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Generation and Expansion of Primary, Malignant Pleural Mesothelioma Tumor Lines
Published on: April 21, 2022
Asbestos exposure predicts cell cycle control gene promoter methylation in pleural mesothelioma
Brock C Christensen1, John J Godleski, Carmen J Marsit
1Department of Environmental Health, Harvard School of Public Health, Boston, MA 02115, USA.
Abstract:
Malignant pleural mesothelioma (MPM) is a rapidly fatal tumor with increasing incidence worldwide responsible for many thousands of deaths annually. Although there is a clear link between exposure to asbestos and mesothelioma, and asbestos is known to be both clastogenic and cytotoxic to mesothelial cells, the mechanisms of causation of MPM remain largely unknown. However, there is a rapidly emerging literature that describes inactivation of a diverse array of tumor suppressor genes (TSGs) via promoter DNA CpG methylation in MPM, although the etiology of these alterations remains unclear. We studied the relationships among promoter methylation silencing, asbestos exposure, patient demographics and tumor histology using a directed approach; examining six cell cycle control pathway TSGs in an incident case series of 70 MPMs. Promoter hypermethylation of APC, CCND2, CDKN2A, CDKN2B, HPPBP1 and RASSF1 were assessed. We observed significantly higher lung asbestos body burden if any of these cell cycle genes were methylated (P < 0.02), and there was a significant trend of increasing asbestos body counts as the number of methylated cell cycle pathway genes increased from 0 to 1 to >1 (P < 0.005). This trend of increasing asbestos body count and increasing number of methylated cell cycle pathway genes remained significant (P < 0.05) after controlling for age, gender and tumor histology. These data suggest a novel tumorigenic mechanism of action of asbestos and may contribute to the understanding of precisely how asbestos exposure influences the etiology and clinical course of malignant mesothelioma.
Insights
Asbestos exposure is linked to malignant pleural mesothelioma (MPM) through tumor suppressor gene methylation. Higher asbestos body counts correlated with more methylated cell cycle genes in MPM patients.
Area of Science:
- Oncology
- Environmental Health
- Molecular Biology
Background:
- Malignant pleural mesothelioma (MPM) incidence is rising globally, with a known link to asbestos exposure.
- The precise mechanisms by which asbestos causes MPM, particularly genetic alterations, remain largely unknown.
- Promoter DNA CpG methylation leading to tumor suppressor gene inactivation is increasingly observed in MPM.
Purpose of the Study:
- To investigate the relationship between asbestos exposure, patient demographics, tumor histology, and promoter methylation silencing of cell cycle control pathway tumor suppressor genes (TSGs) in MPM.
- To examine six specific TSGs: APC, CCND2, CDKN2A, CDKN2B, HPPBP1, and RASSF1.
Main Methods:
- A case series of 70 incident MPM cases was analyzed.
- The study assessed promoter hypermethylation of six cell cycle control pathway TSGs.
- Lung asbestos body burden was quantified and correlated with gene methylation status and patient characteristics.
Main Results:
- A significantly higher lung asbestos body burden was observed when any of the studied cell cycle genes were methylated.
- A significant trend showed increasing asbestos body counts with an increasing number of methylated cell cycle pathway genes (0, 1, or >1).
- This association remained significant after controlling for age, gender, and tumor histology.
Conclusions:
- The findings suggest a novel tumorigenic mechanism of action for asbestos exposure in MPM.
- Asbestos exposure appears to influence the etiology and clinical course of MPM through the methylation of cell cycle pathway genes.
- This research contributes to understanding the molecular pathways linking asbestos to mesothelioma development.
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