Abstract | BACKGROUND:
Cancer cells exhibit two types of DNA methylation alterations: global DNA hypomethylation and site-specific CpG island promoter hypermethylation. Selected gene promoter hypermethylation in normal esophageal mucosae has attracted attention as a surrogate marker for the epigenetic field defect induced by smoking and/or drinking in esophageal squamous cell carcinoma (ESCC). However, the significance of global DNA hypomethylation for field cancerization remains unclear. METHODS: By using histologically normal esophageal mucosa samples from 109 ESCC cases and 20 autopsy cases without ESCCs, we measured long interspersed nucleotide element 1 (LINE-1) methylation levels by pyrosequencing, which correlates with global DNA methylation level. RESULTS: LINE-1 methylation levels in normal esophageal mucosae of ESCC patients were significantly lower than those of autopsy individuals (P = 0.017). LINE-1 methylation of noncancerous mucosae ranged 68.3-93.0 on a 0-100 scale (mean 81.7, median 82.2, standard deviation 5.9). LINE-1 hypomethylation was significantly associated with smoking history (P = 0.014 for smoking duration; P = 0.0017 for number of cigarettes per day; P = 0.0002 for tobacco pack-year). LINE-1 methylation was not associated with alcohol drinking or age at diagnosis. CONCLUSIONS: A history of tobacco use was significantly associated with LINE-1 hypomethylation in noncancerous esophageal mucosae of ESCC patients. These results support the potential of LINE-1 methylation level as an indicator of epigenetic field for ESCC cancerization, particularly when caused by tobacco smoking.
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Authors | Hironobu Shigaki, Yoshifumi Baba, Masayuki Watanabe, Shiro Iwagami, Keisuke Miyake, Takatsugu Ishimoto, Masaaki Iwatsuki, Hideo Baba |
Journal | Annals of surgical oncology
(Ann Surg Oncol)
Vol. 19
Issue 13
Pg. 4238-43
(Dec 2012)
ISSN: 1534-4681 [Electronic] United States |
PMID | 22766991
(Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
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Topics |
- Aged
- Aged, 80 and over
- Carcinoma, Squamous Cell
(etiology)
- Case-Control Studies
- DNA
(genetics)
- DNA Methylation
- Epigenomics
- Esophageal Neoplasms
(etiology)
- Esophagus
(metabolism, pathology)
- Female
- Follow-Up Studies
- Humans
- Long Interspersed Nucleotide Elements
(genetics)
- Male
- Middle Aged
- Mucous Membrane
(metabolism)
- Polymerase Chain Reaction
- Prognosis
- Risk Factors
- Smoking
(adverse effects, genetics)
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