It has recently become clear that CDH13 (H-cadherin, T-cadherin) expression is frequently silenced by aberrant methylation in colorectal cancers and adenomas. In this study, we investigated the methylation status of CDH13 gene and detected aberrant promoter methylation in 27 of 84 (32%) colorectal cancers. We then correlated the results with the clinicopathological features of affected patients. We found a significant difference in histology (P ¼ 0.0053) when we compared the CDH13 methylation of poorly differentiated colorectal cancers to that of differentiated ones. This result suggested that poorly differentiated colorectal cancers specifically exhibited CDH13 methylation, and since CDH13 might be responsible for selective cell recognition and adhesion, inactivation of CDH13 could lead to the formation of scattered carcinoma cells in these cancers. There is now good evidence that a series of genetic alterations in both dominant oncogenes and tumour suppressor genes are involved in the pathogenesis of human colorectal cancer. Activation of oncogenes such as the ras gene, and inactivation of tumour suppressor genes such as the APC and p53 genes have been identified in colorectal cancer (Bos et al, 1987;Baker et al, 1990;Nishisho et al, 1991). In addition, we found that several other genes are related to the pathogenesis of colorectal cancer (Hibi et al, 1996;Hibi et al, 1997;Hibi et al, 2002;Yamazaki et al, 2002). An investigation of genetic changes is important to clarify the tumorigenic pathway of colorectal cancer (Vogelstein et al, 1988).Several tumour suppressor genes contain CpG islands in their promoters, prompting many studies that investigate the role of methylation in silencing these genes. Many tumour suppressor genes show evidence of methylation silencing, providing a new potential pathway for the deactivation of tumour suppressor genes (Herman et al, 1996). It has recently become clear that CDH13 (H-cadherin, T-cadherin) expression is frequently silenced by aberrant methylation in colorectal cancers and adenomas (Toyooka et al, 2002). CDH13 encodes a protein belonging to the cadherin family of cell surface glycoproteins responsible for selective cell recognition and adhesion (Takeichi, 1991). Ubiquitous methylation of CDH13 in colorectal cancers and adenomas indicated that such methylation occurs at an early stage in the multistage process of oncogenesis. However, we do not yet know what roles CDH13 methylation play in colorectal cancers.In this study, we investigated the methylation status of CDH13 in 84 colorectal cancers that were examined pathologically. We then correlated the results with the clinicopathological features of affected patients.
MATERIALS AND METHODS
Sample collection and DNA preparationA total of 84 primary tumours and corresponding colorectal epithelial tissues were collected at the Nagoya University School of Medicine from Japanese colorectal cancer patients who had been diagnosed histologically. These samples were obtained during surgery. All tissues were quickly frozen in liq...