Open Access

Methylation status of KLF4 and HS3ST2 genes as predictors of endometrial cancer and hyperplastic endometrial lesions

  • Authors:
    • Zuzana Danková
    • Dušan Braný
    • Dana Dvorská
    • Marcela Ňachajová
    • Roman Fiolka
    • Marián Grendár
    • Jozef Hatok
    • Peter Kubatka
    • Veronika Holubeková
    • Erika Halašová
    • Tibor Bielik
    • Pavol Žúbor
  • View Affiliations

  • Published online on: September 12, 2018     https://doi.org/10.3892/ijmm.2018.3872
  • Pages: 3318-3328
  • Copyright: © Danková et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Endometrial carcinoma is one of the most common tumours in developed countries. In addition to the active role of genetic factors, epigenetic changes also have an important effect. The present study analysed the methylation status of kruppel like factor 4 (KLF4) and heparan sulfate‑glucosamine 3‑sulfotransferase 2 (HS3ST2) genes in three endometrial tissue types for carcinoma prediction. The sample comprised 91 women with histologically‑confirmed endometrial carcinoma (64.16±9.64 years old), 36 women with hyperplasia (53.39±9.64 years old) and 45 with no signs or symptoms of malignancy (48.53±11.11 years old). The CpG dinucleotide methylation levels were examined by quantitative pyrosequencing, and the discrimination accuracy of the model was calculated using the Random Forest classification algorithm of the area under the ROC curve (AUC). The mean values of KLF4 and HS3ST2 methylation indices were 23.83±11.39 and 8.52±2.57 in the control samples; 30.40±8.52 and 33.76±20.66 in hyperplasia and 34.72±10.79 and 34.49±18.39 in the cancerous tissues. Multinomial logistic regression indicated that the HS3ST2 CpG1 methylation status is a predictor of hyperplasia (P<0.05) and that the KLF4 CpG2 dinucleotide can predict carcinoma formation (P<0.001). The AUC value of 0.95 indicates high discrimination accuracy of the CpG nucleotides methylation status model between the controls and the two other diagnoses. The results of the present study establish the likelihood that aberrations in KLF4 and HS3ST2 gene methylation levels are important in the development of endometrial hyperplasia and carcinoma, with hyperplasia an intermediate step between healthy and tumour tissues.
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December-2018
Volume 42 Issue 6

Print ISSN: 1107-3756
Online ISSN:1791-244X

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Spandidos Publications style
Danková Z, Braný D, Dvorská D, Ňachajová M, Fiolka R, Grendár M, Hatok J, Kubatka P, Holubeková V, Halašová E, Halašová E, et al: Methylation status of KLF4 and HS3ST2 genes as predictors of endometrial cancer and hyperplastic endometrial lesions. Int J Mol Med 42: 3318-3328, 2018
APA
Danková, Z., Braný, D., Dvorská, D., Ňachajová, M., Fiolka, R., Grendár, M. ... Žúbor, P. (2018). Methylation status of KLF4 and HS3ST2 genes as predictors of endometrial cancer and hyperplastic endometrial lesions. International Journal of Molecular Medicine, 42, 3318-3328. https://doi.org/10.3892/ijmm.2018.3872
MLA
Danková, Z., Braný, D., Dvorská, D., Ňachajová, M., Fiolka, R., Grendár, M., Hatok, J., Kubatka, P., Holubeková, V., Halašová, E., Bielik, T., Žúbor, P."Methylation status of KLF4 and HS3ST2 genes as predictors of endometrial cancer and hyperplastic endometrial lesions". International Journal of Molecular Medicine 42.6 (2018): 3318-3328.
Chicago
Danková, Z., Braný, D., Dvorská, D., Ňachajová, M., Fiolka, R., Grendár, M., Hatok, J., Kubatka, P., Holubeková, V., Halašová, E., Bielik, T., Žúbor, P."Methylation status of KLF4 and HS3ST2 genes as predictors of endometrial cancer and hyperplastic endometrial lesions". International Journal of Molecular Medicine 42, no. 6 (2018): 3318-3328. https://doi.org/10.3892/ijmm.2018.3872