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Updated: May 4, 2026

Development of Compendium for Esophageal Squamous Cell Carcinoma
Published on: April 12, 2024
Epigenetic silencing of checkpoint with fork-head associated and ring finger gene expression in esophageal cancer
Yoshihiro Suzuki1, Yohei Miyagi2, Norio Yukawa3
1Department of Surgery, Hiratsuka Kyosai Hospital, Hiratsuka, Kanagawa 254-8502, Japan.
Abstract:
Checkpoint with fork-head associated and ring finger (CHFR) is a mitotic checkpoint gene with tumor-suppressor functions. Previous studies have described the hypermethylation of the CpG island in the promoter region as a key mechanism involved in silencing tumor suppressor genes. The epigenetic alterations regulating CHFR expression and the clinical significance of CHFR downregulation remain unclear. A total of 40 patients with esophageal squamous cell carcinoma who underwent primary resection were enrolled in this study. CHFR mRNA expression was quantified, followed by an evaluation of the methylation status using methylation-specific polymerase chain reaction (MSP) techniques in 29 patients. The correlation between CHFR expression and MSP status was then analyzed. In addition, the significance of CHFR expression was determined, with respect to clinicopathological features and overall survival. Aberrant hypermethylation of the CHFR gene was observed in 13 of 29 primary esophageal cancers. The CHFR expression levels of the methylated status samples was significantly lower than that of the unmethylated status samples (P=0.014). CHFR expression levels did not exhibit clinical significance with respect to the patient characteristics or overall survival. Hypermethylation of the CHFR gene is a common event in the development of primary esophageal cancer. CpG island hypermethylation of the promoter region in the CHFR gene is a key mechanism involved in silencing the CHFR gene in patients with esophageal cancer.
Insights
Checkpoint with fork-head associated and ring finger (CHFR) gene hypermethylation silences tumor suppressor function in esophageal cancer. This epigenetic silencing is common and linked to reduced CHFR expression, but not overall survival.
Area of Science:
- Oncology
- Molecular Biology
- Epigenetics
Background:
- Checkpoint with fork-head associated and ring finger (CHFR) is a crucial mitotic checkpoint gene with demonstrated tumor-suppressor functions.
- Epigenetic alterations, particularly promoter hypermethylation, are recognized mechanisms for silencing tumor suppressor genes.
- The specific epigenetic regulation of CHFR and its clinical relevance in esophageal cancer remain largely uncharacterized.
Purpose of the Study:
- To investigate the epigenetic alterations, specifically promoter methylation, of the CHFR gene in esophageal squamous cell carcinoma.
- To evaluate the correlation between CHFR gene methylation status and its expression levels.
- To determine the clinical significance of CHFR expression in relation to clinicopathological features and patient survival.
Main Methods:
- Quantitative analysis of CHFR mRNA expression in 40 esophageal squamous cell carcinoma patient samples.
- Assessment of CHFR gene promoter methylation status using methylation-specific polymerase chain reaction (MSP) in 29 patients.
- Statistical analysis to correlate CHFR expression with methylation status, clinicopathological features, and overall survival.
Main Results:
- Aberrant hypermethylation of the CHFR gene was identified in 13 out of 29 (44.8%) primary esophageal tumors.
- CHFR expression levels were significantly lower in samples with methylated CHFR compared to unmethylated samples (P=0.014).
- CHFR expression did not show a significant correlation with patient characteristics or overall survival.
Conclusions:
- CpG island hypermethylation of the CHFR gene promoter is a frequent epigenetic event in the development of esophageal cancer.
- This hypermethylation is a key mechanism responsible for the silencing of the CHFR tumor suppressor gene in esophageal cancer patients.
- While CHFR silencing occurs commonly, it does not appear to be a significant prognostic biomarker for overall survival in this cohort.
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