Preferential hypermethylation of the Dickkopf-1 promoter in core-binding factor leukaemia

Autor: Makoto Onizuka, Satomi Fukagawa, Ayumi Shintani, Tomomitsu Hotta, Kiyoshi Ando, Hiroshi Kawada, Hiroyuki Kobayashi, Yoshiaki Ogawa, Kosuke Tsuboi, Rikio Suzuki, Masako Shimada, Minoru Kojima
Rok vydání: 2007
Předmět:
Zdroj: British Journal of Haematology. 138:624-631
ISSN: 1365-2141
0007-1048
DOI: 10.1111/j.1365-2141.2007.06702.x
Popis: The Dickkopf-1 (DKK1) gene product is an extracellular Wnt inhibitor. Hypermethylation of the DKK1 promoter results in transcriptional silencing and may play an important role in cancer development. Here, we investigated hypermethylation of the DKK1 promoter in patients with acute myeloid leukaemia (AML), especially core-binding factor (CBF) leukaemia. The methylation status of DKK1 was analysed using methylation-specific polymerase chain reaction in 47 patients with AML. DKK1 methylation was found in 14 (29.8%) patients, and more frequently in those with CBF leukaemia (6 of 12 patients), than in those with acute promyelocytic leukaemia (APL) (0 of 6 patients) (P = 0.03). In contrast, Wnt inhibitory factor-1 methylation was found in APL (4 of 6 patients) but not in CBF leukaemia (0 of 12 patients) (P = 0.001). Multivariate analyses suggested that DKK1 methylation was a risk factor for poorer overall survival. Sequential analysis using four paired samples obtained at diagnosis and relapse suggested that DKK1 methylation was involved in the progression of leukaemia. Therefore, DKK1 methylation may be involved in leukaemogenesis, especially in CBF leukaemia, and may be a useful prognostic marker in AML.
Databáze: OpenAIRE