You are on page 1of 7

Oncogene (2007) 26, 5010–5016

& 2007 Nature Publishing Group All rights reserved 0950-9232/07 $30.00
www.nature.com/onc

SHORT COMMUNICATION

Hypermethylation and transcriptional downregulation of the CITED4 gene


at 1p34.2 in oligodendroglial tumours with allelic losses on 1p and 19q

B Tews1,6, P Roerig2,6, C Hartmann3, M Hahn1, J Felsberg2, B Blaschke2, M Sabel4, A Kunitz3,


G Toedt1, K Neben1, A Benner5, A von Deimling3, G Reifenberger2,6 and P Lichter1,6
1
Division of Molecular Genetics (B060), Deutsches Krebsforschungszentrum, Heidelberg, Germany; 2Department of Neuropathology,
Heinrich-Heine-University, Düsseldorf, Germany; 3Department of Neuropathology, Charité University Medicine, Berlin, Germany;
4
Department of Neurosurgery, Heinrich-Heine-University, Düsseldorf, Germany and 5Central Unit Biostatistics (C060), Deutsches
Krebsforschungszentrum, Heidelberg, Germany

Deletions of chromosomal arms 1p and 19q are frequent (Reifenberger and Louis, 2003). Recent data indicate
in oligodendroglial tumours and have been associated that these combined 1p and 19q losses are mediated by
with sensitivity to radio- and chemotherapy as well as an unbalanced t(1;19)(q10;p10) translocation (Griffin
favourable prognosis. By using microarray-based expres- et al., 2006; Jenkins et al., 2006). Importantly, 1p/19q
sion profiling, we found that oligodendroglial tumours deletion is associated with favourable response to radio-
with 1p and 19q losses showed significantly lower and chemotherapy as well as prolonged survival
expression of the CBP/p300-interacting transactivator (Cairncross et al., 1998, 2006; van den Bent et al.,
with glutamic acid/aspartic acid-rich carboxyl-terminal 2006). Thus, molecular testing for these losses provides
domain 4 gene (CITED4) at 1p34.2 as compared to clinically valuable information beyond the conventional
tumours without 1p and 19q losses. Mutational analysis histologic classification.
showed no CITED4 mutations in gliomas. However, 1p To date, several genes located on 1p or 19q have
and 19q losses as well as low expression of CITED4 been reported as putative oligodendroglioma-associated
transcripts were significantly associated with hypermethy- tumour suppressor genes. For example, the cyclin-
lation of the CITED4-associated CpG island. In line with dependent kinase inhibitor 2C (CDKN2C, 1p32) gene
the latter finding, treatment of CITED4 hypermethylated is mutated or homozygously deleted in rare cases of
glioma cell lines with 5-aza-20 -deoxycytidine and trichos- anaplastic oligodendroglioma (Reifenberger and Louis,
tatine A resulted in a marked increase of the CITED4 2003). Other genes showed reduced expression in 1p-
transcript levels. Furthermore, CITED4 hypermethylation deleted gliomas, sometimes associated with promoter
was significantly associated with longer recurrence-free hypermethylation but never with mutation. These
and overall survival of patients with oligodendroglial include the calmodulin-binding transcription activator
tumours. Taken together, our results indicate that 1 gene (CAMTA1, 1p36), the DNA fragmentation
CITED4 is epigenetically silenced in the vast majority factor subunit b gene (DFFB, 1p36), the SHREW1 gene
of oligodendroglial tumours with 1p and 19q deletions and (1p36.32), the tumour protein p73 gene (TP73, 1p36.3)
