Aristaless-like homeobox-4 gene methylation is a potential marker for colorectal adenocarcinomas.


BACKGROUND & AIMS The identification of novel genetic and epigenetic markers indicative of changes in the pathogenesis of colon cancer, along with easier-to-use, more sensitive assay methods, may improve the detection, treatment, and overall prognosis of this malignancy. METHODS Using methylation-specific arbitrarily primed polymerase chain reaction, a fragment of the Aristaless-like homeobox-4 (ALX4) gene that was highly methylated in colon adenomas and cancer was identified. Methylation of ALX4 was analyzed in colorectal adenomas and cancers, in the liver metastases of patients with colorectal cancer, and in 61 other neoplasias, including gastric, esophageal, and hepatocellular cancer and cholangiocarcinoma. ALX4 methylation was also analyzed in the serum of 30 patients with colon cancer. RESULTS ALX4 gene methylation was confirmed in colon adenomas (11/13) and more frequently present in primary colorectal cancers (30/47) compared with the normal colon mucosa (0/21) (P < .0001). In addition, ALX4 methylation was frequently observed in adenocarcinomas of the esophagus (12/14), stomach (11/15), and bile ducts (4/5) compared with all other cancers (P < .001). ALX4 gene methylation was also more frequently found in sera of patients with colon cancer compared with noncancer controls (P < .0001). Using a cutoff of 41.4 pg/mL, sensitivity and specificity were 83.3% and 70%, respectively. CONCLUSIONS Apart from colon adenomas and primary and metastatic colorectal cancers, ALX4 is frequently methylated in adenocarcinomas of the gastrointestinal tract. ALX4 gene methylation in sera of patients with cancer may thus serve as a methylation-specific test for colon and other gastrointestinal cancers.

Citations per Year

428 Citations

Semantic Scholar estimates that this publication has 428 citations based on the available data.

See our FAQ for additional information.

Cite this paper

@article{Ebert2006AristalesslikeHG, title={Aristaless-like homeobox-4 gene methylation is a potential marker for colorectal adenocarcinomas.}, author={Matthias P. A. Ebert and Fabian Model and Suzanne H Mooney and Kari Hale and Joe Lograsso and Lori Tonnes-Priddy and Juliane Hoffmann and Antal Csepregi and Christoph Roecken and B{\'e}la Moln{\'a}r and H. -U. Schulz and P Malfertheiner and Catherine E Lofton-Day}, journal={Gastroenterology}, year={2006}, volume={131 5}, pages={1418-30} }