Whole Genome Methylation Analysis of Nondysplastic Barrett Esophagus that Progresses to Invasive Cancer.

Autor:	Dilworth MP; Institute of Cancer and Genomic Science, University of Birmingham, UK., Nieto T; Institute of Cancer and Genomic Science, University of Birmingham, UK., Stockton JD; Institute of Cancer and Genomic Science, University of Birmingham, UK., Whalley CM; Institute of Cancer and Genomic Science, University of Birmingham, UK., Tee L; Institute of Cancer and Genomic Science, University of Birmingham, UK., James JD; Institute of Cancer and Genomic Science, University of Birmingham, UK., Noble F; Cancer Sciences Unit, Faculty of Medicine, University of Southampton, Southampton, UK., Underwood TJ; Cancer Sciences Unit, Faculty of Medicine, University of Southampton, Southampton, UK., Hallissey MT; Queen Elizabeth Hospital, Birmingham, UK., Hejmadi R; Institute of Cancer and Genomic Science, University of Birmingham, UK., Trudgill N; Sandwell and West Birmingham NHS Trust, Birmingham, UK., Tucker O; Heart of England NHS Trust, Birmingham, UK., Beggs AD; Institute of Cancer and Genomic Science, University of Birmingham, UK.; Queen Elizabeth Hospital, Birmingham, UK.
Jazyk:	angličtina
Zdroj:	Annals of surgery [Ann Surg] 2019 Mar; Vol. 269 (3), pp. 479-485.
DOI:	10.1097/SLA.0000000000002658
Abstrakt:	Objective: To investigate differences in methylation between patients with nondysplastic Barrett esophagus who progress to invasive adenocarcinoma and those who do not. Background: Identifying patients with nondysplastic Barrett esophagus who progress to invasive adenocarcinoma remains a challenge. Previous studies have demonstrated the potential utility of epigenetic markers for identifying this group. Methods: A whole genome methylation interrogation using the Illumina HumanMethylation 450 array of patients with nondysplastic Barrett esophagus who either develop adenocarcinoma or remain static, with validation of findings by bisulfite pyrosequencing. Results: In all, 12 patients with "progressive" versus 12 with "nonprogressive" nondysplastic Barrett esophagus were analyzed via methylation array. Forty-four methylation markers were identified that may be able to discriminate between nondysplastic Barrett esophagus that either progress to adenocarcinoma or remain static. Hypomethylation of the recently identified tumor suppressor OR3A4 (probe cg09890332) validated in a separate cohort of samples (median methylation in progressors 67.8% vs 96.7% in nonprogressors; P = 0.0001, z = 3.85, Wilcoxon rank-sum test) and was associated with the progression to adenocarcinoma. There were no differences in copy number between the 2 groups, but a global trend towards hypomethylation in the progressor group was observed. Conclusion: Hypomethylation of OR3A4 has the ability to risk stratify the patient with nondysplastic Barrett esophagus and may form the basis of a future surveillance program.
Databáze:	MEDLINE
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