Gene silencing by promoter hypermethylation plays an important role in molecular pathogenesis. We previously reported that
insulin-like growth factor (IGF) binding protein-4 (IGFBP-4), which inhibits IGF-dependent growth, is expressed via early growth response-1 (EGR-1) and is often silenced in cultivated
lung cancer cells. The purpose of the present study was to clarify clinicopathological factors associated with
IGFBP-4 gene silencing in
lung adenocarcinomas. Seventy-six surgically resected
adenocarcinomas (20 well-, 35 moderately-, and 21 poorly-differentiated) were subjected to methylation-specific polymerase chain reaction (PCR) analysis for EGR-1-binding sites located in the
IGFBP-4 promoter and immunohistochemistry for
IGFBP-4, EGR-1, and Ki-67. Thirty-two
adenocarcinomas (42%) revealed
IGFBP-4 promoter hypermethylation, and the severity inversely correlated with the level of
IGFBP-4 expression (P < 0.0001) and
tumor differentiation (well versus poor, P = 0.0278; well/moderate versus poor, P = 0.0395). Furthermore, there was a negative correlation between Ki-67 labeling index and
IGFBP-4 expression (P = 0.0361). These findings suggest that the expression of
IGFBP-4 in
adenocarcinoma cells in vivo is downregulated by epigenetic silencing in association with
tumor differentiation, resulting in disruption of the mechanism of IGFBP-4-mediated growth inhibition.