suggest CITED4 hypermethylation as a novel prognostic and the RAD54 gene (1p32) (Dong et al., 2002;
marker in oligodendroglioma patients. Barbashina et al., 2005; McDonald et al., 2005, 2006).
Oncogene (2007) 26, 5010–5016; doi:10.1038/sj.onc.1210297; The p190RhoGAP gene (19q13.3) was reported as a
published online 19 February 2007 candidate tumour suppressor that inhibits PDGF-
induced murine oligodendrogliomas (Wolf et al.,
Keywords: CITED4; gene expression profiling; oligo- 2003). However, its role in human oligodendrogliomas
dendroglioma; CpG island; hypermethylation; tumour is unknown. More recently, the myelin-related epithelial
suppressor gene membrane protein gene 3 (EMP3, 19q13.3) was found
to be epigenetically silenced in malignant gliomas and
neuroblastomas (Alaminos et al., 2005).
We applied microarray-based expression profiling to
Oligodendroglial tumours are primary neoplasms of identify novel genes that are differentially expressed
the central nervous system that frequently demons- between gliomas with and without 1p/19q losses (Tews
trate allelic losses on chromosomal arms 1p and 19q et al., 2006). In total, 35 gliomas were studied, including
seven oligodendrogliomas WHO grade II, eight diffuse
Correspondence: Professor G Reifenberger, Department of Neuro- astrocytomas WHO grade II, 14 anaplastic oligoden-
pathology, Heinrich-Heine-University, Moorenstrasse 5, D-40225 drogliomas WHO grade III and six anaplastic oligo-
Düsseldorf, Germany. astrocytomas WHO grade III (Tews et al., 2006).
E-mail: reifenberger@med.uni-duesseldorf.de
6
These authors contributed equally to this work.
Differentially expressed genes allowing for the discrimi-
Received 5 April 2006; revised 14 December 2006; accepted 3 January nation between gliomas with and without 1p/19q losses
2007; published online 19 February 2007 were revealed by significance analysis of microarrays
CITED4 hypermethylation in oligodendroglial tumours
B Tews et al
5011
(SAM) followed by prediction analysis for microarrays In total, we investigated tumour samples from 78
(PAM) (Tusher et al., 2001; Tibshirani et al., 2002; Tews patients (40 female and 38 male; mean age at operation:
et al., 2006). One of the genes with significantly lower 48 years; range: 11–91 years) with gliomas (21 oligoden-
expression in 1p/19q-deleted gliomas was the CREB- drogliomas WHO grade II, three oligoastrocytomas
binding protein (CBP)/p300-interacting transactivator WHO grade II, eight diffuse astrocytomas WHO grade
with glutamic acid/aspartic acid-rich carboxyl-terminal II, 29 anaplastic oligodendrogliomas WHO grade III
domain 4 gene (CITED4) at 1p34.2 (OMIM 606815), and 17 anaplastic oligoastrocytomas WHO grade III).
which has been linked to cancer-relevant cellular The tumours were collected at the Departments of
processes (Braganca et al., 2002; Fox et al., 2004). Here, Neuropathology, Heinrich-Heine-University, Düssel-
we report on a detailed molecular analysis of CITED4 dorf, and Charité University Hospital, Berlin, and
aberrations in human gliomas and provide evidence for investigated in an anonymized manner as approved by
an association of CITED4 hypermethylation with longer the local institutional review boards. All tumours were
survival of oligodendroglial tumour patients. classified according to the WHO classification of

