Original Article


The hypermethylation of MUC2 promoter associated with mRNA and metastasis in esophageal squamous cell carcinoma

Jing Zhu, Yang Ling, Yun Xu, Mingzhu Lu, Yongping Liu, Changsong Zhang

Abstract

Background: We evaluated the association between MUC2 methylation status and mRNA level in esophageal squamous cell carcinoma (ESCC) patients.
Methods: The methylation index was examined by methylation-specific PCR and MUC2 mRNA was examined in paired tissue samples of 310 ESCC patients by real-time PCR.
Results: The mean of MUC2 methylation index was 0.68 in ESCCs, and only 0.45 in non-tumor samples. There was a significant association between MUC2 methylation and lymph node metastasis, distant metastasis in ESCC. The lower level of MUC2 mRNA were in ESCC tissues (Mean−∆Ct=−6.65), and higher in Non-tumor tissues (Mean−∆Ct=−4.11). The lower MUC2 mRNA (−ΔΔCtMUC2≤−2.54) was 112/185 (60.54%) in ESCC with AJCC stage III-IV, 105/162 (64.81%) with N2–3 Lymph node metastasis, and 99/142 (69.72%) with differentiation G2. Meanwhile, the level of MUC2 mRNA were lower in ESCC patients with methylated promoter (Mean−∆∆Ct=−3.58) than those with hypomethylation (Mean−∆∆Ct=−0.32). And the ESCC patients with MUC2 silencing and hypermethylation in promoter had an unfavorable outcome.
Conclusions: The results implied that the hypermethylation could be an important factor for silencing of MUC2 mRNA and a potential biomarker for poor survival in ESCC.

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