The aetiology of OSCC remains unclear, however, aberrant methylation of CpG
island promoters of tumor suppressor genes have been identified as
contributory developmental pathways in several cancers. The aim of this
study was to determine the presence of RUNX3 gene methylation and how its
association with patients? demographic variables such as gender, age,
histologic class and tumor location could be of diagnostic value for OSCC.
Sixty-seven formalin-fixed paraffin-embedded (FFPE) solid tissue blocks of
OSCC, and nine blocks of benign oral lesions of epithelial origin retrieved
from the archives of the Department of Oral Pathology, University College
Hospital, Ibadan, South-West Nigeria were used for the analyses. Frequency
of CpG island methylation in the promoter region of RUNX3 was determined by
methylation-specific polymerase chain reaction (MSP). Association between
gender, age, tumor location, histologic class and promoter methylation in
RUNX3 was assessed with Pearson?s ?2 test. Overall, 45% (30/67) of OSCC
demonstrated methylation in the RUNX3 promoter indicating a high frequency
of methylation of the CpG island promoter region of RUNX3. There was no
association between gender, age, histologic class and promoter methylation
in RUNX3 (P > 0.05), however a significant association was observed between
tumor location and promoter methylation of RUNX3 (P < 0.05). Aberrant
methylation of the CpG island promoter region of RUNX3 together with tumor
location could therefore be critical in the development and diagnosis of
OSCC.