Figure 1 (a) Examples of results obtained by quantitative real-time reverse transcription-PCR, which was performed on 41 tumours
using primers 50 -gggaggacagtttggcttca-30 and 50 -gggagaggacacgatccaag-30 for the detection of CITED4 transcripts, SYBR-Green
fluorescent dye incorporation and the ABI PRISM 5700 sequence detection system (Applied Biosystems, Foster City, CA, USA).
CITED4 expression in each tumour was calculated relative to non-neoplastic brain tissue (BD Biosciences, St Jose, CA, USA) after
normalisation to the mRNA levels of ADP-ribosylation factor 1 (ARF1, GenBank accession no. NM_001658, primers: 50 -gac
cacgatcctctacaagc-30 and 50 -tcccacacagtgaagctgatg-30 ) or actin-g (ACTG1, GenBank accession no. NM_001614, primers 50 -cag
ctctcgcactctgttctt-30 and 50 -cgacgatggaaggaaacac-30 ). Note: reduced level of CITED4 mRNA in a 1p/19q-deleted glioma (AO84) as compared
to a glioma without 1p/19q losses (A82) and non-neoplastic brain tissue (NB). Abscissa, cycle number; Ordinate, relative amount
of PCR product (RFU, relative fluorescence units). The curves obtained for A82 and NB are nearly identical for ARF1 and CITED4.
In AO84, the ARF1 curve is shifted to the left and the CITED4 curve to the right relative to the respective curves for A82 and NB
(t, threshold value). The calculated CITED4 mRNA level in AO84 was 20% of the level in NB and A82. (b) Sequencing of the
CITED4-associated CpG island after sodium bisulfite treatment of DNA revealed methylation of CpG sites in AO84 (arrowheads in
upper lane) but not in A82 and NB (middle lanes). DNA methylated in vitro using SssI (CpG) methylase (NewEngland Biolabs,
Beverly, MA, USA) served as a positive control (lower lane). Shown is the reverse sequence from nucleotides g.40997168 to g.40997212
(GenBank accession no. NC_000001). (c) Induction of CITED4 mRNA in three glioma cell lines (A172 and T98G, American Type
Culture Collection, Manassas, VA, USA; U138MG, German National Ressource Center for Biological Material, Braunschweig,
Germany) by 5-aza-20 -deoxycytidine and trichostatin A treatment as determined by real-time reverse transcription–PCR. Cell lines
were grown either under standard conditions (1) or under two different treatment conditions: (2) 500 nM 5-aza-20 -deoxycytidine for
48 h plus 1 mM trichostatin A for 24 h or (3) 1 mM 5-aza-20 -deoxycytidine for 72 h plus 1 mM trichostatin A for 24 h. (d) Results of reverse
transcription–PCR analysis of CITED4 expression in A172 cells before (1) and after treatment with 5-aza-20 -deoxycytidine and
trichostatin A under two different conditions (see Figure 1c). Note marked induction of CITED4 mRNA after treatment (bp ¼ base
pairs).

