Abstract

Abstract Aberrant DNA methylation (DNAm) is a feature of most types of cancers. Genome-wide DNAm profiling has been performed successfully on DNA extracted from many types of tumor tissues. However, the invasive procedure and the likely existence of tissue heterogeneity limit the utility of tumor tissue for epidemiological studies. While recent data indicate that cell-free circulating DNA methylation (cfDNAm) profiles reflect DNAm profiles in matched tumor tissues, no studies have examined the association of cfDNAm with cancer or precursors on a genome-wide scale. The objective of this pilot study was to evaluate the putative significance of genome-wide cfDNAm profiles in esophageal adenocarcinoma (EA) and Barrett's esophagus (BE, EA precursor). We performed genome-wide DNAm profiling in EA tissue DNA (n=8) and matched serum DNA (n=8), in serum DNAs of BE (n=12) and healthy controls (n=12), using the Infinium Humanmethylation27 Beadchip that covers 27,578 CpG loci in 14,495 genes. We found that cfDNAm profiles were highly correlated to DNAm profiles in matched tumor tissue DNAs (r=0.92) in patients with EA. We selected the most differentially methylated loci (a β-value difference of >0.2 and a P-value of 6 x 10 −7 between groups) to perform hierarchical clustering analysis. We found that 911 loci can perfectly discriminate between EA and control samples; 554 loci can separate EA from BE samples; and 46 loci can distinguish BE from control samples. These results suggest that genome-wide cfDNAm profiles are highly consistent with DNAm profiles detected in corresponding tumor tissues. Differential cfDNAm profiling may be a useful approach for the non-invasive screening of EA and EA premalignant lesions. Supported by grants: Flight Attendant Medical Research Institute (FAMRI) grant# 062459; NIH grants CA92824, CA74386, CA90578, and CA119650); the Kevin Jackson Memorial Fund and Alan Brown Chair of Molecular Genomics. Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 103rd Annual Meeting of the American Association for Cancer Research; 2012 Mar 31-Apr 4; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2012;72(8 Suppl):Abstract nr 1150. doi:1538-7445.AM2012-1150

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