Slides were washed, counterstained with DAPI or with propidium io

Slides were washed, counterstained with DAPI or with propidium iodide, mounted and viewed under a fluores cent Olympus BX microscope. Images were captured at the same magnification and then www.selleckchem.com/products/ganetespib-sta-9090.html imported into Adobe Photoshop. RASSF1A promoter methylation assay The methylation status of RASSF1A promoter was determined by Methylation specific primers according to the previously published protocol with some modifications. In brief, PC3 cells were treated with or without mahanine, and the bi sulfite modified DNA was isolated using EZ DNA Methy lation Kit procured from Zymo research. The PCR reaction was conducted with 4ul of bisulfite modified DNA with methylated specific primers for RASSF1A annealing temperature was 47. 5 C. After amplification, PCR prod ucts were separated on agarose gel and visualized by ethidium bromide fluorescence using the Fuji LAS 1000 Imager.

Reverse transcriptase polymerase chain reaction RNA was extracted from PC3 and LNCaP cells with TRIzol solution as suggested by the manufacturer and genes of interest were amplified using 0. 5 1 ug of total RNA using Verso 1 Step RT PCR kit Inhibitors,Modulators,Libraries purchased from Thermo Scientific. Inhibitors,Modulators,Libraries Human specific primers were designed using the Pri mer Quest program and purchased from Integrated DNA Technologies, Inc. Glyceraldehyde 3 phosphate dehydrogenase and RASSF1A primer sequences have been previously published. PCRs were initiated at 47 C for 30 min then 95 C for 1min followed by 30 cycles Inhibitors,Modulators,Libraries of 95 C for 1 min, 1 min annealing temperature, 72 C for 1 min, and final extension at 72 C for 3 min. After amplification, PCR products were separated on 1.

5% agarose gels and visualized by ethidium bromide fluorescence using the Fuji LAS 1000 Imager. Statistical analyses All data were derived from at least three independent experiments and statistical Inhibitors,Modulators,Libraries analyses were conducted by using one way analysis of variance followed by the Dunnetts Inhibitors,Modulators,Libraries post test with an assigned confidence interval of 95%. Values were presented as means SEM. p value 0. 05 was considered significant. Background Most subtypes of acute leukemia remain difficult to treat. Patients typically respond to initial induction treatment regimens but the majority of adult patients relapse and die of their disease. Novel therapeutic strategies include molecular targeted therapeutics, such as tyrosine kinase inhibitors targeting wildtype and gain of function mutated isoforms of the FLT3, KIT and ABL1 tyrosine kinases.

However, clinical benefit of these agents is typically restricted to distinct subsets of patients andor is minimal to moderate. The phosphoinositide 3 kinase AKT pathway is a critical regulator of cellular viability, including insulin me tabolism, protein synthesis, proliferation, and apoptosis. Dysregulation of the PI3K DOT1L kinaseAKT pathway is involved in pathogenesis of many human malignancies including leukemia.

The sample absorbance at 280 nm and 260 nm was measured using

The sample absorbance at 280 nm and 260 nm was measured using selleck chemical Cabozantinib a BioRad Smart Spec spectrophotometer Inhibitors,Modulators,Libraries to obtain RNA concentration and quality. Reverse transcription was per formed using ImProm II Promega reverse transcription kit following the manufacturers recommendation. qRT PCR analysis was performed for endoderm and pancreatic markers using the primers listed in Additional file 3 Table S1. A total of 12 transcription factors were studied which included pluripotency marker OCT4, mesendoderm marker BRACHYURY, DE markers namely, and pancreatic progenitor markers GAPDH was selected as the housekeeping gene.

Briefly, the fold change was calculated from the cycle times, CT, after normalization with respect to the control sample and housekeeping gene, GAPDH TF expression profiles The TF expression profiles can be grouped together to form an expression matrix with the rows corresponding to the measurements of interest and the columns corresponding to Inhibitors,Modulators,Libraries the experimental conditions or samples. Thus, each element in the matrix refers to the intensity of the particular measurement in a given sample. Many of the genes are closely regulated under a subset of conditions indi cating that they are probably under the influence of the same regulatory network under these conditions. The expression data is helpful in identifying such sub groups of transcription factors and conditions. However, expression data matrices are often complex and further computational analysis is required to mine important connections from such large expression matrices.

