title: APC promoter hypermethylation is an early event in endometrial tumorigenesis.
abstract: The aim of the current study was to investigate the role of promoter methylation of adenomatous polyposis coli (APC) and epithelial cadherin (E-cadherin) genes in endometrial tumorigenesis. The methylation status of both genes was investigated in 43 cases of normal endometrium, 21 simple hyperplasia, 17 atypical hyperplasia, and 86 endometrial carcinoma (EC). Additionally, the methylation pattern of both genes was analyzed in 24 primary ECs and their corresponding metastases. DNA methylation of the APC gene increased from atypical hyperplasia (23.5%) to endometrial carcinoma, reaching its highest level of 77.4% in early stage cancer (FIGO I and II) and decreasing stepwise to 24.2% in advanced stage carcinomas (FIGO III and IV). No methylation of APC was found in normal endometrium or simple hyperplasia. Methylation of E-cadherin was found only in EC (22.1%). The mean age of the patients with aberrant APC methylation was 68.8 years and was significantly higher compared to the mean age (60.9 years) of the patients without methylation of APC promoter (P = 0.02). APC promoter methylation significantly correlated with decreased protein expression of APC (P = 0.039), with increased expression of the Ki-67 proliferative marker (P = 0.006) and decreased metastatic potential (P = 0.002). There was no correlation between APC and E-cadherin methylation patterns and the other clinicopathologic features, nor with patient outcome. Our results suggest that hypermethylation of APC promoter region is an early event in endometrial tumorigenesis.
authors.affiliation: Department of Obstetrics and Gynecology, Otto-von-Guericke University, Magdeburg, Germany. atanas.ignatov@med.ovgu.de
authors.forename: Atanas
authors.initials: A
authors.lastname: Ignatov
authors.forename: Joachim
authors.initials: J
authors.lastname: Bischoff
authors.forename: Tanja
authors.initials: T
authors.lastname: Ignatov
authors.forename: Christa
authors.initials: C
authors.lastname: Schwarzenau
authors.forename: Thomas
authors.initials: T
authors.lastname: Krebs
authors.forename: Doerthe
authors.initials: D
authors.lastname: Kuester
authors.forename: Serban D
authors.initials: SD
authors.lastname: Costa
authors.forename: Albert
authors.initials: A
authors.lastname: Roessner
authors.forename: Andrzej
authors.initials: A
authors.lastname: Semczuk
authors.forename: Regine
authors.initials: R
authors.lastname: Schneider-Stock
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015820:Cadherins / Q000235:genetics; D019175:DNA Methylation; D016889:Endometrial Neoplasms / Q000209:etiology / Q000235:genetics* / Q000473:pathology; D005260:Female; D017491:Genes, APC; D006801:Humans; D019394:Ki-67 Antigen / Q000032:analysis; D008875:Middle Aged; D011401:Promoter Regions, Genetic
chemical_list: D015820:Cadherins; D019394:Ki-67 Antigen