Circulating cell free DNA and citrullinated histone H3 as useful biomarkers of NETosis in endometrial cancer.

Circulating cell-free DNA Citrullinated Histone H3 DNA cfDNA fragmentation pattern DNA size distribution Liquid biopsy NETosis NETs Neutrophil Elastase Tumor induced systemic effects

Journal

Journal of experimental & clinical cancer research : CR
ISSN: 1756-9966
Titre abrégé: J Exp Clin Cancer Res
Pays: England
ID NLM: 8308647

Informations de publication

Date de publication:
21 Apr 2022
Historique:
received: 20 10 2021
accepted: 06 04 2022
entrez: 22 4 2022
pubmed: 23 4 2022
medline: 26 4 2022
Statut: epublish

Résumé

Cancer mortality is mainly caused by organ failure and thrombotic events. It has been demonstrated that NETosis, a chromatin release mechanism implemented by neutrophils, may contribute to these lethal systemic effects. Our aim was to investigate NETosis biomarkers in endometrial cancer (EC). The experiments were conducted on 21 healthy subjects (HS) with no gynecological conditions, and on 63 EC patients. To assess the presence of NETosis features, IHC and IF was performed using antibodies against citrullinated histone H3 (citH3), neutrophil elastase (NE) and histone 2B. Serum levels of cell free DNA (cfDNA), cell free mitochondrial DNA (cfmtDNA) and citH3 were measured by qPCR using one microliter of deactivated serum, and by ELISA assay respectively. Fragmentation pattern of serum cfDNA was analyzed using the Agilent 2100 Bioanalyzer and High Sensitivity DNA Chips. Receiver operating characteristic (ROC) analysis was used to identify a cut off for cfDNA and cfmtDNA values able to discriminate between ECs and HSs. Correlation analysis and multiple correspondence analysis (MCA) between cfDNA, mtcfDNA, citH3 and blood parameters were used to identify the potential association among serum parameters in EC grades. We demonstrated the presence of NETosis features in tissues from all EC grades. Serum cfDNA and cfmtDNA levels discriminate ECs from HSs and a direct correlation between citH3 and cfDNA content and an inverse correlation between cfmtDNA and citH3 in EC sera was observed, not detectable in HSs. MCA indicates cfDNA, cfmtDNA and citH3 as features associated to G1 and G2 grades. A correlation between increased levels of cfDNA, citH3 and inflammation features was found. Finally, serum nucleosomal cfDNA fragmentation pattern varies in EC sera and correlates with increased levels of cfDNA, citH3, lymphocytes and fibrinogen. Our data highlight the occurrence of NETosis in EC and indicate serum cfDNA and citH3 as noninvasive biomarkers of tumor-induced systemic effects in endometrial cancer.

Sections du résumé

BACKGROUND BACKGROUND
Cancer mortality is mainly caused by organ failure and thrombotic events. It has been demonstrated that NETosis, a chromatin release mechanism implemented by neutrophils, may contribute to these lethal systemic effects. Our aim was to investigate NETosis biomarkers in endometrial cancer (EC).
METHODS METHODS
The experiments were conducted on 21 healthy subjects (HS) with no gynecological conditions, and on 63 EC patients. To assess the presence of NETosis features, IHC and IF was performed using antibodies against citrullinated histone H3 (citH3), neutrophil elastase (NE) and histone 2B. Serum levels of cell free DNA (cfDNA), cell free mitochondrial DNA (cfmtDNA) and citH3 were measured by qPCR using one microliter of deactivated serum, and by ELISA assay respectively. Fragmentation pattern of serum cfDNA was analyzed using the Agilent 2100 Bioanalyzer and High Sensitivity DNA Chips. Receiver operating characteristic (ROC) analysis was used to identify a cut off for cfDNA and cfmtDNA values able to discriminate between ECs and HSs. Correlation analysis and multiple correspondence analysis (MCA) between cfDNA, mtcfDNA, citH3 and blood parameters were used to identify the potential association among serum parameters in EC grades.
RESULTS RESULTS
We demonstrated the presence of NETosis features in tissues from all EC grades. Serum cfDNA and cfmtDNA levels discriminate ECs from HSs and a direct correlation between citH3 and cfDNA content and an inverse correlation between cfmtDNA and citH3 in EC sera was observed, not detectable in HSs. MCA indicates cfDNA, cfmtDNA and citH3 as features associated to G1 and G2 grades. A correlation between increased levels of cfDNA, citH3 and inflammation features was found. Finally, serum nucleosomal cfDNA fragmentation pattern varies in EC sera and correlates with increased levels of cfDNA, citH3, lymphocytes and fibrinogen.
CONCLUSION CONCLUSIONS
Our data highlight the occurrence of NETosis in EC and indicate serum cfDNA and citH3 as noninvasive biomarkers of tumor-induced systemic effects in endometrial cancer.