dissimilarity between every pair of variables Inhibitors,Modulators,Libraries in the data matrix is calculated using an appropriate distance measure followed by grouping the variables in close proximity using a linkage function. We used the in built Matlab functions to perform the analysis using various distance measures e. g. Euclidean, city block etc, on the mean centered and vari ance Inhibitors,Modulators,Libraries scaled expression Inhibitors,Modulators,Libraries matrix. The results were represented as a clustergram i. e. the linkage tree and the corresponding heat map. We tested the tree generated using different link age measures after normalization of the mean expression matrix and found all the trees to be very similar with the cophenetic correlation coefficient greater than 0. 9. to a bicluster are under the influence of a common regu latory pathway and hence show coherence in their expression trends.

However it is possible for the genes to participate in multiple regulatory pathways, to capture which we allow certain degree of overlapping amongst the biclusters discovered sequentially by the SEBI algo rithm using a penalty term. Thus, our final goal is to find biclusters of maximum size, with mean squared residue lower than a given threshold, with relatively high row variance, selleck chemicals llc and a low level of overlapping among the biclusters.

After addition

After addition sellectchem of a chemiluminescent substrate chemiluminescence was read using a spectrophotometer. In vivo experiments All animal procedures were approved by the cantonal veterinarian office of Basel. Male Wistar rats of various ages were housed for 2 weeks on a 12 hour light/dark cycle with unrestricted access to food and water. Rats were asphyxiated using CO2 at 6, 18, 21 and 24 months of age, and the gastrocnemius muscle was imme diately dissected, weighed and snap frozen in liquid nitrogen before processing for RNA extraction. Com pared with 6 month old rats, the gastrocnemius weight was unchanged for 18 month old rats and reduced by 41% and 49% in 21 and 24 month old rats, respectively. Statistical analysis Differences between groups were analyzed using one way ANOVA for all experiments.

P 0. 05 was consid ered significant. Results and discussion The transforming growth factor b/SMAD and insulin like growth factor 1/AKT pathways modulate interleukin 1a and tumor necrosis factor Inhibitors,Modulators,Libraries a induced inhibition of human skeletal myoblast differentiation In this study, we were interested in determining the effect of cytokines on Inhibitors,Modulators,Libraries human skeletal myoblast differen tiation. As a first step, it was important to characterize whether HuSKMCs respond to cytokines in a simi lar manner to myoblast lines from other species. We used IL 1a to stimulate IL 1 receptors throughout this study, but very similar effects were seen whenever IL 1b was tested as well. HuSKMCs were differentiated in the absence or presence of IL 1a and TNF a for 5 days after the onset of differentiation, and immunostained with antibodies to MyHC as a marker for differentiation.

Similar to pre vious studies, both IL 1a and TNF a caused a marked reduction in HuSKMC differentiation, seen as a decrease in both myotube number and fusion index, which were decreased by 73% with IL 1a and by 55% witu TNF a. Moreover, CK activity, which normally increases during differentiation, was also Inhibitors,Modulators,Libraries markedly reduced by IL 1a and TNF a. no Inhibitors,Modulators,Libraries increase in CK activity was seen at any concentration tested. We next investigated whether the anti differentiation effect of IL 1a and TNF a on HuSKMCs is perturbed by IGF 1, a positive regulator of myogenesis. Treatment with IGF 1 promoted basal differentiation of HuSKMCs by up to 77%, and partially rescued them Inhibitors,Modulators,Libraries from the inhibitory effects of IL 1a and TNF a, as determined by FI and CK activity.

Because IGF 1 mediated AKT signaling has been shown to block the inhibition of differentiation caused by TGF b family mem bers, we investigated whether the intersection between cytokine signaling and IGF 1 signaling might involve the TGF b pathway. Therefore we sought to deter mine the influence Vorinostat HDAC3 of the TGF b/ALK pathway in IL 1a and TNF a action, using the ALK4/5/7 inhibitor SB431542.

In contrast, the percentage of LDH5, the most efficient isoform i

In contrast, the percentage of LDH5, the most efficient isoform in catalyzing conversion of kinase inhibitor U0126 pyruvate to lactate, did not correlate with log transformed serum LDH levels. To further determine a possible correlation between high serum LDH and high serum lactate, we subsequently measured lactate levels in the patients sera. As shown in Figure 1, panel vi, serum lactate levels show a weak insignificant association with the log transformed serum LDH levels. We further categorized each of the LDH isoenzymes, total LDH Inhibitors,Modulators,Libraries level, and serum lactate level into low, normal, and high levels using the clinical cutoffs. Abnormally low levels of LDH 1 and 2 are asso ciated with abnormally high serum LDH level and abnormally high levels of LDH 3 and 4 are associated with abnormally high serum LDH level.

