Skip to main content
Top
Published in: Cancer Cell International 1/2020

Open Access 01-12-2020 | Epigenetics | Primary research

DNA methylation-based classification and identification of bladder cancer prognosis-associated subgroups

Authors: Zijian Tian, Lingfeng Meng, Xingbo Long, Tongxiang Diao, Maolin Hu, Miao Wang, Ming Liu, Jianye Wang

Published in: Cancer Cell International | Issue 1/2020

Login to get access

Abstract

Background

Bladder cancer (BCA) is the most common urinary tumor, but its pathogenesis is unclear, and the associated treatment strategy has rarely been updated. In recent years, a deeper understanding of tumor epigenetics has been gained, providing new opportunities for cancer detection and treatment.

Methods

We identified prognostic methylation sites based on DNA methylation profiles of BCA in the TCGA database and constructed a specific prognostic subgroup.

Results

Based on the consistent clustering of 402 CpGs, we identified seven subgroups that had a significant association with survival. The difference in DNA methylation levels was related to T stage, N stage, M stage, grade, sex, age, stage and prognosis. Finally, the prediction model was constructed using a Cox regression model and verified using the test dataset; the prognosis was consistent with that of the training set.

Conclusions

The classification based on DNA methylation is closely related to the clinicopathological characteristics of BCA and determines the prognostic value of each epigenetic subtype. Therefore, our findings provide a basis for the development of DNA methylation subtype-specific therapeutic strategies for human bladder cancer.
Appendix
Available only for authorised users
Literature
1.
go back to reference Antoni S, Ferlay J, Soerjomataram I, Znaor A, Jemal A, Bray F. Bladder cancer incidence and mortality: a global overview and recent trends. Eur Urol. 2017;71:96–108.PubMedCrossRef Antoni S, Ferlay J, Soerjomataram I, Znaor A, Jemal A, Bray F. Bladder cancer incidence and mortality: a global overview and recent trends. Eur Urol. 2017;71:96–108.PubMedCrossRef
3.
go back to reference Knowles MA, Hurst CD. Molecular biology of bladder cancer: new insights into pathogenesis and clinical diversity. Nat Rev Cancer. 2015;15:25–41.PubMedCrossRef Knowles MA, Hurst CD. Molecular biology of bladder cancer: new insights into pathogenesis and clinical diversity. Nat Rev Cancer. 2015;15:25–41.PubMedCrossRef
4.
go back to reference Alfred Witjes J, Lebret T, Comperat EM, Cowan NC, De Santis M, Bruins HM, et al. Updated 2016 EAU guidelines on muscle-invasive and metastatic bladder cancer. Eur Urol. 2017;71:462–75.PubMedCrossRef Alfred Witjes J, Lebret T, Comperat EM, Cowan NC, De Santis M, Bruins HM, et al. Updated 2016 EAU guidelines on muscle-invasive and metastatic bladder cancer. Eur Urol. 2017;71:462–75.PubMedCrossRef
5.
go back to reference Lodewijk I, Duenas M, Rubio C, Munera-Maravilla E, Segovia C, Bernardini A, et al. Liquid biopsy biomarkers in bladder cancer: a current need for patient diagnosis and monitoring. Int J Mol Sci. 2018;19:2514.PubMedCentralCrossRef Lodewijk I, Duenas M, Rubio C, Munera-Maravilla E, Segovia C, Bernardini A, et al. Liquid biopsy biomarkers in bladder cancer: a current need for patient diagnosis and monitoring. Int J Mol Sci. 2018;19:2514.PubMedCentralCrossRef
6.
go back to reference Ark JT, Keegan KA, Barocas DA, Morgan TM, Resnick MJ, You C, et al. Incidence and predictors of understaging in patients with clinical T1 urothelial carcinoma undergoing radical cystectomy. BJU Int. 2014;113:894–9.PubMedPubMedCentralCrossRef Ark JT, Keegan KA, Barocas DA, Morgan TM, Resnick MJ, You C, et al. Incidence and predictors of understaging in patients with clinical T1 urothelial carcinoma undergoing radical cystectomy. BJU Int. 2014;113:894–9.PubMedPubMedCentralCrossRef