Oncogene
CITED4 hypermethylation in oligodendroglial tumours
B Tews et al
5012
tumours of the nervous system (Reifenberger et al., In line with our microarray results (Tews et al., 2006),
2000). A tumour cell content of at least 80% was quantitative real-time reverse transcription–polymerase
histologically assured for each specimen used for chain reaction (PCR) analysis of 41 gliomas revealed
molecular analysis. Extraction of DNA and RNA from CITED4 transcript levels reduced by at least 50%
frozen tumour samples as well as DNA from leukocytes relative to non-neoplastic brain tissue in 17 of 21
was carried out as reported elsewhere (van den Boom gliomas (81%) with 1p losses spanning the CITED4
et al., 2003). locus (Figure 1a). Twelve of these 17 tumours showed

Figure 2 Methylation patterns in the 50 -CpG island of CITED4 in 62 gliomas and two samples of non-neoplastic brain tissue (NB1,
NB2). Methylation at each of the 54 investigated CpG sites was determined by PCR amplification of two adjacent fragments of
the CITED4 CpG island (covering 54 CpG sites between nucleotides 40 996 844 and 40 997 411, Genbank accession no. NC_000001)
from sodium bisulfite-modified DNA using primers 50 -tttggttagtttaagttttattttagt-30 and 50 -aatcacaaaaacccgcaacctataa-30 as well as
50 -ttataggttgcgggtttttgtgatt-30 and 50 -acctctacaccaaacgataacc-30 , followed by direct sequencing. The methylation status at each CpG site
was rated according to the following scale: 0, not methylated; 1, weakly methylated (intensity of the methylated signal lower than 1/3
relative to the unmethylated signal); 2, moderately methylated (intensity of the methylated signal between 1/3 and 2/3 relative to the
unmethylated signal); 3, strongly methylated (intensity of the methylated signal higher than 2/3 of the unmethylated signal). This rating
is represented in a grey-scale pattern as indicated below the figure (na, not analysed). Each tumour was assigned to one of two groups:
(1) no CITED4 hypermethylation (methylation score 1, 2 or 3 in less than 50% of the investigated CpG sites) or (2) CITED4
hypermethylation (methylation score 1, 2 or 3 in more than 50% of the investigated CpG sites). CITED4 mRNA expression (Expr.)
levels relative to non-neoplastic brain tissue were subdivided into two categories as shown below the figure. Allelic losses on 1p and 19q
are also indicated for each tumour ( þ , allelic loss; , no allelic loss; * allelic loss restricted to distal 1p not including the CITED4
locus). At least five microsatellite loci located on 1p (D1S200, D1S211, D1S507, D1S489, D1S468) and five microsatellite loci located
on 19q (D19S572, D19S219, D19S1182, D19S596, D19S210) were assessed for allelic loss in each tumour (Felsberg et al., 2004). The
location of exon 1 and the start codon (ATG) are indicated on top of the figure. Note a close association between 1p/19q losses and
CITED4 hypermethylation. Furthermore, 15 of 19 tumours with hypermethylation showed CITED4 mRNA levels of o0.5-fold
relative to the reference brain tissue, as compared to 7 of 22 tumours without hypermethylation.

