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Enterprise | Interest None Epigenetics and prostate cancer - - PowerPoint PPT Presentation

Enterprise | Interest None Epigenetics and prostate cancer Defining the timing of DNA methyltransferases deregulation during prostate cancer progression Vassiliki Tzelepi 1 , Souzana Logotheti 1 , Efthymia Papakonstantinou 1 , Ioannis Maroulis


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Enterprise | Interest None

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Epigenetics and prostate cancer Defining the timing of DNA methyltransferases deregulation during prostate cancer progression

Vassiliki Tzelepi1, Souzana Logotheti1, Efthymia Papakonstantinou1, Ioannis Maroulis2, Maria Melachrinou1 Vassiliki Zolota1

Departments of 1Pathology and 2Surgery, Medical School, University of Patras, Patras, Greece

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Epigenetics

  • Alterations in DNA expression without any

changes in DNA sequence

DNA methylation Post-transcriptional histone modifications microRNAs expression

Chen et al. ONCOLOGY REPORTS 31: 523-532, 2014

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Gravina et al. Molecular Cancer 9:305, 2010

DNA methyltransferases (DNMTs) DNMT1 DNMT2 DNMT3Α DNMT3Β DNMT3L

DNA methylation

Α covalent chemical modification resulting in addition of a methyl group at the carbon 5 position of the cytosine ring in CpG dinucleotides

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DNMT1: maintenance of basal methylation, passage of methylation to the daughter cells, methylation during cell proliferation DNMT2: tRNA methylation, role in DNA methylation? DNMT3Α DNMT3Β DNMT3L

De novo methylation

DNA methyltransferases

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Prostate Cancer

Tosoian et al. Nature Reviews Urology 13:205–215, 2016

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Prostate cancer-therapy Castration Resistant Prostate Cancer-CRPC

Watson et al Nat Rev Cancer. 15:701–711, 2015

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Neuroendocrine prostate cancer

Synaptophysin Androgen Receptor

Small cell carcinoma Low PSA (for the extent of the disease) Visceral metastases Osteolytic bone metastases NO AR expression, no response to hormonal therapy Initially responds to chemotherapy, but resistance emerges VERY AGGRESSIVE

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Prostate cancer and methylation

  • CpG island hypermethylation in various genes in

PCa cell lines and tissues

  • Increased DNMTs’ enzyme activity in PCa cell lines
  • Higher DNMT1 expression in androgen independent

PCa cell lines

  • Opposing roles of DNMT1 in early and late stage

PCa in murine models

  • DNMTs downregulation or pharmaceutical

inhibition reduces tumor growth in PCa cell lines

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Unsupervised analysis of genome wide CpG methylation

Beltran H et al. Nat Med. 2016 22(3):298305 Kleb et al Epigenetics, 2016

CpG methylation CpG methylation

“Methylation status is complementary to morphology to discriminate AR dependent and independent CRPC”

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DNMTs in human PCa tissues

  • Higher DNMT1 expression in cancer tissues

compared to BPH (20 samples) and in high Gleason Score compared to low Gleason Score localized tumors (40 samples, 56 samples)

  • Gradual increase of DNMT1 from normal to

metastatic PCA (90 samples)

  • No correlation of DNMT3b to Gleason Score (40

samples)

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Hypothesis

DNA methyltransferases are implicated in prostate cancer progression and the emergence

  • f

aggressive phenotypes

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Objective

Elucidate the role of DNMTs in prostate cancer progression in an effort to identify prognostic markers and potential therapeutic targets

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244 patients with prostate cancer

Low grade prostate cancer (GS: 6, 7(3+4), Prognostic Grade Group 1,2) High grade prostate cancer (GS: ≥7 (4+3), Prognostic Grade Group 3,4,5) Prostate cancer treated with androgen ablation Castrate Resistant Prostate Cancer Neuroendocrine prostate carcinoma received prostatectomy at MD Anderson cancer center

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Tissue microarrays

  • All slides were reviewed, representative areas

were selected and tissue microarrays were constructed.

