Sessile serrated adenoma shares similar genetic and epigenetic features with microsatellite unstable colon cancer in a location-dependent manner

Autor: Hidenori Kamiyama, Shingo Tsujinaka, Takafumi Maeda, Mitsuhiro Nokubi, Masaaki Saito, Kazutomo Togashi, Fumio Konishi, Koichi Suzuki
Rok vydání: 2011
Předmět:
Zdroj: Experimental and Therapeutic Medicine. 2:695-700
ISSN: 1792-1015
1792-0981
DOI: 10.3892/etm.2011.249
Popis: Genetic and epigenetic features of sessile serrated adenoma (SSA), a precursor lesion to colon cancer with microsatellite instability (MSI), were investigated. The aim of this study was to clarify whether there are location-dependent genetic and epigenetic features in SSA. Twenty-two patients with proximal SSAs and 8 with distal SSAs were recruited. Twenty-two patients with tubular adenoma (TA) and 66 with proximal colon cancer were studied for comparison. Genetic and epigenetic features were evaluated as BRAF and KRAS mutations, MSI, hMLH1 methylation and CpG island methylator phenotype (CIMP). BRAF mutation (p=0.007) and CIMP (p=0.012) were more frequently found in proximal than in distal SSAs. Furthermore, the KRAS mutation was found only in distal SSAs. In TAs, no location-related molecular features were observed. All SSAs, TAs and 42 colon cancer lesions were microsatellite stable (MSS). Twenty-four colon cancer lesions exhibited MSI and had more frequent BRAF mutations (p
Databáze: OpenAIRE