Hypermethylation of the hMLH1 gene promoter in solitary and multiple gastric cancers with microsatellite instability
2002

Hypermethylation of the hMLH1 Gene in Gastric Cancers

Sample size: 30 publication Evidence: high

Author Information

Author(s): Sakata K, Tamura G, Endoh Y, Ohmura K, Ogata S, Motoyama T

Primary Institution: Department of Pathology, Yamagata University School of Medicine

Hypothesis

Hypermethylation of the hMLH1 gene promoter is a frequent cause of microsatellite instability in gastric cancers.

Conclusion

Hypermethylation of the hMLH1 promoter occurs in non-cancerous gastric mucosa of microsatellite instability-H tumours and may increase the risk of subsequent neoplasia.

Supporting Evidence

  • All microsatellite instability-H tumours had evidence of methylation of the hMLH1 promoter.
  • Methylation status correlated with hMLH1 protein expression.
  • Hypermethylation was detected in non-cancerous gastric mucosa adjacent to and distant from tumours.

Takeaway

This study found that a gene related to cancer, called hMLH1, gets turned off in stomach cancers, which can lead to more cancer later on.

Methodology

The study used methylation-specific PCR to investigate the methylation status of the hMLH1 gene promoter in gastric cancer samples and adjacent non-cancerous tissues.

Participant Demographics

Patients ranged in age from 59 to 84 years, with an average age of 72 years.

Statistical Information

P-Value

p<0.0000005

Statistical Significance

p<0.0000005

Digital Object Identifier (DOI)

10.1038/sj.bjc.6600076

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