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IGFBP-3 hypermethylation-derived deficiency mediates cisplatin resistance in non-small-cell lung cancer
Ist Teil von
Oncogene, 2010-03, Vol.29 (11), p.1681-1690
Ort / Verlag
London: Nature Publishing Group UK
Erscheinungsjahr
2010
Quelle
MEDLINE
Beschreibungen/Notizen
Cisplatin-based chemotherapy is the paradigm of non-small-cell lung cancer (NSCLC) treatment; however, it also induces
de novo
DNA-hypermethylation, a process that may be involved in the development of drug-resistant phenotypes by inactivating genes required for drug-cytotoxicity. By using an expression microarray analysis, we aimed to identify those genes reactivated in a set of two cisplatin (CDDP) resistant and sensitive NSCLC cell lines after epigenetic treatment. Gene expression, promoter methylation and CDDP-chemoresponse were further analyzed in three matched sets of sensitive/resistant cell lines, 23 human cancer cell lines and 36 NSCLC specimens. Results revealed specific silencing by promoter hypermethylation of
IGFBP-3
in CDDP resistant cells, whereas
IGFBP-3
siRNA interference, induced resistance to CDDP in sensitive cells (
P
<0.001). In addition, we found a strong correlation between methylation status and CDDP response in tumor specimens (
P
<0.001). Thus, stage I patients, whose tumors harbor an unmethylated promoter, had a trend towards increased disease-free survival (DFS). We report that a loss of
IGFBP-3
expression, mediated by promoter-hypermethylation, results in a reduction of tumor cell sensitivity to cisplatin in NSCLC. Basal methylation status of
IGFBP-3
before treatment may be a clinical biomarker and a predictor of the chemotherapy outcome, helping to identify patients who are most likely to benefit from CDDP therapy alone or in combination with epigenetic treatment.