KLK10 exon 3 unmethylated PCR product concentration: a new potential early diagnostic marker in ovarian cancer? - A pilot study

Abstract Background KLK10 exon 3 hypermethylation correlated to tumor-specific lack of KLK10 expression in cancer cell lines and primary tumors. In the present study we investigate the possible role of KLK10 exon 3 methylation in ovarian tumor diagnosis and prognosis. Results Qualitative methylation...

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Main Authors: Mustafa A. El Sherbini, Amal A. Mansour, Maha M. Sallam, Emtiaz A. Shaban, Zeinab A. Shehab ElDin, Amr H. El-Shalakany
Format: Article
Language:English
Published: BMC 2018-04-01
Series:Journal of Ovarian Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13048-018-0407-y
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author Mustafa A. El Sherbini
Amal A. Mansour
Maha M. Sallam
Emtiaz A. Shaban
Zeinab A. Shehab ElDin
Amr H. El-Shalakany
author_facet Mustafa A. El Sherbini
Amal A. Mansour
Maha M. Sallam
Emtiaz A. Shaban
Zeinab A. Shehab ElDin
Amr H. El-Shalakany
author_sort Mustafa A. El Sherbini
collection DOAJ
description Abstract Background KLK10 exon 3 hypermethylation correlated to tumor-specific lack of KLK10 expression in cancer cell lines and primary tumors. In the present study we investigate the possible role of KLK10 exon 3 methylation in ovarian tumor diagnosis and prognosis. Results Qualitative methylation-specific PCR (MSP) results did not show statistically significant differences in patient group samples (normal and tumor) where all samples were positive only for the unmethylated-specific PCR except for two malignant samples that were either doubly positive (serous carcinoma) or doubly negative (Sertoli-Leydig cell tumor) for the two MSP tests. However, KLK10 exon 3 unmethylated PCR product concentration (ng/μl) showed statistically significant differences in benign and malignant patient group samples; mean ± SD (n): tumor: 0.077 ± 0.035 (14) and 0.047 ± 0.021 (15), respectively, p-value = 0.011; and normal: 0.094 ± 0.039 (7) and 0.046 ± 0.027 (6), respectively, p-value = 0.031. Moreover, ROC curve analysis of KLK10 exon 3 unmethylated PCR product concentration in overall patient group samples showed good diagnostic ability (AUC = 0.778; p-value = 0.002). Patient survival (living and died) showed statistically significant difference according to preoperative serum CA125 concentration (U/ml); median (n): 101.25 (10) and 1252 (5), respectively, p-value = 0.037, but not KLK10 exon 3 unmethylated PCR product concentration (ng/μl) in overall malignant patient samples; mean ± SD (n): 0.042 ± 0.015 (14) and 0.055 ± 0.032 (7), p-value = 0.228. Conclusion To the best of our knowledge, this is the first report on KLK10 exon 3 unmethylated PCR product concentration as potential early epigenetic diagnostic marker in primary ovarian tumors. Taken into account the limitations in our study (small sample size and semi-quantitative PCR product analysis) further studies are strongly recommended.
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spelling doaj.art-e03fa7d0361c43118a3ae4bd618299832023-01-02T21:39:07ZengBMCJournal of Ovarian Research1757-22152018-04-0111111010.1186/s13048-018-0407-yKLK10 exon 3 unmethylated PCR product concentration: a new potential early diagnostic marker in ovarian cancer? - A pilot studyMustafa A. El Sherbini0Amal A. Mansour1Maha M. Sallam2Emtiaz A. Shaban3Zeinab A. Shehab ElDin4Amr H. El-Shalakany5Medical Biochemistry Department, Faculty of Medicine, Ain Shams UniversityMedical Biochemistry Department, Faculty of Medicine, Ain Shams UniversityMedical Biochemistry Department, Faculty of Medicine, Ain Shams UniversityMedical Biochemistry Department, Faculty of Medicine, Ain Shams UniversityGynecologic Oncology Unit, Ain Shams University Maternity HospitalGynecologic Oncology Unit, Ain Shams University Maternity HospitalAbstract Background KLK10 exon 3 hypermethylation correlated to tumor-specific lack of KLK10 expression in cancer cell lines and primary tumors. In the present study we investigate the possible role of KLK10 exon 3 methylation in ovarian tumor diagnosis and prognosis. Results Qualitative methylation-specific PCR (MSP) results did not show statistically significant differences in patient group samples (normal and tumor) where all samples were positive only for the unmethylated-specific PCR except for two malignant samples that were either doubly positive (serous carcinoma) or doubly negative (Sertoli-Leydig cell tumor) for the two MSP tests. However, KLK10 exon 3 unmethylated PCR product concentration (ng/μl) showed statistically significant differences in benign and malignant patient group samples; mean ± SD (n): tumor: 0.077 ± 0.035 (14) and 0.047 ± 0.021 (15), respectively, p-value = 0.011; and normal: 0.094 ± 0.039 (7) and 0.046 ± 0.027 (6), respectively, p-value = 0.031. Moreover, ROC curve analysis of KLK10 exon 3 unmethylated PCR product concentration in overall patient group samples showed good diagnostic ability (AUC = 0.778; p-value = 0.002). Patient survival (living and died) showed statistically significant difference according to preoperative serum CA125 concentration (U/ml); median (n): 101.25 (10) and 1252 (5), respectively, p-value = 0.037, but not KLK10 exon 3 unmethylated PCR product concentration (ng/μl) in overall malignant patient samples; mean ± SD (n): 0.042 ± 0.015 (14) and 0.055 ± 0.032 (7), p-value = 0.228. Conclusion To the best of our knowledge, this is the first report on KLK10 exon 3 unmethylated PCR product concentration as potential early epigenetic diagnostic marker in primary ovarian tumors. Taken into account the limitations in our study (small sample size and semi-quantitative PCR product analysis) further studies are strongly recommended.http://link.springer.com/article/10.1186/s13048-018-0407-yOvarian cancerCA125KLK10KLK6KLK10 exon 3 methylation
spellingShingle Mustafa A. El Sherbini
Amal A. Mansour
Maha M. Sallam
Emtiaz A. Shaban
Zeinab A. Shehab ElDin
Amr H. El-Shalakany
KLK10 exon 3 unmethylated PCR product concentration: a new potential early diagnostic marker in ovarian cancer? - A pilot study
Journal of Ovarian Research
Ovarian cancer
CA125
KLK10
KLK6
KLK10 exon 3 methylation
title KLK10 exon 3 unmethylated PCR product concentration: a new potential early diagnostic marker in ovarian cancer? - A pilot study
title_full KLK10 exon 3 unmethylated PCR product concentration: a new potential early diagnostic marker in ovarian cancer? - A pilot study
title_fullStr KLK10 exon 3 unmethylated PCR product concentration: a new potential early diagnostic marker in ovarian cancer? - A pilot study
title_full_unstemmed KLK10 exon 3 unmethylated PCR product concentration: a new potential early diagnostic marker in ovarian cancer? - A pilot study
title_short KLK10 exon 3 unmethylated PCR product concentration: a new potential early diagnostic marker in ovarian cancer? - A pilot study
title_sort klk10 exon 3 unmethylated pcr product concentration a new potential early diagnostic marker in ovarian cancer a pilot study
topic Ovarian cancer
CA125
KLK10
KLK6
KLK10 exon 3 methylation
url http://link.springer.com/article/10.1186/s13048-018-0407-y
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AT mahamsallam klk10exon3unmethylatedpcrproductconcentrationanewpotentialearlydiagnosticmarkerinovariancancerapilotstudy
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