Frequent and simultaneous epigenetic inactivation of TP53 pathway genes in acute lymphoblastic leukemia.

Aberrant DNA methylation is one of the most frequent alterations in patients with Acute Lymphoblastic Leukemia (ALL). Using methylation bead arrays we analyzed the methylation status of 807 genes implicated in cancer in a group of ALL samples at diagnosis (n = 48). We found that 154 genes were methy...

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Autores principales: Amaia Vilas-Zornoza, Xabier Agirre, Vanesa Martín-Palanco, José Ignacio Martín-Subero, Edurne San José-Eneriz, Leire Garate, Sara Álvarez, Estíbaliz Miranda, Paula Rodríguez-Otero, José Rifón, Antonio Torres, María José Calasanz, Juan Cruz Cigudosa, José Román-Gómez, Felipe Prósper
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Publicado: Public Library of Science (PLoS) 2011
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spelling oai:doaj.org-article:6e39c3a5691b497a9b4284448183bded2021-11-18T06:58:05ZFrequent and simultaneous epigenetic inactivation of TP53 pathway genes in acute lymphoblastic leukemia.1932-620310.1371/journal.pone.0017012https://doaj.org/article/6e39c3a5691b497a9b4284448183bded2011-02-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21386967/?tool=EBIhttps://doaj.org/toc/1932-6203Aberrant DNA methylation is one of the most frequent alterations in patients with Acute Lymphoblastic Leukemia (ALL). Using methylation bead arrays we analyzed the methylation status of 807 genes implicated in cancer in a group of ALL samples at diagnosis (n = 48). We found that 154 genes were methylated in more than 10% of ALL samples. Interestingly, the expression of 13 genes implicated in the TP53 pathway was downregulated by hypermethylation. Direct or indirect activation of TP53 pathway with 5-aza-2'-deoxycitidine, Curcumin or Nutlin-3 induced an increase in apoptosis of ALL cells. The results obtained with the initial group of 48 patients was validated retrospectively in a second cohort of 200 newly diagnosed ALL patients. Methylation of at least 1 of the 13 genes implicated in the TP53 pathway was observed in 78% of the patients, which significantly correlated with a higher relapse (p = 0.001) and mortality (p<0.001) rate being an independent prognostic factor for disease-free survival (DFS) (p = 0.006) and overall survival (OS) (p = 0.005) in the multivariate analysis. All these findings indicate that TP53 pathway is altered by epigenetic mechanisms in the majority of ALL patients and correlates with prognosis. Treatments with compounds that may reverse the epigenetic abnormalities or activate directly the p53 pathway represent a new therapeutic alternative for patients with ALL.Amaia Vilas-ZornozaXabier AgirreVanesa Martín-PalancoJosé Ignacio Martín-SuberoEdurne San José-EnerizLeire GarateSara ÁlvarezEstíbaliz MirandaPaula Rodríguez-OteroJosé RifónAntonio TorresMaría José CalasanzJuan Cruz CigudosaJosé Román-GómezFelipe PrósperPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 2, p e17012 (2011)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Amaia Vilas-Zornoza
Xabier Agirre
Vanesa Martín-Palanco
José Ignacio Martín-Subero
Edurne San José-Eneriz
Leire Garate
Sara Álvarez
Estíbaliz Miranda
Paula Rodríguez-Otero
José Rifón
Antonio Torres
María José Calasanz
Juan Cruz Cigudosa
José Román-Gómez
Felipe Prósper
Frequent and simultaneous epigenetic inactivation of TP53 pathway genes in acute lymphoblastic leukemia.
description Aberrant DNA methylation is one of the most frequent alterations in patients with Acute Lymphoblastic Leukemia (ALL). Using methylation bead arrays we analyzed the methylation status of 807 genes implicated in cancer in a group of ALL samples at diagnosis (n = 48). We found that 154 genes were methylated in more than 10% of ALL samples. Interestingly, the expression of 13 genes implicated in the TP53 pathway was downregulated by hypermethylation. Direct or indirect activation of TP53 pathway with 5-aza-2'-deoxycitidine, Curcumin or Nutlin-3 induced an increase in apoptosis of ALL cells. The results obtained with the initial group of 48 patients was validated retrospectively in a second cohort of 200 newly diagnosed ALL patients. Methylation of at least 1 of the 13 genes implicated in the TP53 pathway was observed in 78% of the patients, which significantly correlated with a higher relapse (p = 0.001) and mortality (p<0.001) rate being an independent prognostic factor for disease-free survival (DFS) (p = 0.006) and overall survival (OS) (p = 0.005) in the multivariate analysis. All these findings indicate that TP53 pathway is altered by epigenetic mechanisms in the majority of ALL patients and correlates with prognosis. Treatments with compounds that may reverse the epigenetic abnormalities or activate directly the p53 pathway represent a new therapeutic alternative for patients with ALL.
format article
author Amaia Vilas-Zornoza
Xabier Agirre
Vanesa Martín-Palanco
José Ignacio Martín-Subero
Edurne San José-Eneriz
Leire Garate
Sara Álvarez
Estíbaliz Miranda
Paula Rodríguez-Otero
José Rifón
Antonio Torres
María José Calasanz
Juan Cruz Cigudosa
José Román-Gómez
Felipe Prósper
author_facet Amaia Vilas-Zornoza
Xabier Agirre
Vanesa Martín-Palanco
José Ignacio Martín-Subero
Edurne San José-Eneriz
Leire Garate
Sara Álvarez
Estíbaliz Miranda
Paula Rodríguez-Otero
José Rifón
Antonio Torres
María José Calasanz
Juan Cruz Cigudosa
José Román-Gómez
Felipe Prósper
author_sort Amaia Vilas-Zornoza
title Frequent and simultaneous epigenetic inactivation of TP53 pathway genes in acute lymphoblastic leukemia.
title_short Frequent and simultaneous epigenetic inactivation of TP53 pathway genes in acute lymphoblastic leukemia.
title_full Frequent and simultaneous epigenetic inactivation of TP53 pathway genes in acute lymphoblastic leukemia.
title_fullStr Frequent and simultaneous epigenetic inactivation of TP53 pathway genes in acute lymphoblastic leukemia.
title_full_unstemmed Frequent and simultaneous epigenetic inactivation of TP53 pathway genes in acute lymphoblastic leukemia.
title_sort frequent and simultaneous epigenetic inactivation of tp53 pathway genes in acute lymphoblastic leukemia.
publisher Public Library of Science (PLoS)
publishDate 2011
url https://doaj.org/article/6e39c3a5691b497a9b4284448183bded
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