Frequent loss of SMAD4/DPC4 protein in colorectal cancers

被引:112
作者
Salovaara, R
Roth, S
Loukola, A
Launonen, V
Sistonen, P
Avizienyte, E
Kristo, P
Järvinen, H
Souchelnytskyi, S
Sarlomo-Rikala, M
Aaltonen, LA
机构
[1] Univ Helsinki, Haartman Inst, Dept Med Genet, FIN-00014 Helsinki, Finland
[2] Finnish Red Cross & Blood Transfus Serv, FIN-00310 Helsinki, Finland
[3] Univ Helsinki, Cent Hosp, Dept Surg 2, FIN-00029 Helsinki, Finland
[4] Ludwig Inst Canc Res, S-75124 Uppsala, Sweden
[5] Ludwig Inst Canc Res, S-75124 Uppsala, Sweden
[6] Univ Helsinki, Haartman Inst, Dept Pathol, FIN-00014 Helsinki, Finland
[7] Univ Helsinki, Cent Hosp, Dept Oncol, FIN-00029 Helsinki, Finland
关键词
D O I
10.1136/gut.51.1.56
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background and aims: Loss of DNA sequences from chromosome 18q21 is a major genetic change in colorectal tumorigenesis. Multiple genes have been identified in this area. One of these, DPC4 (deleted in pancreatic cancer 4, also known as SMAD4), is mutated in a minor subset of colorectal carcinomas as well as in germlines of humans predisposed to colon tumours. Patients and methods: The involvement of SMAD4 in sporadic colorectal neoplasia was evaluated, by immunohistochemistry in 53 unselected cases and 27 cases displaying microsatellite instability. Results: SMAD4 expression was absent in 20 of 53 (38%) unselected colorectal carcinomas, and reduced in another 15 (28%) cases. However, 26 of 27 cancers displaying microsatellite instability and TGF-betaIIR mutations were positive for SMAD4 immunostaining. Conclusions: Loss of SMAD4 expression may play a more prominent role in colon cancer than anticipated based on genetic evidence, but not in mutator phenotype tumours.
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页码:56 / 59
页数:4
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