Laterally spreading type of colorectal adenoma exhibits a unique methylation phenotype and K-ras mutations

被引:95
作者
Hiraoka, Sakiko [1 ]
Kato, Jun [1 ]
Tatsukawa, Masashi [1 ]
Harada, Keita [1 ]
Fujita, Hideyuki [1 ]
Morikawa, Tamiya [1 ]
Shiraha, Hidenori [1 ]
Shiratori, Yasushi [1 ]
机构
[1] Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Gastroenterol, Okayama 7008558, Japan
关键词
D O I
10.1053/j.gastro.2006.04.027
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background & Aims: Laterally spreading tumors (LST), characterized by superficial extension along the colonic lumen, have recently been detected by colonoscopy. However, genetic and epigenetic characteristics of these tumors were scarcely reported. Methods: A total of 205 sporadic colorectal adenoma tissues (157 protruded-type, 23 granular-type LST (G-LST), 12 flat-type LST (FLST), and 13 flat-type smaller than 1 cm) were collected. CpG island methylator phenotype (CIMP) was determined by examination of methylation status at p16, methylated in tumor (MINT) 1, 2, 12, and 31 loci. K-ras codon 12 and 13 point mutations were also examined. The relationship between macroscopic appearance and CIMP status or K-ras mutations was analyzed. Results: Among adenomas larger than 1 cm, CpG island methylation involving 2 or more loci (CIMP-high) was more likely to be observed in G-LST (14/23, 61%) than in protruded-type adenomas (18/73, 25%) (P=.002). The prevalence of K-ras mutations in G-LST (18/23, 78%) was significantly higher than that in protruded-type adenomas (18/73, 25%) (P <.0001). Moreover, the prevalence of CIMP-high and K-ras mutations in G-LST located in the proximal colon was much higher (11/13, 85%; and 12/13, 92%, respectively). In contrast, F-LST exhibited low prevalence of CIMP-high (1/12, 8%) and K-ras mutations (2/12, 16%). Conclusions: High prevalence of CIMP-high and K-ras mutations in G-LST, especially in the proximal colon, could strongly suggest that G-LST appearance is associated with a unique carcinogenic pathway.
引用
收藏
页码:379 / 389
页数:11
相关论文
共 39 条
[1]   Early colorectal cancer with special reference to the superficial nonpolypoid type from a histopathologic point of view [J].
Ajioka, Y ;
Watanabe, H ;
Kazama, S ;
Hashidate, H ;
Yokoyama, J ;
Yamada, S ;
Takaku, H ;
Nishikura, K .
WORLD JOURNAL OF SURGERY, 2000, 24 (09) :1075-1080
[2]   The relationship between hypomethylation and CpG island methylation in colorectal neoplasia [J].
Bariol, C ;
Suter, C ;
Cheong, K ;
Ku, SL ;
Meagher, A ;
Hawkins, N ;
Ward, R .
AMERICAN JOURNAL OF PATHOLOGY, 2003, 162 (04) :1361-1371
[3]  
Baylin SB, 1998, ADV CANCER RES, V72, P141
[4]   COLORECTAL-CANCER - EVIDENCE FOR DISTINCT GENETIC CATEGORIES BASED ON PROXIMAL OR DISTAL TUMOR LOCATION [J].
BUFILL, JA .
ANNALS OF INTERNAL MEDICINE, 1990, 113 (10) :779-788
[5]  
Derks S, 2004, CELL ONCOL, V26, P291
[6]   HYPOMETHYLATION DISTINGUISHES GENES OF SOME HUMAN CANCERS FROM THEIR NORMAL COUNTERPARTS [J].
FEINBERG, AP ;
VOGELSTEIN, B .
NATURE, 1983, 301 (5895) :89-92
[7]   CpG island methylation in sporadic colorectal cancers and its relationship to microsatellite instability [J].
Hawkins, N ;
Norrie, M ;
Cheong, K ;
Mokany, E ;
Ku, SL ;
Meagher, A ;
O'Connor, T ;
Ward, R .
GASTROENTEROLOGY, 2002, 122 (05) :1376-1387
[8]   Sporadic colorectal cancers with microsatellite instability and their possible origin in hyperplastic polyps and serrated adenomas [J].
Hawkins, NJ ;
Ward, RL .
JOURNAL OF THE NATIONAL CANCER INSTITUTE, 2001, 93 (17) :1307-1313
[9]   Methylation-specific PCR: A novel PCR assay for methylation status of CpG islands [J].
Herman, JG ;
Graff, JR ;
Myohanen, S ;
Nelkin, BD ;
Baylin, SB .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1996, 93 (18) :9821-9826
[10]   Colonoscopic resection of lateral spreading tumours: a prospective analysis of endoscopic mucosal resection [J].
Hurlstone, DP ;
Sanders, DS ;
Cross, SS ;
Adam, I ;
Shorthouse, AJ ;
Brown, S ;
Drew, K ;
Lobo, AJ .
GUT, 2004, 53 (09) :1334-1339