Methylation-associated Silencing of microRNA-126 and its Host Gene EGFL7 in Malignant Pleural Mesothelioma

Morten Andersen, Davide Trapani, Jesper Ravn, Jens Benn Sørensen, Claus Bøgelund Andersen, Morten Grauslund, Eric Santoni-Rugiu

25 Citations (Scopus)

Abstract

Background/Aim: We recently reported that miR-126 is down-regulated in malignant pleural mesothelioma (MPM) and can be combined into a 4-microRNA-classifier that can accurately diagnose MPM with high sensitivity and specificity. Herein we analyzed the epigenetic regulation of miR-126 and its host gene EGF-like domain, multiple 7 (EGFL7). Materials and Methods: Resected formalin-fixed paraffin-embedded MPM tissues from 29 patients, 14 patientmatched non-neoplastic pleura (NNP) specimens, 5 MPM diagnostic biopsies (DB), and 5 samples of pneumothoraxinduced benign reactive mesothelial proliferation (PTHX) were analyzed. miR-126 and EGFL7 mRNA were quantified by RT-qPCR. CpG-islands' methylation in the EGFL7 promoter was analyzed using methylation-specific PCR and in the MIR126-containing intron 7 was quantified by pyrosequencing. Results: Relative to NNP, EGFL7 was under-expressed more than 4-fold in MPM (p<0.001). EGFL7 mRNA and miR-126 levels correlated in MPM (p<0.01) and NNP (p<0.001). The EGFL7 promoter region was hypermethylated in 69% of MPM and 80% of DB samples, but not in NNP and PTHX samples. EGFL7 promoter hypermethylation was associated with epithelioid histology (p<0.05) and reduced patient-survival (p<0.05). Conclusion: In MPM, DNA-hypermethylation down-regulates miR-126 and its host gene EGFL7, therefore is a poor prognostic factor, and may represent a future therapeutic target for de-methylating strategies re-establishing EGFL7 and miR-126 expression.

Original languageEnglish
JournalAnticancer Research
Volume35
Issue number11
Pages (from-to)6223-9
Number of pages7
ISSN0250-7005
Publication statusPublished - Nov 2015

Keywords

  • Adult
  • Aged
  • Biomarkers, Tumor
  • Case-Control Studies
  • DNA Methylation
  • Endothelial Growth Factors
  • Epigenesis, Genetic
  • Female
  • Follow-Up Studies
  • Gene Expression Regulation, Neoplastic
  • Humans
  • Lung Neoplasms
  • Male
  • Mesothelioma
  • MicroRNAs
  • Middle Aged
  • Neoplasm Staging
  • Pleural Neoplasms
  • Prognosis
  • Promoter Regions, Genetic
  • Real-Time Polymerase Chain Reaction

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