Oncogene
CITED4 hypermethylation in oligodendroglial tumours
B Tews et al
5013
transcript levels reduced by at least 75% relative to non- the 45 tumours carried somatic mutations, indicating
neoplastic brain tissue when ARF1 was used as the that structural alterations of CITED4 are absent or very
reference gene. When ACTG1 was used as reference, all rare in gliomas.
17 tumours showed CITED4 transcript levels reduced We next investigated the role of aberrant methylation
by more than 75% relative to non-neoplastic brain of the CITED4-associated CpG island in 62 gliomas,
tissue. In contrast, only 5 of 20 gliomas (25%) with including the 41 tumours studied for CITED4 expres-
retention of both CITED4 alleles showed reductions in sion. CITED4 hypermethylation was detected in 31 of
the CITED4 transcript levels by at least 50% relative to 34 gliomas with 1p/19q losses (91%) but only in 2 of 28
non-neoplastic brain tissue (Figure 2). Statistical ana- gliomas without 1p/19q losses (7%) (Figures 1b and 2)
lyses confirmed that CITED4 mRNA expression was (Fisher’s exact test, Po0.001). CITED4 hypermethy-
significantly lower (Student’s t-test, Po0.001) and more lation was absent in leucocyte DNA from 16 patients
commonly reduced (Fisher’s exact test, Po0.001) in 1p/ with CITED4 hypermethylated gliomas and in non-neo-
19q-deleted gliomas. plastic brain samples from two unrelated individuals
Mutation screening of 45 gliomas, including 22 (Figure 2).
tumours with 1p/19q losses, detected 15 different Correlation of CITED4 expression and methylation
CITED4 polymorphisms, mostly single nucleotide ex- revealed that CITED4 transcript levels were reduced by
changes (Table 1). Four polymorphisms (c.95T>A: at least 50% relative to non-neoplastic brain tissue in 15
Leu32Gln; c.170G>C, Arg57Pro; c.173A>G, Gln58 of 19 tumours (79%) with CITED4 hypermethylation
Arg; c.393C>T, Gly131Gly) were linked to each other, but only in 7 of 22 tumours (32%) without CITED4
that is, occurred together in nine patients. A 36-base hypermethylation. Statistical analyses confirmed that
pair in-frame deletion polymorphism (c.327-362del, CITED4 mRNA levels were significantly lower (Student’s
GenBank accession no. NM_133467.2) was found in t-test, Po0.01) and more commonly reduced (Fisher’s
two patients, with one patient being constitutionally exact test, Po0.01) in CITED4-hypermethylated
homozygous for this polymorphism. However, none of gliomas. In line with these findings, 5-aza-20 -deoxy-
cytidine and trichostatin A treatment of three CITED4-
hypermethylated glioma cell lines (A172, T98G,
Table 1 CITED4 sequence polymorphisms identified in 45 glioma U138MG) resulted in markedly increased mRNA
patients levels (Figure 1c–d).
Polymorphism Sequence change To assess the relationship between CITED4 hyper-
number methylation and patient survival, we investigated 45
1 NC_000001:g.40997143G>A
patients with oligodendroglial tumours (19 WHO grade
2 NC_000001:g.40997205C>G II, 26 WHO grade III) and available follow-up data
3 NC_000001:g.40997259del1 (Felsberg et al., 2004). The median follow-up time after
4 NC_000001:g.40997260del1 diagnosis was 122 months. Twenty-three patients died of
