Mutation Analysis of KRAS and BRAF Genes in Metastatic Colorectal Cancer: a First Large Scale Study from Iran

Autor: Aghigh koochak, Babak Bahar, Mohammad Hadi Karbalaie Niya, Mohammad Reza Babaee, Fahimeh Safarnezhad Tameshkel, Farid Imanzade, Masoudreza Sohrabi, Hossein Ajdarkosh, Mohammad Reza Khonsari, Gholamreza Hemmasi, Farhad Zamani, Nasser Rakhshani, Hamid Rezvani
Rok vydání: 2016
Předmět:
Male
Proto-Oncogene Proteins B-raf
0301 basic medicine
Oncology
Cancer Research
medicine.medical_specialty
Mutation rate
endocrine system diseases
Epidemiology
Colorectal cancer
DNA Mutational Analysis
Iran
medicine.disease_cause
Bioinformatics
High Resolution Melt
Proto-Oncogene Proteins p21(ras)
03 medical and health sciences
0302 clinical medicine
Mutation Rate
Internal medicine
Genotype
Biomarkers
Tumor

Carcinoma
medicine
Humans
neoplasms
Neoplasm Staging
Mutation
business.industry
Public Health
Environmental and Occupational Health

Middle Aged
Prognosis
medicine.disease
Adenocarcinoma
Mucinous

digestive system diseases
Cross-Sectional Studies
030104 developmental biology
Lymphatic Metastasis
030220 oncology & carcinogenesis
Adenocarcinoma
Female
KRAS
Neoplasm Grading
Colorectal Neoplasms
business
Carcinoma
Signet Ring Cell

Follow-Up Studies
Zdroj: Asian Pacific Journal of Cancer Prevention. 17:603-608
ISSN: 1513-7368
DOI: 10.7314/apjcp.2016.17.2.603
Popis: Background: The investigation of mutation patterns in oncogenes potentially can make available a reliable mechanism for management and treatment decisions for patients with colorectal cancer (CRC). This study concerns the rate of KRAS and BRAF genes mutations in Iranian metastatic colorectal cancer (mCRC) patients, as well as associations of genotypes with clinicopathological features. Materials and Methods: A total of 1,000 mCRC specimens collected from 2008 to 2012 that referred to the Mehr Hospital and Partolab center, Tehran, Iran enrolled in this cross sectional study. Using HRM, Dxs Therascreen and Pyrosequencing methods, we analyzed the mutational status of KRAS and BRAF genes in these. Results: KRAS mutations were present in 33.6% cases (n=336). Of KRAS mutation positive cases, 85.1% were in codon 12 and 14.9% were in codon 13. The most frequent mutation at KRAS codon 12 was Gly12Asp; BRAF mutations were not found in any mCRC patients (n=242). In addition, we observed a strong correlation of KRAS mutations with some clinicopathological characteristics. Conclusions: KRAS mutations are frequent in mCRCs while presence of BRAF mutations in these patients is rare. Moreover, associations of KRAS genotypes with non-mucinous adenocarcinoma and depth of invasion (pT3) were remarkable. Keywords
Databáze: OpenAIRE