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IV. Protein kinase inhibitors: insights into drug design from structure Poster IV, 4<br />

Aberrant methylation of p15INK4B <strong>and</strong> p14ARF <strong>and</strong> deletion of p16INK4A are<br />

frequent events in liver fluke related cholangiocarcinoma<br />

Temduang Limpaiboon1,4, Preeda Prakrankamanant1, Inthira Tussakhon1, Patcharee<br />

Chinnasri1, Patcharee Jearanaikoon1,4, Chawalit Pairojkul2,4, Banchob Sripa2,4,<br />

Vajarabhongsa Bhudhisawasdi3,4<br />

1Department of Clinical Chemistry, Centre for Research <strong>and</strong> Development of Medical<br />

Diagnostic Laboratories, Faculty of Associated Medical Sciences, 2Department of<br />

Pathology, 3Department of Surgery, 4Liver Fluke <strong>and</strong> Cholangiocarcinoma Research<br />

Center, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thail<strong>and</strong>.<br />

E-mail:temduang@kku.acth<br />

Cholangiocarcinoma (CCA) is the highest incidence cancer in Northeast Thail<strong>and</strong>. CCA is<br />

caused by liver fluke (Opisthorchis viverrrini) infection resulting in both genetic <strong>and</strong><br />

epigenetic alterations. The INK4 locus located on chromosome 9p21 consisting of three<br />

genes, p14ARF, p16INK4A <strong>and</strong> p15INK4B, which are involved in cell cycle regulation <strong>and</strong><br />

reported to be inactivated in many human cancers through genetic <strong>and</strong> epigenetic events. To<br />

underst<strong>and</strong> mechanisms of inactivation of these three genes in CCA, we analyzed loss of<br />

heterozygosity (LOH) at chromosomal region 9p21 using three polymorphic microsatellite<br />

markers; D9S1752, D9S171 <strong>and</strong> D9S161 <strong>and</strong> determined promoter hypermethylation of<br />

p14ARF, p16INK4A <strong>and</strong> p15INK4B using methylation-specific PCR in 79 CCA. LOH was<br />

found at least one or more loci in 32 of 74 informative cases (43.2%) in which high frequency<br />

was found in D9S1752 (34.9%) <strong>and</strong> less frequency was observed in D9S171 (27.6%).<br />

Aberrant methylation was present predominantly in p15INK4B (50.6%) <strong>and</strong> p14ARF (41.2%)<br />

<strong>and</strong> less frequently in p16INK4A (25.3%). Our results suggest that promoter<br />

hypermethylation is a predominant inactivation mechanism of p15INK4B <strong>and</strong> p14ARF,<br />

whereas, deletion is a major event for inactivation of p16INK4A during CCA development.<br />

This finding may lead to a new approach of CCA treatment.<br />

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