Background-The genetic epidemiology of colorectal adenomas has not been studied prospectively in colonoscopy patients without cancer.
Aims-To study genetic alterations in colorectal adenomas and correlate these with patient demographics and adenoma characteristics.
Methods-Mutations and allelic deletions in 201 adenomas from 60 patients were compared with demographic features, adenoma characteristics, and family history.
The most common alteration was K-ras proto-oncogene mutation, present in 35% of adenomas and 65% of patients.
Patients 65 years of age and older had a decreased probability of K-ras mutations (26% versus 45%). Overexpression of p53 gene product was present in only 6% of adenomas but was more frequent in villous or tubulovillous adenomas (19% versus 3%). Allelic loss of chromosome 18q was present in only 2% of adenomas and was significantly less frequent than p53 overexpression.
DNA replication errors (RER) were present in 7% of adenomas and 15% of patients, including multiple adenomas in four patients (two with hereditary non-polyposis colorectal cancer syndrome).
Only 36% of RER positive adenomas had alteration of BAT-26 alleles, none had alteration of BAT-25, and only one (8%) had mutation in the transforming growth factor bêta type II receptor gene.
RER positive adenomas were more likely to have a K-ras mutation. s In patients with multiple adenomas, there was concordance of p53 overexpression and RER but not of K-ras mutations. (...)
Mots-clés Pascal : Adénome, Côlon, Rectum, Caractère génétique, Epidémiologie, Altération, Mutation, Protéine p53, Réplication, Détection erreur, Gène suppresseur, DNA, Evolution démographique, Histoire familiale, Homme, Etats Unis, Amérique du Nord, Amérique, Tumeur bénigne, Appareil digestif pathologie, Côlon pathologie, Déterminisme génétique, Immunopathologie, Organisation santé
Mots-clés Pascal anglais : Adenoma, Colon, Rectum, Genetic character, Epidemiology, Alteration, Mutation, p53 Protein, Replication, Error detection, Suppressor gene, DNA, Demographic evolution, Family story, Human, United States, North America, America, Benign neoplasm, Digestive diseases, Colonic disease, Genetic determinism, Immunopathology, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0300848
Code Inist : 002B13B01. Création : 16/11/1999.