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doi:10.1016/j.yexmp.2006.08.002    
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Copyright © 2006 Elsevier Inc. All rights reserved.

In situ detection of global DNA hypomethylation in exfoliative urine cytology of patients with suspected bladder cancer

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Hans-Helge Seiferta, Corresponding Author Contact Information, E-mail The Corresponding Author, Viola Schmiemannb, Mirko Muellera, Marietta Kazimirekb, Fabiana Onofreb, Anne Neuhausena, Andrea R. Florla, Rolf Ackermanna, Alfred Boeckingb, Wolfgang A. Schulza and Hans Juergen Groteb

aDepartment of Urology, University Hospital Düsseldorf, Heinrich-Heine University Düsseldorf, Moorenstr. 5, D-40225 Düsseldorf, Germany

bInstitute of Cytopathology, University Hospital Düsseldorf, Heinrich-Heine University Düsseldorf, Moorenstr. 5, D-40225 Düsseldorf, Germany


Received 20 May 2006; 
revised 4 August 2006. 
Available online 5 October 2006.

Abstract

Global DNA hypomethylation is a common phenomenon in bladder cancer. Therefore we investigated whether it is possible to detect and assess global DNA hypomethylation in bladder cancer using a specific monoclonal antibody for 5-methyl-cytosine. Cytospins from exfoliative urine cytology specimens of patients with bladder cancer or a history of bladder cancer, control patients with benign urological diseases and of young healthy volunteers were analyzed.

Urothelial carcinoma (UC) cells showed various degrees of nuclear destaining indicating global DNA hypomethylation whereas all specimens from healthy volunteers showed granular nuclear staining indicating regular methylation of repeated DNA sequences. Lowest 5-methylcytosine immunostaining scores were observed in carcinoma cells and a statistically significant difference was observed between urothelial cells of healthy controls or patients with benign disease compared to bladder cancer patients (p < 0.01, p < 0.05, respectively). In UC cases even morphologically normal urothelial cells often displayed evident hypomethylation. Likewise, in patients with a history of UC, but no cystoscopic evidence of recurrence, morphologically non-malignant urothelial cells presented with some degree of demethylation.

Our results strongly support the hypothesis of early global demethylation in bladder cancer. Immunocytochemical staining with the 5-methylcytosine antibody allows simultaneous individual assessment of nuclear morphology and methylation status of a given sample.

Keywords: Hypomethylation; Bladder cancer; Cytological detection; 5-methyl-cytosine

Article Outline

Introduction
Materials and methods
Samples and controls
Cytospins
Treatment of cytospinned cells
Assessment of immunostaining
Southern blot analysis of LINE-1 hypomethylation
Statistical analysis
Results
Comparison of Southern blot analysis and 5-mc staining of T24 and HT1376
5-mc staining of urine samples
Discussion
Acknowledgements
References







Corresponding Author Contact InformationCorresponding author. Fax: +49 211 8116440.

 
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