Hypermethylation of GpG islands in the promoter region of p15(INK4b) in acute promyelocytic leukemia represses p15(INK4b) expression and correlates with poor prognosis

Luciana Teofili, Maurizio Martini, Luigi Maria Larocca, Giovanni Capelli, Marco Breccia, Giuseppe Leone, Miryam Luongo, Daniela Diverio, Francesco Lo Coco

Risultato della ricerca: Contributo in rivistaArticolo in rivista

50 Citazioni (Scopus)

Abstract

We evaluated the methylation status of p15 gene in a series of 65 patients with newly diagnosed acute promyelocytic leukemia (APL) receiving homogeneous treatment. Moreover, in 32 of them, the methylation status of p15 gene was correlated to the p15 m-RNA expression. In total, 31 patients had no p15 methylation (U group). An abnormal methylation pattern was found in 34 patients: in seven of these patients only methylated DNA was detected (M group), while in the remaining 27 patients (M/U group), both methylated and unmethylated DNA were amplified. Patients from M group showed a higher incidence of relapses and a lower disease-free survival (DSF) with respect to patients from U and M/U groups (29, 64 and 79% at 5 years for M, U/M and U patients, respectively, P=0.03), while p15 methylation had no impact on overall survival. The p15 expression was detectable in all patients with unmethylated DNA, in none of patients with fully methylated DNA and in 60% of patients with partially methylated DNA. The DFS estimate at 5 years for p15-negative patients was significantly lower than that of p15-positive patients (P=0.03). These data confirm that the presence of p15 methylation negatively influences the prognosis of APL, mainly when it represses the p15 gene transcription.
Lingua originaleEnglish
pagine (da-a)919-924
Numero di pagine6
RivistaLeukemia
Volume17
DOI
Stato di pubblicazionePubblicato - 2003

Keywords

  • Adult
  • Bone Marrow
  • Cell Cycle Proteins
  • Cyclin-Dependent Kinase Inhibitor p15
  • Cyclin-Dependent Kinase Inhibitor p16
  • DNA Methylation
  • DNA Primers
  • DNA, Neoplasm
  • Dinucleoside Phosphates
  • Enzyme Inhibitors
  • Female
  • Follow-Up Studies
  • Gene Expression Regulation, Neoplastic
  • Gene Silencing
  • Genes, Tumor Suppressor
  • Humans
  • Immunoenzyme Techniques
  • Leukemia, Promyelocytic, Acute
  • Male
  • Neoplasm Recurrence, Local
  • Polymerase Chain Reaction
  • Prognosis
  • Promoter Regions, Genetic
  • RNA, Messenger
  • RNA, Neoplasm
  • Sulfites
  • Survival Rate
  • Syndrome
  • Treatment Outcome
  • Tumor Suppressor Proteins

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