7.
go back to reference Kulkarni GS, Hakenberg OW, Gschwend JE, Thalmann G, Kassouf W, Kamat A, et al. An updated critical analysis of the treatment strategy for newly diagnosed high-grade T1 (previously T1G3) bladder cancer. Eur Urol. 2010;57:60–70.PubMedCrossRef Kulkarni GS, Hakenberg OW, Gschwend JE, Thalmann G, Kassouf W, Kamat A, et al. An updated critical analysis of the treatment strategy for newly diagnosed high-grade T1 (previously T1G3) bladder cancer. Eur Urol. 2010;57:60–70.PubMedCrossRef
8.
go back to reference Svatek RS, Hollenbeck BK, Holmang S, Lee R, Kim SP, Stenzl A, et al. The economics of bladder cancer: costs and considerations of caring for this disease. Eur Urol. 2014;66:253–62.PubMedCrossRef Svatek RS, Hollenbeck BK, Holmang S, Lee R, Kim SP, Stenzl A, et al. The economics of bladder cancer: costs and considerations of caring for this disease. Eur Urol. 2014;66:253–62.PubMedCrossRef
9.
go back to reference Babjuk M, Bohle A, Burger M, Capoun O, Cohen D, Comperat EM, et al. EAU guidelines on non-muscle-invasive urothelial carcinoma of the bladder: update 2016. Eur Urol. 2017;71:447–61.PubMedCrossRef Babjuk M, Bohle A, Burger M, Capoun O, Cohen D, Comperat EM, et al. EAU guidelines on non-muscle-invasive urothelial carcinoma of the bladder: update 2016. Eur Urol. 2017;71:447–61.PubMedCrossRef
10.
go back to reference Robertson AG, Kim J, Al-Ahmadie H, Bellmunt J, Guo G, Cherniack AD, et al. Comprehensive molecular characterization of muscle-invasive bladder cancer. Cell. 2017;171(540–56):e25. Robertson AG, Kim J, Al-Ahmadie H, Bellmunt J, Guo G, Cherniack AD, et al. Comprehensive molecular characterization of muscle-invasive bladder cancer. Cell. 2017;171(540–56):e25.
12.
go back to reference Jeronimo C, Henrique R. Epigenetic biomarkers in urological tumors: a systematic review. Cancer Lett. 2014;342:264–74.PubMedCrossRef Jeronimo C, Henrique R. Epigenetic biomarkers in urological tumors: a systematic review. Cancer Lett. 2014;342:264–74.PubMedCrossRef
15.
go back to reference van der Heijden AG, Mengual L, Ingelmo-Torres M, Lozano JJ, van Rijt-van de Westerlo CCM, Baixauli M, et al. Urine cell-based DNA methylation classifier for monitoring bladder cancer. Clin Epigenetics. 2018;10:71.PubMedPubMedCentralCrossRef van der Heijden AG, Mengual L, Ingelmo-Torres M, Lozano JJ, van Rijt-van de Westerlo CCM, Baixauli M, et al. Urine cell-based DNA methylation classifier for monitoring bladder cancer. Clin Epigenetics. 2018;10:71.PubMedPubMedCentralCrossRef
16.
go back to reference Su SF, de Castro Abreu AL, Chihara Y, Tsai Y, Andreu-Vieyra C, Daneshmand S, et al. A panel of three markers hyper- and hypomethylated in urine sediments accurately predicts bladder cancer recurrence. Clin Cancer Res. 2014;20:1978–89.PubMedCrossRef Su SF, de Castro Abreu AL, Chihara Y, Tsai Y, Andreu-Vieyra C, Daneshmand S, et al. A panel of three markers hyper- and hypomethylated in urine sediments accurately predicts bladder cancer recurrence. Clin Cancer Res. 2014;20:1978–89.PubMedCrossRef
17.
go back to reference Feber A, Dhami P, Dong L, de Winter P, Tan WS, Martinez-Fernandez M, et al. UroMark-a urinary biomarker assay for the detection of bladder cancer. Clin Epigenetics. 2017;9:8.PubMedPubMedCentralCrossRef Feber A, Dhami P, Dong L, de Winter P, Tan WS, Martinez-Fernandez M, et al. UroMark-a urinary biomarker assay for the detection of bladder cancer. Clin Epigenetics. 2017;9:8.PubMedPubMedCentralCrossRef
18.
go back to reference Ellinger J, Muller SC, Dietrich D. Epigenetic biomarkers in the blood of patients with urological malignancies. Expert Rev Mol Diagn. 2015;15:505–16.PubMedCrossRef Ellinger J, Muller SC, Dietrich D. Epigenetic biomarkers in the blood of patients with urological malignancies. Expert Rev Mol Diagn. 2015;15:505–16.PubMedCrossRef
