RT Journal Article T1 Epigenetic regulation of human cancer/testis antigen gene, HAGE, in chronic myeloid leukemia. A1 Roman-Gomez, Jose A1 Jimenez-Velasco, Antonio A1 Agirre, Xabier A1 Castillejo, Juan A A1 Navarro, German A1 San Jose-Eneriz, Edurne A1 Garate, Leire A1 Cordeu, Lucia A1 Cervantes, Francisco A1 Prosper, Felipe A1 Heiniger, Anabel A1 Torres, Antonio K1 Cancer testis antigens K1 Hypomethylation K1 CML K1 HAGE K1 Leucemia mielogenosa crónica BCR-ABL positiva K1 Regiones promotoras genéticas K1 Interferones K1 Pirimidinas K1 Metilación del ADN AB BACKGROUND AND OBJECTIVESCancer testis antigens (CTA) provide attractive targets for cancer-specific immunotherapy. Although CTA genes are expressed in some normal tissues, such as the testis, this immunologically protected site lacks MHC I expression and as such, does not present self antigens to T cells. To date, CTA genes have been shown to be expressed in a range of solid tumors via demethylation of their promoter CpG islands, but rarely in chronic myeloid leukemia (CML) or other hematologic malignancies.DESIGN AND METHODSIn this study, the methylation status of the HAGE CTA gene promoter was analyzed by quantitative methylation-specific polymerase chain reaction (MSP) and sequencing in four Philadelphia-positive cell lines (TCC-S, K562, KU812 and KYO-1) and in CML samples taken from patients in chronic phase (CP n=215) or blast crisis (BC n=47). HAGE expression was assessed by quantitative reverse transcriptase-polymerase chain reaction.RESULTSThe TCC-S cell line showed demethylation of HAGE that was associated with over-expression of this gene. HAGE hypomethylation was significantly more frequent in BC (46%) than in CP (22%) (p=0.01) and was correlated with high expression levels of HAGE transcripts (p<0.0001). Of note, in CP-CML, extensive HAGE hypomethylation was associated with poorer prognosis in terms of cytogenetic response to interferon (p=0.01) or imatinib (p=0.01), molecular response to imatinib (p=0.003) and progression-free survival (p=0.05). INTERPRETATIONS AND CONCLUSION: The methylation status of the HAGE promoter directly correlates with its expression in both CML cell lines and patients and is associated with advanced disease and poor outcome. PB Ferrata Storti Foundation SN 0390-6078 YR 2007 FD 2007-02 LK http://hdl.handle.net/10668/1285 UL http://hdl.handle.net/10668/1285 LA en NO Roman-Gomez J, Jimenez-Velasco A, Agirre X, Castillejo JA, Navarro G, San Jose-Eneriz E, et al. Epigenetic regulation of human cancer/testis antigen gene, HAGE, in chronic myeloid leukemia. Haematologica. 2007 ; 92(2):153-62 NO Journal Article; DS RISalud RD Apr 10, 2025