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Updated: Apr 18, 2026

Modeling Oral-Esophageal Squamous Cell Carcinoma in 3D Organoids
Published on: December 23, 2022
RASSF5A, a candidate tumor suppressor, is epigenetically inactivated in esophageal squamous cell carcinoma
Wei Guo1, Cong Wang, Yanli Guo
1Laboratory of Pathology, Hebei Cancer Institute, The Fourth Hospital of Hebei Medical University, Jiankang Road 12, Shijiazhuang, Hebei, China.
Abstract:
As a result of alternative splicing and differential promoter usage, RASSF5 exists in at least three isoforms (RASSF5A-RASSF5C), which may play different roles in tumorigenesis. The present study was to detect the role of RASSF5A, B and C in esophageal squamous cell carcinoma (ESCC) and clarify the critical CpG sites of RASSF5A, in order to clarify more information on the role of RASSF5 with regard to the pathogenesis of ESCC. Frequent silencing of RASSF5A but not RASSF5B and RASSF5C were found in esophageal cancer cell lines and the silencing of RASSF5A may be reversed by 5-Aza-dC or TSA treatment. The aberrant CpG island 1 methylation of RASSF5A induces silencing of its expression in TE13 cell line. Decreased mRNA and protein expression of RASSF5A was observed in ESCC tumor tissues and was associated with RASSF5A CpG island 1 methylation status. Unlike RASSF5A, expression variation of RASSF5B and RASSF5C was not found in ESCC tissues. Aberrant promoter methylation of RASSF5C was also not found in ESCC. RASSF5A methylation and protein expression were independently associated with ESCC patients' survival. These data indicated that the inactivation of RASSF5A through CpG island 1 methylation may play an important role in ESCC carcinogenesis, RASSF5A may be a functional tumor suppressor and may serve as a prognostic biomarker for ESCC.
Insights
RASSF5A inactivation via methylation is crucial in esophageal squamous cell carcinoma (ESCC) development. This finding positions RASSF5A as a potential tumor suppressor and prognostic biomarker for ESCC patients.
Area of Science:
- Oncology
- Molecular Biology
- Epigenetics
Background:
- The RASSF5 gene exhibits alternative splicing, producing isoforms RASSF5A, RASSF5B, and RASSF5C, potentially involved in tumorigenesis.
- Understanding the specific roles of RASSF5 isoforms in esophageal squamous cell carcinoma (ESCC) pathogenesis is crucial.
Purpose of the Study:
- To investigate the roles of RASSF5A, RASSF5B, and RASSF5C in ESCC.
- To identify critical CpG sites in RASSF5A associated with its function in ESCC.
Main Methods:
- Analysis of RASSF5 isoform expression and methylation status in esophageal cancer cell lines and ESCC tissues.
- Treatment of cell lines with 5-Aza-dC (demethylating agent) and TSA (histone deacetylase inhibitor) to assess reversibility of gene silencing.
- Correlation analysis of RASSF5A methylation and protein expression with clinical data, including patient survival.
Main Results:
- Frequent silencing of RASSF5A, but not RASSF5B or RASSF5C, was observed in esophageal cancer cell lines.
- Aberrant CpG island 1 methylation of RASSF5A was identified as a cause of its silencing in TE13 cells.
- Decreased RASSF5A mRNA and protein expression in ESCC tissues correlated with RASSF5A CpG island 1 methylation.
- RASSF5A methylation and protein levels were independently associated with ESCC patient survival.
- No significant expression variation or aberrant promoter methylation was found for RASSF5B and RASSF5C in ESCC.
Conclusions:
- Inactivation of RASSF5A through CpG island 1 methylation plays a significant role in ESCC carcinogenesis.
- RASSF5A functions as a tumor suppressor in the context of ESCC.
- RASSF5A serves as a potential prognostic biomarker for ESCC.
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