19.
go back to reference Zhang S, Li X, Zong M, Zhu X, Wang R. Efficient kNN classification with different numbers of nearest neighbors. IEEE Trans Neural Netw Learn Syst. 2018;29:1774–85.PubMedCrossRef Zhang S, Li X, Zong M, Zhu X, Wang R. Efficient kNN classification with different numbers of nearest neighbors. IEEE Trans Neural Netw Learn Syst. 2018;29:1774–85.PubMedCrossRef
20.
22.
go back to reference Zhu K, Liu Q, Zhou Y, Tao C, Zhao Z, Sun J, et al. Oncogenes and tumor suppressor genes: comparative genomics and network perspectives. BMC Genomics. 2015;16(Suppl 7):S8.PubMedPubMedCentralCrossRef Zhu K, Liu Q, Zhou Y, Tao C, Zhao Z, Sun J, et al. Oncogenes and tumor suppressor genes: comparative genomics and network perspectives. BMC Genomics. 2015;16(Suppl 7):S8.PubMedPubMedCentralCrossRef
23.
go back to reference Chung CJ, Lee HL, Chang CH, Chang H, Liu CS, Jung WT, et al. Measurement of urinary arsenic profiles and DNA hypomethylation in a case-control study of urothelial carcinoma. Arch Toxicol. 2019;93:2155–64.PubMedCrossRef Chung CJ, Lee HL, Chang CH, Chang H, Liu CS, Jung WT, et al. Measurement of urinary arsenic profiles and DNA hypomethylation in a case-control study of urothelial carcinoma. Arch Toxicol. 2019;93:2155–64.PubMedCrossRef
24.
25.
go back to reference Wolff EM, Chihara Y, Pan F, Weisenberger DJ, Siegmund KD, Sugano K, et al. Unique DNA methylation patterns distinguish noninvasive and invasive urothelial cancers and establish an epigenetic field defect in premalignant tissue. Cancer Res. 2010;70:8169–78.PubMedPubMedCentralCrossRef Wolff EM, Chihara Y, Pan F, Weisenberger DJ, Siegmund KD, Sugano K, et al. Unique DNA methylation patterns distinguish noninvasive and invasive urothelial cancers and establish an epigenetic field defect in premalignant tissue. Cancer Res. 2010;70:8169–78.PubMedPubMedCentralCrossRef
26.
go back to reference Majewski T, Yao H, Bondaruk J, Chung W, Lee S, Lee JG, et al. Whole-organ genomic characterization of mucosal field effects initiating bladder carcinogenesis. Cell Rep. 2019;26(2241–56):e4. Majewski T, Yao H, Bondaruk J, Chung W, Lee S, Lee JG, et al. Whole-organ genomic characterization of mucosal field effects initiating bladder carcinogenesis. Cell Rep. 2019;26(2241–56):e4.
27.
go back to reference Guan B, Xing Y, Xiong G, Cao Z, Fang D, Li Y, et al. Predictive value of gene methylation for second recurrence following surgical treatment of first bladder recurrence of a primary upper-tract urothelial carcinoma. Oncol Lett. 2018;15:9397–405.PubMedPubMedCentral Guan B, Xing Y, Xiong G, Cao Z, Fang D, Li Y, et al. Predictive value of gene methylation for second recurrence following surgical treatment of first bladder recurrence of a primary upper-tract urothelial carcinoma. Oncol Lett. 2018;15:9397–405.PubMedPubMedCentral
28.
go back to reference Olkhov-Mitsel E, Savio AJ, Kron KJ, Pethe VV, Hermanns T, Fleshner NE, et al. Epigenome-wide DNA methylation profiling identifies differential methylation biomarkers in high-grade bladder cancer. Transl Oncol. 2017;10:168–77.PubMedPubMedCentralCrossRef Olkhov-Mitsel E, Savio AJ, Kron KJ, Pethe VV, Hermanns T, Fleshner NE, et al. Epigenome-wide DNA methylation profiling identifies differential methylation biomarkers in high-grade bladder cancer. Transl Oncol. 2017;10:168–77.PubMedPubMedCentralCrossRef
29.
go back to reference Yang Z, Liu A, Xiong Q, Xue Y, Liu F, Zeng S, et al. Prognostic value of differentially methylated gene profiles in bladder cancer. J Cell Physiol. 2019;234:18763–72.PubMedCrossRef Yang Z, Liu A, Xiong Q, Xue Y, Liu F, Zeng S, et al. Prognostic value of differentially methylated gene profiles in bladder cancer. J Cell Physiol. 2019;234:18763–72.PubMedCrossRef
