CpG-island methylation of the ER promoter in colorectal cancer: analysis of micrometastases in lymph nodes from UICC stage I and II patients
2009

ER Promoter Methylation in Colorectal Cancer Lymph Nodes

Sample size: 49 publication Evidence: moderate

Author Information

Author(s): Harder J, Engelstaedter V, Usadel H, Lassmann S, Werner M, Baier P, Otto F, Varbanova M, Schaeffner E, Olschewski M, Blum H E, Opitz O G

Primary Institution: University Medical Center, Freiburg, Germany

Hypothesis

Is ER promoter methylation in lymph nodes a predictor of local recurrence in colorectal cancer patients?

Conclusion

ER promoter methylation in lymph nodes may help identify colorectal cancer patients at high risk for local recurrence.

Supporting Evidence

  • 31% of patients had ER methylation-positive lymph nodes.
  • 86% of patients with positive ER methylation remained disease-free.
  • None of the patients without ER methylation experienced local relapse.

Takeaway

The study looked at whether changes in a specific gene in lymph nodes can help doctors know if colorectal cancer might come back after surgery.

Methodology

The study analyzed the methylation status of the ER promoter in lymph nodes from 49 colorectal cancer patients using quantitative real-time methylation-specific PCR.

Limitations

The small number of recurrences limits the ability to perform a statistical multivariable analysis.

Participant Demographics

{"mean_age":67,"gender_distribution":{"male":24,"female":25},"UICC_stage":{"I":11,"II":38}}

Digital Object Identifier (DOI)

10.1038/sj.bjc.6604859

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