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Quantitative survey of multiple CpGs from 5 genes identifies CpG methylation panel discriminating between high- and low-grade cervical intraepithelial neoplasia

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机构: [1]Chinese Acad Med Sci, Inst Basic Med Sci, Dept Biochem & Mol Biol, Beijing 100005, Peoples R China; [2]Peking Union Med Coll, Sch Basic Med, Beijing 100005, Peoples R China; [3]Aerosp Cent Hosp, Dept Pathol, Beijing 100049, Peoples R China; [4]Chinese Acad Med Sci, Inst Basic Med Sci, Dept Biomed Engn, Beijing 100005, Peoples R China; [5]Capital Med Univ, Beijing Tiantan Hosp, Dept Pathol, Beijing 100050, Peoples R China; [6]Chinese Acad Med Sci, Inst Basic Med Sci, Dept Biomed Engn, 5 Dong Dan San Tiao, Beijing 100005, Peoples R China
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关键词: Cervical cancer Cervical intraepithelial neoplasia (CIN) DNA methylation High-grade CIN Biomarkers

摘要:
Background: Studies of methylation biomarkers for cervical cancer often involved only few randomly selected CpGs per candidate gene analyzed by methylation-specific PCR-based methods, with often inconsistent results from different laboratories. We evaluated the role of different CpGs from multiple genes as methylation biomarkers for high-grade cervical intraepithelial neoplasia (CIN). Results: We applied a mass spectrometry-based platform to survey the quantitative methylation levels of 34 CpG units from SOX1, PAX1, NKX6-1, LMX1A, and ONECUT1 genes in 100 cervical formalin-fixed paraffin-embedded (FFPE) tissues. We then used nonparametric statistics and Random Forest algorithm to rank significant CpG methylations and support vector machine with 10-fold cross validation and 200 times bootstrap resampling to build a predictive model separating CIN II/III from CIN I/normal subjects. We found only select CpG units showed significant differences in methylation between CIN II/III and CIN I/normal groups, while mean methylation levels per gene were similar between the two groups for each gene except PAX1. An optimal classification model involving five CpG units from SOX1, PAX1, NKX6-1, and LMX1A achieved 81.2% specificity, 80.4% sensitivity, and 80.8% accuracy. Conclusions: Our study suggested that during CIN development, the methylation of CpGs within CpG islands is not uniform, with varying degrees of significance as biomarkers. Our study emphasizes the importance of not only methylated marker genes but also specific CpGs for identifying high-grade CINs. The 5-CpG classification model provides a promising biomarker panel for the early detection of cervical cancer.

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出版当年[2014]版:
大类 | 2 区 医学
小类 | 2 区 肿瘤学
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 遗传学 2 区 肿瘤学
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出版当年[2013]版:
Q1 ONCOLOGY
最新[2023]版:
Q1 GENETICS & HEREDITY Q1 ONCOLOGY

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第一作者机构: [1]Chinese Acad Med Sci, Inst Basic Med Sci, Dept Biochem & Mol Biol, Beijing 100005, Peoples R China; [2]Peking Union Med Coll, Sch Basic Med, Beijing 100005, Peoples R China;
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通讯机构: [2]Peking Union Med Coll, Sch Basic Med, Beijing 100005, Peoples R China; [4]Chinese Acad Med Sci, Inst Basic Med Sci, Dept Biomed Engn, Beijing 100005, Peoples R China; [6]Chinese Acad Med Sci, Inst Basic Med Sci, Dept Biomed Engn, 5 Dong Dan San Tiao, Beijing 100005, Peoples R China
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