title: LINE-1 and Alu hypomethylation in mucoepidermoid carcinoma.
abstract: BACKGROUND
  Mucoepidermoid carcinoma (MEC) can be classified into low-, intermediate-, and high-grade tumors based on its histological features. MEC is mainly composed of three cell types (squamous or epidermoid, mucous and intermediate cells), which correlates with the histological grade and reflects its clinical behavior. Most cancers exhibit reduced methylation of repetitive sequences such as Long INterspersed Element-1 (LINE-1) and Alu elements. However, to date very little information is available on the LINE-1 and Alu methylation status in MEC. The aim of this study was to investigate LINE-1 and Alu element methylation in MEC and compare if key differences in the methylation status exist between the three different cell types, and adjacent normal salivary gland cells, to see if this may reflect the histological grade.
  
  
  METHODS
  LINE-1 and Alu element methylation of 24 MEC, and 14 normal salivary gland tissues were compared using Combine Bisulfite Restriction Analysis (COBRA). Furthermore, the three different cell types from MEC samples were isolated for enrichment by laser capture microdissection (LCM), essentially to see if COBRA was likely to increase the predictive value of LINE-1 and Alu element methylation.
  
  
  RESULTS
  LINE-1 and Alu element methylation levels were significantly different (p<0.001) between the cell types, and showed a stepwise decrease from the adjacent normal salivary gland to the intermediate, mucous and squamous cells. The reduced methylation levels of LINE-1 were correlated with a poorer histological grade. In addition, MEC tissue showed a significantly lower level of LINE-1 and Alu element methylation overall compared to normal salivary gland tissue (p<0.001).
  
  
  CONCLUSIONS
  Our findings suggest that LINE-1 methylation differed among histological grade mucoepidermoid carcinoma. Hence, this epigenetic event may hold value for MEC diagnosis and prognostic prediction.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Chulalongkorn University, Bangkok 10330, Thailand. skeskanya@gmail.com.
authors.forename: Porntipa
authors.initials: P
authors.lastname: Sirivanichsuntorn
authors.forename: Somboon
authors.initials: S
authors.lastname: Keelawat
authors.forename: Kittipong
authors.initials: K
authors.lastname: Danuthai
authors.forename: Apiwat
authors.initials: A
authors.lastname: Mutirangura
authors.forename: Keskanya
authors.initials: K
authors.lastname: Subbalekha
authors.forename: Nakarin
authors.initials: N
authors.lastname: Kitkumthorn