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[The relation between DNA replication error and clinicopathological features of colorectal carcinoma]
Objective:
To study the relationship between DNA replication error and development of colorectal carcinoma (CRC).
Methods:
Silver staining PCR-SSCP and denatured polyacrylamide gel electrophoresis methods were used to detect microsatellites instability (MSI) at 4 loci on chromosome 2, 5, 17 in paraffin embedded specimens of 60 CRC and their paired normal tissue. If replication errors (RER) were found at 2 or more loci, then a diagnosis of RER+ was made.
Results:
RER+ was observed in 19/60 CRC, among which 7 cases had CRC family history. According to Amsterdam criteria, 4 were diagnosed as HNPCC(hereditary nonpolyposis colorectal cancer), of which 3 cases were RER+. The ratio of RER+ in HNPCC (75%) was significantly higher than that among sporadic CRC (28.5%). Most RER+ CRC have features of poorly differentiated adenocarcinoma (P < 0.01), tendency for right side involvement of the colon (P < 0.05) and a higher proportion with family history (P < 0.05). Rate of Dukes A and B stage higher than C and D stage (P < 0.05).
Conclusion:
RER+ is a relatively common molecular event in CRC. RER+ CRC and RER- CRC have different clinicopathological features and behavior.