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Cystatin M expression is reduced in gastric carcinoma and is associated with promoter hypermethylation.

Abstract
Cystatin M is a secreted inhibitor of lysosomal cysteine proteases and increasing evidences indicate that it is a novel target for epigenetic silencing during mammary tumorigenesis. Aberrant promoter methylation is a well-known mechanism that participates in cystatin M silencing in breast cancer. However, the role of cystatin M in the gastric cancer remains to be elucidated. Immunohistochemistry was used to investigate the expression of cystatin M in 60 gastric carcinomas. Hypermethylation of cystatin M promoter was evaluated by the methylation-specific PCR (MSP) method in gastric carcinomas (tumor and paired adjacent non-tumor tissues). Reverse-transcriptase PCR and BSP were also performed on gastric cancer cell lines before and after treatment with 5-aza-2'-deoxycytidine (5-Aza-dC). Lost expression of cystatin M was observed in 42 of 60 (70%) gastric carcinomas. 55% (33 of 60) of primary tumors analyzed displayed cystatin M promoter hypermethylation, indicating that this aberrant characteristic is common in gastric malignancies. Moreover, a statistically significant inverse association was found between cystatin M methylation status and expression of the cystatin M protein in tumor tissues (p=0.027). We also found that patients with cystatin M promoter methylation had a significantly shorter survival time than those without this methylation (p=0.020). These results suggest that cystatin M promoter hypermethylation is one of the molecular mechanisms that accounts for reduced cystatin M gene expression in gastric carcinomas.
AuthorsXiaobing Chen, Xinguang Cao, Wenjie Dong, Microgene Xia, Suxia Luo, Qingxia Fan, Jing Xie
JournalBiochemical and biophysical research communications (Biochem Biophys Res Commun) Vol. 391 Issue 1 Pg. 1070-4 (Jan 01 2010) ISSN: 1090-2104 [Electronic] United States
PMID20004178 (Publication Type: Journal Article)
CopyrightCopyright 2009 Elsevier Inc. All rights reserved.
Chemical References
  • Biomarkers, Tumor
  • Cystatin M
Topics
  • Base Sequence
  • Biomarkers, Tumor (genetics)
  • Carcinoma (genetics, mortality, pathology)
  • Cell Line, Tumor
  • Cystatin M (genetics)
  • DNA Methylation
  • Gene Expression Regulation, Neoplastic
  • Gene Silencing
  • Humans
  • Molecular Sequence Data
  • Prognosis
  • Promoter Regions, Genetic
  • Stomach Neoplasms (genetics, mortality, pathology)

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