CDX1/2在人Barrett's食管中的表达以及胆酸对CDX2表达的影响

Effect of 5'-Aza-2'-deoxycytidine on methylation, mRNA and protein expression of CDX2 gene in colorectal cancer HT-29 and LoVo cells

AIM: To investigate the effect of 5'-Aza-2'-deoxycytidine (5'-Aza-CdR), a methylation inhibitor, on the methylation, mRNA and protein expression of the CDX2 gene in colorectal ancer cell lines HT-29 and LoVo.

METHODS: HT-29 and LoVo cells were treated with different dosages of 5'-Aza-CdR. After treatment, CDX2 gene methylation was determined by Methylight assay, and CDX2 mRNA and protein expression was detected by real-time PCR and Western blot, respectively.

RESULTS: Methylight assay showed that CDX2 gene methylation was not reversed by 5'-Aza-CdR. The expression levels of CDX2 mRNA were increased in both HT-29 (1.000 ± 0.000, 0.973 ± 0.024, 1.014 ± 0.019 and 1.094 ± 0.020, respectively) and LoVo cells (1.000 ± 0.000, 0.966 ± 0.038, 1.050 ± 0.029 and 1.007 ± 0.019, respectively) cells treated with 5'-Aza-CdR for different durations. Western blot analysis indicated that 5'-Aza-CdR treatment could recover the CDX2 protein expression in both HT-29 (0.454 ± 0.049, 0.501 ± 0.041, 0.340 ± 0.050 and 0.531 ± 0.046, respectively) and LoVo (0.527 ± 0.037, 0.415 ± 0.037, 0.432 ± 0.040 and 0.626 ± 0.046, respectively) cells. The effect of 5'-Aza-CdR on CDX2 mRNA and protein expression was not dose- or time-dependent, but the expression levels of CDX2 mRNA and protein differed significantly in HT-29 (mRNA: F = 25.146, P = 0.000; protein: F = 9.700, P = 0.005) and LoVo cells (mRNA: F = 5.470, P = 0.024; protein: F = 17.701, P = 0.001).

CONCLUSION: CDX2 mRNA and protein expression is not affected by DNA methylation in HT-29 and LoVo cells.

Expression of CDX2 and DNMT1 mRNAs in human gastric cancer

AIM: To investigate the expression of caudal-type homeobox transcription factor 2 (CDX2) and DNA methyltransferase 1 (DNMT1) mRNAs in human gastric cancer and to evaluate their clinical significance.

METHODS: The expression of CDX2 and DNMT1 mRNA was detected by real-time PCR in 60 surgically dissected gastric cancer specimens and matched normal gastric mucosal specimens. The relationship of CDX2 and DNMT1 mRNA expression with clinicopathological characteristics of gastric cancer was investigated.

RESULTS: The expression of CDX2 and DNMT1 mRNAs was significantly higher in gastric cancer than in normal noncancerous tissue. Expression of CDX2 mRNA was correlated significantly with Lauren classification, TNM stage and lymph node metastasis (all P<0.05). DNMT1 mRNA expression was correlated significantly with TNM stage, pathologic differentiation and lymph node metastasis (all P<0.05). Expression of CDX2 mRNA was inversely correlated with that of DNMT1 mRNA in gastric cancer (r = -0.385, P<0.05).

CONCLUSION: Abnormal expression of CDX2 and DNMT1 mRNAs may play an important role in the progression of gastric cancer.

Systematic review: the role of bile acids in the pathogenesis of gastro-oesophageal reflux disease and related neoplasia

BACKGROUND

Factors other than acid may play a role in gastro-oesophageal reflux disease (GERD) and its complications.

AIM

To assessed the role of bile acids in the pathogenesis of GERD, Barrett's oesophagus and Barrett's-related neoplasia.

METHODS

We conducted a systematic review of computerised bibliographic databases for original articles involving humans or human oesophageal tissue or cells that assessed exposure to or manipulation of bile acids. Outcomes assessed included GERD symptoms; gross oesophageal injury; Barrett's oesophagus and related neoplasia; and intermediate markers of inflammation, proliferation or neoplasia.

RESULTS

Eighty-three original articles were included. In in vivo studies, bile acids concentrations were higher in the oesophageal aspirates of patients with GERD than controls, and bile acids infusions triggered GERD symptoms, especially in high concentrations or in combination with acid. In ex vivo/in vitro studies, bile acids stimulated squamous oesophageal cells and Barrett's epithelial cells to produce inflammatory mediators (e.g., IL-8 and COX-2) and caused oxidative stress, DNA damage and apoptosis. They also induced squamous cells to change their gene expression pattern to resemble intestinal-type cells and caused Barrett's cells to increase expression of intestinal-type genes.

CONCLUSIONS

In aggregate, these studies suggest that bile acids may contribute to the pathogenesis of symptoms, oesophagitis and Barrett's metaplasia with related carcinogenesis in patients with GERD. However, all study results are not uniform and substantial differences in study parameters may explain at least some of this variation.