DNA methylation subtypes guiding prognostic assessment and linking to responses the DNA methyltransferase inhibitor SGI-110 in urothelial carcinoma.

DNA methylation subtype DNA methyltransferase inhibitor Prognosis Upper tract urothelial carcinoma Urothelial carcinoma of the bladder Whole-genome bisulfite sequencing

Journal

BMC medicine
ISSN: 1741-7015
Titre abrégé: BMC Med
Pays: England
ID NLM: 101190723

Informations de publication

Date de publication:
18 07 2022
Historique:
received: 08 02 2022
accepted: 31 05 2022
entrez: 17 7 2022
pubmed: 18 7 2022
medline: 20 7 2022
Statut: epublish

Résumé

At present, the extent and clinical relevance of epigenetic differences between upper tract urothelial carcinoma (UTUC) and urothelial carcinoma of the bladder (UCB) remain largely unknown. Here, we conducted a study to describe the global DNA methylation landscape of UTUC and UCB and to address the prognostic value of DNA methylation subtype and responses to the DNA methyltransferase inhibitor SGI-110 in urothelial carcinoma (UC). Using whole-genome bisulfite sequencing (n = 49 samples), we analyzed epigenomic features and profiles of UTUC (n = 36) and UCB (n = 9). Next, we characterized potential links between DNA methylation, gene expression (n = 9 samples), and clinical outcomes. Then, we integrated an independent UTUC cohort (Fujii et al., n = 86) and UCB cohort (TCGA, n = 411) to validate the prognostic significance. Furthermore, we performed an integrative analysis of genome-wide DNA methylation and gene expression in two UC cell lines following transient DNA methyltransferase inhibitor SGI-110 treatment to identify potential epigenetic driver events that contribute to drug efficacy. We showed that UTUC and UCB have very similar DNA methylation profiles. Unsupervised DNA methylation classification identified two epi-clusters, Methy-High and Methy-Low, associated with distinct muscle-invasive statuses and patient outcomes. Methy-High samples were hypermethylated, immune-infiltrated, and enriched for exhausted T cells, with poor clinical outcome. SGI-110 inhibited the migration and invasion of Methy-High UC cell lines (UMUC-3 and T24) by upregulating multiple antitumor immune pathways. DNA methylation subtypes pave the way for predicting patient prognosis in UC. Our results provide mechanistic rationale for evaluating SGI-110 in treating UC patients in the clinic.

Sections du résumé

BACKGROUND
At present, the extent and clinical relevance of epigenetic differences between upper tract urothelial carcinoma (UTUC) and urothelial carcinoma of the bladder (UCB) remain largely unknown. Here, we conducted a study to describe the global DNA methylation landscape of UTUC and UCB and to address the prognostic value of DNA methylation subtype and responses to the DNA methyltransferase inhibitor SGI-110 in urothelial carcinoma (UC).
METHODS
Using whole-genome bisulfite sequencing (n = 49 samples), we analyzed epigenomic features and profiles of UTUC (n = 36) and UCB (n = 9). Next, we characterized potential links between DNA methylation, gene expression (n = 9 samples), and clinical outcomes. Then, we integrated an independent UTUC cohort (Fujii et al., n = 86) and UCB cohort (TCGA, n = 411) to validate the prognostic significance. Furthermore, we performed an integrative analysis of genome-wide DNA methylation and gene expression in two UC cell lines following transient DNA methyltransferase inhibitor SGI-110 treatment to identify potential epigenetic driver events that contribute to drug efficacy.
RESULTS
We showed that UTUC and UCB have very similar DNA methylation profiles. Unsupervised DNA methylation classification identified two epi-clusters, Methy-High and Methy-Low, associated with distinct muscle-invasive statuses and patient outcomes. Methy-High samples were hypermethylated, immune-infiltrated, and enriched for exhausted T cells, with poor clinical outcome. SGI-110 inhibited the migration and invasion of Methy-High UC cell lines (UMUC-3 and T24) by upregulating multiple antitumor immune pathways.
CONCLUSIONS
DNA methylation subtypes pave the way for predicting patient prognosis in UC. Our results provide mechanistic rationale for evaluating SGI-110 in treating UC patients in the clinic.

Identifiants

pubmed: 35843958
doi: 10.1186/s12916-022-02426-w
pii: 10.1186/s12916-022-02426-w
pmc: PMC9290251
doi:

Substances chimiques

guadecitabine 2KT4YN1DP7
DNA Modification Methylases EC 2.1.1.-
Azacitidine M801H13NRU

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

222

Informations de copyright

© 2022. The Author(s).

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Auteurs

Juan Li (J)

Department of Urology, Peking University First Hospital, Beijing, 100034, China.
CAS Key Laboratory of Genomic and Precision Medicine, Beijing Institute of Genomics, Chinese Academy of Sciences and China National Center for Bioinformation, Beijing, 100101, China.
University of Chinese Academy of Sciences, Beijing, 100049, China.

