1. [Immunophenotypes and gene mutations in colorectal precancerous lesions and adenocarcinoma].
- Author
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Huang WT, Qiu T, Ling Y, Shi SS, Guo L, Zheng B, Lü N, and Ying JM
- Subjects
- Adenocarcinoma metabolism, Adenoma genetics, Adenoma metabolism, Aged, Class I Phosphatidylinositol 3-Kinases, Colonic Polyps genetics, Colonic Polyps metabolism, Colorectal Neoplasms metabolism, DNA Mismatch Repair, DNA Modification Methylases metabolism, DNA Repair Enzymes metabolism, DNA, Neoplasm metabolism, DNA-Binding Proteins metabolism, Female, Humans, Hyperplasia, Immunophenotyping, Male, Middle Aged, MutL Protein Homolog 1, MutS Homolog 2 Protein metabolism, Phosphatidylinositol 3-Kinases genetics, Point Mutation, Precancerous Conditions metabolism, Proto-Oncogene Proteins B-raf genetics, Proto-Oncogene Proteins p21(ras), Sequence Analysis, DNA, Tumor Suppressor Proteins metabolism, Adaptor Proteins, Signal Transducing metabolism, Adenocarcinoma genetics, Colorectal Neoplasms genetics, Nuclear Proteins metabolism, Precancerous Conditions genetics, Proto-Oncogene Proteins genetics, ras Proteins genetics
- Abstract
Objective: To analyze immunophenotypes and gene mutations of colorectal precancerous lesions and adenocarcinoma, and to compare the difference of carcinogenetic mechanisms between the two precancerous lesions., Methods: Fifty-three cases of colorectal serrated lesions including 30 hyperplastic polyps, 20 sessile serrated adenomas (SSA) and 3 mixed polyps were collected from January 2006 to June 2012.Forty-five cases of traditional adenomas and 50 cases of colorectal adenocarcinomas were also recruited. Thirty hyperplastic polyps, 20 cases of SSA, 3 mixed polyps and 45 traditional adenomas were investigated by immunohistochemistry for the expression of DNA mismatch repair (MMR) proteins (MLH1, MSH2 and MSH6) and DNA methyltransferase MGMT. Mutations of KRAS, BRAF and PIK3CA genes in 10 cases of SSAs, 10 traditional adenomas, 1 mixed polyps and 50 colorectal adenocarcinomas were analyzed by PCR followed by direct Sanger sequencing., Results: (1) Only 3 cases of hyperplastic polyps lost MLH1 expression, and none of SSAs or traditional adenomas showed loss of MLH1. The negative expression rates of MSH2, MSH6 and MGMT in hyperplastic polyps and SSA were significantly higher than those of traditional adenomas. (2) KRAS mutation was found in 5/10 cases of SSAs, 5/10 traditional adenomas and 1/1 mixed polyps. (3) Colorectal adenocarcinomas harbored the mutations of KRAS (48%, 24/50), BRAF (6%, 3/50) and PIK3CA (4%, 2/50)., Conclusions: Immunophenotypic and gene mutation profiles are different between colorectal serrated lesion and traditional adenoma. Alterations of MMR and MGMT expression play important roles in the pathogenesis of "serrated neoplasm". KRAS mutation is a significant genetic change in the early phase of colorectal carcinogenesis.
- Published
- 2013