Investigation of colorectal carcinogenesis for genetic diagnosis
Project/Area Number |
17591402
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Research Category |
Grant-in-Aid for Scientific Research (C)
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Allocation Type | Single-year Grants |
Section | 一般 |
Research Field |
Digestive surgery
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Research Institution | Okayama University |
Principal Investigator |
KAMBARA Takeshi Okayama University Medical School, Visiting Scientist, 医学部, 客員研究員 (60379724)
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Co-Investigator(Kenkyū-buntansha) |
MATSUBARA Nagahide Okayama University Medical and Dental Hospital, Assistant Professor, 医学部・歯学部附属病院, 助手 (70314672)
TANAKA Noriaki Okayama University Graduate School of Medicine and Dentistry, Professor, 大学院医歯薬学総合研究科, 教授 (10127566)
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Project Period (FY) |
2005 – 2006
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Project Status |
Completed (Fiscal Year 2006)
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Budget Amount *help |
¥3,500,000 (Direct Cost: ¥3,500,000)
Fiscal Year 2006: ¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 2005: ¥2,700,000 (Direct Cost: ¥2,700,000)
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Keywords | colorectal cancer / carcinogenesis / genetic diagnosis / eni genetics / BRAF / microsatellite instability / 遺伝子解析 / メチル化 |
Research Abstract |
There is increasing evidence that not only genetic but also epigenetic alterations are involved in many types of carcinogenesis. We have been studied molecular mechanisms of colorectal carcinogenesis using microsatellite, mutation and methylation analysis. Recently, we have found that the BRAF mutation was frequently seen in a subset of hyperplastic polyp (HP), termed as sessile serrated adenoma (SSA) and in sporadic colorectal cancer (CRC) showing high level microsatellite instability (MSI-H), both of which were associated with CpG island methylator phenotype (CIMP). We have first reported that sporadic MSI-H CRC may originate in SSA and not adenoma, and BRAF mutation and DNA methylation are early event in this "serrated neoplastic pathway" distinct from the accepted "adenoma-carcinoma-sequence" [Gut 53(8): 1137-1144, 2004]. Moreover, we have reported that promoter hypermethylation and BRAF mutations distinguish hereditary non-polyposis colon cancer from sporadic MSI-H CRC [Familiar C
… More
ancer 3(2): 101-107, 2004]. The colorectal polyps are classified into HP, mixed polyp, serrated adenoma (SA), villous adenoma and conventional adenoma using WHO criteria. Classifying HPs into microvesicular and goblet cell-type HP, and SAs into traditional SA and variant HP described as "SSA", we screened these precursor lesions and CRCs for activating mutation of oncogene KRAS and BRAF, inactivating mutation of tumor suppressor gene APC, and methylation status of CpG island. In contrast to well accepted multi-step model of mutation accumulation, we found that few CRC contained mutations in KRAS, BRAF and APC and almost CRC had mutation in only one of these genes. The most common combination of mutations was APC and KRAS (11.2%), whereas mutations in both APC and BRAF/KRAS were extremely rare (1.1%/0%). Similar mutational pattern was also observed in colon polyps. On the other hand, we confirmed that aberrant DNA methylation is only a disease of older individuals with MSI-H cancer but in associated with all subsets of colorectal cancers. These results suggest that multiple genetic pathways to CRC exist and that mutation in APC and CIMP negative was an early event in adenoma-carcinoma sequence, while mutation in KRAS/BRAF and CIMP-positive predispose to serrated neoplastic pathway. Less
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Report
(3 results)
Research Products
(9 results)
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[Journal Article] Oesophageal squamous cell cancer may develop within a background of accumulating DNA methylation in normal and dysplastic mucosa2007
Author(s)
Ishii T, Murakami J, Notohara K, Cullings HM, Sasamoto H, Kambara T, Shirakawa Y, Naomoto Y, Ouchida M, Shimizu K, Tanaka N, Jass JR, Matsubara N
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Journal Title
Description
「研究成果報告書概要(和文)」より
Related Report
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[Journal Article] Oesophageal squamous cell cancer may develop within a background of accumulating DNA methylation in normal and dysplastic mucosa.2007
Author(s)
Ishii T., Murakami J., Notohara K., Cullings H.M., Sasamoto H., Kambara T., Shirakawa Y., Naomoto Y., Ouchida M., Shimizu K., Tanaka N., Jass J.R., Matsubara N.
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Journal Title
Description
「研究成果報告書概要(欧文)」より
Related Report
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[Journal Article] Evidence for BRAF mutation and variable levels of microsatellite Instability in a syndrome of familial colorectal cancer.2006
Author(s)
Young J, Barker MA, Simms LA, Walsh MD, Biden KG, Buchanan D, Buttenshaw R, Whitehall VL, Arnold S, Jackson L, Kambara T, Spring KJ, Jenkins MA, Walker GJ, Hopper JL, Leggett BA, Jass JR
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Journal Title
Int. J. Cancer 118 (4)
Pages: 907-915
Description
「研究成果報告書概要(欧文)」より
Related Report
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[Journal Article] Evidence for BRAF mutation and variable levels of microsatellite instability in a syndrome of familial colorectal cancer.2005
Author(s)
Young J, Barker MA, Simms LA, Walsh MD, Biden KG, Buchanan D, Buttenshaw R, Whitehall VL, Arnold S, Jackson L, Kambara T, Spring KJ, Jenkins MA, Walker GJ, Hopper JL, Leggett BA, Jass JR
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Journal Title
Clinical Gastroenterology and Hepatology 3(3)
Pages: 254-263
Description
「研究成果報告書概要(和文)」より
Related Report
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[Journal Article] Evidence for BRAF mutation and variable levels of microsatellite instability in a syndrome of familial colorectal cancer.2005
Author(s)
Young J, Barker MA, Simms LA, Walsh MD, Biden KG, Buchanan D, Buttenshaw R, Whitehall VL, Amold S, Jackson L, Kambara T, Spring KJ, Jenkins MA, Walker GJ, Hopper JL, Leggett BA, Jass JR
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Journal Title
Clinical Gastroenterology and Hepatology 3(3)
Pages: 254-263
Related Report