دورية أكاديمية

The Clinical Significance of Promoter Methylation of Fluoropyrimidine Metabolizing and Cyclooxygenase Genes in Colorectal Cancer.

التفاصيل البيبلوغرافية
العنوان: The Clinical Significance of Promoter Methylation of Fluoropyrimidine Metabolizing and Cyclooxygenase Genes in Colorectal Cancer.
المؤلفون: Fouad MA; Pharmacology and Experimental Oncology Unit, Cancer Biology Department, National Cancer Institute, Cairo University, Egypt., Salem SE; Medical Oncology Department, National Cancer Institute, Cairo University, Egypt., Hussien MM; Medical Oncology Department, National Cancer Institute, Cairo University, Egypt., Badr DM; Pharmacology and Experimental Oncology Unit, Cancer Biology Department, National Cancer Institute, Cairo University, Egypt., Zekri AN; Virology and Immunology Unit, Cancer Biology Department, National Cancer Institute, Cairo University, Egypt., Hafez HF; Pharmacology and Experimental Oncology Unit, Cancer Biology Department, National Cancer Institute, Cairo University, Egypt., Shouman SA; Pharmacology and Experimental Oncology Unit, Cancer Biology Department, National Cancer Institute, Cairo University, Egypt.
المصدر: Epigenetics insights [Epigenet Insights] 2021 Feb 14; Vol. 14, pp. 2516865720986231. Date of Electronic Publication: 2021 Feb 14 (Print Publication: 2021).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: SAGE Publications Country of Publication: United States NLM ID: 101735398 Publication Model: eCollection Cited Medium: Internet ISSN: 2516-8657 (Electronic) Linking ISSN: 25168657 NLM ISO Abbreviation: Epigenet Insights Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Thousand Oaks, CA] : SAGE Publications, [2018]-[2023]
مستخلص: Aims: This study investigated the impact of promoter methylation of flouropyrimidine (FP) metabolizing and cyclooxygenase 2 (COX2) genes on their mRNA expression and on the clinical outcome of colorectal cancer (CRC) patients.
Methods: Methylation specific-PCR and real time-PCR of thymidylate synthase (TS), thymidine phosphorylase (TP), dihydropyrimidine dehydrogenase (DPD) and COX2 were performed at baseline and after 3 and 6 months of FP therapy. Pairwise comparisons were conducted between the subgroups of CRC patients. The event free survival (EFS) and the hazard of progression were estimated by univariate and multivariate analyses.
Results: At baseline CRC patients, both TS and TP were overexpressed, in spite of the unmethylation of TS and the full methylation of TP genes. Significant downexpression of DPD and COX2 were associated their promoter's methylation. At the end of FP therapy, TS, DPD and COX2 were overexpressed by 7.52, 2.88 and 3.45 folds, respectively, while TP was downexpressed by 0.54 fold. However, no change was observed in the methylation status of genes with FP therapy. Pairwise comparisons revealed significant difference in the expression and the methylation status of genes according to the clinicopathological characters of CRC patients either at baseline or after FP therapy. The overexpression of DPD and COX2 genes were indicators for a poor EFS of CRC patients. Also, the high level of COX2 expression was found to be significantly correlated with the hazard of progression (HR = 1.73, 95% CI = 1.02-3.03).
Conclusion: The promoter methylation of FP metabolizing and COX2 genes has significant impact on the expression and the treatment outcome of CRC patients.
Competing Interests: Declaration of Conflicting Interests:The author(s) declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.
(© The Author(s) 2021.)
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فهرسة مساهمة: Keywords: Colorectal cancer; cyclooxygenase 2; fluoropyrimidine metabolizing; gene expression; promoter methylation; survival and progression
تواريخ الأحداث: Date Created: 20210301 Latest Revision: 20231110
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC7890744
DOI: 10.1177/2516865720986231
PMID: 33644686
قاعدة البيانات: MEDLINE
الوصف
تدمد:2516-8657
DOI:10.1177/2516865720986231