Data were normalized for RNU6 (housekeeping gene) expression by the comparative threshold cycle method. Triplicate C t values were averaged, and the relative expression levels of the four ESCC cell lines were determined as 2−∆Ct (∆Ct = Ct miR-34a in ESCC tissues − Ct RNU6 gene in normal tissues). Statistical analysis Data were analyzed in GraphPad Prism 5.0 (GraphPad Software Inc., San Diego, CA, USA) and SPSS 13.0 (SPSS Inc., Chicago, IL, USA). All P values were two-sided, and the significance level was P < 0.05. A Mann–Whitney U-test was performed to compare the miR-34a methylation levels of every CpG site between the ESCC and control groups

and between male and female subjects. The association between each CpG site methylation of miR-34a and the clinicopathologic Eltanexor supplier parameters was evaluated

by a nonparametric test (the Mann–Whitney Selleck Bafilomycin A1 U-test between two groups and the Kruskal–Wallis H test for three or more groups). Spearman correlation was analyzed to evaluate the correlations between the CpG site methylation level of miR-34a and its expression levels. Two-sample t-tests were conducted to compare the miR-34a expression between ESCC and normal tissues. Results Hypermethylation of miR-34a promoter in Kazakh patients with ESCC The MassARRAY system is a tool for the high-throughput detection and quantitative analysis of methylation at a single CpG site at a target fragment (CpG island) that generates accurate data that represent the ratio or frequency of methylation events on a CpG site by MALDI-TOF MS. This system was used to assess the methylation profile of miR-34a in all the CDK inhibitor review samples collected from Kazakh patients with ESCC (n =59) and from control subjects (n = 34). The amplicon detected in the promoter regions of miR-34a was 318 base pairs in length (proximal region encompassing the transcription start site and the p53 binding sites) and contained 23 CpG sites that can be divided into 15 CpG units. Among these CpG units, four CpG units (7 CpG sites) yield unsuccessful measurements. The final Axenfeld syndrome dataset consisted of 11 CpG units (2,139 sites in 93 analyzed samples), and the individual CpG unit methylation of miR-34a that distinguished ESCC from normal tissues is depicted in the cluster

diagram (Figure 1). The patterns observed in the cluster analyses show that the methylation status of normal controls was notably different from that observed in tumor tissues. The overall methylation level of the target fragment of the miR-34a promoter was statistically higher (0.133 ± 0.040) in Kazakh esophageal cancer than in normal tissues (0.066 ± 0.045, P < 0.01, Figure 2A). The methylation level of every CpG unit within the miR-34a promoter was also evaluated (Figure 2B). Apart from that CpG_23, the mean methylation levels at CpG_1.2, CpG_3, CpG_4, CpG_5, CpG_6, CpG_8.9, CpG_14.15.16, CpG_17.18, CpG_19 and CpG_20 were all significantly higher in patients with ESCC (mean methylation = 28.75%, 16.25%, 8.00%, 10.50%, 10.00%, 15.25%, 8.00%, 4.75%, 17.