PMID- 36076047 OWN - NLM STAT- MEDLINE DCOM- 20221027 LR - 20221028 IS - 1617-4623 (Electronic) IS - 1617-4615 (Print) IS - 1617-4623 (Linking) VI - 297 IP - 6 DP - 2022 Nov TI - Epigenetic inactivation of DNA repair genes as promising prognostic and predictive biomarkers in urothelial bladder carcinoma patients. PG - 1671-1687 LID - 10.1007/s00438-022-01950-x [doi] AB - We sought to examine epigenetic inactivation of DNA damage repair (DDR) genes as prognostic and predictive biomarkers for urothelial bladder cancer (UBC) as there are currently no reliable prognostic biomarkers that identify UBC patients who would benefit from chemotherapy. Genome-wide DNA methylome using the cancer genome atlas-bladder cancer (TCGA-BLCA) datasets (primary tumors = 374 and normal tissues = 37) was performed for 154 DDR genes. The most two significant differentially methylated genes, Retinoblastoma binding protein 8 (RBBP8) and MutS homologue 4 (MSH4), between primary tumors and normal tissues of TCGA-BLCA were validated by methylation-specific PCR (MSP) in UBC (n = 70) compared to normal tissues (n = 30). RBBP8 and MSH4 expression was measured using qRT-PCR. We developed a predictive model for therapeutic response based on the RBBP8- and MSH4-methylation along with patients' clinical features. Then, we assessed the prognostic significance of RBBP8 and MSH4. RBBP8- and MSH4 methylation and corresponding gene downregulation significantly associated with muscle-invasive phenotype, prolonged progression-free survival (PFS) and increased susceptibility to cisplatin chemotherapy in UBC. Promoter methylation of RBBP8 and MSH4 was positively correlated with each other and with their corresponding gene repression. The best machine-learning classification model predicted UBC patients' response to cisplatin-based chemotherapy with an accuracy of 90.05 +/- 4.5%. Epigenetic inactivation of RBBP8 and MSH4 in UBC could sensitize patients to DNA-damaging agents. A predictive machine-learning modeling approach based on the clinical features along with RBBP8- and MSH4-methylation might be a promising tool for stratification of UBC responders from nonresponders to chemotherapy. CI - (c) 2022. The Author(s). FAU - Mohanad, Marwa AU - Mohanad M AUID- ORCID: 0000-0002-3827-9647 AD - Biochemistry Department, College of Pharmaceutical Sciences and Drug Manufacturing, Misr University for Science and Technology, 6th of October, Giza, Egypt. marwamohanad@gmail.com. FAU - Yousef, Hend F AU - Yousef HF AD - Tissue Culture and Cytogenetics Unit, Pathology Department, National Cancer Institute, Cairo University, Cairo, Egypt. FAU - Bahnassy, Abeer A AU - Bahnassy AA AD - Tissue Culture and Cytogenetics Unit, Pathology Department, National Cancer Institute, Cairo University, Cairo, Egypt. LA - eng PT - Journal Article DEP - 20220908 PL - Germany TA - Mol Genet Genomics JT - Molecular genetics and genomics : MGG JID - 101093320 RN - Q20Q21Q62J (Cisplatin) RN - 0 (Biomarkers, Tumor) RN - 0 (Retinoblastoma Binding Proteins) SB - IM MH - Humans MH - *Urinary Bladder Neoplasms/drug therapy/genetics/pathology MH - Cisplatin/pharmacology/therapeutic use MH - Prognosis MH - Urinary Bladder/metabolism/pathology MH - Biomarkers, Tumor/genetics/metabolism MH - Epigenesis, Genetic MH - DNA Repair/genetics MH - Retinoblastoma Binding Proteins/genetics/metabolism MH - *Carcinoma/drug therapy/genetics/metabolism MH - DNA Methylation/genetics PMC - PMC9596572 OTO - NOTNLM OT - CtIP/RBBP8 OT - Epigenetic inactivation OT - MSH4 OT - Machine-learning predictions of response OT - Prognosis OT - Urothelial bladder carcinoma COIS- All authors declare no conflict of interest to disclosure. EDAT- 2022/09/09 06:00 MHDA- 2022/10/28 06:00 PMCR- 2022/09/08 CRDT- 2022/09/08 23:29 PHST- 2021/06/23 00:00 [received] PHST- 2022/08/27 00:00 [accepted] PHST- 2022/09/09 06:00 [pubmed] PHST- 2022/10/28 06:00 [medline] PHST- 2022/09/08 23:29 [entrez] PHST- 2022/09/08 00:00 [pmc-release] AID - 10.1007/s00438-022-01950-x [pii] AID - 1950 [pii] AID - 10.1007/s00438-022-01950-x [doi] PST - ppublish SO - Mol Genet Genomics. 2022 Nov;297(6):1671-1687. doi: 10.1007/s00438-022-01950-x. Epub 2022 Sep 8.