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Aberrant hypomethylation mediated-PARP4 overexpression induces
                               cisplatin resistance of ovarian cancer
                                              Jung-Hyuck Ahn
                 Department of Biochemistry, College of Medicine, Ewha Womans University

                  BACKGROUND                                                   AIM
   Although cisplatin is one of the most effective chemotherapeutic  To identify epigenetically regulated genes directly associated
   agents for ovarian cancer, the emergence of chemoresistance is a  with ovarian cancer cisplatin resistance, we compared the
   major challenge to successful therapy. Recent studies suggest that  expression and methylation profiles of cisplatin-sensitive and -
   anticancer drug resistance, including cisplatin resistance, can be  resistant human ovarian cancer cell lines.
   mediated by aberrant DNA methylation. In particular, aberrant
   promoter hypermethylation and subsequent gene silencing can affect
   sensitivity to cisplatin by inactivating genes that are critical for
   response to the drug.
                                               METHODS

   (n=2 to 4/group). During surgery, the reduction of cerebral blood flow was monitored by using Laser Doppler Flowmetry secured
    To identify epigenetically regulated genes directly associated with ovarian cancer
                                                                                         Table 1. Cytotoxicity of
    cisplatin resistance, we measured the response of 11 human ovarian cancer cell       cisplatin  against  11
    lines to cisplatin and classified them into three groups based on cytotoxicity:      ovarian cell lines
    sensitive, intermediate, and resistant. We compared expression and methylation
    profiles of cisplatin-sensitive and -resistant human ovarian cancer cell lines and
    identified the key genes for cisplatin drug response.



                                                RESULTS


                                           PA-1
                                              A2780
                             (p = 0.0010)
                             **
             **  (p = 0.0078) Resistant  10 8  Sensitive  Resistant Figure  TOV112D  M U  2.5 2.0  ***  ***  2.  Figure  3.
                                        120
                                                  ***
                                           ***
      Relative expression (Fold change)  1.5 1.0 0.5  Relative expression (Fold change)  6 4 2  Neuroprotective effects  Identification  of
                                               **
       2.0
                                                                             Table 1. Clinical characteristics of
                                                          Relative expression(Fold change)
                                                                         Con
                                                                         Aza
          Sensitive
                                        Methylation (%)
                                         80
                                                                             patients with ovarian cancer who
                                                             ***
                                                          1.5
                                                          1.0
                                         40
                                                                             were sensitive or resistant to
                                                          0.5
                                                                             primary chemotherapy
                                                          0.0
                                         0
                                          -
                                                                    TOV-112D
                                                             PA-1
                                                  -
                                                   +
                                              -
                                                                A2780
                                            +
                                                +
       0.0
                                             5-aza treatment
        PA-1 TOV-21G TOV-112D  Caov-3  A2780 OVCAR-3  OV-90 SK-OV-3  0 PA-1 TOV-21G TOV-112D  Caov-3  A2780 OVCAR-3  OV-90 SK-OV-3  by downregulation of  Abca1 mRNA as a
                                        Figure 3. PARP4 mRNA expression is up-
                                        regulated following demethylation in cisplatin-
      Figure 1. PARP4 expression is up-regulated  miR-33-5p  and   miR-     target for miR-33-
      in cisplatin-resistant cell lines. PARP4 mRNA  sensitive cell lines. Eight ovarian cancer cell lines
                                             treated
                                        were
      expression  was  determined  by  gene  135b-5p. with  5-aza-2’-deoxycytidine.  5p and miR-135b-
      expression microarray and RT-qPCR in eight  Methylation status of a specific promoter CpG
      ovarian cancer cell lines. Error bars represent  site was measured by pyrosequencing analysis  5p.
      standard  deviation  (SD)  of  triplicate  and PARP4 mRNA expression was measured by
      measurements. Statistical analyses were  RT-qPCR.
      performed using a t-test.
                                  2.
     Figure  **  (p = 0.0015)  Figure 2. A CpG  Figure                 2.
     Neuroprotective effects Neuroprotective effects
       1.0
                  Resistant
           Sensitive
                        site is hypomethy-
       0.8
                        lated within the
      Methylation (% )
     by    downregulation promoter     by downregulation of
                                  of
       0.6
                        PARP4
       0.4
                        in
     miR-33-5p        and     cisplatin-
                               miR-
       0.2
                        resistant cell lines.
       0.0                             miR-33-5p          and      miR-
                    SK-OV-3
                OVCAR-3
        PA-1
          TOV-112D
                   OV-90
             Caov-3
         TOV-21G
               A2780
     135b-5p. Figure 2. A CpG site is  Figure 4. The specific PARP4 promoter CpG is
     hypomethylated within the PARP4   hypomethylated in patients with chemo-resistant
     The DNA methylation status of CpG sites
                                       ovarian cancer.
     promoter in cisplatin-resistant cell  135b-5p. Receiver operating characteristic
     within the PARP4 promoter region was
     lines. The DNA methylation status of  curves shows the discrimination of chemo-resistant
     quantified
                        the
                              Illumina
                using
                                       patients from chemo-sensitive patients based on
     CpG sites within the PARP4 promoter  DNA methylation status at the specific promoter
     HumanMethylation 450 BeadChip in eight
     region was quantified using the Illumina  CpG site of PARP4             *DFE: Disease-free interval following
     ovarian cancer cell lines.
                                                                             completion of chemotherapy (month)
          CONCLUSION                         REFERENCES                   ACKNOWLEDGEMENTS
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                ABCA1
    PARP4 was
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    promoter CpG site readily distinguished
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