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hepatoblastoma; RASSF1A promoter Article Summary

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The methylation status of RASSF1A promoter predicts responsiveness to chemotherapy and eventual cure in hepatoblastoma patients
International Journal of Cancer, 06/13/08
Print     Email This Article     Save in My Library   Free Abstract
Honda S et al. – RASSF1A methylation may be a promising molecular-genetic marker to predict the treatment outcome and may serve to stratify pts for clinical trials

Methods

  • Study of methylation status of 13 candidate tumor suppressor genes in 20 hepatoblastoma tumors by conventional methylation-specific PCR (MSP); subsequent review of hypermethylation in 3 of 13 genes
  • Analysis of methylation status of 3 genes (RASSF1A, SOCS1, CASP8) in 97 tumors

Results
  • Hypermethylation: RASSF1A, 30.9; SOCS1, 33; CASP8, 15.5%
  • Univariate analysis showed only RASSF1A methylation status but not the other 2 genes predicted outcome; independent prognostic factors: RASSF1A methylation, CTNNB1 mutation, and other clinicopathological variables
  • Multivariate analysis showed weak contribution of RASSF1A methylation to overall survival; independent prognostic factors: RASSF1A methylation and disease stage but not CTNNB1 mutation
  • Of 97 tumors, RASSF1A methylation in 44.3%; CTNNB1 mutation in 67%
  • In survival analysis of 33 stage 3B or 4 pts, overall survival was better for pts with unmethylated vs methylated tumor

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