differences in terms of progression-free survival (PFS) and overall survival (OS) based on the CHFR mRNA expression, which was likely independent from the promoter methylation. Importantly, our results showed that in primarily resected patients and also the entire cohort, a higher CHFR expression as indicated by the higher IHC staining intensity might identify patients with longer disease-free survival (DFS) and OS, respectively. Similarly, in the same cohorts, patients with lower methylation levels by pyrosequencing showed significantly longer OS than patients without this pattern. Both, the CHFR expression intensity and its promoter methylation were established as independent prognostic factors for PFS and OS in the entire cohort. In contrast, no significant differences were found between different methylation patterns for CHFR and the response to taxane-based neoadjuvant treatment. These results suggest the potential role of the higher expression of CHFR and the methylation pattern of its promoter as potential prognostic biomarkers in PDAC, thus warranting further comprehensive studies to extend and confirm our preliminary findings.
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spelling doaj.art-aa8a20b687714e7c89f5590df6b0bb4f2022-12-21T23:08:13ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2021-11-01810.3389/fmed.2021.720128720128Deciphering CHFR Role in Pancreatic Ductal AdenocarcinomaIranzu González-Borja0Emilia Alors-Pérez1Emilia Alors-Pérez2Emilia Alors-Pérez3Emilia Alors-Pérez4Irene Amat5Laura Alonso6Cristina Viyuela-García7Cristina Viyuela-García8Cristina Viyuela-García9Saioa Goñi10José C. Reyes11María Ceballos-Chávez12Irene Hernández-García13Marina E. Sánchez-Frías14Marina E. Sánchez-Frías15Marina E. Sánchez-Frías16Enrique Santamaría17Socorro Razquin18Álvaro Arjona-Sánchez19Álvaro Arjona-Sánchez20Álvaro Arjona-Sánchez21Virginia Arrazubi22Jairo Pérez-Sanz23Ruth Vera24Joaquín Fernández-Irigoyen25Justo P. Castaño26Justo P. Castaño27Justo P. Castaño28Justo P. Castaño29Antonio Viúdez30Antonio Viúdez31Antonio Viúdez32OncobionaTras Lab, Navarrabiomed, Complejo Hospitalario de Navarra, Universidad Pública de Navarra, Instituto de Investigación Sanitaria de Navarra, Pamplona, SpainHormones and Cancer Group, Maimonides Institute for Biomedical Research of Cordoba (IMIBIC), Córdoba, SpainDepartment of Cell Biology, Physiology, and Immunology, University of Córdoba, Córdoba, SpainReina Sofia University Hospital, Córdoba, SpainCentro de Investigación Biomédica en Red (CIBER) Fisiopatología de la Obesidad y Nutrición, Córdoba, SpainPathology Department, Complejo Hospitalario de Navarra, Pamplona, SpainPathology Department, Complejo Hospitalario de Navarra, Pamplona, SpainHormones and Cancer Group, Maimonides Institute for Biomedical Research of Cordoba (IMIBIC), Córdoba, SpainReina Sofia University Hospital, Córdoba, SpainSurgery Service, Reina Sofia University Hospital, Córdoba, SpainOncobionaTras Lab, Navarrabiomed, Complejo Hospitalario de Navarra, Universidad Pública de Navarra, Instituto de Investigación Sanitaria de Navarra, Pamplona, SpainCentro Andaluz de Biología Molecular y Medicina Regenerativa, Consejo Superior de Investigaciones Científicas-Universidad de Sevilla-Universidad Pablo de Olavide, Seville, SpainCentro Andaluz de Biología Molecular y Medicina Regenerativa, Consejo Superior de Investigaciones Científicas-Universidad de Sevilla-Universidad Pablo de Olavide, Seville, SpainMedical Oncology Department, Complejo Hospitalario de Navarra, Pamplona, SpainHormones and Cancer Group, Maimonides Institute for Biomedical Research of Cordoba (IMIBIC), Córdoba, SpainReina Sofia University Hospital, Córdoba, Spain0Pathology Service, Reina Sofia University Hospital, Córdoba, Spain1Proteomics Platform, Clinical Neuroproteomics Unit, Navarrabiomed, Complejo Hospitalario de Navarra, Universidad Pública de Navarra, Instituto de Investigación Sanitaria de Navarra, Pamplona, SpainPathology Department, Complejo Hospitalario de Navarra, Pamplona, SpainHormones and Cancer Group, Maimonides Institute for Biomedical Research of Cordoba (IMIBIC), Córdoba, SpainReina Sofia University Hospital, Córdoba, SpainSurgery Service, Reina Sofia University Hospital, Córdoba, SpainMedical Oncology Department, Complejo Hospitalario de Navarra, Pamplona, SpainOncobionaTras Lab, Navarrabiomed, Complejo Hospitalario de Navarra, Universidad Pública de Navarra, Instituto de Investigación Sanitaria de Navarra, Pamplona, SpainMedical Oncology Department, Complejo Hospitalario de Navarra, Pamplona, Spain1Proteomics