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Advances in Brief

Aberrant Promoter Methylation Profile of Bladder Cancer and Its Relationship to Clinicopathological Features

Riichiroh Maruyama, Shinichi Toyooka, Kiyomi O. Toyooka, Kenichi Harada, Arvind K. Virmani, Sabine Zöchbauer-Müller, Alfredo J. Farinas, Funda Vakar-Lopez, John D. Minna, Arthur Sagalowsky, Bogdan Czerniak and Adi F. Gazdar
Riichiroh Maruyama
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Shinichi Toyooka
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Kiyomi O. Toyooka
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Kenichi Harada
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Arvind K. Virmani
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Sabine Zöchbauer-Müller
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Alfredo J. Farinas
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Funda Vakar-Lopez
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John D. Minna
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Arthur Sagalowsky
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Bogdan Czerniak
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Adi F. Gazdar
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DOI:  Published December 2001
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    Fig. 1.

    Representative examples of MSP analyses of the methylated form (M) of four genes: CDH1, RASSF1A, APC, and CDH13. Amplification of unmethylated form of p16INK4A (p16U) was used as a control for DNA integrity. Across top of figure: M, size marker; T, tumor samples 1 through 10; N, negative control.

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    Fig. 2.

    Correlation of methylation findings and risk factors. For each panel, the methylation percentages are presented as correlated with a risk factor. Right side of each panel, the corresponding MIs. A, correlation with histological grade. Transitional cell tumors were divided into a low-grade (grades 1 or 2) group or a high-grade (grade 3) group. The single squamous cell carcinoma was omitted from the analysis. B, correlation with growth pattern (papillary or nonpapillary). C, correlation with presence or absence of muscle invasion. D, correlation with tumor stage. Tumors were divided into a low-stage (stage 0-II) group or a high-stage (stage III-IV) group. Tumor stage status was available for only 63 of the tumors. E, correlation with ploidy status of the tumor (diploid or aneuploid). Ploidy status was available for only 47 of the tumors. F, correlation with a number of factors of increased risk. Tumors were divided into a group with zero to two factors or a group with three to five factors (A–E, the risk factors).

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    Fig. 3.

    Correlation of methylation status and patient survival by the Kaplan-Meier method. A, survival curves by methylation status of CDH1. B, survival curves by methylation status of FHIT. C, survival by MI (median value, 0.2). To get approximately equal numbers in each group, cases were divided into a high-MI group (MI, ≥0.2) and a low-MI group (MI, ≤0.1). D, survival curves by methylation status of APC.

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    Summary data of genes tested

    Gene abbreviationGene nameChromosomal locationReference for methodologyOther key references
    FHIT Fragile histidine triad 3p14 (26)
    RASSF1A RAS association domain family protein 1A 3p21 (16) (17)
    RARβ Retinoic acid receptor β 3p24 (27)
    APC Adenomatous polyposis coli 5q21 (28)
    p16 INK4A Cyclin-dependent kinase inhibitor 2A 9p21 (8)
    DAPK Death-associated protein kinase 9q34 (29) (30)
    MGMT O6-methylguanine-DNA-methyltransferase10q26 (31)
    GSTP1 Glutathione S-transferase P1 11q13(32) a
    CDH1 E-cadherin 16q22 (33)
    CDH13 H-cadherin 16q24 (22) (23)
    • a We modified the annealing temperature of the methylated form from 59° C to 64° C.

  • Table 2

    Multivariate statistics of survival

    VariableHazards ratio95% confidence intervalP
    Tumor grade, high (grade 3)/low (grades 1 or 2)1.450.37–5.750.59
    Growth pattern, nonpapillary/papillary0.800.25–2.520.70
    Muscle invasion, invasive/noninvasive0.980.29–3.320.97
    CDH1 methylation3.301.20–9.110.02
    RASSF1A methylation1.120.36–3.480.85
    APC methylation1.950.62–6.150.25
    CDH13 methylation1.230.43–3.490.70
    FHIT methylation1.660.55–4.990.37
    MI, high MI/low MI1.050.20–5.410.95
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Cancer Research: 61 (24)
December 2001
Volume 61, Issue 24
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Aberrant Promoter Methylation Profile of Bladder Cancer and Its Relationship to Clinicopathological Features
Riichiroh Maruyama, Shinichi Toyooka, Kiyomi O. Toyooka, Kenichi Harada, Arvind K. Virmani, Sabine Zöchbauer-Müller, Alfredo J. Farinas, Funda Vakar-Lopez, John D. Minna, Arthur Sagalowsky, Bogdan Czerniak and Adi F. Gazdar
Cancer Res December 15 2001 (61) (24) 8659-8663;

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Aberrant Promoter Methylation Profile of Bladder Cancer and Its Relationship to Clinicopathological Features
Riichiroh Maruyama, Shinichi Toyooka, Kiyomi O. Toyooka, Kenichi Harada, Arvind K. Virmani, Sabine Zöchbauer-Müller, Alfredo J. Farinas, Funda Vakar-Lopez, John D. Minna, Arthur Sagalowsky, Bogdan Czerniak and Adi F. Gazdar
Cancer Res December 15 2001 (61) (24) 8659-8663;
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