5 NM_133467.2:c.-74C>G their tumours while 22 patients were still alive at last
6 NM_133467.2:c.27G>C (Glu9Asp)
7 NM_133467.2:c.54G>T (Pro18 Pro) follow-up. Median overall survival after diagnosis was
8 NM_133467.2:c.-72G>T 103 months, median recurrence-free survival was 42
9 NM_133467.2:c.95T>A (Leu32Gln) months. All patients were treated by open resection.
10 NM_133467.2:c.170G>C (Arg57Pro) Twenty-four of the 26 patients with WHO grade III
11 NM_133467.2:c.173A>G (Gln58Arg)
12 NM_133467.2:c.327-362del (PPGPQPAPSAAA110-
tumours received adjuvant therapy, comprising radio-
121del) therapy in 16 patients, alkylating chemotherapy in one
13 NM_133467.2:c.393C>T (Gly131Gly) patient, and combined radio- and chemotherapy in
14 NM_133467.2:c.410T>G (Ile137Ser) seven patients. Univariate statistical analysis revealed
15 NM_133467.2:c.519G>T (Leu173Phe) that CITED4 hypermethylation was significantly asso-
Most polymorphisms consist in exchanges or deletions of single
ciated with longer recurrence-free and overall survival in
nucleotides. Polymorphism 12 is a 36-bp in-frame deletion polymorph- the entire group of 45 patients and in the 26 patients
ism that was found in two patients, one of which was constitutionally with WHO grade III tumours (Figure 3a–d). Similarly,
homozygous for this deletion. To detect sequence changes in CITED4, significant associations were found between the 1p/19q
we screened its entire coding region in five overlapping fragments using allelic status and survival (Figure 3e–h). Multivariate
the following primers: 50 -gggccaagacctagatgcag-30 and 50 -aaaccaaaccc
gactggtg-30 (229-bp amplicon), 50 -cgcaaggtgcgcagtagt-30 and 50 -ctctgca analysis identified CITED4 hypermethylation and 1p/
ccaggcggtag-30 (229-bp amplicon), 50 -catggccgaccacctgat-30 and 19q deletions as significant prognostic factors adjusted
50 -gaaagggctggaaggaggac-30 (230-bp amplicon), 50 -ctaccgcctggtgcagag-30 for WHO grade and patient age (Table 2).
and 50 -agtccgagaagcagtcgaac-30 (488-bp amplicon), 50 -catggacgccgaactc The CITED4 gene encodes a 184-amino-acid protein
atc-30 and 50 -agtcgggccctttctcctct-30 (212-bp amplicon). The 488-bp
amplicon was directly sequenced while the other four amplicons
of 24.5 kDa that binds CBP and the tumour suppressor
were subjected to single-strand conformation polymorphism/ protein EP300 (E1A-binding protein, 300 kDa), func-
heteroduplex analysis (van den Boom et al., 2003). PCR products tions as a co-activator of the transcription factor AP-2
were sequenced in both directions using cycle-sequencing (BigDye (Braganca et al., 2002), blocks binding of hypoxia-
cycle sequencing kit, Applied Biosystems) and an ABI PRISM 377 inducible factor 1 alpha (HIF1a) to EP300 and inhibits
semi-automated DNA sequencer (Applied Biosystems). To determine
whether sequence changes detected in tumour DNA were of somatic or HIF1a transactivation as well as hypoxia-mediated
germ-line origin, we additionally sequenced the corresponding reporter gene activation (Fox et al., 2004). Loss of
leucocyte DNA. nuclear expression or cytoplasmic translocation of
Oncogene
CITED4 hypermethylation in oligodendroglial tumours
B Tews et al
5014

