title: Methylation-specific PCR for detection of neoplastic DNA in biopsy washings.
abstract: Epigenetic DNA alterations such as promoter hypermethylation of glutathione S-transferase P1 (GSTP1) in prostatic adenocarcinoma frequently constitute tumour biomarkers. Neoplastic transformation was identified in washings of prostate biopsies by GSTP1 promoter hypermethylation, using methylation-specific PCR (MSP). Twenty-six patients undergoing sextant transrectal prostate biopsies for clinically suspected prostate cancer were enrolled. All ten patients diagnosed with adenocarcinoma (100%) and four of six patients with prostatic intraepithelial neoplasia (67%), but none of ten patients with benign hyperplasia (0%), exhibited GSTP1 promoter hypermethylation in at least one out of six biopsy washings. Since this approach is transferable to various cancer entities, a sensitive and specific DNA-based analysis of biopsy material seems generally feasible without impeding routine histopathological examination.
authors.affiliation: Department of Urology, Benjamin Franklin Medical School, Hindenburgdamm 30, 12200 Berlin, Germany. goessl@zedat.fu-berlin.de
authors.forename: Carsten
authors.initials: C
authors.lastname: Goessl
authors.forename: Markus
authors.initials: M
authors.lastname: Müller
authors.forename: Rüdiger
authors.initials: R
authors.lastname: Heicappell
authors.forename: Hans
authors.initials: H
authors.lastname: Krause
authors.forename: Martin
authors.initials: M
authors.lastname: Schostak
authors.forename: Bernd
authors.initials: B
authors.lastname: Straub
authors.forename: Kurt
authors.initials: K
authors.lastname: Miller
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis*; D000368:Aged; D000369:Aged, 80 and over; D014408:Biomarkers, Tumor / Q000032:analysis; D001706:Biopsy; D004273:DNA, Neoplasm / Q000032:analysis*; D051549:Glutathione S-Transferase pi; D005982:Glutathione Transferase / Q000235:genetics*; D006801:Humans; D007527:Isoenzymes / Q000235:genetics*; D008297:Male; D008745:Methylation; D008875:Middle Aged; D016133:Polymerase Chain Reaction / Q000379:methods; D011401:Promoter Regions, Genetic; D011470:Prostatic Hyperplasia / Q000175:diagnosis; D019048:Prostatic Intraepithelial Neoplasia / Q000175:diagnosis; D011471:Prostatic Neoplasms / Q000175:diagnosis*
chemical_list: D014408:Biomarkers, Tumor; D004273:DNA, Neoplasm; D007527:Isoenzymes; C496556:GSTP1 protein, human; D051549:Glutathione S-Transferase pi; D005982:Glutathione Transferase