RT Journal Article SR Electronic T1 p16 Methylation in Serum as a Potential Marker for the Malignancy of Colorectal Carcinoma JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 3367 OP 3370 VO 27 IS 5A A1 NAKAYAMA, GORO A1 HIBI, KENJI A1 KODERA, YASUHIRO A1 KOIKE, MASAHIKO A1 FUJIWARA, MICHITAKA A1 NAKAO, AKIMASA YR 2007 UL http://ar.iiarjournals.org/content/27/5A/3367.abstract AB The aim of the present study was to determine if p16 methylation in the serum can serve as a candidate marker for the malignancy of colorectal carcinoma, real-time quantitative methylation-specific PCR (RTQ-MSP) was performed for p16 methylation in serum and the relationship between p16 methylation levels and clinicopathological findings of colorectal carcinoma was evaluated. Results: The p16 methylation score significantly increased with tumor stage (stage I=0.94±0.47, stage II=2.33±0.90, stage III=8.49±2.37, stage IV=10.03±4.30) (p=0.021; ANOVA). The p16 methylation score was significantly higher in patients with lymph node metastasis (p=0.001) and tumor invasion to the veins (p=0.020). The cumulative survival of patient groups according to the p16 methylation score (more or less than 1) was examined. Interestingly, the group with a high p16 methylation score showed significantly worse survival rates than the group with a low p16 expression score (p=0.006). Conclusion: The p16 methylation score might serve as a new parameter for the prognosis of colorectal carcinoma. Moreover, p16 methylation was found in the serum of patients in all clinical stages, suggesting that early colorectal carcinoma could be detected using the RTQ-MSP method. Copyright© 2007 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved