RASSF 1A基因在卵巢癌组织及腹腔冲洗液中甲基化的研究

    Study on promoter methylation of RASSF 1A gene in ovarian cancer and peritoneal fluid

    • 摘要: 目的:探讨卵巢癌组织和腹腔冲洗液中Ras相关区域家族1A (Ras association domain family 1A,RASSF 1A)基因启动子异常甲基化状况及其在卵巢癌诊断中的价值。方法:采用甲基化特异性PCR方法检测42例卵巢癌组织、腹腔冲洗液或腹腔积液、11例正常卵巢组织和19例良性病变卵巢组织中RASSF 1A基因启动子区甲基化状态。结果:42例卵巢癌组织中RASSF 1A基因启动子区甲基化发生率为38.1%,11例正常卵巢组织和19例良性卵巢组织中RASSF 1A基因启动子区无甲基化,差异有统计学意义(P<0.01)。临床分期Ⅲ期和Ⅳ期的卵巢癌组织中RASSF 1A基因启动子区甲基化发生率为54.2%,高于临床Ⅰ期和Ⅱ期者16.6%(P<0.05)。淋巴结阳性者癌组织中RASSF 1A基因启动子区甲基化发生率56.5%,高于淋巴结阴性者15.8%。腹腔冲洗液或腹腔积液细胞学阳性者癌组织中RASSF 1A基因启动子区甲基化发生率为74.1%,高于腹腔冲洗液或腹腔积液细胞学阴性者33.3%(P<0.01)。结论:RASSF 1A基因甲基化在卵巢癌患者中具有较高的发生率,检测卵巢癌组织和腹腔冲洗液或腹腔积液中RASSF 1A基因的甲基化状态对卵巢癌的诊断和判断预后具有一定的价值。

       

      Abstract: Objective: To investigate the promoter hypermethylation status of tumor suppressor Ras association domain family 1A (RASSF 1A) gene in ovarian cancer,peritoneal fluid and the value of diagnosis of ovarian cancer.Methods: The promoter methylation status of the promoter region of RASSF 1A was analyzed by methylation specific-PCR in forty-two malignant ovarian tumor tissues and ascites (or peritoneal fluid),eleven normal ovarian tissues and ninteen benign ovarian tumor tissues.Results: The promoter methylation rate of RASSF 1A in ovarian cancer was 38.1% while in benign tissues was 0.The rate of promoter hypermethylation of RASSF 1A in ovarian cancer and noncancer tissues showed significant correlation (P<0.01).The frequency of promoter methylation of RASSF 1A was correlated with operation-pathology stage and lymph node metastasis.There was statistically significant difference.Hypermethylation of RASSF 1A gene happened more often in tumors in stage Ⅲ and Ⅳ 54.2% than that in stage Ⅰand Ⅱ 16.6% (P<0.05).The frequency of promoter methylation of RASSF 1A was significantly higher in the patients with positive lymph node metastasis 56.5% than those without lymph node metastasis 15.8% (P<0.01).The frequency of methylation of promoter region in RASSF 1A gene was significantly higher in the patients with positive ascites or peritoneal liquid 74.1% than in those negative ascites or peritoneal liquid 33.3% (P<0.01).Conclusions: There was significant frequency promoter methylation of RASSF 1A in ovarian cancer.Detection of aberrant RASSF 1A methylation may serve as an early diagnostic and prognostic marker.

       

    /

    返回文章
    返回