Challenging a dogma: co-mutations exist in MAPK pathway genes in colorectal cancer.

Sequencing of genes encoding mitogen-activated protein kinase (MAPK) pathway proteins in colorectal cancer (CRC) has established as dogma that of the genes in a pathway only a single one is ever mutated. We searched for cases with a mutation in more than one MAPK pathway gene (co-mutations). Tumor t...

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Publicado en:Virchows Archiv: European Journal of Pathology Vol. 469; no. 4; pp. 459 - 465
Autores principales: Grellety, Thomas, Gros, Audrey, Pedeutour, Florence, Merlio, Jean-Philippe, Duranton-Tanneur, Valerie, Italiano, Antoine, Soubeyran, Isabelle
Formato: Journal Article
Publicado: Springer Nature Oct2016
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Challenging a dogma: co-mutations exist in MAPK pathway genes in colorectal cancer.
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          Grellety, Thomas
          Gros, Audrey
          Pedeutour, Florence
          Merlio, Jean-Philippe
          Duranton-Tanneur, Valerie
          Italiano, Antoine
          Soubeyran, Isabelle
        affil: Department of Medical Oncology , Institut Bergonié , 229 Cours de L'Argonne 33076 Bordeaux France
      sug:
        subj:
          Signal Transduction
          Colorectal Neoplasms
          Colorectal Neoplasms Pathology
          Phosphotransferases
          Membrane Proteins
          Retrospective Design
          Aged
          Aged, 80 and Over
          Female
          Male
          Middle Age
          Transferases
          Hydrolases
          Proteins
          Colorectal Neoplasms Diagnosis
          Adult
          Sequence Analysis
          Scales
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Female
          Male
      ab: Sequencing of genes encoding mitogen-activated protein kinase (MAPK) pathway proteins in colorectal cancer (CRC) has established as dogma that of the genes in a pathway only a single one is ever mutated. We searched for cases with a mutation in more than one MAPK pathway gene (co-mutations). Tumor tissue samples of all patients presenting with CRC, and referred between 01/01/2008 and 01/06/2015 to three French cancer centers for determination of mutation status of RAS/RAF+/-PIK3CA, were retrospectively screened for co-mutations using Sanger sequencing or next-generation sequencing. We found that of 1791 colorectal patients with mutations in the MAPK pathway, 20 had a co-mutation, 8 of KRAS/NRAS, and some even with a third mutation. More than half of the mutations were in codons 12 and 13. We also found 3 cases with a co-mutation of NRAS/BRAF and 9 with a co-mutation of KRAS/BRAF. In 2 patients with a co-mutation of KRAS/NRAS, the co-mutation existed in the primary as well as in a metastasis, which suggests that co-mutations occur early during carcinogenesis and are maintained when a tumor disseminates. We conclude that co-mutations exist in the MAPK genes but with low frequency and as yet with unknown outcome implications.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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