下垂体腺腫を非侵襲的に診断する新しい血液バイオマーカー群(New Blood-based Biomarker Panel Offers Non-invasive Diagnosis for Invasive Pituitary Adenomas)

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2025-07-29 中国科学院(CAS)

中国科学院・合肥物質科学研究院と浙江大学附属第二病院の研究チームは、血液検査によって下垂体腺腫の浸潤性を高精度に識別できるバイオマーカーパネルを開発した。従来は画像診断や病理検査でも浸潤性の診断が困難だったが、本研究ではcfDNAメチル化プロファイルとRNA発現解析を統合し、17遺伝子からMIR4535、SLC8A1-AS1、TTC34の3つを診断マーカーに選定。血漿サンプルでの診断精度はAUC 0.980(IPAと非浸潤性PAの識別)と極めて高かった。非侵襲的な早期診断手法として臨床応用が期待されるとともに、腫瘍浸潤性の分子機構解明にも貢献する。

下垂体腺腫を非侵襲的に診断する新しい血液バイオマーカー群(New Blood-based Biomarker Panel Offers Non-invasive Diagnosis for Invasive Pituitary Adenomas)
Identification of cfDNA biomarkers for screening IPA from NPA. (Image by ZHAO Ningning)

<関連情報>

侵襲性および非侵襲性下垂体腺腫の分子マーカー:DNAメチル化と遺伝子発現の包括的解析 Molecular signatures of invasive and non-invasive pituitary adenomas: a comprehensive analysis of DNA methylation and gene expression

Yike Chen,Ningning Zhao,Jiahao Zhang,Xinyi Wu,Jian Huang,Xiaohui Xu,Feng Cai,Sheng Chen,Liyin Xu,Wei Yan,Yuan Hong,Yunfei Wang,Hui Ling,Jianxiong Ji,Gao Chen,Hongcang Gu,Jianmin Zhang & Qun Wu
BMC Medicine

Abstract

Background

Pituitary adenomas (PAs) are benign tumors in the pituitary gland. However, 30–40% of these tumors are invasive, complicating diagnosis and treatment. Invasive pituitary adenomas (IPAs) often respond poorly to conventional therapies, emphasizing the need for better diagnostic and therapeutic strategies. Understanding DNA methylation patterns in IPAs may reveal new biomarkers and therapeutic targets, leading to more effective management of this challenging disease.

Methods

Reduced representation bisulfite sequencing (RRBS) and RNA sequencing (RNA-seq) were performed on 129 samples from the Second Affiliated Hospital of Zhejiang University, including 69 tissue samples from invasive and non-invasive pituitary adenomas (NPA) and 60 blood samples from IPA, NPA and healthy individuals. Differentially methylated regions (DMRs) and differentially expressed genes (DEGs) were identified in tissues. Pearson correlation analysis was used to identify associations between DNA methylation status and gene expression, as well as the effect of methylation on gene expression at different sites. Blood samples were analyzed to detect DMRs and DEGs, correlating with tissue-derived findings. Finally, ROC analysis and a random forest model were used to identify biomarkers for discriminating invasive from non-invasive phenotypes.

Results

We identified 347 DMRs between IPA and NPA, of which 63% (219/347) were hypomethylated. Additionally, 543 mRNAs showed differential expression, with 350 upregulated and 193 downregulated. 17 genes demonstrated concurrent aberrant methylation and expression, primarily within introns, promoters, and CpG islands (CGIs). Notably, only protein tyrosine phosphatase receptor type T (PTPRT) exhibited a remarkably high correlation (r = 0.81) between its DNA methylation levels and mRNA expression levels. This correlation was observed within the intronic region/opensea of the gene’s CGIs. Plasma sample analysis revealed 852 DMRs between IPA and NPA, with 52% (447/852) being hypomethylated. Three tumor tissue-derived blood biomarkers (MIR4535, SLC8A1-AS1, and TTC34) accurately discriminated between IPA and NPA patients with a combined AUC of 0.980. These markers also differentiated NPA from healthy controls, though with different methylation patterns.

Conclusions

The relationship between DNA methylation and gene expression is complex. Plasma-based DNA methylation markers can effectively discriminate between IPA and NPA, as well as between NPA and healthy individuals (N group).

医療・健康
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