<i>CYP24A1</i> DNA Methylation in Colorectal Cancer as Potential Prognostic and Predictive Markers

The DNA methylation of <i>CYP24A1</i> can regulate its gene expression and may play a role in the occurrence and progression of colorectal cancer (CRC). However, the association between <i>CYP24A1</i> DNA methylation and the prognosis of CRC patients has not yet been reported...

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Main Authors: Ru-Hua Zhou, Lei Li, Qing-Jian Ou, Yi-Fan Wang, Yu-Jing Fang, Cai-Xia Zhang
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Biomolecules
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Online Access:https://www.mdpi.com/2218-273X/15/1/104
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author Ru-Hua Zhou
Lei Li
Qing-Jian Ou
Yi-Fan Wang
Yu-Jing Fang
Cai-Xia Zhang
author_facet Ru-Hua Zhou
Lei Li
Qing-Jian Ou
Yi-Fan Wang
Yu-Jing Fang
Cai-Xia Zhang
author_sort Ru-Hua Zhou
collection DOAJ
description The DNA methylation of <i>CYP24A1</i> can regulate its gene expression and may play a role in the occurrence and progression of colorectal cancer (CRC). However, the association between <i>CYP24A1</i> DNA methylation and the prognosis of CRC patients has not yet been reported. In this study, differential methylation analysis was conducted in both blood and tissue cohorts, and differential expression analysis was performed in the tissue cohort with in vitro validation. GO and KEGG enrichment analyses were performed on <i>CYP24A1</i>-related genes. A correlation between <i>CYP24A1</i> promoter methylation and its gene expression was explored. Kaplan–Meier survival and Cox regression analyses were performed to investigate the impact of <i>CYP24A1</i> DNA methylation on the prognosis of CRC patients. Prognostic risk scores were constructed for survival prediction. Immune infiltration analysis was also conducted. Our results showed that the hypermethylation of cg02712555 in tumor tissues (hazard ratio, 0.48; 95% confidence interval, 0.24–0.94; <i>p</i> = 0.032) and CpG site 41 in peripheral leukocytes (HR, 0.35; 95%CI, 0.14–0.84; <i>p</i> = 0.019) were both associated with decreased overall mortality in CRC patients. Prognostic risk scores showed robust predictive capabilities of these two CpG loci for the prognosis of CRC patients. <i>CYP24A1</i> hypermethylation was positively correlated with infiltration levels of activated CD4 + T cells, activated CD8 + T cells, activated B cells, activated dendritic cells, and macrophages. Taken together, our findings indicate that the methylation levels of specific CpG sites within the <i>CYP24A1</i> promoter region in blood leukocytes and tumors are potential prognostic and predictive markers for overall survival in CRC patients.
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spelling doaj-art-01a0377bc5254d8c8c49508582e0e9e02025-01-24T13:25:12ZengMDPI AGBiomolecules2218-273X2025-01-0115110410.3390/biom15010104<i>CYP24A1</i> DNA Methylation in Colorectal Cancer as Potential Prognostic and Predictive MarkersRu-Hua Zhou0Lei Li1Qing-Jian Ou2Yi-Fan Wang3Yu-Jing Fang4Cai-Xia Zhang5Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, ChinaDepartment of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, ChinaState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou 510060, ChinaDepartment of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, ChinaState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou 510060, ChinaDepartment of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, ChinaThe DNA methylation of <i>CYP24A1</i> can regulate its gene expression and may play a role in the occurrence and progression of colorectal cancer (CRC). However, the association between <i>CYP24A1</i> DNA methylation and the prognosis of CRC patients has not yet been reported. In this study, differential methylation analysis was conducted in both blood and tissue cohorts, and differential expression analysis was performed in the tissue cohort with in vitro validation. GO and KEGG enrichment analyses were performed on <i>CYP24A1</i>-related genes. A correlation between <i>CYP24A1</i> promoter methylation and its gene expression was explored. Kaplan–Meier survival and Cox regression analyses were performed to investigate the impact of <i>CYP24A1</i> DNA methylation on the prognosis of CRC patients. Prognostic risk scores were constructed for survival prediction. Immune infiltration analysis was also conducted. Our results showed that the hypermethylation of cg02712555 in tumor tissues (hazard ratio, 0.48; 95% confidence interval, 0.24–0.94; <i>p</i> = 0.032) and CpG site 41 in peripheral leukocytes (HR, 0.35; 95%CI, 0.14–0.84; <i>p</i> = 0.019) were both associated with decreased overall mortality in CRC patients. Prognostic risk scores showed robust predictive capabilities of these two CpG loci for the prognosis of CRC patients. <i>CYP24A1</i> hypermethylation was positively correlated with infiltration levels of activated CD4 + T cells, activated CD8 + T cells, activated B cells, activated dendritic cells, and macrophages. Taken together, our findings indicate that the methylation levels of specific CpG sites within the <i>CYP24A1</i> promoter region in blood leukocytes and tumors are potential prognostic and predictive markers for overall survival in CRC patients.https://www.mdpi.com/2218-273X/15/1/104<i>CYP24A1</i>DNA methylationprognosiscolorectal cancerimmune infiltrationleukocytes
spellingShingle Ru-Hua Zhou
Lei Li
Qing-Jian Ou
Yi-Fan Wang
Yu-Jing Fang
Cai-Xia Zhang
<i>CYP24A1</i> DNA Methylation in Colorectal Cancer as Potential Prognostic and Predictive Markers
Biomolecules
<i>CYP24A1</i>
DNA methylation
prognosis
colorectal cancer
immune infiltration
leukocytes
title <i>CYP24A1</i> DNA Methylation in Colorectal Cancer as Potential Prognostic and Predictive Markers
title_full <i>CYP24A1</i> DNA Methylation in Colorectal Cancer as Potential Prognostic and Predictive Markers
title_fullStr <i>CYP24A1</i> DNA Methylation in Colorectal Cancer as Potential Prognostic and Predictive Markers
title_full_unstemmed <i>CYP24A1</i> DNA Methylation in Colorectal Cancer as Potential Prognostic and Predictive Markers
title_short <i>CYP24A1</i> DNA Methylation in Colorectal Cancer as Potential Prognostic and Predictive Markers
title_sort i cyp24a1 i dna methylation in colorectal cancer as potential prognostic and predictive markers
topic <i>CYP24A1</i>
DNA methylation
prognosis
colorectal cancer
immune infiltration
leukocytes
url https://www.mdpi.com/2218-273X/15/1/104
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