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Next Generation Sequencing for the Detection of Actionable Mutations in Solid and Liquid Tumors
Published on: September 20, 2016
APC gene mutations in the mutation cluster region are rare in esophageal cancers
S M Powell1, N Papadopoulos, K W Kinzler
1Department of Medicine, Indiana University, Indianapolis.
Background/Aims:
The molecular pathogenesis of esophageal cancers is not completely understood. Frequent allelic losses occur on chromosome 5q, suggesting the presence of a tumor-suppressor gene that is important in esophageal tumorigenesis. Because the APC gene is located on chromosome 5q, we sought to determine its involvement as a candidate tumor-suppressor gene in esophageal carcinogenesis.
Methods:
Thirty-five esophageal squamous cell carcinomas and 18 adenocarcinomas were collected with corresponding normal gastric mucosae. A region of APC spanning codons 686-1693 and including most reported mutations was screened for truncating mutations using an in vitro synthesized protein assay. Single-strand conformation polymorphism analysis was also used to examine APC codons 764-842 and codons 1032-1310 for missense and nonsense mutations.
Results:
One squamous cell carcinoma and one adenocarcinoma each contained a truncating mutation within the mutation cluster region of APC.
Conclusions:
The discovery of two truncating mutations identifies APC as a gene involved in a subset of esophageal carcinomas. The low rate of APC mutation observed here, coupled with the high reported rate of loss of heterozygosity on chromosome 5q, suggests the possibility that a gene or genes on chromosome 5q distinct from APC may be the target(s) of allelic deletion in most esophageal tumors.
Insights
The Adenomatous Polyposis Coli (APC) gene is implicated in a small fraction of esophageal cancers. Further research is needed to identify other tumor suppressor genes on chromosome 5q involved in esophageal tumorigenesis.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- The molecular mechanisms driving esophageal cancer development remain incompletely understood.
- Frequent loss of genetic material on chromosome 5q suggests a critical tumor suppressor gene's involvement.
- The Adenomatous Polyposis Coli (APC) gene, located on chromosome 5q, is a potential candidate for this role.
Purpose of the Study:
- To investigate the role of the Adenomatous Polyposis Coli (APC) gene in the development of esophageal cancers.
- To screen for mutations in the APC gene within esophageal tumor samples.
Main Methods:
- Analysis of 35 esophageal squamous cell carcinomas and 18 adenocarcinomas.
- Screening for truncating mutations in a key region of the APC gene using an in vitro synthesized protein assay.
- Utilizing single-strand conformation polymorphism (SSCP) analysis to detect missense and nonsense mutations in other APC gene regions.
Main Results:
- Two cases, one squamous cell carcinoma and one adenocarcinoma, exhibited truncating mutations in the APC gene's mutation cluster region.
- These mutations were identified within the screened segments of the APC gene.
Conclusions:
- The Adenomatous Polyposis Coli (APC) gene is identified as a contributor to a subset of esophageal carcinomas.
- The low frequency of APC mutations, contrasted with high rates of chromosome 5q loss of heterozygosity, indicates other 5q tumor suppressor genes are likely involved in most esophageal tumors.
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