Identifiants

pubmed: 35449078
doi: 10.1186/s13046-022-02359-5
pii: 10.1186/s13046-022-02359-5
pmc: PMC9027343
doi:

Substances chimiques

Biomarkers 0
Cell-Free Nucleic Acids 0
Histones 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

151

Commentaires et corrections

Type : ErratumIn

Informations de copyright

© 2022. The Author(s).

Références

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Auteurs

Livia Ronchetti (L)

SAFU Unit, IRCCS - Regina Elena National Cancer Institute, via Elio Chianesi 53, 00144, Rome, Italy.

Irene Terrenato (I)

Clinical Trial Center - Biostatistics & Bioinformatics, IRCCS - Regina Elena National Cancer Institute, Rome, Italy.

Margherita Ferretti (M)

SAFU Unit, IRCCS - Regina Elena National Cancer Institute, via Elio Chianesi 53, 00144, Rome, Italy.

Giacomo Corrado (G)

Department of Women and Children Health, Gynecologic Oncology Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS - Università Cattolica del Sacro Cuore, Roma, Italy.

Frauke Goeman (F)

SAFU Unit, IRCCS - Regina Elena National Cancer Institute, via Elio Chianesi 53, 00144, Rome, Italy.

Sara Donzelli (S)

Oncogenomics and Epigenetics Unit, IRCCS - Regina Elena National Cancer Institute, Rome, Italy.

Chiara Mandoj (C)

Clinical Pathology Unit, IRCCS - Regina Elena National Cancer Institute, Rome, Italy.

Roberta Merola (R)

Clinical Pathology Unit, IRCCS - Regina Elena National Cancer Institute, Rome, Italy.

Ashanti Zampa (A)

Gynecologic Oncology Unit, IRCCS - Regina Elena National Cancer Institute, Rome, Italy.

Mariantonia Carosi (M)

Anatomy Pathology Unit, IRCCS - Regina Elena National Cancer Institute, Rome, Italy.

Giovanni Blandino (G)

Oncogenomics and Epigenetics Unit, IRCCS - Regina Elena National Cancer Institute, Rome, Italy.

Laura Conti (L)

Clinical Pathology Unit, IRCCS - Regina Elena National Cancer Institute, Rome, Italy.

Anna Maria Lobascio (AM)

Gynecologic Oncology Unit, IRCCS - Regina Elena National Cancer Institute, Rome, Italy.

Marcello Iacobelli (M)

Gynecologic Oncology Unit, IRCCS - Regina Elena National Cancer Institute, Rome, Italy.

Enrico Vizza (E)

Gynecologic Oncology Unit, IRCCS - Regina Elena National Cancer Institute, Rome, Italy.

Giulia Piaggio (G)

SAFU Unit, IRCCS - Regina Elena National Cancer Institute, via Elio Chianesi 53, 00144, Rome, Italy.

Aymone Gurtner (A)

SAFU Unit, IRCCS - Regina Elena National Cancer Institute, via Elio Chianesi 53, 00144, Rome, Italy. aymone.gurtner@ifo.it.
Institute of Translational Pharmacology (IFT), National Research Council (CNR), Rome, Italy. aymone.gurtner@ifo.it.

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