CHFR-Promoter-Methylation Status Is Predictive of Response to Irinotecan-based Systemic Chemotherapy in Advanced Colorectal Cancer.
Biomarkers, Tumor
/ genetics
Cell Cycle Proteins
/ genetics
Colorectal Neoplasms
/ drug therapy
DNA Methylation
Female
Humans
Irinotecan
/ therapeutic use
Male
Neoplasm Proteins
/ genetics
Poly-ADP-Ribose Binding Proteins
/ genetics
Progression-Free Survival
Promoter Regions, Genetic
Topoisomerase I Inhibitors
/ therapeutic use
Treatment Outcome
Ubiquitin-Protein Ligases
/ genetics
Advanced colorectal cancer
DNA-promoter methylation
biomarker
checkpoint-with-forkhead-and-ring-finger-domains (CHFR)
clinical correlation
histoculture drug response assay (HDRA)
irinotecan
Journal
Anticancer research
ISSN: 1791-7530
Titre abrégé: Anticancer Res
Pays: Greece
ID NLM: 8102988
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
received:
08
11
2021
revised:
06
12
2021
accepted:
07
12
2021
entrez:
30
1
2022
pubmed:
31
1
2022
medline:
8
2
2022
Statut:
ppublish
Résumé
We investigated whether promoter methylation of the checkpoint-with-forkhead-and-ring-finger-domains (CHFR) gene is a predictor of the efficacy of irinotecan-based systemic chemotherapy for advanced colorectal cancer (CRC) patients. CHFR-promoter methylation was measured by quantitative methylation-specific PCR (qMSP). The histoculture drug response assay (HDRA) was used in vitro to analyze the correlation between CHFR-promoter methylation and the efficacy of the irinotecan-active-metabolite SN38 in colorectal-cancer tissues from 44 CRC patients. CHFR promoter-methylation was also analyzed for its correlation with clinical response to irinotecan-based systemic chemotherapy of 49 CRC patients. CHFR-promoter methylation significantly-positively correlated with inhibition of colon cancer by SN38 in the HDRA (p=0.002). CHFR-promoter methylation also significantly-positively correlated with clinical response to irinotecan-based systemic chemotherapy (p=0.04 for disease control). CHFR-promoter methylation also significantly-positively correlated (p=0.01) with increased progression-free survival for patients treated with irinotecan-containing FLOFIRI in combination with bevacizumab, the most-frequent regimen in the cohort. Sensitivity of advanced CRC patients to irinotecan-based systemic chemotherapy can be predicted by the extent of CHFR-promoter methylation.
Sections du résumé
BACKGROUND/AIM
OBJECTIVE
We investigated whether promoter methylation of the checkpoint-with-forkhead-and-ring-finger-domains (CHFR) gene is a predictor of the efficacy of irinotecan-based systemic chemotherapy for advanced colorectal cancer (CRC) patients.
MATERIALS AND METHODS
METHODS
CHFR-promoter methylation was measured by quantitative methylation-specific PCR (qMSP). The histoculture drug response assay (HDRA) was used in vitro to analyze the correlation between CHFR-promoter methylation and the efficacy of the irinotecan-active-metabolite SN38 in colorectal-cancer tissues from 44 CRC patients. CHFR promoter-methylation was also analyzed for its correlation with clinical response to irinotecan-based systemic chemotherapy of 49 CRC patients.
RESULTS
RESULTS
CHFR-promoter methylation significantly-positively correlated with inhibition of colon cancer by SN38 in the HDRA (p=0.002). CHFR-promoter methylation also significantly-positively correlated with clinical response to irinotecan-based systemic chemotherapy (p=0.04 for disease control). CHFR-promoter methylation also significantly-positively correlated (p=0.01) with increased progression-free survival for patients treated with irinotecan-containing FLOFIRI in combination with bevacizumab, the most-frequent regimen in the cohort.
CONCLUSION
CONCLUSIONS
Sensitivity of advanced CRC patients to irinotecan-based systemic chemotherapy can be predicted by the extent of CHFR-promoter methylation.
Identifiants
pubmed: 35093868
pii: 42/2/697
doi: 10.21873/anticanres.15528
doi:
Substances chimiques
Biomarkers, Tumor
0
Cell Cycle Proteins
0
Neoplasm Proteins
0
Poly-ADP-Ribose Binding Proteins
0
Topoisomerase I Inhibitors
0
Irinotecan
7673326042
CHFR protein, human
EC 2.3.2.27
Ubiquitin-Protein Ligases
EC 2.3.2.27
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
697-707Informations de copyright
Copyright © 2022 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.