Kan, Hoi Lam. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2009. / Includes bibliographical references (leaves 103-124). / Abstracts in English and Chinese. / ABSTRACT --- p.i / 摘要 --- p.iv / ACKNOWLEDGEMENTS --- p.vi / TABLE OF CONTENTS --- p.viii / LIST OF TABLES --- p.xii / LIST OF FIGURES --- p.xiii / LIST OF ABBREVIATIONS --- p.xiv / PUBLICATION --- p.xvi / Chapter SECTION I: --- BACKGROUND --- p.1 / Chapter Chapter 1: --- Hepatocellular Carcinoma (HCC) --- p.2 / Chapter 1.1. --- Epidemiology of HCC --- p.3 / Chapter 1.2. --- Etiology of HCC --- p.3 / Chapter 1.2.1. --- Cirrhosis --- p.4 / Chapter 1.2.2. --- Hepatitis virus --- p.4 / Chapter 1.2.3. --- Plant carcinogens --- p.5 / Chapter 1.2.4. --- Miscellaneous factors --- p.6 / Chapter 1.3. --- Clinical presentation of HCC --- p.6 / Chapter 1.4. --- Existing diagnostic tests for HCC --- p.6 / Chapter 1.4.1. --- Alpha-fetoprotein (AFP) --- p.7 / Chapter 1.4.2. --- Imaging --- p.7 / Chapter 1.5. --- Treatment of HCC --- p.8 / Chapter 1.5.1. --- Surgical Resection and Transplantation --- p.8 / Chapter 1.5.2. --- Tumor Ablation or Embolization --- p.8 / Chapter 1.5.3. --- Chemotherapy and Radiotherapy --- p.9 / Chapter 1.6. --- Tumor marker development for HCC detection --- p.10 / Chapter 1.6.1. --- Oncofetal antigens and glycoprotein antigens --- p.11 / Chapter 1.6.2. --- Enzymes and isoenzymes --- p.12 / Chapter 1.6.3. --- Growth factors --- p.12 / Chapter 1.6.4. --- Genetics and epigenetics - mRNA and methylation --- p.13 / Chapter Chapter 2: --- Hypermethylation of tumor suppressor genes in cancer --- p.14 / Chapter 2.1. --- Cancer epigenetics --- p.14 / Chapter 2.2. --- DNA methylation in normal cells --- p.15 / Chapter 2.3. --- Physiological role of DNA methylation in normal cells --- p.18 / Chapter 2.4. --- Aberrant DNA methylation in cancer --- p.19 / Chapter 2.4.1. --- DNA hypomethylation in cancer --- p.20 / Chapter 2.4.2. --- DNA hypermethylation in cancer --- p.20 / Chapter 2.5. --- Development of methylation markers in tumor diagnosis --- p.21 / Chapter 2.5.1. --- Methods for the analysis of DNA methylation markers --- p.22 / Chapter 2.5.2. --- Detection of tumor-associated methylated DNA in the circulation of cancer patients / Chapter 2.6. --- Aim of thesis --- p.27 / Chapter SECTION II: --- MATERIALS AND METHODS --- p.28 / Chapter Chapter 3: --- Methods for detecting DNA methylation --- p.29 / Chapter 3.1. --- Subject recruitment --- p.29 / Chapter 3.2. --- Sample collection and processing --- p.29 / Chapter 3.2.1. --- Tumor tissue samples --- p.29 / Chapter 3.2.2. --- Peripheral blood samples --- p.29 / Chapter 3.3. --- DNA extraction --- p.30 / Chapter 3.3.1. --- Plasma samples --- p.30 / Chapter 3.3.2. --- Blood cells --- p.33 / Chapter 3.3.3. --- Tumor tissue --- p.33 / Chapter 3.4. --- Quantitative analysis of methylated DNA using methylation-sensitive restriction enzyme-mediated real-time quantitative PCR (MSRE-qPCR) --- p.34 / Chapter 3.4.1. --- Methylation-sensitive restriction enzyme-mediated real-time quantitative PCR --- p.34 / Chapter 3.4.3. --- Real-time PCR primer design --- p.36 / Chapter 3.4.4. --- Duplex real-time PCR --- p.40 / Chapter 3.4.5. --- "Real-time detection