p16INK4A hypermethylation is associated with hepatitis virus infection, age, and gender in hepatocellular carcinoma

Xin Li, Ai Min Hei, Lin Sun, Kiyoshi Hasegawa, Guido Torzilli, Masami Minagawa, Tadatoshi Takayama, Masatoshi Makuuchi

Research output: Contribution to journalArticlepeer-review


Purpose: The tumor suppressor gene p16INK4A is mainly inactivated by an epigenetic change involving promoter hypermethylation in hepatocarcinogenesis. The possible clinical impact of p16INK4A methylation and the potential risk factors for this epigenetic alteration have not been thoroughly investigated. Experimental Design: We studied the methylation status and mRNA and protein expression of p16INK4A in 50 hepatocellular carcinomas and corresponding nonneoplastic liver lesions using methylation-specific PCR, reverse transcription-PCR, and immunohistochemical techniques. Results: p16INK4A hypermethylation was observed in 58% (29 of 50) of the hepatocellular carcinomas and 16% (6 of 38) of the corresponding chronic hepatitis and cirrhosis tissue samples. p16 INK4A methylation was significantly associated with mRNA and protein expression (P <0.001 and P = 0.003, respectively). All of the p16 INK4A-methylated tumors were positive for hepatitis B virus or hepatitis C virus markers, but none of the virus-negative tumors exhibited p16INK4A methylation (P = 0.006). The frequency of p16 INK4A hypermethylation tended to be higher in hepatitis C virus-related tumors (23 of 32, 72%) than in hepatitis B virus-related tumors (6 of 13, 46%; P = 0.1). Aberrant methylation of p16INK4A was also related significantly to increasing age, female gender, and normal levels of serum PIVKA-II (P = 0.02, 0.04, and 0.04, respectively). No statistically significant difference in survival was observed between patients with p16 INK4A hypermethylation and those without. Conclusions: Our observations suggest that p16INK4A hypermethylation may contribute to hepatocarcinogenesis from an early stage and that multiple risk factors, such as viral infections, age, and gender, may be associated with p16INK4A hypermethylation in hepatocarcinogenesis.

Original languageEnglish
Pages (from-to)7484-7489
Number of pages6
JournalClinical Cancer Research
Issue number22
Publication statusPublished - Dec 15 2004

ASJC Scopus subject areas

  • Cancer Research
  • Oncology


Dive into the research topics of 'p16INK4A hypermethylation is associated with hepatitis virus infection, age, and gender in hepatocellular carcinoma'. Together they form a unique fingerprint.

Cite this