Figure 3 (a–d) Significant associations (log rank tests) of CITED4 hypermethylation with longer recurrence-free survival (RFS) and
overall survival (OS) in patients with oligodendroglial tumours (meth., CITED4 hypermethylated; no meth., CITED4 not
hypermethylated). Shown are Kaplan–Meier survival curves obtained for 45 patients (a, b), including 19 patients with WHO grade II
and 26 patients with WHO grade III tumours, as well as in the subgroup of 26 patients with WHO grade III tumours (c, d). (e–h)
Kaplan–Meier survival curves stratified according to the 1p/19q allelic status in the same patients. Similar to CITED4
hypermethylation, 1p and 19q losses are significantly associated with longer RFS and OS in all 45 patients (e, f) and in the subgroup
of 26 patients with WHO grade III tumours (g, h). Kaplan–Meier survival curve estimation and log rank tests were performed with the
GraphPad Prism 4 software.

CITED4 has been implicated in breast cancer develop- CITED4 hypermethylation. In fact, our data indicate
ment (Fox et al., 2004). Here, we report that CITED4 biallelic CITED4 inactivation by loss of one allele and
mRNA expression in gliomas is significantly lower in hypermethylation of the other allele in the vast majo-
1p/19q-deleted versus non-deleted tumours. Further- rity of 1p/19q-deleted oligodendroglial tumours. The
more, we found reduced expression closely linked to absence of CITED4 hypermethylation in DNA extracted
Oncogene
CITED4 hypermethylation in oligodendroglial tumours
B Tews et al
5015
Table 2 Results of multivariate Cox proportional hazards regression analysis based on 45 patients with oligodendroglial tumours (19 patients with
WHO grade II and 26 patients with WHO grade III tumours)
Factor RFS OS

Hazard ratio (95% CI)a P-value Hazard ratio (95% CI)* P-value

(a)
Age at operation 1.39 (1.07–1.80) 0.01 1.26 (0.93–1.71) 0.13
WHO grade 1.78 (0.87–3.61) 0.11 3.09 (1.23–7.76) 0.02
CITED4 methylation status 0.34 (0.17–0.70) 0.003 0.25 (0.10–0.62) 0.003

(b)
Age at operation 1.36 (1.05–1.76) 0.02 1.24 (0.92–1.67) 0.16
WHO grade 1.79 (0.88–3.62) 0.11 3.33 (1.33–8.29) 0.01
1p/19q allelic status 0.37 (0.18–0.75) 0.006 0.20 (0.08–0.51) o0.001

As CITED4 hypermethylation and 1p/19q losses were highly correlated, two separate models were calculated, either including the CITED4
methylation status (a) or the 1p/19q allelic status (b), each together with the WHO grade and the patient age at operation. Multivariate analyses
were performed using the statistical software package R, version 2.1.1 (R Development Core Team, 2005). aHazard ratios and confidence intervals
(95% CIs) are computed for a 10-year increment in age, for comparing WHO grade III versus WHO grade II, for comparing CITED4 methylation
status positive versus negative, or for comparing LOH 1p/19q versus no LOH 1p/19q. P-values are computed for the Wald test statistics. RFS,
recurrence-free survival; OS, overall survival.

from leucocytes and non-neoplastic brain tissue indi- 1p/19q-testing. It also needs to be investigated whether
cates that CITED4 is not imprinted. However, it CITED4 inactivation contributes to radio- and chemo-
remains unclear whether CITED4 hypermethylation is sensitivity or just represents a surrogate marker for
already present in the yet unknown cell of origin of other alterations in 1p/19q-deleted oligodendroglio-
oligodendrogliomas or represents an acquired aberra- mas. For example, 1p/19q-deletion has been linked
tion selected for during tumorigenesis. to hypermethylation of the O6-methylguanine DNA
The molecular mechanisms by which CITED4 in- methyltransferase (MGMT) gene (Möllemann et al.,
activation might promote oligodendroglial tumour 2005), which predicts response to alkylating chemo-
growth are as yet unknown. CITED4 downregulation therapy in malignant gliomas (Hegi et al., 2005). Taken
could interfere with EP300 tumour suppressor activity together, our results suggest CITED4 as an interesting
(Iyer et al., 2004), which, among other functions, plays a novel candidate gene in oligodendroglial tumours and
crucial role in p53 regulation (Grossman, 2001). should stimulate further research into its functional
Interestingly, 1p/19q-deleted oligodendrogliomas usual- roles and clinical significance.
ly lack TP53 mutations (Reifenberger and Louis, 2003).
However, further studies need to substantiate a tumour-
suppressive function of the CITED4 protein and to Abbreviations
clarify the functional consequences of its inactivation in
oligodendroglial tumours. LOH, loss of heterozygosity; OS, overall survival; RFS,
We found a similar prognostic significance of recurrence-free survival; WHO, World Health Organisation.
CITED4 hypermethylation in oligodendroglioma pa-
tients as obtained for 1p/19q deletion. Thus, diagnostic Acknowledgements
assessment of CITED4 hypermethylation might be an
alternative approach to 1p/19q-testing. However, the This study was supported by grants from the Deutsche
Krebshilfe to GR and MS (70-3088-Sa1) as well as to GR
frequency of CITED4 hypermethylation in other glio-
and AvD (70-3163-Wi3), and from the German Bundesmi-
mas, in particular anaplastic astrocytomas and glioblas- nisterium für Bildung und Forschung (BMBF) within
tomas, remains to be determined. Furthermore, future the National Genome Research Network 2 (NGFN-2) to
studies need to address whether CITED4 protein PL, MH, GR, CH and AvD (01GS0460, 01GS0462 and
expression analysis, for example, by immunohistoche- 01GS0463). BT was a scholar of the Studienstiftung des
mistry, might substitute for methylation analysis and Deutschen Volkes.