Again, no association was detected between the high LDH5 and high serum LDH levels. To assess whether any of the serum LDH isoenzymes or serum lactate correlated with OS we performed a survival analysis. At a median follow up of 5. 8 months 31 out of Inhibitors,Modulators,Libraries 49 patients had died. As previously shown, patients with a more than 1. 2 fold increase in total serum LDH levels had shortened OS compared with patients with an equal or less than 1. 2 fold increase in total serum LDH. Furthermore, patients with low serum LDH1 or high serum LDH4 had a worse OS compared with patients with normal serum LDH1 and 4. Expression of LDHA and HIF 1 in the nevus melanoma progression pathway The detected changes in the LDH isoenzymes, and, in par ticular, the increase of the more glycolytic LDH isoen zymes along with the corresponding decrease of the non glycolytic LDH isoenzymes, may be attributable to changes in expression of the LDHA and LDHB subunits in melanoma cells.

To investigate whether melanoma Inhibitors,Modulators,Libraries cells express LDHA that mediates conversion of pyruvate to lactate, we performed immunohistochemistry studies of a nevus melanoma pro gression TMA. As shown in Additional file 3 LDHA is expressed in nevic melanocytes, and in primary and meta static melanomas, but its levels are higher in primary thick melanomas. Depicted in Figure 2, panel a, are boxplots of the TMA LDHA data, which document increased expres sion of LDHA with progression from nevi to advanced melanoma .

Pairwise comparison between different stages of the nevus mela noma progression pathway showed that the most signifi Inhibitors,Modulators,Libraries cant increase was between primary thick primary melanomas and nevi, with the mean LDHA expression increased approximately three fold. In addition, the data also indicate trend towards reduction between thick primary melanomas and meta static melanomas. Since it has been reported that HIF Inhibitors,Modulators,Libraries 1 increases LDHA expression, we also determined HIF 1 expression in the nevus melanoma maybe TMA. In agreement with the data of a previous report, HIF 1 was expressed in primary melanoma tissues.

Abnormal expression of onkomir miR 17 92 was described in CML CD3

Abnormal expression of onkomir miR 17 92 was described in CML CD34 cells. Agirre et al. found up regulated miR 221 and Wortmannin price miR 222 in mononuclear cells of CML patients in comparison to healthy controls. MiR 155, miR 106a, miR 146a, miR 181 and miR 126 were reported as deregulated miRNAs in CML. To our knowledge, let7c expression has so far not been described in CML. In this study, our in silico analyses revealed that miR 221 and miR 103 target PIK3R1. PIK3R3 is predicted to be regulated by miR 19a and miR 181a. PI3K is annotated in ERBB, MAPK and mTOR signaling pathways. KRAS, which is involved in MAPK signaling, is a predicted target of miR 19a. MAPK expression may be regulated by onkomirs miR 17 and miR 19a. Interestingly, it was reported that RAS/MAPK signaling may contribute to the survival of BCR ABL positive cells under imatinib selection pressure.

Inhibitors,Modulators,Libraries AKT1, a member of the antiapoptotic PI3K pathway, is involved in both, BCR ABL mediated transformation as well as in response to the BCR ABL kinase inhibitors. It was shown that the PI3K/AKT/mTOR signaling is activated in imatinib naive cells while under imatinib pressure it may enhance resistance to imatinib. As shown in our real time qPCR data, the rather decreased levels of miR 181a, miR 221 and miR 19a in some ima tinib treated patients, and miR 103 down regulation in a number of blast crisis, diagnosis and progressed CML may contribute to the increased Inhibitors,Modulators,Libraries level of PI3K and thus may be involved in the previously described PI3K/AKT/ mTOR signaling activation and in the resistance devel opment in some CML cases.

