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Inactivation of bone morphogenetic protein 2 may predict clinical outcome and poor overall survival for renal cell carcinoma through epigenetic pathways

Authors: Miho Hiraki; Naoko Arichi; Yozo Mitsui; Yozo Mitsui; Varahram Shahryari; Guoren Deng; Rajvir Dahiya; +9 Authors

Inactivation of bone morphogenetic protein 2 may predict clinical outcome and poor overall survival for renal cell carcinoma through epigenetic pathways

Abstract

We investigated whether impaired regulation of bone morphogenetic protein-2 (BMP-2) via epigenetic pathways is associated with renal cell carcinoma (RCC) pathogenesis. Expression and CpG methylation of the BMP-2 gene were analyzed using RCC cell lines, and 96 matched RCC and normal renal tissues. We also performed functional analysis using BMP-2 restored RCC cells. A significant association of BMP-2 mRNA expression was also found with advanced tumor stage and lymph node involvement, while lower BMP-2 mRNA expression was significantly associated with poor overall survival after radical nephrectomy. In RCC cells, BMP-2 restoration significantly inhibited cell proliferation, migration, invasion, and colony formation. In addition, BMP-2 overexpression induced p21(WAF1/CIP1) and p27(KIP1) expression, and cellular apoptosis in RCC cells. BMP-2 mRNA expression was significantly enhanced in RCC cells by 5-aza-2'-deoxycitidine treatment. The prevalence of BMP-2 promoter methylation was significantly greater and BMP-2 mRNA expression was significantly lower in RCC samples as compared to normal kidney samples. Furthermore, a significant correlation was found between BMP-2 promoter methylation and mRNA transcription in tumors. Aberrant BMP-2 methylation and the resultant loss of BMP-2 expression may be a useful molecular marker for designing improved diagnostic and therapeutic strategies for RCC.

Keywords

Male, Kidney Neoplasms/surgery, Neoplasm Proteins/genetics*, Antimetabolites, Bone Morphogenetic Protein 2, Apoptosis, Nephrectomy, Neoplasm/biosynthesis, Azacitidine/analogs & derivatives, cdc, Kidney Neoplasms/mortality, Bone Morphogenetic Protein 2/biosynthesis, Tumor, Renal Cell/metabolism, Renal Cell/genetics*, Renal Cell/mortality, Middle Aged, Bone Morphogenetic Protein 2/genetics*, Kidney Neoplasms, Neoplasm Proteins, Gene Expression Regulation, Neoplastic, Kidney Tubules, Azacitidine, Female, DNA Methylation*/drug effects, Antimetabolites, Antineoplastic, Kidney Neoplasms/metabolism, Recombinant Fusion Proteins/biosynthesis, 610, Down-Regulation, Decitabine, Cell Line, Promoter Regions, Cell Line, Tumor, Humans, Renal Cell/surgery, Neoplasm Proteins/biosynthesis, Carcinoma, Renal Cell, Genetic/genetics, Aged, Neoplastic*/drug effects, Recombinant Fusion Proteins/genetics, Antineoplastic/pharmacology, Genetic/drug effects, Neoplasm/genetics, Carcinoma, Kidney Tubules/metabolism, DNA Methylation, Messenger/biosynthesis, Azacitidine/pharmacology, Genes, cdc, Gene Expression Regulation, Genes, RNA, Messenger/genetics, Kidney Neoplasms/genetics*

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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    25
    popularity
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    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
25
Top 10%
Average
Top 10%
Green
gold