Hypermethylation of the CDKN2/p16 promoter during neoplastic progression in Barrett's esophagus

被引:148
作者
Klump, B [1 ]
Hsieh, CJ [1 ]
Holzmann, K [1 ]
Gregor, M [1 ]
Porschen, R [1 ]
机构
[1] Univ Tubingen Hosp, Dept Med 1, D-72076 Tubingen, Germany
关键词
D O I
10.1016/S0016-5085(98)70016-2
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background & Aims: Inactivation of the CDKN2/p16(INK4A) tumor-suppressor gene is one of the most frequent genetic alterations in human malignancies. In esophageal adenocarcinomas, mutations of the p16 gene or homozygous deletions of the gene locus 9p21 are rare. This study investigated whether p16 promoter hypermethylation is an alternative mechanism for p16 gene inactivation during neoplastic progression in Barrett's esophagus. Methods: A methylation-specific polymerase chain reaction protocol was applied. A total of 95 specimens from 14 patients with Barrett's esophagus were analyzed longitudinally. The p16 promoter status was compared with histomorphological findings. Results: p16 promoter hypermethylation was detected in 9 of the 10 patients who had displayed dysplasia at some time during surveillance, whereas none of the patients who had not displayed dysplasia during surveillance had p16 promoter hypermethylation. p16 promoter hypermethylation was detected in 3% (2 of 67) of the samples without dysplasia, 60% (3 of 5) of the samples with lesions indefinite for dysplasia, 55.6% (10 of 18) of the specimens with low-grade dysplasia, and 75% (3 of 4) of the specimens with high-grade dysplasia. Conclusions: These data suggest that p16 promoter hypermethylation is a common mechanism of p16 gene inactivation during neoplastic progression in Barrett's esophagus.
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页码:1381 / 1386
页数:6
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