MISC

国際誌
2019年3月1日

A comprehensive methylation signature identifies lymph node metastasis in esophageal squamous cell carcinoma.

International journal of cancer
  • Roshni Roy
  • ,
  • Raju Kandimalla
  • ,
  • Fuminori Sonohara
  • ,
  • Masahiko Koike
  • ,
  • Yasuhiro Kodera
  • ,
  • Naoki Takahashi
  • ,
  • Yasuhide Yamada
  • ,
  • Ajay Goel

144
5
開始ページ
1160
終了ページ
1169
記述言語
英語
掲載種別
速報,短報,研究ノート等(学術雑誌)
DOI
10.1002/ijc.31755

Treatment modalities in esophageal squamous cell carcinoma (ESCC) depend largely on lymph node metastasis (LNM) status. With suboptimal detection sensitivity of existing imaging techniques, we propose a methylation signature which identifies patients with LNM with greater accuracy. This would allow precise stratification of high-risk patients requiring more aggressive treatment from low-risk ESCC patients who can forego radical surgery. An unbiased genome-wide methylation signature for LNM detection was established from an initial in silico discovery phase. The signature was tested in independent clinical cohorts comprising of 249 ESCC patients. The prognostic potential of the methylation signature was compared to clinical variables including LNM status. A 10-probe LNM associated signature (LNAS) was developed using stringent bioinformatics analyses. The area under the curve values for LNAS risk scores were 0.81 and 0.88 in the training and validation cohorts respectively, in association with lymphatic vessel invasion and tumor stage. High LNAS risk-score was also associated with worse overall survival [HR (95% CI) 3 (1.8-4.8), p < 0.0001 training and 3.9 (1.5-10.2), p = 0.001 validation cohort]. In conclusion, our novel methylation signature is a powerful biomarker that identifies LNM status robustly and is also associated with worse prognosis in ESCC patients.

リンク情報
DOI
https://doi.org/10.1002/ijc.31755
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/30006931
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331270
ID情報
  • DOI : 10.1002/ijc.31755
  • ISSN : 0020-7136
  • PubMed ID : 30006931
  • PubMed Central 記事ID : PMC7331270

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