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Updated: Jul 20, 2026

Evaluation of Colorectal Cancer Risk and Prevalence by Stool DNA Integrity Detection
Published on: June 8, 2020
DNA repair pathway profiling and microsatellite instability in colorectal cancer
Jinsheng Yu1, Mary A Mallon, Wanghai Zhang
1Department of Medicine, Washington University School of Medicine and Siteman Cancer Center, Saint Louis, Missouri 63110-1093, USA.
Background:
The ability to maintain DNA integrity is a critical cellular function. DNA repair is conducted by distinct pathways of genes, many of which are thought to be altered in colorectal cancer. However, there has been little characterization of these pathways in colorectal cancer.
Method:
By using the TaqMan real-time quantitative PCR, RNA expression profiling of 20 DNA repair pathway genes was done in matched tumor and normal tissues from 52 patients with Dukes' C colorectal cancer.
Results:
The relative mRNA expression level across the 20 DNA repair pathway genes varied considerably, and the individual variability was also quite large, with an 85.4 median fold change in the tumor tissue genes and a 127.2 median fold change in the normal tissue genes. Tumor-normal differential expression was found in 13 of 20 DNA repair pathway genes (only XPA had a lower RNA level in the tumor samples; the other 12 genes had significantly higher tumor levels, all P<0.01). Coordinated expression of ERCC6, HMG1, MSH2, and POLB (RS>or=0.60) was observed in the tumor tissues (all P<0.001). Apoptosis index was not correlated with expression of the 20 DNA repair pathway genes. MLH1 and XRCC1 RNA expression was correlated with microsatellite instability status (P=0.045 and 0.020, respectively). An inverse correlation was found between tumor MLH1 RNA expression and MLH1 DNA methylation (P=0.003).
Conclusion:
Our study provides an initial characterization of the DNA repair pathways for understanding the cellular DNA damage/repair system in human colorectal cancer.
Insights
DNA repair pathways are altered in colorectal cancer. This study characterized 20 DNA repair genes in tumor vs. normal tissues, finding significant differential expression in 13 genes and correlations with microsatellite instability.
Area of Science:
- Genetics and Molecular Biology
- Oncology
- Cellular Biology
Background:
- Maintaining DNA integrity is crucial for cellular function.
- DNA repair pathways involve numerous genes, many potentially altered in colorectal cancer.
- Limited characterization exists for these pathways in colorectal cancer.
Purpose of the Study:
- To characterize DNA repair pathway gene expression in colorectal cancer.
- To investigate differential gene expression between tumor and normal colorectal tissues.
- To explore correlations between DNA repair gene expression and clinicopathological features.
Main Methods:
- RNA expression profiling of 20 DNA repair pathway genes using TaqMan real-time quantitative PCR.
- Analysis of matched tumor and normal tissues from 52 patients with Dukes' C colorectal cancer.
- Assessment of gene expression variability, differential expression, coordinated expression, and correlations with apoptosis index, microsatellite instability, and DNA methylation.
Main Results:
- Significant variability in mRNA expression levels of DNA repair genes was observed between tumor and normal tissues.
- 13 out of 20 DNA repair pathway genes showed significant differential expression, with 12 genes having higher RNA levels in tumor samples.
- Coordinated expression was noted for ERCC6, HMG1, MSH2, and POLB in tumor tissues. MLH1 and XRCC1 expression correlated with microsatellite instability, and MLH1 expression inversely correlated with MLH1 DNA methylation.
Conclusions:
- This study provides an initial characterization of DNA repair pathways in human colorectal cancer.
- Findings highlight significant alterations in DNA repair gene expression in colorectal tumors.
- The results contribute to understanding the DNA damage/repair system in the context of colorectal cancer.
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