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. 2016 Jan 13;23(3):R157–R171. doi: 10.1530/ERC-15-0369

Table 2.

Genes for which promoter methylation in serum or plasma has been shown to be associated with response to chemotherapy

Cancer type Gene n Notes Reference
Breast Ten gene panel (AKR1B1, ARHGEF7, COL6A2, GPX7, TM6SF1, TMEFF2, HOXB4, RASGRF2, RASSF1A, HIST1H3) 29 patients (pre- and post-treatment sera) Methylation decrease in patients having stable disease or therapeutic response Fackler et al. (2014)
No methylation decrease in patients with progressive disease
13 patients (sera at three or more time points during therapy) Ten out of 13 patients showed methylation levels reflective of tumor burden changes
BRCA1 30 patients (serum) Significantly lower baseline methylation in responders to neoadjuvant therapy Sharma et al. (2012)
Significantly higher baseline methylation in non-respondents to neoadjuvant therapy
STRATIFIN 34 patients (serum) Continuous decline in methylated STRATIFIN correspond to good prognosis Zurita et al. (2010)
Fluctuating STRATIFIN corresponded to poor prognosis
RASSF1A 148 patients (serum) Loss of methylation during treatment linked to good survival Fiegl et al. (2005)
Gain of methylation during treatment linked to poor survival
Prostate GSTP1 35 patients (training set, plasma) Baseline methylation a stronger predictor of overall survival than PSA change Mahon et al. (2014)
51 patients (validation set, plasma) Undetectable methylation after one cycle of chemotherapy associated with PSA response
Lung RARB2, RASSF1A 43 patients (pre-treatment, post-neoadjuvant therapy, post-surgery) Methylation index decreased during neoadjuvant chemotherapy and following surgery Ponomaryova et al. (2013)
26 patients (∼2 weeks, and 3, 6, 9 months post-surgery, plasma and cell-surface-bound circDNA) Five patients relapsed during follow up period and all five showed raise in methylation of one or both genes
No patients without relapse showed increase in methylation in either gene
CHFR 308 patients (plasma) Methylation was strongly predictive of response to EGFR tyrosine kinase inhibitor Salazar et al. (2011)
STRATI-FIN 115 patients (serum) Survival was significantly longer in the methylation positive group Ramirez et al. (2005)
SHOX2 36 patients (plasma) Decrease in methylation 7–10 days after chemotherapy treatment identified responders Schmidt et al. (2015)
RASSF1A APC1 316 patients (plasma) Methylation increase 24 h after chemotherapy associated with sensitivity Wang et al. (2015)
Melanoma RASSF1A 50 patients (serum) Significantly less frequent methylation in pre-treatment of responders to biochemotherapy than non-responders Mori et al. (2005)
Neuroblastoma DCR2 Five patients (serum) During follow-up methylation was close to 0 in patients in remission, and raised in patients who experienced recurrence Yagyu et al. (2008)