1. Oncogene Mutations in Colorectal Polyps Identified in the Norwegian Colorectal Cancer Prevention (NORCCAP) Screening Study
- Author
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Krzysztof Grzyb, Per Arne Andresen, Tor J. Eide, Geir Hoff, Paula M. De Angelis, and Jon A. Lorentzen
- Subjects
0301 basic medicine ,Microbiology (medical) ,Oncology ,medicine.medical_specialty ,Histology ,endocrine system diseases ,Microarray ,oncogenes ,Colorectal cancer ,Population ,Bioinformatics ,medicine.disease_cause ,colorectal cancer screening ,Pathology and Forensic Medicine ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,lcsh:Pathology ,Medicine ,education ,neoplasms ,Original Research ,education.field_of_study ,Mutation ,Oncogene ,business.industry ,Cancer ,medicine.disease ,digestive system diseases ,030104 developmental biology ,colonic polyps ,030220 oncology & carcinogenesis ,KRAS ,business ,Carcinogenesis ,lcsh:RB1-214 - Abstract
Data are limited on oncogene mutation frequencies in polyps from principally asymptomatic participants of population-based colorectal cancer screening studies. In this study, DNA from 204 polyps, 5 mm or larger, were collected from 176 participants of the NORCCAP screening study and analyzed for mutations in KRAS, BRAF, and PIK3CA including the rarely studied KRAS exons 3 and 4 mutations. KRAS mutations were identified in 23.0% of the lesions and were significantly associated with tubulovillous adenomas and large size. A significantly higher frequency of KRAS mutations in females was associated with mutations in codon 12. The KRAS exon 3 and 4 mutations constituted 23.4% of the KRAS positive lesions, which is a larger proportion compared to previous observations in colorectal cancer. BRAF mutations were identified in 11.3% and were associated with serrated polyps. None of the individuals were diagnosed with de novo or recurrent colorectal cancer during the follow-up time (median 11.2 years). Revealing differences in mutation-spectra according to gender and stages in tumorigenesis might be important for optimal use of oncogenes as therapeutic targets and biomarkers.
- Published
- 2016
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