Journal
LEUKEMIA RESEARCH
Volume 29, Issue 6, Pages 653-659Publisher
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.leukres.2004.11.014
Keywords
methylation; acute myeloid leukemia; p15(INK4b); E-cadherin
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Hypermethylation of CpG islands is a common mechanism by which tumor suppressor genes are inactivated. The tumor suppressor gene p15(INK4b) is important component of cell cycles, whereas E-cadherin gene is often termed a metastasis suppressor gene. We have studied the feasibility of detecting tumor-associated aberrant p15(INK4b) and E-cadherin inethylation in acute myeloid leukemia (AML) using methylation-specific PCR. Aberrant methylation of p15(INK4b) was detected in 31 of 61 (51%) AML patients. On the otherhand, E-cadherin hypermethylation was detected in 36 of 61 (56%) AML patients. We have examined the methylation pattern of these genes and the prognosis in AML patients using a log-rank test. Methylation of p15(INK4b) gene significantly correlated with prognosis (p = 0.0012), and methylation of E-cadherin gene more significantly correlated with prognosis (p = 0.0004). When both were methylated, there was even more significant unfavorable prognosis compared to either of the methylated genes (p < 0.0001). We interpret these data to mean that dysfunction of the cell cycle and/or the cell-cell adhesion molecule plays a role in the pathogenesis of acute myeloid leukemia and that analysis of the inethylation of p15(INK4b) and E-cadherin,genes can provide clinically important evidence on which to base treatment. (c) 2004 Elsevier Ltd. All rights reserved.
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