Profiling CpG island field methylation in both morphologically normal and neoplastic human colonic mucosa
2008

Profiling Methylation in Colonic Mucosa

Sample size: 42 publication Evidence: high

Author Information

Author(s): Belshaw N J, Elliott G O, Foxall R J, Dainty J R, Pal N, Coupe A, Garg D, Bradburn D M, Mathers J C, Johnson I T

Primary Institution: Institute of Food Research, Norwich Research Park, Colney, Norwich NR4 7UA, UK

Hypothesis

Does aberrant CpG island methylation occur in morphologically normal colonic mucosa of patients with colorectal neoplasia?

Conclusion

The study found significant differences in methylation levels between normal mucosa of cancer patients and neoplasia-free individuals, suggesting early epigenetic changes associated with colorectal neoplasia.

Supporting Evidence

  • Multivariate statistical analyses distinguished tumour from mucosa with a sensitivity of 78.9% and a specificity of 100%.
  • Age-dependent CGI methylation was observed for several genes in morphologically normal mucosa.
  • Significant differences in CGI methylation levels were detected between cancer patients and neoplasia-free individuals.

Takeaway

The study shows that even normal-looking tissue in cancer patients can have changes in DNA that might help predict cancer risk.

Methodology

Quantitative methylation-specific PCR was used to analyze methylation levels of 18 genes in biopsies from patients with colorectal cancer, adenomatous polyps, and neoplasia-free individuals.

Potential Biases

Potential bias due to the selection of patients and the methods used for sample collection.

Limitations

The study's findings may be influenced by the small sample sizes in some patient groups.

Participant Demographics

19 colorectal cancer patients (11 males, 8 females), 13 adenomatous polyp patients (10 males, 3 females), and 20 neoplasia-free individuals (10 males, 10 females).

Statistical Information

P-Value

3 × 10−7

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6604432

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