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. 2002 May;160(5):1823-30.
doi: 10.1016/S0002-9440(10)61128-5.

CpG island methylation in aberrant crypt foci of the colorectum

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CpG island methylation in aberrant crypt foci of the colorectum

Annie On-On Chan et al. Am J Pathol. 2002 May.

Abstract

Aberrant crypt foci (ACF) are postulated to be the earliest precursor lesion in colorectal carcinogenesis, and CpG island methylation has been described as an important molecular pathway. We therefore studied methylation in ACF from patients with familial adenomatous polyposis (FAP) or sporadic colorectal cancer. We assessed methylation status of the p16 tumor suppressor gene, MINT1 (methylated in tumor 1), MINT2, MINT31, O(6)-methylguanine-DNA methyltransferase gene, and hMLH1 mismatch repair gene. We compared methylation to ACF histopathology, K-ras proto-oncogene mutation, loss of heterozygosity at chromosome 1p, and microsatellite instability. Methylation was present in 34% (21 of 61) of ACF, including both FAP and sporadic types, but was more frequent in sporadic ACF [53% (18 of 34) versus 11% (3 of 27), P = 0.002], especially dysplastic sporadic ACF [75% (3 of 4) versus 8% (2 of 24), P = 0.004]. MINT31 was more frequently methylated in heteroplastic ACF than dysplastic ACF [35% (11 of 31) versus 7% (2 of 30), P = 0.01]. Strong associations of ACF methylation with K-ras mutation (P = 0.007) and with loss of chromosome 1p (P = 0.04) were observed, but methylation was the only molecular abnormality identified in 16% (10 of 61) of ACF. Our findings suggest that methylation in ACF is an early event in the pathogenesis of a subset of colorectal carcinomas, and that ACF from FAP patients and patients with sporadic colorectal cancer have distinct epigenetic changes that reflect differences in molecular pathogenesis.

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Figures

Figure 1.
Figure 1.
Histopathology of ACF. Heteroplastic ACF (top two panels), mixed heteroplastic and dysplastic ACF (third panel), and dysplastic ACF (bottom panel).
Figure 2.
Figure 2.
A: Methylation analysis of CpG islands in ACF. Examples of methylation of p16, MINT1, MINT31, and MGMT are shown. Methylation-specific PCR using primers for methylated (M) and unmethylated (U) alleles of bisulfite-treated DNA was performed. Loci examined and ACF numbers are indicated above each gel. MW represents lane with molecular weight marker. B: Nucleotide sequencing of the K-ras gene in ACF. A G-to-A mutation of codon 12 is indicated by the arrowhead. C: Allelic loss of chromosome 1p in ACF. The lane from normal DNA (N) has two alleles at marker D1S199 and the lane from the tumor DNA (T) shows loss of one of the alleles.
Figure 2.
Figure 2.
A: Methylation analysis of CpG islands in ACF. Examples of methylation of p16, MINT1, MINT31, and MGMT are shown. Methylation-specific PCR using primers for methylated (M) and unmethylated (U) alleles of bisulfite-treated DNA was performed. Loci examined and ACF numbers are indicated above each gel. MW represents lane with molecular weight marker. B: Nucleotide sequencing of the K-ras gene in ACF. A G-to-A mutation of codon 12 is indicated by the arrowhead. C: Allelic loss of chromosome 1p in ACF. The lane from normal DNA (N) has two alleles at marker D1S199 and the lane from the tumor DNA (T) shows loss of one of the alleles.
Figure 3.
Figure 3.
CIM, loss of chromosome 1p, K-ras mutation, and histopathology of ACF from FAP patients and patients with sporadic CRC.

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