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Epigenetic inactivation of Homeobox A5 gene in nonsmall cell lung cancer and its relationship with clinicopathological features
Kim DS et al. - In a trial to explore the role of Homeobox A5 (HOXA5) in non-small cell lung cancer (NSCLC), it was shown that downregulation of the HOXA5 gene by aberrant promoter methylation occurs in the vast majority of NSCLCs and it may play a role in the pathogenesis of NSCLC.

Methods
  • Methylation status of the promoter region of the HOXA5 gene was investigated in NSCLCs using nested and standard methylation-specific PCR (MSP).
  • Methylation status with clinicopathological features was correlated.

Results
  • With standard MSP analysis, HOXA5 methylation was found in 113 (81.3%) of 139 NSCLCs and 72 (51.8%) in their corresponding nonmalignant lung tissues.
  • RT-PCR and immunohistochemical analysis showed that HOXA5 methylation correlates with gene expression.
  • In pts with stage I disease, HOXA5 methylation was more frequent in smokers than in never-smokes.
  • There was no influence of HOXA5 methylation on survival in all NSCLCs or at stages II-IV.
  • In patients with stage I disease, HOXA5 methylation was associated with a borderline significantly worse survival.
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