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Updated: Jul 5, 2026

Methyl-binding DNA capture Sequencing for Patient Tissues
Published on: October 31, 2016
Promoter hypermethylation and reduced expression of RASSF1A are frequent molecular alterations of endometrial
Judit Pallarés1, Ana Velasco, Nuria Eritja
1Department of Pathology and Molecular Genetics, Hospital Universitari Arnau de Vilanova, University of Lleida, IRBLLEIDA, Lleida, Spain. jpallares@arnau.scs.es
Abstract:
Alterations in the regulation of the RAS-MAPK pathway are frequent in endometrial carcinoma. RASSF1A is a tumor-suppressor gene that can regulate this pathway negatively. RASSF1A has been found to be inactivated by promoter methylation in some human tumors. The aim of the study was to assess the immunohistochemical expression of RASSF1A in normal endometrium and endometrial carcinoma, and to correlate its expression with K-RAS mutations, presence of microsatellite instability, RASSF1A promoter methylation, and clinicopathological data. RASSF1A immunostaining was evaluated in one tissue microarray constructed from 80 paraffin-embedded samples of normal endometrium, and two tissue microarrays constructed with a total of 157 endometrial carcinomas (one constructed with 95 endometrial carcinomas previously evaluated for K-RAS mutations, and microsatellite instability, and another one containing 62 endometrial carcinomas that were also subjected to RASSF1A promoter methylation analysis). RASSF1A immunostaining was correlated with cell proliferation (Ki67), Cyclin D1 expression and clinicopathological data. Promoter methylation of RASSF1A was assessed by methylation-specific PCR. RASSF1A immunostaining was variable during the menstrual cycle in normal endometrium. RASSF1A expression was significantly reduced in 48% of endometrial carcinomas, particularly in tumors exhibiting microsatellite instability. RASSF1A-promoter methylation was very frequent in endometrial carcinoma (74%), and was frequently associated with reduced expression of RASSF1A. RASSF1A-promoter hypermethylation was common in advanced-stage endometrial carcinoma. The results suggest that reduced expression of RASSF1A may play a role in endometrial carcinogenesis by controlling cell proliferation and apoptosis through the MAPK-signaling pathway.
Insights
Reduced expression of the RASSF1A tumor suppressor gene is common in endometrial cancer, often due to promoter methylation. This downregulation correlates with microsatellite instability and advanced stages, suggesting a role in cancer development via the RAS-MAPK pathway.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Alterations in the RAS-MAPK pathway are frequent in endometrial carcinoma.
- RASSF1A, a tumor suppressor gene, negatively regulates this pathway and can be inactivated by promoter methylation.
- Reduced RASSF1A expression is observed in various human tumors.
Purpose of the Study:
- To assess immunohistochemical expression of RASSF1A in normal endometrium and endometrial carcinoma.
- To correlate RASSF1A expression with K-RAS mutations, microsatellite instability, RASSF1A promoter methylation, and clinicopathological data.
Main Methods:
- Immunohistochemical evaluation of RASSF1A expression on tissue microarrays from 80 normal endometrium and 157 endometrial carcinoma samples.
- Assessment of RASSF1A promoter methylation using methylation-specific PCR.
- Correlation analysis with K-RAS mutations, microsatellite instability, cell proliferation markers (Ki67, Cyclin D1), and clinicopathological data.
Main Results:
- RASSF1A expression was significantly reduced in 48% of endometrial carcinomas, particularly those with microsatellite instability.
- RASSF1A promoter methylation was found in 74% of endometrial carcinomas and frequently associated with reduced RASSF1A expression.
- RASSF1A promoter hypermethylation was more common in advanced-stage endometrial carcinoma.
Conclusions:
- Reduced RASSF1A expression, often driven by promoter methylation, is a significant event in endometrial carcinogenesis.
- Downregulation of RASSF1A may contribute to endometrial cancer development by affecting cell proliferation and apoptosis through the MAPK pathway.
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