Abstract
Gastric cancer is the fourth most prevalent and the second cause of cancer death worldwide. Nowadays, Brazil is in the fourth most prevalent in gastric cancer in Latin America. Alterations in methylation patterns or chromatin remodeling have been involved in carcinogenesis due to their crucial role in regulation mechanisms. Moreover, cytogenetic abnormalities have been associated with neoplasia, including gastric cancer. The investigation of these genetic and epigenetic mechanisms might lead to better diagnosis, prognosis and therapeutic purposes. To analyze whether DNA methylation and/or histone methylation and acetylation are the main mechanisms of regulation in cancer process, two gastric cell lines will be treated with 5-Aza-2'-deoxycytidine and trichostatin and then, analyzed by microarray and proteomic assays in the current study. After microarray and proteome screening, expression of differentially expressed genes will be evaluated in 50 normal and in 50 tumoral gastric samples by qRT-PCR. Promoter methylation and/or histone H3K9 methylation and acetylation status will be evaluated by MS-HRM and ChIP, respectively. This study also aims to verify if histone methylation and/or acetylation are involved in the regulation of previously studied genes in our laboratory. Expression of genes involved in DNA methylation and histone modifications machinery will also be measured. Gene expression and epigenetic modifications will be associated to sex, age, tumor location, H. pylori, tumor extension, limph node metastasis, distant metastasis and histopathologic type of gastric adenocarcinoma. In addition, CGH assays will be used to identify cytogenetic abnormalities. The current study will originate new and better biological information, as biomarkers, which will enable a better understanding of etiology and physiopathology of this neoplasia with potential medical implication. (AU)
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