30.
go back to reference Kitchen MO, Bryan RT, Haworth KE, Emes RD, Luscombe C, Gommersall L, et al. Methylation of HOXA9 and ISL1 predicts patient outcome in high-grade non-invasive bladder cancer. PLoS ONE. 2015;10:e0137003.PubMedPubMedCentralCrossRef Kitchen MO, Bryan RT, Haworth KE, Emes RD, Luscombe C, Gommersall L, et al. Methylation of HOXA9 and ISL1 predicts patient outcome in high-grade non-invasive bladder cancer. PLoS ONE. 2015;10:e0137003.PubMedPubMedCentralCrossRef
31.
go back to reference Xylinas E, Hassler MR, Zhuang D, Krzywinski M, Erdem Z, Robinson BD, et al. An epigenomic approach to improving response to neoadjuvant cisplatin chemotherapy in bladder cancer. Biomolecules. 2016;6:37.PubMedCentralCrossRef Xylinas E, Hassler MR, Zhuang D, Krzywinski M, Erdem Z, Robinson BD, et al. An epigenomic approach to improving response to neoadjuvant cisplatin chemotherapy in bladder cancer. Biomolecules. 2016;6:37.PubMedCentralCrossRef
32.
go back to reference Stubendorff B, Wilhelm K, Posselt K, Catto J, Hartmann A, Bertz S, et al. A three-gene methylation marker panel for the nodal metastatic risk assessment of muscle-invasive bladder cancer. J Cancer Res Clin Oncol. 2019;145:811–20.PubMedCrossRef Stubendorff B, Wilhelm K, Posselt K, Catto J, Hartmann A, Bertz S, et al. A three-gene methylation marker panel for the nodal metastatic risk assessment of muscle-invasive bladder cancer. J Cancer Res Clin Oncol. 2019;145:811–20.PubMedCrossRef
33.
go back to reference Langle Y, Lodillinsky C, Belgorosky D, Sandes EO, Eijan AM. Role of peroxisome proliferator activated receptor-gamma in bacillus Calmette-Guerin bladder cancer therapy. J Urol. 2012;188(6):2384–90.PubMedCrossRef Langle Y, Lodillinsky C, Belgorosky D, Sandes EO, Eijan AM. Role of peroxisome proliferator activated receptor-gamma in bacillus Calmette-Guerin bladder cancer therapy. J Urol. 2012;188(6):2384–90.PubMedCrossRef
34.
go back to reference Lin MS, Huang JX, Chen WC, Zhang BF, Fang J, Zhou Q, et al. Expression of PPARgamma and PTEN in human colorectal cancer: an immunohistochemical study using tissue microarray methodology. Oncol Lett. 2011;2(6):1219–24.PubMedPubMedCentralCrossRef Lin MS, Huang JX, Chen WC, Zhang BF, Fang J, Zhou Q, et al. Expression of PPARgamma and PTEN in human colorectal cancer: an immunohistochemical study using tissue microarray methodology. Oncol Lett. 2011;2(6):1219–24.PubMedPubMedCentralCrossRef
35.
go back to reference Zhang Z, Xu H, Ji J, Shi X, Lyu J, Zhu Y, et al. Heterogeneity of PTEN and PPAR-gamma in cancer and their prognostic application to bladder cancer. Exp Ther Med. 2019;18(4):3177–83.PubMedPubMedCentral Zhang Z, Xu H, Ji J, Shi X, Lyu J, Zhu Y, et al. Heterogeneity of PTEN and PPAR-gamma in cancer and their prognostic application to bladder cancer. Exp Ther Med. 2019;18(4):3177–83.PubMedPubMedCentral
36.
go back to reference Wood RD, Mitchell M, Sgouros J, Lindahl T. Human DNA repair genes. Science. 2001;291(5507):1284–9.PubMedCrossRef Wood RD, Mitchell M, Sgouros J, Lindahl T. Human DNA repair genes. Science. 2001;291(5507):1284–9.PubMedCrossRef
37.
go back to reference Shields PG, Harris CC. Molecular epidemiology and the genetics of environmental cancer. JAMA. 1991;266(5):681–7.PubMedCrossRef Shields PG, Harris CC. Molecular epidemiology and the genetics of environmental cancer. JAMA. 1991;266(5):681–7.PubMedCrossRef
38.
go back to reference Xie H, Gong Y, Dai J, Wu X, Gu J. Genetic variations in base excision repair pathway and risk of bladder cancer: a case-control study in the United States. Mol Carcinog. 2015;54(1):50–7.PubMedCrossRef Xie H, Gong Y, Dai J, Wu X, Gu J. Genetic variations in base excision repair pathway and risk of bladder cancer: a case-control study in the United States. Mol Carcinog. 2015;54(1):50–7.PubMedCrossRef
