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A Change in Promoter Methylation of hMLH1 is a Cause of Acquired Resistance to Platinum-based Chemotherapy in Epithelial Ovarian Cancer

Background: Acquired resistance to platinum-based chemotherapy (Pt-chemo) is a major problem for improving the prognosis for patients with advanced epithelial ovarian cancer (EOC). However, the molecular mechanism of acquired resistance to Pt-chemo is not well understood. Materials and Methods: hMLH...

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Published in:Anticancer research 2007-05, Vol.27 (3B), p.1449-1452
Main Authors: WATANABE, Yoh, UEDA, Haruhiko, ETOH, Tomomaro, KOIKE, Eiji, FUJINAMI, Nahoko, MITSUHASHI, Akiyo, HOSHIAI, Hiroshi
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container_end_page 1452
container_issue 3B
container_start_page 1449
container_title Anticancer research
container_volume 27
creator WATANABE, Yoh
UEDA, Haruhiko
ETOH, Tomomaro
KOIKE, Eiji
FUJINAMI, Nahoko
MITSUHASHI, Akiyo
HOSHIAI, Hiroshi
description Background: Acquired resistance to platinum-based chemotherapy (Pt-chemo) is a major problem for improving the prognosis for patients with advanced epithelial ovarian cancer (EOC). However, the molecular mechanism of acquired resistance to Pt-chemo is not well understood. Materials and Methods: hMLH1 promoter methylation (hMLH1 MET) and hMLH1 protein expression was examined in 36 paired samples of primary and secondary resected tumors by methylation-specific polymerase chain reaction (PCR). Results: No primary tumors exhibited hMLH1 MET, while 56.3% of secondary tumors showed hMLH1 MET. Moreover, no significant correlation was observed between hMLH1 MET and histological subtype, while hMLH1 MET was significantly greater (p
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However, the molecular mechanism of acquired resistance to Pt-chemo is not well understood. Materials and Methods: hMLH1 promoter methylation (hMLH1 MET) and hMLH1 protein expression was examined in 36 paired samples of primary and secondary resected tumors by methylation-specific polymerase chain reaction (PCR). Results: No primary tumors exhibited hMLH1 MET, while 56.3% of secondary tumors showed hMLH1 MET. Moreover, no significant correlation was observed between hMLH1 MET and histological subtype, while hMLH1 MET was significantly greater (p&lt;0.001) in partially responsive secondary tumors compared with no change or progressive disease, and hMLH1 MET also occurred more frequently (p=0.059) in tumors treated with four or more courses of Pt-chemo. 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However, the molecular mechanism of acquired resistance to Pt-chemo is not well understood. Materials and Methods: hMLH1 promoter methylation (hMLH1 MET) and hMLH1 protein expression was examined in 36 paired samples of primary and secondary resected tumors by methylation-specific polymerase chain reaction (PCR). Results: No primary tumors exhibited hMLH1 MET, while 56.3% of secondary tumors showed hMLH1 MET. Moreover, no significant correlation was observed between hMLH1 MET and histological subtype, while hMLH1 MET was significantly greater (p&lt;0.001) in partially responsive secondary tumors compared with no change or progressive disease, and hMLH1 MET also occurred more frequently (p=0.059) in tumors treated with four or more courses of Pt-chemo. 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However, the molecular mechanism of acquired resistance to Pt-chemo is not well understood. Materials and Methods: hMLH1 promoter methylation (hMLH1 MET) and hMLH1 protein expression was examined in 36 paired samples of primary and secondary resected tumors by methylation-specific polymerase chain reaction (PCR). Results: No primary tumors exhibited hMLH1 MET, while 56.3% of secondary tumors showed hMLH1 MET. Moreover, no significant correlation was observed between hMLH1 MET and histological subtype, while hMLH1 MET was significantly greater (p&lt;0.001) in partially responsive secondary tumors compared with no change or progressive disease, and hMLH1 MET also occurred more frequently (p=0.059) in tumors treated with four or more courses of Pt-chemo. 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subjects Adaptor Proteins, Signal Transducing - genetics
Adult
Aged
Antineoplastic Agents - therapeutic use
Biological and medical sciences
Carcinoma - drug therapy
DNA - analysis
DNA - metabolism
DNA Methylation - drug effects
Drug Resistance, Neoplasm - genetics
Female
Female genital diseases
Gynecology. Andrology. Obstetrics
Humans
Male
Medical sciences
Microsatellite Repeats
Middle Aged
MutL Protein Homolog 1
Nuclear Proteins - genetics
Ovarian Neoplasms - drug therapy
Platinum Compounds - therapeutic use
Promoter Regions, Genetic
Sequence Analysis, DNA
Tumors
title A Change in Promoter Methylation of hMLH1 is a Cause of Acquired Resistance to Platinum-based Chemotherapy in Epithelial Ovarian Cancer
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