Though no experimental therapy using miRNA modulation has as yet provided significant and curative approach, the knowledge of deregulation of miRNAs specific for CML may facilitate the development of such therapeutic strategies. Several candidate microRNAs regulating expression Inhibitors,Modulators,Libraries in CML target important signaling pathways may represent promising candidate targets Inhibitors,Modulators,Libraries for CML therapy. The real time qPCR validated the down regulation of miR 150, miR 451, miR 103 and miR 144 overall in individual samples of BC, Hr, Dg pools and in some samples of TF pool. These molecules may be related to the CML pathogenesis and may reflect trans formation from chronic to accelerated phases. Agirre et al. found miR 150 downregulation in mononuclear cells and CD34 cells separated from bone marrow in newly diagnosed CML patients in comparison to healthy donors.

MiR 150 was recently described to be downregulated in untreated CML patients. Flamant et al. suggest that miR 150 play a role in leukemic cells and potentially in the more primitive hematopoietic compartment in chronic phase CML patients. This Inhibitors,Modulators,Libraries is in line with add to favorites the knowledge that miR 150 is important in the regulation of hematopoiesis. During normal erythroid differentiation its level is gra dually decreased, however.

The two other promising targets identified from this RNAi screen

The two other promising targets identified from this RNAi screen were STK10 and TNK2. Our results clearly showed that both these genes are involved in Ewings sarcoma cell growth and survival and are anti apoptotic. These results suggest that both STK10 and TNK2 would be promising kinase targets for therapeutic intervention in Ewings sarcoma. Recently, several studies by Grueneberg and colleagues selleck products have shown that various different types of cancer cells depend on different and specific kinases for cell survival. They successfully studied kinomes in cervical, lung and renal cells. On browsing their target gene lists we did not see STK10 and TNK2 as hits in any of their screens, which also points to the fact that these two Inhibitors,Modulators,Libraries tar gets might be specific to Ewings sarcoma.

Mining of gene expression data indicate that both STK10 and TNK2 are not highly over expressed in Ewings sarcoma, hence over expression of these genes may not be a driver for their functional specificity in this disease. STK10 belongs to the Ste20 family of serine/threonine kinases plays an important role in numerous cellular functions such as growth, apoptosis, and morphogenesis. This Inhibitors,Modulators,Libraries Inhibitors,Modulators,Libraries protein has not been associated with cancer and most of the previous Inhibitors,Modulators,Libraries reports have studied its expression in T cells, lymphocytes and hematopoetic tissues. STK10 is a human homo log of murine Lok, a serine/threonine kinase highly Inhibitors,Modulators,Libraries expressed in lymphocytes.

STK10 can associate with PLK1 in cells and can phosphorylate PLK1 in vitro and engineered NIH 3T3 cell lines that over express a dominant negative version of STK10 display an altered cell cycle phenotype characterized by increased DNA content, which raises the possibility that expression selleck chem Axitinib of a dominant negative STK10 may impinge upon PLK1 function in vivo and it has previously been shown that unregulated expression of PLK1 can result in a variety of nuclear defects. These observations are in accordance with our data, wherein we show that STK10 knockdown leads to increased apoptosis and cell death of Ewings sarcoma cells. Our results also show that the normal fibroblast cells do not depend on STK10, as there is minimal cell death after STK10 knockdown in these cells. Although, there have been no previous reports dis cussing the role of STK10 in sarcomas, our results clearly demonstrate an important role for STK10 in growth and survival of Ewings sarcoma cells. Next, we validated the results for TNK2 knockdown and similar to STK10, TNK2 also led to increased cell death and apoptosis. TNK2, also known as ACK1 binds specifically to Cdc42. Cdc42, like other Rho family members, is involved in transducing oncogenic signals from Ras to develop a transformation phenotype in mammalian cells.

Stimulation of either protein kinase C or RAS mediated signaling

Stimulation of either protein kinase C or RAS mediated signaling enhances mitogen activated protein kinase activity, which in turn, activates transcrip tion of COX 2. We have previously reported that PANC 1 CM enhances ERK 1/2 activation and growth of PSCs. We Erlotinib clinical speculate that a growth factor is responsible for these effects, however, our attempts to identify the can didate using receptor antagonists and immunoneutraliza tion have not been successful. Inhibition of ERK1/2 phosphorylation Inhibitors,Modulators,Libraries by U0126 prevented the PANC 1 CM stimulated increase in PSC COX 2 protein production. In previous studies U0126 alone had no effect on ERK1/2 or COX 2 expression. This suggests that the MAP kinase pathway plays a role in cancer induced stimulation of COX 2 in PSCs.

