BACKGROUND.
The promoter of somatostatin (SST), a primary inhibitor of gastrinâstimulated gastric acid secretion, is hypermethylated in 80% of human colon cancers. The aim of the current study was to investigate whether and at what stage promoter hypermethylation of SST is involved in human esophageal carcinogenesis.
METHODS.
SST promoter hypermethylation was examined by realâtime methylationâspecific polymerase chain reaction (PCR) (MSP) in 260 human esophageal tissue specimens. Realâtime reverseâtranscriptase PCR and MSP were also performed on esophageal cancer cell lines before and after treatment with 5âazaâ2âČâdeoxycytidine (5âAzaâdC).
RESULTS.
SST hypermethylation showed highly discriminative receiverâoperator characteristic curve profiles, clearly distinguishing esophageal squamous cell carcinomas (ESCC) and esophageal adenocarcinomas (EAC) from normal esophagus (NE) (P < .01). Both SST methylation frequency and normalized methylation value (NMV) were significantly higher in Barrett metaplasia without dysplasia or EAC (BE), lowâgrade and highâgrade (HGD) dysplasia occurring in BE, EAC, and ESCC than in NE (P < .01). SST hypermethylation frequency was significantly lower in NE (9%) than in BE (70%), HGD (71.4%), or EAC (71.6%), whereas 14 (53.8%) of 26 ESCCs exhibited SST hypermethylation. There was a significant relation between SST hypermethylation and BE segment length, a known clinical risk factor for neoplastic progression. Demethylation of KYSE220 ESCC and OE33 EAC cells with 5âAzaâdC reduced SST methylation and increased SST mRNA expression. SST mRNA levels in native unmethylated EACs were significantly higher than in native methylated EACs (P < .05).
CONCLUSIONS.
SST promoter hypermethylation is a common event in human esophageal carcinomas and is related to early neoplastic progression in Barrett esophagus. Cancer 2008. © 2007 American Cancer Society.