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Changes in aberrant DNA methylation after Helicobacter pylori eradication: A long‐term follow‐up study

Changes of DNA methylation in gastric mucosae after eradication of Helicobacter pylori have not been clarified yet. From this background, we investigated time course of DNA methylation following H. pylori eradication in 221 successfully H. pylori eradicated subjects with endoscopic follow‐up at leas...

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Published in:International journal of cancer 2013-11, Vol.133 (9), p.2034-2042
Main Authors: Shin, Cheol Min, Kim, Nayoung, Lee, Hye Seung, Park, Ji Hyun, Ahn, Soyeon, Kang, Gyeong Hoon, Kim, Jung Mogg, Kim, Joo Sung, Lee, Dong Ho, Jung, Hyun Chae
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cited_by cdi_FETCH-LOGICAL-c5179-d9bdf07bf49b17ab2d6e77602cb0d3e0a8ee31086a95e398a8052a7f65d930e33
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container_title International journal of cancer
container_volume 133
creator Shin, Cheol Min
Kim, Nayoung
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Kim, Jung Mogg
Kim, Joo Sung
Lee, Dong Ho
Jung, Hyun Chae
description Changes of DNA methylation in gastric mucosae after eradication of Helicobacter pylori have not been clarified yet. From this background, we investigated time course of DNA methylation following H. pylori eradication in 221 successfully H. pylori eradicated subjects with endoscopic follow‐up at least for 6 months, including 114 controls, 53 subjects with gastric dysplasia and 54 patients with early gastric cancer. All dysplasia and gastric cancer patients underwent endoscopic resection at the time of enrollment. The methylation levels in LOX, APC and MOS genes from noncancerous gastric mucosae using quantitative methylation‐specific PCR, as well as the histologic findings of gastric mucosae, were compared before and after eradication. Average follow‐up duration was 26.0 months (range: 6 to 76 months). H. pylori eradication decreased methylation levels in LOX (p‐value for slope 
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From this background, we investigated time course of DNA methylation following H. pylori eradication in 221 successfully H. pylori eradicated subjects with endoscopic follow‐up at least for 6 months, including 114 controls, 53 subjects with gastric dysplasia and 54 patients with early gastric cancer. All dysplasia and gastric cancer patients underwent endoscopic resection at the time of enrollment. The methylation levels in LOX, APC and MOS genes from noncancerous gastric mucosae using quantitative methylation‐specific PCR, as well as the histologic findings of gastric mucosae, were compared before and after eradication. Average follow‐up duration was 26.0 months (range: 6 to 76 months). H. pylori eradication decreased methylation levels in LOX (p‐value for slope &lt; 0.001) but not in APC. In MOS, decrease of its methylation level following H. pylori eradication was significant among controls without intestinal metaplasia (IM) (p‐value for slope &lt; 0.05); however, it was not observed among patients with IM or those with dysplasia or gastric cancer. After H. pylori eradication, methylation level in MOS persistently increased in patients with dysplasia or gastric cancer (p &lt; 0.01). In conclusion, H. pylori eradication decreases aberrant DNA methylation with gene‐specific manner. Methylation level in MOS is associated with IM and may be used as a surrogate marker for gastric cancer risk, regardless of H. pylori eradication history. What's new? While eradication of Helicobacter pylori, a known risk factor for gastric cancer, can prevent disease progression in animal models, its eradication in gastric cancer patients has yielded inconsistent results, possibly owing to the persistence of aberrant changes in DNA methylation. In this study, methylation of the gene MOS was correlated with severity of intestinal metaplasia, a risk factor for progression to gastric cancer. MOS methylation level was persistently higher in subjects with intestinal metaplasia, dysplasia, or gastric cancer, even after H. pylori eradication. The findings strongly support the epigenetic field defect hypothesis for gastric cancer.</description><identifier>ISSN: 0020-7136</identifier><identifier>EISSN: 1097-0215</identifier><identifier>DOI: 10.1002/ijc.28219</identifier><identifier>PMID: 23595635</identifier><identifier>CODEN: IJCNAW</identifier><language>eng</language><publisher>Hoboken, NJ: Wiley-Blackwell</publisher><subject>Adenomatous Polyposis Coli Protein - genetics ; Biological and medical sciences ; Biomarkers, Tumor - genetics ; Cancer ; Cancer therapies ; Case-Control Studies ; Deoxyribonucleic acid ; DNA ; DNA - analysis ; DNA - genetics ; DNA Methylation ; Epigenetics ; Female ; Follow-Up Studies ; Gastric cancer ; Gastric Mucosa - metabolism ; Gastric Mucosa - microbiology ; Gastric Mucosa - pathology ; Gastritis - etiology ; Gastritis - pathology ; Gastroenterology. Liver. Pancreas. Abdomen ; Helicobacter Infections - complications ; Helicobacter Infections - genetics ; Helicobacter Infections - microbiology ; Helicobacter pylori ; Helicobacter pylori - pathogenicity ; Humans ; Infections ; inflammation ; Intestines - microbiology ; Intestines - pathology ; Male ; Medical research ; Medical sciences ; Metaplasia - etiology ; Metaplasia - pathology ; methylation ; Middle Aged ; Multiple tumors. Solid tumors. Tumors in childhood (general aspects) ; Neoplasm Grading ; Polymerase Chain Reaction ; Precancerous Conditions - etiology ; Precancerous Conditions - pathology ; Prognosis ; Proto-Oncogene Proteins c-mos - genetics ; Scavenger Receptors, Class E - genetics ; Stomach Neoplasms - etiology ; Stomach Neoplasms - pathology ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Tumors ; Ulcers</subject><ispartof>International journal of cancer, 2013-11, Vol.133 (9), p.2034-2042</ispartof><rights>2013 UICC</rights><rights>2014 INIST-CNRS</rights><rights>2013 UICC.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5179-d9bdf07bf49b17ab2d6e77602cb0d3e0a8ee31086a95e398a8052a7f65d930e33</citedby><cites>FETCH-LOGICAL-c5179-d9bdf07bf49b17ab2d6e77602cb0d3e0a8ee31086a95e398a8052a7f65d930e33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=27663225$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23595635$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shin, Cheol Min</creatorcontrib><creatorcontrib>Kim, Nayoung</creatorcontrib><creatorcontrib>Lee, Hye Seung</creatorcontrib><creatorcontrib>Park, Ji Hyun</creatorcontrib><creatorcontrib>Ahn, Soyeon</creatorcontrib><creatorcontrib>Kang, Gyeong Hoon</creatorcontrib><creatorcontrib>Kim, Jung Mogg</creatorcontrib><creatorcontrib>Kim, Joo Sung</creatorcontrib><creatorcontrib>Lee, Dong Ho</creatorcontrib><creatorcontrib>Jung, Hyun Chae</creatorcontrib><title>Changes in aberrant DNA methylation after Helicobacter pylori eradication: A long‐term follow‐up study</title><title>International journal of cancer</title><addtitle>Int J Cancer</addtitle><description>Changes of DNA methylation in gastric mucosae after eradication of Helicobacter pylori have not been clarified yet. From this background, we investigated time course of DNA methylation following H. pylori eradication in 221 successfully H. pylori eradicated subjects with endoscopic follow‐up at least for 6 months, including 114 controls, 53 subjects with gastric dysplasia and 54 patients with early gastric cancer. All dysplasia and gastric cancer patients underwent endoscopic resection at the time of enrollment. The methylation levels in LOX, APC and MOS genes from noncancerous gastric mucosae using quantitative methylation‐specific PCR, as well as the histologic findings of gastric mucosae, were compared before and after eradication. Average follow‐up duration was 26.0 months (range: 6 to 76 months). H. pylori eradication decreased methylation levels in LOX (p‐value for slope &lt; 0.001) but not in APC. In MOS, decrease of its methylation level following H. pylori eradication was significant among controls without intestinal metaplasia (IM) (p‐value for slope &lt; 0.05); however, it was not observed among patients with IM or those with dysplasia or gastric cancer. After H. pylori eradication, methylation level in MOS persistently increased in patients with dysplasia or gastric cancer (p &lt; 0.01). In conclusion, H. pylori eradication decreases aberrant DNA methylation with gene‐specific manner. Methylation level in MOS is associated with IM and may be used as a surrogate marker for gastric cancer risk, regardless of H. pylori eradication history. What's new? While eradication of Helicobacter pylori, a known risk factor for gastric cancer, can prevent disease progression in animal models, its eradication in gastric cancer patients has yielded inconsistent results, possibly owing to the persistence of aberrant changes in DNA methylation. In this study, methylation of the gene MOS was correlated with severity of intestinal metaplasia, a risk factor for progression to gastric cancer. MOS methylation level was persistently higher in subjects with intestinal metaplasia, dysplasia, or gastric cancer, even after H. pylori eradication. The findings strongly support the epigenetic field defect hypothesis for gastric cancer.</description><subject>Adenomatous Polyposis Coli Protein - genetics</subject><subject>Biological and medical sciences</subject><subject>Biomarkers, Tumor - genetics</subject><subject>Cancer</subject><subject>Cancer therapies</subject><subject>Case-Control Studies</subject><subject>Deoxyribonucleic acid</subject><subject>DNA</subject><subject>DNA - analysis</subject><subject>DNA - genetics</subject><subject>DNA Methylation</subject><subject>Epigenetics</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastric cancer</subject><subject>Gastric Mucosa - metabolism</subject><subject>Gastric Mucosa - microbiology</subject><subject>Gastric Mucosa - pathology</subject><subject>Gastritis - etiology</subject><subject>Gastritis - pathology</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Helicobacter Infections - complications</subject><subject>Helicobacter Infections - genetics</subject><subject>Helicobacter Infections - microbiology</subject><subject>Helicobacter pylori</subject><subject>Helicobacter pylori - pathogenicity</subject><subject>Humans</subject><subject>Infections</subject><subject>inflammation</subject><subject>Intestines - microbiology</subject><subject>Intestines - pathology</subject><subject>Male</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Metaplasia - etiology</subject><subject>Metaplasia - pathology</subject><subject>methylation</subject><subject>Middle Aged</subject><subject>Multiple tumors. Solid tumors. Tumors in childhood (general aspects)</subject><subject>Neoplasm Grading</subject><subject>Polymerase Chain Reaction</subject><subject>Precancerous Conditions - etiology</subject><subject>Precancerous Conditions - pathology</subject><subject>Prognosis</subject><subject>Proto-Oncogene Proteins c-mos - genetics</subject><subject>Scavenger Receptors, Class E - genetics</subject><subject>Stomach Neoplasms - etiology</subject><subject>Stomach Neoplasms - pathology</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. 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Liver. Pancreas. Abdomen</topic><topic>Helicobacter Infections - complications</topic><topic>Helicobacter Infections - genetics</topic><topic>Helicobacter Infections - microbiology</topic><topic>Helicobacter pylori</topic><topic>Helicobacter pylori - pathogenicity</topic><topic>Humans</topic><topic>Infections</topic><topic>inflammation</topic><topic>Intestines - microbiology</topic><topic>Intestines - pathology</topic><topic>Male</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Metaplasia - etiology</topic><topic>Metaplasia - pathology</topic><topic>methylation</topic><topic>Middle Aged</topic><topic>Multiple tumors. Solid tumors. 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From this background, we investigated time course of DNA methylation following H. pylori eradication in 221 successfully H. pylori eradicated subjects with endoscopic follow‐up at least for 6 months, including 114 controls, 53 subjects with gastric dysplasia and 54 patients with early gastric cancer. All dysplasia and gastric cancer patients underwent endoscopic resection at the time of enrollment. The methylation levels in LOX, APC and MOS genes from noncancerous gastric mucosae using quantitative methylation‐specific PCR, as well as the histologic findings of gastric mucosae, were compared before and after eradication. Average follow‐up duration was 26.0 months (range: 6 to 76 months). H. pylori eradication decreased methylation levels in LOX (p‐value for slope &lt; 0.001) but not in APC. In MOS, decrease of its methylation level following H. pylori eradication was significant among controls without intestinal metaplasia (IM) (p‐value for slope &lt; 0.05); however, it was not observed among patients with IM or those with dysplasia or gastric cancer. After H. pylori eradication, methylation level in MOS persistently increased in patients with dysplasia or gastric cancer (p &lt; 0.01). In conclusion, H. pylori eradication decreases aberrant DNA methylation with gene‐specific manner. Methylation level in MOS is associated with IM and may be used as a surrogate marker for gastric cancer risk, regardless of H. pylori eradication history. What's new? While eradication of Helicobacter pylori, a known risk factor for gastric cancer, can prevent disease progression in animal models, its eradication in gastric cancer patients has yielded inconsistent results, possibly owing to the persistence of aberrant changes in DNA methylation. In this study, methylation of the gene MOS was correlated with severity of intestinal metaplasia, a risk factor for progression to gastric cancer. MOS methylation level was persistently higher in subjects with intestinal metaplasia, dysplasia, or gastric cancer, even after H. pylori eradication. The findings strongly support the epigenetic field defect hypothesis for gastric cancer.</abstract><cop>Hoboken, NJ</cop><pub>Wiley-Blackwell</pub><pmid>23595635</pmid><doi>10.1002/ijc.28219</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Adenomatous Polyposis Coli Protein - genetics
Biological and medical sciences
Biomarkers, Tumor - genetics
Cancer
Cancer therapies
Case-Control Studies
Deoxyribonucleic acid
DNA
DNA - analysis
DNA - genetics
DNA Methylation
Epigenetics
Female
Follow-Up Studies
Gastric cancer
Gastric Mucosa - metabolism
Gastric Mucosa - microbiology
Gastric Mucosa - pathology
Gastritis - etiology
Gastritis - pathology
Gastroenterology. Liver. Pancreas. Abdomen
Helicobacter Infections - complications
Helicobacter Infections - genetics
Helicobacter Infections - microbiology
Helicobacter pylori
Helicobacter pylori - pathogenicity
Humans
Infections
inflammation
Intestines - microbiology
Intestines - pathology
Male
Medical research
Medical sciences
Metaplasia - etiology
Metaplasia - pathology
methylation
Middle Aged
Multiple tumors. Solid tumors. Tumors in childhood (general aspects)
Neoplasm Grading
Polymerase Chain Reaction
Precancerous Conditions - etiology
Precancerous Conditions - pathology
Prognosis
Proto-Oncogene Proteins c-mos - genetics
Scavenger Receptors, Class E - genetics
Stomach Neoplasms - etiology
Stomach Neoplasms - pathology
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Tumors
Ulcers
title Changes in aberrant DNA methylation after Helicobacter pylori eradication: A long‐term follow‐up study
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