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Published on: July 28, 2010
RIS1, a gene with trinucleotide repeats, is a target in the mutator pathway of colorectal carcinogenesis
Daniel Iglesias1, Antonia M Fernández-Peralta, Nargisse Nejda
1Unidad de Genética, Departamento de Biología, Universidad Autónoma de Madrid, Cantoblanco, 28049 Madrid, Spain.
Abstract:
Microsatellite instability (MSI) due to mismatch repair system (MMR) alterations characterizes the mutator pathway implied in colorectal cancer development. In the present study, we have analyzed the gene RIS1 (Ras-induced senescence 1) in relation to loss of heterozygosity (LOH) and its frameshift mutations for an imperfect trinucleotide repeat (GCN) located at the 3'-OH end. Additionally, we have compared the status of RIS1 with a number of genetic and clinicopathological variables. RIS1 did not display LOH in any informative tumor of our series, but exhibited frameshift mutations in a high percentage (43.8%) of high-frequency MSI tumors (MSI-H), and its alteration was correlated with mutations in two target genes: BAX and TGFBR2. Moreover, mutations in RIS1 in MSI-H tumors correlated with the epigenetic silencing of MLH1 (P = 0.04). Finally, RIS1 seemed to be functionally involved in tumor development, as low-frequency MSI tumors (MSI-L) with RIS1 mutated usually were associated with a worse prognosis: 83% of them developed metastasis, and no patient with MSI-L tumor and RIS1 mutated (35.3% of MSI-L) survived >25 months after surgery (log rank P < 0.001). All these results indicate, according to the Bethesda criteria, that RIS1 is a target gene in the mutator pathway.
Insights
The gene RIS1 (Ras-induced senescence 1) is frequently mutated in high-frequency microsatellite instability (MSI-H) colorectal cancers and linked to poorer prognosis in MSI-L tumors, identifying it as a target gene in the mutator pathway.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Microsatellite instability (MSI) and mismatch repair (MMR) system alterations are key in colorectal cancer (CRC) development.
- The mutator pathway is implicated in CRC pathogenesis.
- Understanding genetic alterations in MSI tumors is crucial for targeted therapies.
Purpose of the Study:
- To analyze the gene RIS1 (Ras-induced senescence 1) in colorectal cancer.
- To investigate the relationship between RIS1 alterations, loss of heterozygosity (LOH), and frameshift mutations.
- To compare RIS1 status with genetic and clinicopathological variables in CRC patients.
Main Methods:
- Analysis of RIS1 gene for LOH and frameshift mutations in trinucleotide repeats.
- Correlation of RIS1 alterations with MSI status (MSI-H, MSI-L).
- Comparison of RIS1 mutations with mutations in BAX, TGFBR2, and epigenetic silencing of MLH1.
- Prognostic analysis based on RIS1 mutation status and MSI levels.
Main Results:
- RIS1 did not show LOH in informative tumors.
- Frameshift mutations in RIS1 were found in 43.8% of MSI-H tumors.
- RIS1 alterations correlated with BAX and TGFBR2 mutations and MLH1 silencing in MSI-H tumors.
- RIS1 mutations in MSI-L tumors were associated with a significantly worse prognosis, including metastasis and reduced survival.
Conclusions:
- RIS1 is a target gene in the colorectal cancer mutator pathway, according to Bethesda criteria.
- RIS1 alterations are frequent in MSI-H CRC and impact prognosis.
- RIS1 mutations may serve as a prognostic biomarker in MSI-L colorectal cancer.
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