Platform, Clinical Neuroproteomics Unit, Navarrabiomed, Complejo Hospitalario de Navarra, Universidad Pública de Navarra, Instituto de Investigación Sanitaria de Navarra, Pamplona, SpainHormones and Cancer Group, Maimonides Institute for Biomedical Research of Cordoba (IMIBIC), Córdoba, SpainDepartment of Cell Biology, Physiology, and Immunology, University of Córdoba, Córdoba, SpainReina Sofia University Hospital, Córdoba, SpainCentro de Investigación Biomédica en Red (CIBER) Fisiopatología de la Obesidad y Nutrición, Córdoba, SpainOncobionaTras Lab, Navarrabiomed, Complejo Hospitalario de Navarra, Universidad Pública de Navarra, Instituto de Investigación Sanitaria de Navarra, Pamplona, SpainMedical Oncology Department, Complejo Hospitalario de Navarra, Pamplona, Spain2Medical Affairs Services, ICON plc, North Wales, PA, United StatesCheckpoint with forkhead-associated and ring finger domains (CHFR) has been proposed as a predictive and prognosis biomarker for different tumor types, but its role in pancreatic ductal adenocarcinoma (PDAC) remains unknown. The aim of this study was two-pronged: to review the role of CHFR in PDAC and evaluating CHFR as a potential predictive biomarker in this disease. For this purpose, we first explored the CHFR messenger (m)RNA expression and promoter methylation through the TCGA database. Secondly, the CHFR expression and promoter methylation were prospectively evaluated in a cohort of patients diagnosed with borderline (n = 19) or resectable (n = 16) PDAC by immunohistochemistry (IHC), methylation specific-PCR (MSP), and pyrosequencing. The results from the TCGA database showed significant differences in terms of progression-free survival (PFS) and overall survival (OS) based on the CHFR mRNA expression, which was likely independent from the promoter methylation. Importantly, our results showed that in primarily resected patients and also the entire cohort, a higher CHFR expression as indicated by the higher IHC staining intensity might identify patients with longer disease-free survival (DFS) and OS, respectively. Similarly, in the same cohorts, patients with lower methylation levels by pyrosequencing showed significantly longer OS than patients without this pattern. Both, the CHFR expression intensity and its promoter methylation were established as independent prognostic factors for PFS and OS in the entire cohort. In contrast, no significant differences were found between different methylation patterns for CHFR and the response to taxane-based neoadjuvant treatment. These results suggest the potential role of the higher expression of CHFR and the methylation pattern of its promoter as potential prognostic biomarkers in PDAC, thus warranting further comprehensive studies to extend and confirm our preliminary findings.https://www.frontiersin.org/articles/10.3389/fmed.2021.720128/fullpancreatic ductal adenocarcinoma (PDAC)DNA methylationcheckpoint with forkhead and ring finger domains (CHFR)methylationimmunohistochemistry (IHC)
spellingShingle Iranzu González-Borja
Emilia Alors-Pérez
Emilia Alors-Pérez
Emilia Alors-Pérez
Emilia Alors-Pérez
Irene Amat
Laura Alonso
Cristina Viyuela-García
Cristina Viyuela-García
Cristina Viyuela-García
Saioa Goñi
José C. Reyes
María Ceballos-Chávez
Irene Hernández-García
Marina E. Sánchez-Frías
Marina E. Sánchez-Frías
Marina E. Sánchez-Frías
Enrique Santamaría
Socorro Razquin
Álvaro Arjona-Sánchez
Álvaro Arjona-Sánchez
Álvaro Arjona-Sánchez
Virginia Arrazubi
Jairo Pérez-Sanz
Ruth Vera
Joaquín Fernández-Irigoyen
Justo P. Castaño
Justo P. Castaño
Justo P. Castaño
Justo P. Castaño
Antonio Viúdez
Antonio Viúdez
Antonio Viúdez
Deciphering CHFR Role in Pancreatic Ductal Adenocarcinoma
Frontiers in Medicine
pancreatic ductal adenocarcinoma (PDAC)
DNA methylation
checkpoint with forkhead and ring finger domains (CHFR)
methylation
immunohistochemistry (IHC)
title Deciphering CHFR Role in Pancreatic Ductal Adenocarcinoma
title_full Deciphering CHFR Role in Pancreatic Ductal Adenocarcinoma
title_fullStr Deciphering CHFR Role in Pancreatic Ductal Adenocarcinoma
title_full_unstemmed Deciphering CHFR Role in Pancreatic Ductal Adenocarcinoma
title_short Deciphering CHFR Role in Pancreatic Ductal Adenocarcinoma
title_sort deciphering chfr role in pancreatic ductal adenocarcinoma
topic pancreatic ductal adenocarcinoma (PDAC)
DNA methylation
checkpoint with forkhead and ring finger domains (CHFR)
methylation
immunohistochemistry (IHC)
url https://www.frontiersin.org/articles/10.3389/fmed.2021.720128/full
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