The reported biological consequences of COX 2 up regulation include growth stimulation inhi bition of apoptosis, increased metastatic potential and promotion of angiogenesis. Increased expression of COX 2 in PSCs by PANC 1 CM may contrib ute to tumor progression. Finally, the proliferation of PSCs was inhibited by treat ment with NS398, a Inhibitors,Modulators,Libraries COX 2 inhibitor. In pancreatic carcinomas, COX 2 is overexpressed and NS398 inhibits tumor growth. This COX 2 inhibitor alone has no effect on expression of COX 2 or ERK1/2 and shows no toxicity at the concentration used in the present studies. Recent studies have demonstrated a role for the COX 2 enzyme and PGE2 in the regulation of epithelial cell growth and angiogenesis. These properties will need to be studied further in pancreatic adenocarcinoma and stellate cells.

NS 398 has Inhibitors,Modulators,Libraries been previ ously shown to inhibit cell proliferation of colorectal carcinoma by inducing apoptosis in a COX 2 independ ent fashion. More studies are needed to confirm the mechanism of inhibition Inhibitors,Modulators,Libraries by NS398. Conclusion The COX 2 protein is up regulated in pancreatic stellate cells by pancreatic cancer conditioned media. The induc tion of COX 2 by pancreatic cancer cells is mediated by extracellular signal regulated kinases 1/2. The COX 2 induction by pancreatic cancer cells is involved in mediating PSC proliferation. Therefore, COX 2 may play an important role in the regulation of desmoplasia in pancreatic cancer and inhibition of this enzyme may pre vent or reduce this response. Materials and methods Materials Iscoves modified Dulbeccos medium, Dul beccos modified Eagles medium, albumin, and pronase were purchased from Sigma Chemical.

Fetal bovine serum, glutamine, and antibiot ics were purchased from Mediatech, Inc. Collagenase P was purchased Inhibitors,Modulators,Libraries from the Roche Diagnostics Corporation, and deoxyribonuclease from Amersham Biosciences. Nycodenz was obtained from Nycomed Pharma AS. U0126, a specific inhibitor of extracellular signal regu lated kinase activation, was obtained from Calbio chem. NS398, COX 2 inhibitor was obtained from Cayman Chemicals. 3H methyl thymidine was purchased from Vorinostat cost ICN Pharmaceuti cals.

DC co cultured with melanoma cells alone did not present signific

DC co cultured with melanoma cells alone did not present significant pheno typic characteristics of DC maturation, and co culture with UV irra diated apoptotic cells led to a non significant increase of CD83 markers selleck kinase inhibitor http://www.selleckchem.com/products/MDV3100.html only. However, DC incubated with H 1PV induced MZ7 Mel lysates resulted in a dra matic increase of all DC maturation markers, clearly indicating DC http://www.selleckchem.com/products/AZD2281(Olaparib).html Inhibitors,Modulators,Libraries maturation. Cell viability after treatment with H 1PV, chemotherapeutic or targeted agents The viability of melanoma cells was assessed after expo sure with cisplatin, vincristine alone, or together with H 1PV infection 24 hours p. i. using MTT assays. Cispla tin alone reduced SK29 Mel viability. Inhibitors,Modulators,Libraries The reduction of cell viability was additionally enhanced when cisplatin was combined with H 1PV.

Enhancement of cisplatin mediated apoptosis was observed in the pre sence Inhibitors,Modulators,Libraries of H 1PV, suggesting apoptosis may contribute to the reduced viability Inhibitors,Modulators,Libraries observed with the combination. Similar effects were demonstrated with Inhibitors,Modulators,Libraries vin cristine. We next quantified the effect of H 1PV Inhibitors,Modulators,Libraries infection in combination with sunitinib on cell viability of SK29 Mel cells. Sunitinib alone led to a decrease Inhibitors,Modulators,Libraries in SK29 Mel via bility after 24 hours of treatment with the optimal con centration of 5 ug/ml. The combination of sunitinib with H 1PV led to a further reduction of SK29 Mel cell viability and was dependent on the time point of exposure. Application 1 Inhibitors,Modulators,Libraries hour p. i.

led to decreased cell viability of 50% compared Inhibitors,Modulators,Libraries with H 1PV treatment alone. In contrast, treatment 24 hours p.

i. led to a 24% decrease in cell viability.

