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PIK3CA Amplification Is Common in Left Side-Tubular Adenomas but Uncommon Sessile Serrated Adenomas Exclusively with
Hyunsu Lee1, Jae-Ho Lee1, Dae-Kwang Kim2
11. Department of Anatomy, Keimyung University School of Medicine;
Abstract:
Colorectal cancer is a heterogeneous disorder than arises via multiple distinct pathways, from tubular adenomas (TAs) and sessile serrated adenomas (SSAs), which are clinically, morphologically, and molecularly different. We examined PIK3CA amplification in colorectal precancerous legions, including TAs and SSAs. DNA was isolated from paired normal and tumoral tissues in 64 TAs and 32 SSAs. PIK3CA amplification, KRAS mutation, and BRAF mutation were analyzed by real-time PCR and pyrosequencing. PIK3CA amplification was found in 25% of TAs and 9.4% of SSAs, respectively. KRAS and BRAF mutations were mutually exclusive in both TAs and SSAs. In TAs, PIK3CA amplification was associated with left side and it was mutually exclusive with KRAS mutation. These results suggest that PIK3CA amplification may be early and important event in colorectal carcinogenesis and may drive the development of left-side TAs independently with KRAS mutation.
Insights
PIK3CA amplification is an early event in colorectal cancer development, particularly in left-sided tubular adenomas (TAs). This genetic change appears to drive TA growth independently of KRAS mutations.
Area of Science:
- Oncology
- Molecular Biology
- Gastroenterology
Background:
- Colorectal cancer (CRC) is a complex disease with distinct precancerous pathways, including tubular adenomas (TAs) and sessile serrated adenomas (SSAs).
- Understanding the molecular drivers of these early lesions is crucial for targeted prevention and treatment strategies.
Purpose of the Study:
- To investigate the frequency and significance of PIK3CA amplification in colorectal precancerous lesions (TAs and SSAs).
- To determine the relationship between PIK3CA amplification and common mutations (KRAS, BRAF) in these adenomas.
Main Methods:
- DNA analysis of paired normal and tumoral tissues from 64 TAs and 32 SSAs.
- Real-time PCR and pyrosequencing were used to detect PIK3CA amplification, KRAS mutations, and BRAF mutations.
Main Results:
- PIK3CA amplification was detected in 25% of TAs and 9.4% of SSAs.
- KRAS and BRAF mutations were mutually exclusive in both adenoma types.
- In TAs, PIK3CA amplification was associated with left-sided lesions and was mutually exclusive with KRAS mutations.
Conclusions:
- PIK3CA amplification represents an early and potentially significant event in colorectal carcinogenesis.
- This amplification may independently drive the development of left-sided TAs, distinct from KRAS mutation pathways.
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