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Updated: May 10, 2026

Genome-Wide Analysis of DNA Methylation in Gastrointestinal Cancer
Published on: September 18, 2020
Promoter methylation and expression of TIMP3 gene in gastric cancer
ZhiYu Guan1, Jun Zhang, ShiHui Song
1Department of Cardiovascular and Thoracic Surgery, TianJin Medical University General Hospital, 154 AnShan Road, HePing Section, TianJin 300052, China. guanzy69@163.com
Background:
Gastric carcinoma development is a multi-stage process that involves more than one gene. Aberrant changes in DNA methylation are considered as the third mechanism that leads to anti-oncogene inactivation, which plays an essential role in tumor development. In this study, we assessed the relationship among the aberrant methylation of the promoter CpG islands of tissue inhibitor of metalloproteinase 3 (TIMP3) gene, its protein expression, and the clinicopathological features of gastric adenocarcinoma.
Methods:
The methylation status of the promoter CpG islands and the protein expression of TIMP3 gene in tumors and adjacent normal mucosal tissues of 78 patients with gastric adenocarcinoma were detected by methylation-specific PCR (MSP) and immunohistochemistry.
Results:
The CpG island methylation of TIMP3 was detected in tumor tissues, cancer-adjacent tissues, and lymph nodes with metastasis. In increasing order, the hypermethylation frequency of these tissues were 35.9% (28 of 78 non-neoplastic tissues), 85% (17 of 20 early-stage cases), 89.7% (52 of 58 progressive-stage cases), and 100% (78 of 78 metastatic lymph node). A marked difference was found between tumors and non-neoplastic tissues (P<0.05), but no difference existed among the subgroups of tumors (P>0.05). Immunohistochemistry analysis confirmed TIMP3 down-regulation in tumor tissues. The rate of TIMP3 gene expression was 100% in non-neoplastic tissues but apparently decreased to various extents at different stages, i.e., decreased to 30% (6/20) at the early stage, to 3.4% (2/58) at the progressive stage, and to 0% (0/78) in metastatic lymph nodes. Among the 70 tumor tissues with negative TIMP3 expression, 64 (91.4%) were hypermethylated and 6 were unmethylated (8.6%), indicating a significant association between hypermethylation and reduced or negative TIMP3 expression (P<0.01).
Conclusion:
The hypermethylation of the promoter region in CpG islands is the main mechanism of TIMP3 gene expression and may provide evidence for the molecular diagnosis and stage evaluation of gastric cancer.
Virtual Slides:
The virtual slides for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/1756134016954958.
Insights
Hypermethylation of the tissue inhibitor of metalloproteinase 3 (TIMP3) gene is linked to reduced protein expression in gastric adenocarcinoma. This epigenetic change is a key mechanism in gastric cancer development and progression.
Area of Science:
- Oncology
- Molecular Biology
- Epigenetics
Background:
- Gastric carcinoma arises from multi-gene alterations, with aberrant DNA methylation inactivating anti-oncogenes.
- Tissue inhibitor of metalloproteinase 3 (TIMP3) gene inactivation is crucial in tumor development.
- This study investigates the link between TIMP3 promoter CpG island methylation, protein expression, and gastric adenocarcinoma features.
Purpose of the Study:
- To assess the relationship between aberrant methylation of the TIMP3 gene promoter CpG islands and its protein expression.
- To correlate these findings with the clinicopathological features of gastric adenocarcinoma.
- To explore the role of TIMP3 methylation in gastric cancer development.
Main Methods:
- Analyzing TIMP3 promoter CpG island methylation using methylation-specific PCR (MSP).
- Evaluating TIMP3 protein expression via immunohistochemistry.
- Examining tissues from 78 gastric adenocarcinoma patients and adjacent normal mucosa.
Main Results:
- TIMP3 hypermethylation was detected in tumor tissues (35.9%-100%), cancer-adjacent tissues, and metastatic lymph nodes, significantly differing from non-neoplastic tissues (P<0.05).
- TIMP3 protein expression was down-regulated in tumor tissues, decreasing with cancer stage (100% in normal, 30% early, 3.4% progressive, 0% metastatic).
- A strong association (P<0.01) was found between TIMP3 hypermethylation and reduced/negative protein expression (91.4% of negative cases were hypermethylated).
Conclusions:
- Aberrant hypermethylation of the TIMP3 promoter CpG islands is the primary mechanism for TIMP3 gene silencing in gastric cancer.
- These findings suggest TIMP3 methylation status can serve as a biomarker for molecular diagnosis and stage evaluation in gastric cancer.
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