– 0,6mm tissue cores (non-neoplastic peripheral zone and neoplasm) – 3069 cores (2637 neoplastic and 432 non- neoplastic) from 350 blocks – 2-17 cores per patient (mean: 6, SD: 3, median: 5) – 6 TMA blocks

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Immunohistochemistry

DNMT1 DNMT2 DNMT3b

Company/ clone Santa Cruz, Heidelberg, Germany, H-12

(Mouse monoclonal)

Santa Cruz, Heidelberg, Germany, H-271

(Rabbit polyclonal)

Abcam, Cambridge, UK 52A1018

(Mouse monoclonal)

Antigen retreival EDTA, pH:8 Citrate, pH:6 EDTA, pH:8 Dilution 1:50 1:150 1:250 Incubation time 2 hours

  • vernight

30 minutes Detection System Envision, Dako, Glostrup, Denmark Positive control Lymph node Placenta Testicle

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Pannoramic Desk Scanner Pannoramic Viewer 3DHistech, Budapest, HUNGARY

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Evaluation

  • % percentage of positive cells (0%,

5%, 10% and then in 10% increments )

  • Intensity of staining (1+, 2+, 3+)

Multiply (0-300)  Nuclear staining  Cytoplasmic staining when present

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Statistical analyses

  • Non parametric tests

– Mann-Whitney Test for non paired samples – Wilcoxon test for paired samples

  • IBM Corp. Released 2013. IBM SPSS Statistics

for Windows, Version 22.0. Armonk, NY: IBM Corp.,

  • Statistical significance p<0,05
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Results

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DNMT1

  • Nuclear staining

Mean Std. Deviation non neoplastic 20 26 LOW GRADE 21 33, HIGH GRADE 47 31 TREATED 61 52 CRPC 59 53 NECA 104 70 p<0,001 p=0,009 p=0.031

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Low grade High grade

Non-neoplastic

DNMT1

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CRPC NECA

DNMT1

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DNMT2-nuclear staining

Mean Std. Deviation non neoplastic 28 33 LOW GRADE 42 34 HIGH GRADE 46 30 TREATED 94 42 CRPC 80 31 NECA 87 48

p<0.001

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Mean

  • Std. Deviation

LOW GRADE 76 26 HIGH GRADE 72 20 TREATED 78 20 CRPC 81 13 NECA 60 31

DNMT2 Cytoplasmic staining

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Low grade High grade

Non-neoplastic

DNMT2 nuclear

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CRPC treated

DNMT2 nuclear

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DNMT3b

Mean Std. Deviation non neoplastic 19 17 LOW GRADE 30 39 HIGH GRADE 18 21 TREATED 21 41 CRPC 110 70 NECA 160 37 p<0.001

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CRPC Low grade High grade NECA

DNMT3b

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Conclusions

  • Different DNMTs are deregulated at different

times during prostate cancer progression

  • DNMT1 is gradually upregulated relatively early during

PCa progression with significant elevation in NECa

  • DNMT2 is upregulated as a response to androgen

ablation therapy

  • DNMT3b is upregulated after the emergence of

castration resistance

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Implications

DNMT3b may be a promising therapeutic target for CRPC Both DNMT1 and DNMT3b may be promising therapeutic targets for NECa

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Future perspectives

  • Analyze the expression of DNMT3a and

DNMT3L across the spectrum of prostate cancer progression

  • Define the functional role of DNMTs’

deregulation

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Acknowledgements

  • Maria Roumelioti (Department of Pathology,

University of Patras)

  • Patricia Troncoso, MD (Department of Pathology,

MADCC)

  • Eleni Efstathiou, MD, PhD (Department of GU Medical

Oncology, MADCC)

  • Ana Aparicio, MD (Department of GU Medical

Oncology, MADCC)

  • Anh Hoang (Department of GU Medical Oncology,

MADCC)

  • Ina Prokhorova (Department of Pathology, MADCC)
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Funding

  • Grant E-657 from the Research Committee of

the University of Patras via “K. Karatheodori” program

  • MDACC-UPATRAS collaborative research, E-

421, Research Committee of the University of Patras

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