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Exploring the DNA methylome of Korean patients with colorectal cancer consolidates the clinical implications of cancer-associated methylation markers

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초록

Aberrant DNA methylation plays a critical role in the developmentand progression of colorectal cancer (CRC), which hashigh incidence and mortality rates in Korea. Various CRC-associatedmethylation markers for cancer diagnosis and prognosishave been developed; however, they have not been validatedfor Korean patients owing to the lack of comprehensive clinicaland methylome data. Here, we obtained reliable methylationprofiles for 228 tumor, 103 adjacent normal, and two unmatchednormal colon tissues from Korean patients with CRCusing an Illumina Infinium EPIC array; the data were correctedfor biological and experiment biases. A comparative methylomeanalysis confirmed the previous findings that hypermethylatedpositions in the tumor were highly enriched in CpG island andpromoter, 5’ untranslated, and first exon regions. However,hypomethylated positions were enriched in the open-sea regionsconsiderably distant from CpG islands. After applying a CpGisland methylator phenotype (CIMP) to the methylome data oftumor samples to stratify the CRC patients, we consolidatedthe previously established clinicopathological findings that thetumors with high CIMP signatures were significantly enrichedin the right colon. The results showed a higher prevalence ofmicrosatellite instability status and MLH1 methylation in tumorswith high CMP signatures than in those with low or non-CIMPsignatures. Therefore, our methylome analysis and dataset provideinsights into applying CRC-associated methylation markersfor Korean patients regarding cancer diagnosis and prognosis.

Abstract

Aberrant DNA methylation plays a critical role in the developmentand progression of colorectal cancer (CRC), which hashigh incidence and mortality rates in Korea. Various CRC-associatedmethylation markers for cancer diagnosis and prognosishave been developed; however, they have not been validatedfor Korean patients owing to the lack of comprehensive clinicaland methylome data. Here, we obtained reliable methylationprofiles for 228 tumor, 103 adjacent normal, and two unmatchednormal colon tissues from Korean patients with CRCusing an Illumina Infinium EPIC array; the data were correctedfor biological and experiment biases. A comparative methylomeanalysis confirmed the previous findings that hypermethylatedpositions in the tumor were highly enriched in CpG island andpromoter, 5’ untranslated, and first exon regions. However,hypomethylated positions were enriched in the open-sea regionsconsiderably distant from CpG islands. After applying a CpGisland methylator phenotype (CIMP) to the methylome data oftumor samples to stratify the CRC patients, we consolidatedthe previously established clinicopathological findings that thetumors with high CIMP signatures were significantly enrichedin the right colon. The results showed a higher prevalence ofmicrosatellite instability status and MLH1 methylation in tumorswith high CMP signatures than in those with low or non-CIMPsignatures. Therefore, our methylome analysis and dataset provideinsights into applying CRC-associated methylation markersfor Korean patients regarding cancer diagnosis and prognosis.

참고문헌 (32)

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