Key words: DNA methylation, gastric carcinoma, MGMTN-methyl-NЈ-nitro-N-nitrosoguanidine (MNNG) and N-methyl-N-nitrosourea (MNU) have been shown to induce gastric carcinoma at a high frequency in rats and mice when given in their drinking water. 1,2 MNNG and MNU produce O 6 -methylguanine, which mispairs with thymine during replication, resulting in conversion of a guanine-cytosine pair to an adenine-thymine pair if the adduct is not removed. 3,4 The O 6 -methylguanine-DNA methyltransferase, MGMT, is a DNA repair gene that removes mutagenic and cytotoxic adducts from the O 6 position of guanine induced by alkylating agents such as MNNG and MNU. 5 Therefore, inactivation of the MGMT gene can lead to G to A mutation. In fact, MNU has been shown to induce tumors such as thymic lymphomas and lung adenomas MGMT knockout mice. 6 Epigenetic alterations, in addition to multiple genetic abnormalities, are deeply involved in the genesis and progression of human cancers. Methylation status of the CpG island in promoter regions is an important determinant of gene expression. Aberrant hypermethylation of the CpG island is associated with silencing of tumor suppressor genes in various tumors. Promoter hypermethylation and reduced MGMT expression has been found in some primary human carcinomas. [7][8][9] Data have also indicated that wild-type p53 may negatively regulate basal MGMT promoter activity. in vitro and in vivo studies have shown that induction of MGMT in the presence of DNAdamaging agents involves p53. 10,11 Transfection of MGMT promoter together with a p53-expression vector in both p53 knockout and p53 wild-type cells significantly reduced MGMT promoter activity. 10,12 No study, however, has been conducted to clarify the role and mechanism of MGMT alteration in gastric carcinoma.We examined DNA methylation of CpG islands of the MGMT gene by methylation specific PCR in 26 primary gastric carcinoma tissues and 8 gastric carcinoma cell lines and compared the results with levels of MGMT protein expression to know whether transcriptional silencing of MGMT occurs due to promoter hypermethylation. In addition, we investigated p53 mutation status in the same tissues by PCR-SSCP analysis for comparison with the levels of MGMT protein expression.
MATERIAL AND METHODS
Tissue samplesA total of 26 gastric carcinoma tissue samples from 26 cases were studied. Tumor tissues and their corresponding non-neoplastic mucosae were surgically removed, frozen immediately in liquid nitrogen, and stored at Ϫ80°C until use. We confirmed microscopically that the tumor-tissue specimens consisted mainly of carcinoma tissue and that non-neoplastic mucosa did not exhibit any tumor-cell invasion or show significant inflammatory involvement. Histologic classification and tumor staging were done according to Lauren classification system 13 and the TNM Stage Grouping. 14
Cell linesEight cell lines derived from human gastric carcinoma were used. The TMK-1 cell line was established in our laboratory from poorly-differentiated adenocarcinoma. 15 Five ga...