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Updated: Jun 2, 2026

Characterize Disease-related Mutants of RAF Family Kinases by Using a Set of Practical and Feasible Methods
Published on: July 17, 2019
Mutations in BRAF correlate with poor survival of colorectal cancers in Chinese population
Jyh-Ming Liou1, Ming-Shiang Wu, Chia-Tung Shun
1Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
Purpose:
Mutations in KRAS and BRAF genes were associated with treatment failure from EGF receptor inhibitors in colorectal cancer (CRC) patients. However, whether these mutations were associated with survival in patients not treated with EGF receptor inhibitors remained controversial. Moreover, few data were available in Chinese. Therefore, we aimed to evaluate the impact of KRAS and BRAF mutations on the survival of Chinese CRC patients.
Methods:
CRC patients who underwent surgery between October 2003 and April 2006 were included in this study. They were observed until June 30, 2010 or when death was ascertained by the National Death Registration System. Prospectively collected fresh frozen tumor tissues were used for detection of mutations at codons 12, 13, and 61 of the KRAS gene and exons 11 and 15 of BRAF gene by PCR amplification followed by direct sequencing.
Results:
Among the 314 patients, KRAS and BRAF mutations were detected in 65 (20.7%) and 12 (3.8%) patients, respectively. KRAS mutations appeared to occur more frequently in females than males (p = 0.039) and in non-smokers (p = 0.039). KRAS and BRAF mutations were significantly associated with the proximal location of cancer (p = 0.017 and 0.001, respectively). In the univariate analysis, KRAS and BRAF mutations were not associated with survival. However, BRAF mutations were associated with a significantly worse overall survival (hazard ratio = 3.91, 95% confidence interval 1.31 to 11.66, p = 0.014) in the multivariate Cox proportional hazard model after adjustment for all direct clincopathological variables.
Conclusion:
BRAF mutations, but not KRAS mutations, were associated with a worse outcome in Chinese CRC patients.
Insights
BRAF mutations, but not KRAS mutations, are linked to worse survival in Chinese colorectal cancer (CRC) patients. This study highlights BRAF as a significant prognostic marker in this population.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- Mutations in KRAS and BRAF genes are known to affect treatment response in colorectal cancer (CRC).
- The prognostic significance of these mutations in patients not receiving EGFR inhibitors is debated.
- Limited data exists on these mutations in Chinese CRC populations.
Purpose of the Study:
- To investigate the impact of KRAS and BRAF gene mutations on the survival of Chinese colorectal cancer (CRC) patients.
- To clarify the association between these specific mutations and patient outcomes in a non-EGFR inhibitor treatment context.
Main Methods:
- Analysis of 314 Chinese CRC patients who underwent surgery between 2003 and 2006.
- Detection of KRAS (codons 12, 13, 61) and BRAF (exons 11, 15) mutations using PCR and direct sequencing.
- Patient survival data collected until June 2010 via the National Death Registration System.
Main Results:
- KRAS mutations found in 20.7% and BRAF mutations in 3.8% of patients.
- KRAS mutations were more frequent in females and non-smokers.
- Both mutations were associated with proximal tumor location.
- Multivariate analysis revealed BRAF mutations significantly correlated with worse overall survival (HR=3.91, p=0.014).
Conclusions:
- BRAF mutations are a significant negative prognostic factor for overall survival in Chinese CRC patients.
- KRAS mutations did not show a significant association with survival in this cohort.
- Findings emphasize the importance of BRAF mutation status for predicting outcomes in Chinese CRC patients.
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