Clinical features of the microRNA genes methylation in borderline ovarian tumors and depending on the histological structure in ovarian malignancies

S. Lukina, A. Burdennyy, E. Filippova, I. Pronina, T. Kazubskaya, D. N. Kushlinsky, D. O. Utkin, E. Braga, V. Loginov, N. Kushlinskii
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Abstract

Background: Borderline ovarian tumors (BOT) belong to the intermediate type between benign and malignant ovarian neoplasms. Serous borderline tumors share common molecular and genetic characteristics with serous carcinomas. An increase in the methylation level of microRNA (miRNA) genes group has been previously shown during the development and progression of ovarian cancer. However, the study results are contradictory, and their number is not sufficient for a consensus. Current study is the first to search for aberrant methylated genes of the BOT-specific microRNA and for some histological subtypes of ovarian cancer. Materials and methods: The study was based on a set of 99 paired (tumor/healthy) ovarian tumor samples. Methylation analysis was carried out with quantitative methyl-specific polymerase chain reaction (PCR). Screening for BOT biomarkers was performed in 21 genes of miRNA. Results: We have found that some miRNA genes (MIR124-1, MIR125B-1, MIR129-2, MIR132, MIR148A, MIR193A, MIR203A, MIR107, MIR1258, MIR339) were characterized by a high methylation level in the patients with BOT, compared to that in the tissues of healthy women. At the same time, the methylation level in the patients with malignant ovarian tumors (MOT) either differed slightly or was even lower. For the MIR129-2, MIR132, MIR148A, MIR203, MIR107 and MIR1258 genes, a higher level of methylation was detected in the BOT patients, compared to the MOT patients. The methylation level of the MIR148A gene in the BOT patients was 4-fold higher than that in the MOT (31.3% vs 7.9%, p = 0.047, multiple two-sided Kruskal-Wallis test). The methylation levels of the miRNA genes MIR148A and MIR191 were significantly reduced in serous cystadenocarcinoma and increased in serous and endometrioid adenocarcinomas. Conclusion: Methylation of the miRNA MIR148A and MIR191 genes is significantly associated with various histological variants of ovarian cancer. We have shown an increased methylation level of a number of miRNA genes in BOT, compared to MOT. In general, epigenetic factors play a role in the clinical differences between histological forms of ovarian cancer and borderline tumors.
交界性卵巢肿瘤中microRNA基因甲基化的临床特征及与卵巢恶性肿瘤组织结构的关系
背景:交界性卵巢肿瘤(Borderline ovarian tumor, BOT)是介于卵巢良恶性肿瘤之间的中间类型。浆液性交界性肿瘤与浆液性癌具有共同的分子和遗传特征。microRNA (miRNA)基因组甲基化水平的增加在卵巢癌的发生和发展过程中已经被证实。然而,研究结果是相互矛盾的,它们的数量不足以达成共识。目前的研究是首次寻找bot特异性microRNA的异常甲基化基因和卵巢癌的一些组织学亚型。材料和方法:本研究基于一组99对(肿瘤/健康)卵巢肿瘤样本。采用定量甲基特异性聚合酶链反应(PCR)进行甲基化分析。筛选21个miRNA基因的BOT生物标志物。结果:我们发现,与健康女性相比,BOT患者的一些miRNA基因(MIR124-1、MIR125B-1、MIR129-2、MIR132、MIR148A、MIR193A、MIR203A、MIR107、MIR1258、MIR339)的甲基化水平较高。同时,恶性卵巢肿瘤(MOT)患者的甲基化水平或略有差异,或甚至更低。对于MIR129-2、MIR132、MIR148A、MIR203、MIR107和MIR1258基因,与MOT患者相比,BOT患者中检测到更高水平的甲基化。BOT患者MIR148A基因的甲基化水平是MOT患者的4倍(31.3% vs 7.9%, p = 0.047,多重双侧Kruskal-Wallis检验)。miRNA基因MIR148A和MIR191的甲基化水平在浆液性囊腺癌中显著降低,在浆液性和子宫内膜样腺癌中显著升高。结论:miRNA MIR148A和MIR191基因的甲基化与卵巢癌的各种组织学变异显著相关。我们已经表明,与MOT相比,BOT中许多miRNA基因的甲基化水平增加。一般来说,表观遗传因素在卵巢癌和交界性肿瘤组织学形式的临床差异中起作用。
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