DNA methylation predicts progression of human gastric lesions

Barbara G. Schneider, Robertino Mera, M. Blanca Piazuelo, Juan C. Bravo, Jovanny Zabaleta, Alberto G. Delgado, Luis E. Bravo, Keith T.wilson, Wael El-Rifai, Richard M. Peek, Pelayo Correa

Research output: Contribution to journalArticle

18 Scopus citations


Background: Development of the intestinal subtype of gastric adenocarcinoma is marked by a progression of histopathologic lesions. Residents of the Andean regions of Colombia are at high risk for gastric cancer. Methods: A cohort of 976 Colombian subjects was followed over 16 years examining effects of Helicobacter pylori eradication and treatment with antioxidants on progression of lesions. We performed methylation analysis of DNA from baseline antral biopsies from 104 subjects for whom follow-up data were available for at least 12 years. Methylation was quantitated for AMPH, CDKN2A, CDH1, EN1, EMX1, NKX6-1, PCDH10, RPRM, RSPO2, SORCS3, ZIC1, and ZNF610 genes, using Pyrosequencing. Results: Levels of DNA methylation were associated with baseline diagnosis for AMPH, EMX1, RPRM, RSPO2, SORCS3, and ZNF610. After adjusting for baseline diagnosis and H. pylori infection, methylation levels of AMPH, PCDH10, RSPO2, and ZNF610 had progression coefficients that increased and P values that decreased over 6, 12, and 16 years. Methylation for SORCS3 was associated with progression at all 3 time points but without the continual strengthening of the effect. Scores for mononuclear leukocytes, polymorphonuclear leukocytes, or intraepithelial lymphocytes were unrelated to progression. Conclusions: Methylation levels of AMPH, PCDH10, RSPO2, SORCS3, and ZNF610 predict progression of gastric lesions independent of the effect of duration of H. pylori infection, baseline diagnosis, gender of the patient, or scores for mononuclear leukocytes, polymorphonuclear leukocytes, or intraepithelial lymphocytes. Impact: DNA methylation levels in AMPH, PCDH10, RSPO2, SORCS3, and ZNF610 may contribute to identification of persons with gastric lesions likely to progress.

Original languageEnglish (US)
Pages (from-to)1607-1613
Number of pages7
JournalCancer Epidemiology Biomarkers and Prevention
Issue number10
StatePublished - Oct 1 2015
Externally publishedYes


ASJC Scopus subject areas

  • Epidemiology
  • Oncology

Cite this

Schneider, B. G., Mera, R., Piazuelo, M. B., Bravo, J. C., Zabaleta, J., Delgado, A. G., Bravo, L. E., T.wilson, K., El-Rifai, W., Peek, R. M., & Correa, P. (2015). DNA methylation predicts progression of human gastric lesions. Cancer Epidemiology Biomarkers and Prevention, 24(10), 1607-1613. https://doi.org/10.1158/1055-9965.EPI-15-0388