of GSTP1, SOCS1, A PC, pl6 and ACTB sequences" --- p.41 / Chapter 3.4.6. --- Statistical analysis of real-time PCR results --- p.41 / Chapter 3.5. --- "Methylation study of GSTP1, SOCS1, APC, pl6 and ACTB in tumor tissues and blood cells using bisulfite sequencing" --- p.46 / Chapter 3.5.1. --- Principle of bisulfite modification --- p.46 / Chapter 3.5.2. --- Bisulfite conversion --- p.47 / Chapter 3.5.3. --- Sequencing primer design --- p.47 / Chapter 3.5.4. --- Conventional PCR after bisulfite treatment --- p.49 / Chapter 3.5.5. --- Cloning and bisulfite genomic sequencing --- p.53 / Chapter 3.5.6. --- Data acquisition and interpretation --- p.54 / Chapter SECTION III: --- DEVELOPMENT OF METHYLATION MARKERS IN HCC DETECTION / Chapter Chapter 4: --- Evaluation of the real-time PCR assay for quantification of methylated tumor suppressor genes --- p.57 / Chapter 4.1. --- Development of real-time PCR assays --- p.57 / Chapter 4.2. --- Methylation analyses by bisulfite sequencing were concordant with the real-time quantification results --- p.61 / Chapter Chapter 5: --- Clinical application of methylated markers in the detection of hepatocellular carcinoma --- p.69 / Chapter 5.1. --- Demographics of HCC patients and HB V carriers --- p.69 / Chapter 5.2. --- Quantitative analysis of hypermethylated tumor suppressor genes in tumor and plasma samples --- p.71 / Chapter 5.3. --- Effect of cirrhosis on the plasma methylated tumor suppressor gene concentrations --- p.77 / Chapter 5.4. --- Changes in the concentration of the tumor suppressor genes one month after surgical resection of the cancer --- p.81 / Chapter 5.5. --- Concurrent use of serum AFP level and plasma methylated markers for HCC diagnosis --- p.84 / Chapter 5.6. --- Prognostic value of plasma methylated TSGs --- p.86 / Chapter SECTION IV: --- DISCUSSION --- p.90 / Chapter Chapter 6: --- Discussion --- p.91 / Chapter 6.1. --- Tumor and plasma detection of hypermethylated tumor suppressor genes --- p.92 / Chapter 6.2. --- No effect of cirrhosis on plasma methylated DNA level --- p.94 / Chapter 6.3. --- Clearance of methylated TSG sequences after tumor resection --- p.95 / Chapter 6.4. --- Concurrent use of serum AFP level and the presence of methylated markers in the plasma in HCC diagnosis --- p.95 / Chapter 6.5. --- Prognostic significance of circulating methylated tumor markers --- p.96 / Chapter SECTION V: --- CONCLUDING REMARKS --- p.98 / Chapter Chapter 7: --- Conclusions and future perspectives --- p.99 / REFERENCES --- p.103
| Identifer | oai:union.ndltd.org:cuhk.edu.hk/oai:cuhk-dr:cuhk_326918 |
| Date | January 2009 |
| Contributors | Kan, Hoi Lam., Chinese University of Hong Kong Graduate School. Division of Chemical Pathology. |
| Source Sets | The Chinese University of Hong Kong |
| Language | English, Chinese |
| Detected Language | English |
| Type | Text, bibliography |
| Format | print, xvi, 124 leaves : ill. ; 30 cm. |
| Rights | Use of this resource is governed by the terms and conditions of the Creative Commons “Attribution-NonCommercial-NoDerivatives 4.0 International” License (http://creativecommons.org/licenses/by-nc-nd/4.0/) |
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