39.
go back to reference Cheng S, Wang G, Wang Y, Cai L, Qian K, Ju L, et al. Fatty acid oxidation inhibitor etomoxir suppresses tumor progression and induces cell cycle arrest via PPARgamma-mediated pathway in bladder cancer. Clin Sci. 2019;133(15):1745–58.CrossRef Cheng S, Wang G, Wang Y, Cai L, Qian K, Ju L, et al. Fatty acid oxidation inhibitor etomoxir suppresses tumor progression and induces cell cycle arrest via PPARgamma-mediated pathway in bladder cancer. Clin Sci. 2019;133(15):1745–58.CrossRef
40.
go back to reference Massari F, Ciccarese C, Santoni M, Iacovelli R, Mazzucchelli R, Piva F, et al. Metabolic phenotype of bladder cancer. Cancer Treat Rev. 2016;45:46–57.PubMedCrossRef Massari F, Ciccarese C, Santoni M, Iacovelli R, Mazzucchelli R, Piva F, et al. Metabolic phenotype of bladder cancer. Cancer Treat Rev. 2016;45:46–57.PubMedCrossRef
41.
go back to reference Rodrigues D, Jeronimo C, Henrique R, Belo L, de Lourdes Bastos M, de Pinho PG, et al. Biomarkers in bladder cancer: a metabolomic approach using in vitro and ex vivo model systems. Int J Cancer. 2016;139(2):256–68.PubMedCrossRef Rodrigues D, Jeronimo C, Henrique R, Belo L, de Lourdes Bastos M, de Pinho PG, et al. Biomarkers in bladder cancer: a metabolomic approach using in vitro and ex vivo model systems. Int J Cancer. 2016;139(2):256–68.PubMedCrossRef
42.
go back to reference Yoo CB, Jones PA. Epigenetic therapy of cancer: past, present and future. Nat Rev Drug Discov. 2006;5:37–50.PubMedCrossRef Yoo CB, Jones PA. Epigenetic therapy of cancer: past, present and future. Nat Rev Drug Discov. 2006;5:37–50.PubMedCrossRef
43.
go back to reference Kubicek S, O’Sullivan RJ, August EM, Hickey ER, Zhang Q, Teodoro ML, et al. Reversal of H3K9me2 by a small-molecule inhibitor for the G9a histone methyltransferase. Mol Cell. 2007;25:473–81.PubMedCrossRef Kubicek S, O’Sullivan RJ, August EM, Hickey ER, Zhang Q, Teodoro ML, et al. Reversal of H3K9me2 by a small-molecule inhibitor for the G9a histone methyltransferase. Mol Cell. 2007;25:473–81.PubMedCrossRef
44.
go back to reference Segovia C, San Jose-Eneriz E, Munera-Maravilla E, Martinez-Fernandez M, Garate L, Miranda E, et al. Inhibition of a G9a/DNMT network triggers immune-mediated bladder cancer regression. Nat Med. 2019;25:1073–81.PubMedCrossRef Segovia C, San Jose-Eneriz E, Munera-Maravilla E, Martinez-Fernandez M, Garate L, Miranda E, et al. Inhibition of a G9a/DNMT network triggers immune-mediated bladder cancer regression. Nat Med. 2019;25:1073–81.PubMedCrossRef
45.
go back to reference Zhang H, Qi F, Cao Y, Zu X, Chen M, Li Z, et al. 5-Aza-2′-deoxycytidine enhances maspin expression and inhibits proliferation, migration, and invasion of the bladder cancer T24 cell line. Cancer Biother Radiopharm. 2013;28:343–50.PubMedCrossRef Zhang H, Qi F, Cao Y, Zu X, Chen M, Li Z, et al. 5-Aza-2′-deoxycytidine enhances maspin expression and inhibits proliferation, migration, and invasion of the bladder cancer T24 cell line. Cancer Biother Radiopharm. 2013;28:343–50.PubMedCrossRef
Metadata
Title
DNA methylation-based classification and identification of bladder cancer prognosis-associated subgroups
Authors
Zijian Tian
Lingfeng Meng
Xingbo Long
Tongxiang Diao
Maolin Hu
Miao Wang
Ming Liu
Jianye Wang
Publication date
01-12-2020
Publisher
BioMed Central
Keyword
Epigenetics
Published in
Cancer Cell International / Issue 1/2020
Electronic ISSN: 1475-2867
DOI
https://doi.org/10.1186/s12935-020-01345-1

Other articles of this Issue 1/2020

Cancer Cell International 1/2020 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine