title: SFRP2 methylation in fecal DNA--a marker for colorectal polyps.
abstract: BACKGROUND
  DNA methylation of secreted frizzled-related proteins (SFRPs) can be detected in colorectal cancer (CRC) tissue, in tissue of adenomas, and in aberrant crypt foci, whereas in normal colorectal mucosa tissue, SFRP genes are unmethylated. Recently, our study group was able to demonstrate SFRP2 methylation as the most sensitive single DNA-based marker in stool for identification of CRC. The purpose of this study was to clarify whether SFRP2 methylation in fecal DNA can be found in stool of individuals with hyperplastic and adenomatous colorectal polyps.
  
  
  METHODS
  Patients who were diagnosed with colorectal polyps or showed negative colonoscopy were included in this study. DNA from stool samples was isolated. SFRP2 methylation was assessed by means of MethyLight.
  
  
  RESULTS
  Stool samples from 68 individuals were checked for DNA content; 23% of the samples (6 of 26) from healthy controls, 46% of the samples (6 of 13) from patients with hyperplastic polyps, and 45% of the samples (13 of 29) from patients with adenomas were positive for human DNA. SFRP2 methylation in stool samples was found in none of the healthy controls, in 33% (2 of 6) patients with hyperplastic polyps, and in 46% (6 of 13) patients with adenomas. Statistical analysis revealed that the frequency of SFRP2 methylation increased significantly (P=0.028) from healthy controls to patients with hyperplastic polyps and to patients with adenomas.
  
  
  CONCLUSIONS
  In the current study, we report for the first time that SFRP2 methylation in fecal DNA increases significantly from healthy controls to patients with hyperplastic polyps and to patients with adenomas. SFRP2 methylation may serve as a marker for molecular stool-based adenoma and CRC screening.
authors.affiliation: Department of General and Transplant Surgery, Innsbruck Medical University, 6020 Innsbruck, Austria.
authors.forename: Michael
authors.initials: M
authors.lastname: Oberwalder
authors.forename: Marion
authors.initials: M
authors.lastname: Zitt
authors.forename: Cornelia
authors.initials: C
authors.lastname: Wöntner
authors.forename: Heidi
authors.initials: H
authors.lastname: Fiegl
authors.forename: Georg
authors.initials: G
authors.lastname: Goebel
authors.forename: Matthias
authors.initials: M
authors.lastname: Zitt
authors.forename: Olivia
authors.initials: O
authors.lastname: Köhle
authors.forename: Gilbert
authors.initials: G
authors.lastname: Mühlmann
authors.forename: Dietmar
authors.initials: D
authors.lastname: Ofner
authors.forename: Raimund
authors.initials: R
authors.lastname: Margreiter
authors.forename: Hannes M
authors.initials: HM
authors.lastname: Müller
mesh_terms: D018256:Adenomatous Polyps / Q000235:genetics* / Q000473:pathology; D000328:Adult; D000368:Aged; D014408:Biomarkers, Tumor / Q000235:genetics*; D016022:Case-Control Studies; D003111:Colonic Polyps / Q000235:genetics* / Q000473:pathology; D003113:Colonoscopy; D015179:Colorectal Neoplasms / Q000235:genetics* / Q000473:pathology; D004247:DNA / Q000032:analysis; D019175:DNA Methylation; D005243:Feces / Q000737:chemistry; D005260:Female; D015972:Gene Expression Regulation, Neoplastic; D006801:Humans; D006965:Hyperplasia; D008297:Male; D008565:Membrane Proteins / Q000235:genetics*; D008875:Middle Aged; D011230:Precancerous Conditions / Q000235:genetics* / Q000473:pathology; D055815:Young Adult; D000094742:Secreted Frizzled-Related Proteins
chemical_list: D014408:Biomarkers, Tumor; D004247:DNA; D008565:Membrane Proteins; C109618:SFRP2 protein, human; D000094742:Secreted Frizzled-Related Proteins