Yuan Liang (Y)

CAS Key Laboratory of Genomic and Precision Medicine, Beijing Institute of Genomics, Chinese Academy of Sciences and China National Center for Bioinformation, Beijing, 100101, China.

Jian Fan (J)

Department of Urology, Peking University First Hospital, Beijing, 100034, China.
Institute of Urology, Peking University, Beijing, 100034, China.

Chunru Xu (C)

Department of Urology, Peking University First Hospital, Beijing, 100034, China.
Institute of Urology, Peking University, Beijing, 100034, China.
National Urological Cancer Center, Beijing Key Laboratory of Urogenital Diseases (Male) Molecular Diagnosis and Treatment Center, Beijing, 100034, China.

Bao Guan (B)

Department of Urology, Peking University First Hospital, Beijing, 100034, China.
Institute of Urology, Peking University, Beijing, 100034, China.
National Urological Cancer Center, Beijing Key Laboratory of Urogenital Diseases (Male) Molecular Diagnosis and Treatment Center, Beijing, 100034, China.

Jianye Zhang (J)

Department of Urology, Peking University First Hospital, Beijing, 100034, China.
Institute of Urology, Peking University, Beijing, 100034, China.
National Urological Cancer Center, Beijing Key Laboratory of Urogenital Diseases (Male) Molecular Diagnosis and Treatment Center, Beijing, 100034, China.

Bin Guo (B)

CAS Key Laboratory of Genomic and Precision Medicine, Beijing Institute of Genomics, Chinese Academy of Sciences and China National Center for Bioinformation, Beijing, 100101, China.
University of Chinese Academy of Sciences, Beijing, 100049, China.

Yue Shi (Y)

CAS Key Laboratory of Genomic and Precision Medicine, Beijing Institute of Genomics, Chinese Academy of Sciences and China National Center for Bioinformation, Beijing, 100101, China.

Ping Wang (P)

CAS Key Laboratory of Genomic and Precision Medicine, Beijing Institute of Genomics, Chinese Academy of Sciences and China National Center for Bioinformation, Beijing, 100101, China.
University of Chinese Academy of Sciences, Beijing, 100049, China.

Yezhen Tan (Y)

CAS Key Laboratory of Genomic and Precision Medicine, Beijing Institute of Genomics, Chinese Academy of Sciences and China National Center for Bioinformation, Beijing, 100101, China.
University of Chinese Academy of Sciences, Beijing, 100049, China.

Qi Zhang (Q)

CAS Key Laboratory of Genomic and Precision Medicine, Beijing Institute of Genomics, Chinese Academy of Sciences and China National Center for Bioinformation, Beijing, 100101, China.
University of Chinese Academy of Sciences, Beijing, 100049, China.

Changwei Yuan (C)

Department of Urology, Peking University First Hospital, Beijing, 100034, China.
Institute of Urology, Peking University, Beijing, 100034, China.
National Urological Cancer Center, Beijing Key Laboratory of Urogenital Diseases (Male) Molecular Diagnosis and Treatment Center, Beijing, 100034, China.

Yucai Wu (Y)

Department of Urology, Peking University First Hospital, Beijing, 100034, China.
Institute of Urology, Peking University, Beijing, 100034, China.
National Urological Cancer Center, Beijing Key Laboratory of Urogenital Diseases (Male) Molecular Diagnosis and Treatment Center, Beijing, 100034, China.

Liqun Zhou (L)

Department of Urology, Peking University First Hospital, Beijing, 100034, China. zhoulqmail@sina.com.
Institute of Urology, Peking University, Beijing, 100034, China. zhoulqmail@sina.com.
National Urological Cancer Center, Beijing Key Laboratory of Urogenital Diseases (Male) Molecular Diagnosis and Treatment Center, Beijing, 100034, China. zhoulqmail@sina.com.

Weimin Ci (W)

CAS Key Laboratory of Genomic and Precision Medicine, Beijing Institute of Genomics, Chinese Academy of Sciences and China National Center for Bioinformation, Beijing, 100101, China. ciwm@big.ac.cn.
University of Chinese Academy of Sciences, Beijing, 100049, China. ciwm@big.ac.cn.
Institute for Stem cell and Regeneration, Chinese Academy of Sciences, Beijing, 100101, China. ciwm@big.ac.cn.

Xuesong Li (X)

Department of Urology, Peking University First Hospital, Beijing, 100034, China. pineneedle@sina.com.
Institute of Urology, Peking University, Beijing, 100034, China. pineneedle@sina.com.
National Urological Cancer Center, Beijing Key Laboratory of Urogenital Diseases (Male) Molecular Diagnosis and Treatment Center, Beijing, 100034, China. pineneedle@sina.com.

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