Article citationsMore>>
Nagahashi, M., Ajioka, Y., Lang, I., Zatonski, W.A., Lowenfels, A.B., Boyle, P., Maisonneuve, P., Bueno de Mesquita, H.B., Ghadirian, P., Jain, M., Przewozniak, K., Baghurst, P., Moerman, C.J., Simard, A., Howe, G.R., McMichael, A.J., Hsieh, C.C. and Walker, A.M. (2008) Genetic changes of p53, K-ras, and microsatellite instability in gallbladder carcinoma in high-incidence areas of Japan and Hungry. World Journal of Gastroenterology, 14, 70-75. http://dx.doi.org/10.3748/wjg.14.70
has been cited by the following article:
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TITLE:
Adenocarcinomas of the gallbladder from United States patients demonstrate less frequent molecular change for several genetic markers than other intra-abdominal cancers
AUTHORS:
Peter Zauber, Stephen Marotta, Marlene Sabbath-Solitare
KEYWORDS:
Gallbladder Carcinoma; Molecular Genetic Changes; KRAS Mutation; GNAS Mutation; BRAF Mutation; Microsatellite Instability; Loss of Heterozygosity
JOURNAL NAME:
Open Journal of Gastroenterology,
Vol.3 No.8,
December
26,
2013
ABSTRACT:
Context: The incidence of gallbladder cancer is
quite low in the US, with an estimate (2013) for new cases of less than 10,000.
The rarity suggests a possible shared molecular pathology that might facilitate
a greater understanding of this tumor. