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Expression and methylation status of tissue factor pathway inhibitor-2 gene in non-small-cell lung cancer.

Abstract
Tissue factor pathway inhibitor-2 (TFPI-2) is a Kunitz-type serine proteinase inhibitor that inhibits plasmin-dependent activation of several metalloproteinases. Downregulation of TFPI-2 could thus enhance the invasive potential of neoplastic cells in several cancers, including lung cancer. In this study, TFPI-2 mRNA was measured using a real-time PCR method in tumours of 59 patients with non-small-cell lung cancer (NSCLC). Tumour TFPI-2 mRNA levels appeared well correlated with protein expression evaluated by immunohistochemistry and were 4-120 times lower compared to those of nonaffected lung tissue in 22 cases (37%). Hypermethylation of the TFPI-2 gene promoter was demonstrated by restriction enzyme-polymerase chain reaction in 12 of 40 cases of NSCLC (30%), including nine of 17 for whom tumour TFPI-2 gene expression was lower than in noncancerous tissue. In contrast, this epigenetic modification was shown in only three of 23 tumours in which no decrease in TFPI-2 synthesis was found (P=0.016). Decreased TFPI-2 gene expression and hypermethylation were more frequently associated with stages III or IV NSCLC (eight out of 10, P=0.02) and the TFPI-2 gene promoter was more frequently hypermethylated in patients with lymph node metastases (eight out of 16, P=0.02). These results suggest that silencing of the TFPI-2 gene by hypermethylation might contribute to tumour progression in NSCLC.
AuthorsJ Rollin, S Iochmann, C Bléchet, F Hubé, S Régina, S Guyétant, E Lemarié, P Reverdiau, Y Gruel
JournalBritish journal of cancer (Br J Cancer) Vol. 92 Issue 4 Pg. 775-83 (Feb 28 2005) ISSN: 0007-0920 [Print] England
PMID15685245 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • DNA, Complementary
  • DNA, Neoplasm
  • Glycoproteins
  • RNA, Messenger
  • RNA, Neoplasm
  • tissue-factor-pathway inhibitor 2
Topics
  • Adult
  • Aged
  • Carcinoma, Non-Small-Cell Lung (genetics, metabolism, pathology)
  • DNA Methylation
  • DNA, Complementary (chemical synthesis)
  • DNA, Neoplasm (metabolism)
  • Female
  • Gene Expression Regulation, Neoplastic
  • Glycoproteins (genetics)
  • Humans
  • Immunoblotting
  • Immunohistochemistry
  • Lung Neoplasms (genetics, metabolism, pathology)
  • Male
  • Middle Aged
  • Neoplasm Staging
  • Polymerase Chain Reaction
  • Prospective Studies
  • RNA, Messenger (metabolism)
  • RNA, Neoplasm (metabolism)

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