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DNA methylation markers for diagnosis and prognosis of common cancers

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机构: [1]Fourth Mil Med Univ, Xijing Hosp, Dept Clin Lab Med, Xian 710032, Peoples R China; [2]Sun Yat Sen Univ, Ctr Canc, State Key Lab Oncol, Guangzhou 510060, Guangdong, Peoples R China; [3]Univ Calif San Diego, Inst Genom Med, La Jolla, CA 92093 USA; [4]Shanghai Gen Hosp, Shanghai Key Lab Ocular Fundus Dis, Shanghai 200080, Peoples R China; [5]Chinese Acad Sci, Shanghai Inst Biol Sci, Shanghai Ctr Plant Stress Biol, Shanghai 210602, Peoples R China; [6]Guangzhou Youze Biol Pharmaceut Technol Co Ltd, Guangzhou 510005, Guangdong, Peoples R China; [7]Univ Calif San Diego, Dept Pharmacol, La Jolla, CA 92328 USA; [8]Vet Adm Healthcare Syst, San Diego, CA 92093 USA
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关键词: DNA methylation cancer diagnosis cancer prognosis gene expression survival analysis

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The ability to identify a specific cancer using minimally invasive biopsy holds great promise for improving the diagnosis, treatment selection, and prediction of prognosis in cancer. Using whole-genome methylation data from The Cancer Genome Atlas (TCGA) and machine learning methods, we evaluated the utility of DNA methylation for differentiating tumor tissue and normal tissue for four common cancers (breast, colon, liver, and lung). We identified cancer markers in a training cohort of 1,619 tumor samples and 173 matched adjacent normal tissue samples. We replicated our findings in a separate TCGA cohort of 791 tumor samples and 93 matched adjacent normal tissue samples, as well as an independent Chinese cohort of 394 tumor samples and 324 matched adjacent normal tissue samples. The DNA methylation analysis could predict cancer versus normal tissue with more than 95% accuracy in these three cohorts, demonstrating accuracy comparable to typical diagnostic methods. This analysis also correctly identified 29 of 30 colorectal cancer metastases to the liver and 32 of 34 colorectal cancer metastases to the lung. We also found that methylation patterns can predict prognosis and survival. We correlated differential methylation of CpG sites predictive of cancer with expression of associated genes known to be important in cancer biology, showing decreased expression with increased methylation, as expected. We verified gene expression profiles in a mouse model of hepatocellular carcinoma. Taken together, these findings demonstrate the utility of methylation biomarkers for the molecular characterization of cancer, with implications for diagnosis and prognosis.

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大类 | 1 区 综合性期刊
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第一作者机构: [1]Fourth Mil Med Univ, Xijing Hosp, Dept Clin Lab Med, Xian 710032, Peoples R China;
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通讯机构: [1]Fourth Mil Med Univ, Xijing Hosp, Dept Clin Lab Med, Xian 710032, Peoples R China; [2]Sun Yat Sen Univ, Ctr Canc, State Key Lab Oncol, Guangzhou 510060, Guangdong, Peoples R China; [3]Univ Calif San Diego, Inst Genom Med, La Jolla, CA 92093 USA; [7]Univ Calif San Diego, Dept Pharmacol, La Jolla, CA 92328 USA; [8]Vet Adm Healthcare Syst, San Diego, CA 92093 USA
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