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Zbornik - Društvo genetičara Srbije

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198 ZBORNIK ABSTRAKATA III KONGRESA GENETIÈARA SRBIJE V-Usm-15<br />

Subotica, 30. novembar - 4. decembar 2004.<br />

ISTOVREMENA METILACIJA p16 INK4A I MGMT GENA JE<br />

POVEZANA SA POVOLJNIJIM TOKOM BOLESTI KOD OBOLELIH OD<br />

KOLOREKTALNOG KARCINOMA<br />

Milena Krajnoviæ 1 , Koviljka Krtolica 1 , Slavica Kneeviæ-Ušaj 2 i B. Dimitrijeviæ 1<br />

1<br />

Laboratorija za radiobiologiju i molekularnu genetiku, Institut za nuklearne nauke «Vinèa», Beograd<br />

2<br />

Institut za patologiju, VMA, Beograd<br />

Da bismo ispitali eventualnu povezanost izmeðu navedenih parametara, analizirali smo<br />

37 iseèaka tkiva tumora obolelih od kolorektalnog karcinoma. Za utvrðivanje<br />

metilacionog statusa p16 INK4A i MGMT gena je primenjena metoda bisulfitne<br />

modifikacije DNK, kojom se pod odgovarajuæim uslovima svi nemetilovani, ali ne i<br />

metilovani citozini prevode u uracil, a eljeni fragmenti ovako modifikovane DNK su<br />

zatim amplifikovani posebno dizajniranom, za metilaciju specifiènom PCR<br />

tehnikom-MSP. Istovremena metilacija p16 INK4A i MGMT gena je u našem radu<br />

detektovana kod 27% (10 od 37) ispitanika, a korelacija izmeðu ovog dogaðaja i<br />

klinièko-patoloških karakteristika, kao što su pol, starost, Ðukovi stadijumi, histološki<br />

tip, diferenciranost i lokacija tumora, nije uoèena. Meðutim, u analizi klinièkog toka i<br />

ishoda bolesti u dvogodišnjem periodu, istovremena metilacija navedenih gena je<br />

statistièki znaèajno (p < 0.05) korelirala sa manje agresivnim postoperativnim tokom<br />

bolesti i duim preivljavanjem obolelih od kolorektalnog karcinoma. Utvrðeno je da je<br />

do pojave metastaza i smrtnog ishoda u toku dve godine došlo kod svega 30% (3 od 10)<br />

ispitanika sa istovremenom metilacijom oba gena, dok je to bio sluèaj kod 72% (18 od<br />

25), odnosno, 68% (17 od 25) obolelih bez istovremene metilacije analiziranih gena.<br />

Dobijeni rezultati sugerišu da bi istovremena metilacija p16 INK4A i MGMT gena mogla da<br />

predstavlja povoljniji prognostièki parametar kod obolelih od kolorektalnog karcinoma,<br />

a identifikacija ovih molekularnih markera bi omoguæila dizajniranje specifiènih<br />

terapijskih pristupa.<br />

SIMULTANEOUS METHYLATION OF p16 INK4A AND MGMT GENES IS<br />

ASSOCIATED WITH LESS AGGRESSIVENESS OF THE DISEASE AND<br />

LONGER SURVIVAL IN COLORECTAL CANCER<br />

To explore the possible association between these parameters we analysed tumour tissue<br />

samples from 37 patients with colorectal cancer. DNA methylation patterns were determined<br />

by chemical bisulphite modification of unmethylated, but not methylated<br />

cytosines to uracil and subsequent PCR amplification, using primers specific for either<br />

methylated or the unmethylated DNA. Simultaneous methylation of p16 INK4A tumour<br />

suppressor and MGMT genes was found in 27% (10 of 37) of samples and there was no<br />

correlation between this event and any clinicopathological characteristics including age,<br />

gender, Dukes' stage, histological type, differentiation and tumour location. However, in<br />

the two-years survival analysis, simultaneous methylation of these two genes was significantly<br />

associated (p < 0.05) with less aggressiveness of the disease and longer survival in<br />

patients with colorectal cancer who underwent curative surgery. In this period, the progression<br />

of the disease and the death occurred in only 30% (3 of 10) patients with simultaneous<br />

methylation of two examined genes, while that was the case with 72% (18 of 25)<br />

and 68% (17 of 25) patients without simultaneous methylation of analysed genes, respectively.<br />

Our results suggest that simultaneous methylation of p16 INK4A and MGMT genes<br />

could be the factor of better prognosis in patients with colorectal cancer and that identification<br />

of these molecular markers may be of use for the patient specific design of<br />

antitumour therapy.

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