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Integration of DNA Methylation and RNA Expression Data for Identification of Novel Epigenetically Deregulated Biomarker Candidates for Prostate Cancer Jacobsen MN1, Haldrup C1, Høyer S2, Borre M3, Ørntoft TF1, Sørensen KD1 1 Molekylær Medicinsk Afdeling, Aarhus Universitetshospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus N 2 Patologisk Institut, Aarhus Universitetshospital, Nørrebrogade 44, 8000 Aarhus C 3 Urinvejskirurgisk afdeling K, Aarhus Universitetshospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus N Prostate cancer (PC) is the most common cancer amongst men in Western countries. Some PCs remain latent and never cause any clinical symptoms or risk of morbidity within the lifetime of the patients, whereas other PCs are aggressive and associated with high mortality. Due to limitations of the currently available diagnostic and prognostic tools, overdiagnosis and overtreatment of PC has become a major issue. Therefore, novel diagnostic and/or prognostic biomarkers for PC are urgently needed. During cancer development and progression, the gene expression of several genes is altered, allowing the cancer cells to acquire oncogenic capabilities. DNA methylation of promoter regions can affect gene expression and in PC, DNA methylation has been extensively studied as a novel biomarker. In this project, we used matching DNA methylation (Illumina 450K DNA methylation array) and gene expression (RNAseq) data from a set of microdissected nonmalignant (n=15) and tumor (n=29) tissue specimens from PC patients treated by radical prostatectomy, to identify novel diagnostic biomarkers for PC, with a significant change in both DNA methylation and gene expression. Five diagnostic top candidate genes were initially selected. The cancer-specific change in gene expression of each candidate was validated in two public RNA expression datasets containing both tumor (n=61 and n=126, respectively) and nonmalignant prostate samples (n=34 and n=29, respectively) (AUCs: 0.740.81 and 0.66-0.93, respectively). Finally, our two top candidates genes were selected for functional studies in prostate cell lines. A Sleeping Beauty transposon system was used to generate prostate cell lines with a stable integration of short hairpin RNAs targeting each of these candidate genes. These newly generated stable cell lines will be used to investigate the function of our two candidate genes in PC development and/or progression.