References

Alaminos M, Davalos V, Ropero S, Setien F, Paz MF, Barbashina V, Salazar P, Holland EC, Rosenblum MK,
Herranz M et al. (2005). EMP3, a myelin-related gene Ladanyi M. (2005). Allelic losses at 1p36 and 19q13 in
located in the critical 19q13.3 region, is epigenetically gliomas: correlation with histologic classification, definition
silenced and exhibits features of a candidate tumor of a 150-kb minimal deleted region on 1p36, and evaluation
suppressor in glioma and neuroblastoma. Cancer Res 65: of CAMTA1 as a candidate tumor suppressor gene. Clin
2565–2571. Cancer Res 11: 1119–1128.
Oncogene
CITED4 hypermethylation in oligodendroglial tumours
B Tews et al
5016
Braganca J, Swingler T, Marques FI, Jones T, Eloranta JJ, McDonald JM, Dunlap S, Cogdell D, Dunmire V, Wei Q,
Hurst HC et al. (2002). Human CREB-binding protein/ Starzinski-Powitz A et al. (2006). The SHREW1 gene,
p300-interacting transactivator with ED-rich tail (CITED) frequently deleted in oligodendrogliomas, functions to
4, a new member of the CITED family, functions as a co- inhibit cell adhesion and migration. Cancer Biol Ther 5:
activator for transcription factor AP-2. J Biol Chem 277: 300–304.
8559–8565. Möllemann M, Wolter M, Felsberg J, Collins VP, Reifenber-
Cairncross G, Berkey B, Shaw E, Jenkins R, Scheithauer B, ger G. (2005). Frequent promoter hypermethylation and low
Brachman D et al. (2006). Phase III trial of chemotherapy expression of the MGMT gene in oligodendroglial tumors.
plus radiotherapy compared with radiotherapy alone for Int J Cancer 113: 379–385.
pure and mixed anaplastic oligodendroglioma: Intergroup R Development Core Team (2005). A language and environment
Radiation Therapy Oncology Group Trial 9402. J Clin for statistical computing. R Foundation for Statistical
Oncol 24: 2707–2714. Computing: Vienna, Austria, ISBN 3-900051-07-0, http://
Cairncross JG, Ueki K, Zlatescu MC, Lisle DK, Finkelstein www.R-project.org.
DM, Hammond RR et al. (1998). Specific genetic predictors Reifenberger G, Kros JM, Burger PC, Louis DN, Collins VP.
of chemotherapeutic response and survival in patients (2000). Oligodendroglial tumours and mixed gliomas. In:
with anaplastic oligodendrogliomas. J Natl Cancer Inst 90: Kleihues P, Cavence WK (eds). Tumours of the Nervous
1473–1479. System – Pathology and Genetics. World Health Organisation
Dong S, Pang JC, Hu J, Zhou LF, Ng H. (2002). Transcrip- Classification of Tumours. IARC Press: Lyon, pp 55–70.
tional inactivation of TP73 expression in oligodendroglial Reifenberger G, Louis DN. (2003). Oligodendroglioma:
tumors. Int J Cancer 98: 370–375. toward molecular definitions in diagnostic neuro-oncology.
Felsberg J, Erkwoh A, Sabel MC, Kirsch L, Fimmers R, J Neuropathol Exp Neurol 62: 111–126.
Blaschke B et al. (2004). Oligodendroglial tumors: refine- Tews B, Felsberg J, Hartmann C, Kunitz A, Hahn M, Toedt G
ment of candidate regions on chromosome arm 1p and et al. (2006). Identification of novel oligodendroglioma-
correlation of 1p/19q status with survival. Brain Pathol 14: associated candidate tumor suppressor genes in 1p36 and
121–130.
19q13 using microarray-based expression profiling. Int J
Fox SB, Braganca J, Turley H, Campo L, Han C, Gatter KC
Cancer 119: 792–800.
et al. (2004). CITED4 inhibits hypoxia-activated transcrip-
Tibshirani R, Hastie T, Narasimhan B, Chu G. (2002).
tion in cancer cells, and its cytoplasmic location in breast
Diagnosis of multiple cancer types by shrunken centroids
cancer is associated with elevated expression of tumor cell
of gene expression. Proc Natl Acad Sci USA 99: 6567–6572.
hypoxia-inducible factor 1alpha. Cancer Res 64: 6075–6081.
Tusher VG, Tibshirani R, Chu G. (2001). Significance analysis
Griffin CA, Burger P, Morsberger L, Yonescu R, Swierczynski S,
Weingart JD et al. (2006). Identification of der(1;19) of microarrays applied to the ionizing radiation response.
(q10;p10) in five oligodendrogliomas suggests mechanism Proc Natl Acad Sci USA 98: 5116–5121.
of concurrent 1p and 19q loss. J Neuropathol Exp Neurol van den Bent MJ, Carpentier AF, Brandes AA, Sanson M,
65: 988–994. Taphoorn MJ, Bernsen HJ et al. (2006). Adjuvant procar-
Grossman SR. (2001). p300/CBP/p53 interaction and regula- bazine, lomustine, and vincristine improves progression-free
tion of the p53 response. Eur J Biochem 268: 2773–2778. survival but not overall survival in newly diagnosed
Hegi ME, Diserens AC, Gorlia T, Hamou MF, de Tribolet N, anaplastic oligodendrogliomas and oligoastrocytomas: a
Weller M et al. (2005). MGMT gene silencing and benefit randomized European Organisation for Research and
from temozolomide in glioblastoma. N Engl J Med 352: Treatment of Cancer phase III trial. J Clin Oncol 20:
997–1003. 2715–2722.
Iyer NG, Ozdag H, Caldas C. (2004). p300/CBP and cancer. van den Boom J, Wolter M, Kuick R, Misek DE, Youkilis AS,
Oncogene 23: 4225–4231. Wechsler DS et al. (2003). Characterization of gene
Jenkins RB, Blair H, Ballman KV, Giannini C, Arusell RM, expression profiles associated with glioma progression using
Law M et al. (2006). A t(1;19)(q10;p10) mediates the oligonucleotide-based microarray analysis and real-time
combined deletions of 1p and 19q and predicts a better reverse transcription-polymerase chain reaction. Am J
prognosis of patients with oligodendroglioma. Cancer Res Pathol 163: 1033–1043.
66: 9852–9861. Wolf RM, Draghi N, Liang X, Dai C, Uhrbom L, Eklof C
McDonald JM, Dunmire V, Taylor E, Sawaya R, Bruner J, et al. (2003). p190RhoGAP can act to inhibit PDGF-
Fuller GN et al. (2005). Attenuated expression of DFFB is a induced gliomas in mice: a putative tumor suppressor
hallmark of oligodendrogliomas with 1p-allelic loss. Mol encoded on human chromosome 19q13.3. Genes Dev 17:
Cancer 4: 35. 476–487.

Oncogene

You might also like