Inhibitors,Modulators,Libraries The combination Inhibitors,Modulators,Libraries of cisplatin with H 1PV also led to a reduction of cell viability, by 20% when administered at 1 hour p. i and by 23% admi nistered 24 hour p. i, indicating no sig nificant differences Inhibitors,Modulators,Libraries between administration of chemotherapeutic agents at 1 or 24 hour Inhibitors,Modulators,Libraries p. i. Thus, the combination Inhibitors,Modulators,Libraries of chemotherapeutic or targeted agents Inhibitors,Modulators,Libraries and H 1PV enhanced the reduction of SK29 Mel cell viability. Analysis of DC activity production of inflammatory cyctokines and cross presentation We next compared cytokine release of DC co cultured with different melanoma cell preparations.

Levels of TNF a and IL Vandetanib Sigma 6 were increased by a factor of 178 for TNF a and a factor of 36 for IL 6 when immature DC were co cultured with H 1PV induced SK29 Mel 1 cell lysates compared with control.

Effects were also similar for the HLA negative cell clone SK29 Mel 1.

22 and MZ7 Mel cells. As immature DC can process HLA negative tumors and present their TAAs in an HLA novel class I restricted manner to tumor specific CTL by cross presentation, we assessed whether phagocytosis of H 1PV induced lysates mediates cross presentation namely of TAAs to CTLs. SK29 Mel 1. 22 were co cultured with an A2 restricted CTL to release cytokines on specific recognition of SK29 Mel TAAs. A dramatic increase in TNF a levels following co culture of CTL with DC incubated with H 1PV induced SK29 Mel 1. 22 lysates was observed. The TNF a level increased by a factor of 32.

Additional file 2 Table S5 provides a list of 41 genes ranked by

Additional file 2 Table S5 provides a list of 41 genes ranked by fold change showing the greatest dif ferential Brefeldin A ATPase methylation. Of these genes, three have been reported Inhibitors,Modulators,Libraries by others to be methylated in CRC. Seven of these Top 41 genes plus a further 5 genes that were supported by both Inhibitors,Modulators,Libraries Bisulfite tag and SuBLiME data were chosen for detailed bisul phite sequencing and/or qMSP analysis . see Discussion below and in Additional file 1, Section 4. SuBLiME SuBLiME, was used to identify CpG sites that were methylated in at least two of three CRC cell lines, SW480, HCT116 and HT29, but not methylated in pooled wbc DNA of normal individuals. Inhibitors,Modulators,Libraries We reasoned that for future use as biomarkers for detection of cancer derived DNA in plasma or serum, it would be important to choose regions that showed minimal methylation in blood of individuals without CRC.

In the present application we used a reduced representation version of SuBLiME Inhibitors,Modulators,Libraries in which all fragments were adja cent to Csp6I restriction sites. The reduced representation introduced by cutting the DNA with Csp6I introduces an arbitrary patchiness to the methy lome information. To direct biomarker discovery to wards certain genes, differentially methylated CpG sites proximal to gene transcription site starts were grouped. From this grouping, 1769 genes were identified as having promoter proximal DMC in at least two of the three pairwise com parisons to peripheral blood DNA. Genes were ranked by the average number of DMC across the com parisons.

This weight of evidence Inhibitors,Modulators,Libraries ranking approach biases toward gene loci hypermethylated in all three cell lines but not in blood and towards genes having CpG rich regions around a number of Csp6I cut sites. The rank order of a gene within this list is shown in Table 1. Additional file 2 Table S6 provides a list of differentially methylated genes. Since this dataset was developed using CRC cell lines, we first compared SuBLiME data with Bisulfite Tag data from clinical samples. Though each method interrogates a different fraction of CpG sites and cell lines compared with tumours, 16 of the top 38 genes selected by Bisulfite Tag were also identified among those genes showing significantly differential methylation between CRC cell line DNA and wbc DNA in the SuBLiME data . this included two genes, IRX1 U0126 1173097-76-1 and ZNF471 ranked within the top 50 by both methods. In addition, we also examined, where possible, Bisulfite Tag methylation profiles of genes iden tified as most differentially methylated in the SuBLiME analysis in order to confirm differential methylation in clinical samples. Five highly ranked genes in the SuBLiME data, GRASP FOXBI, NPY, SOX21 and SUSD5 were identi fied as showing evidence of differential methylation in Bisulfite Tag methylation profiles.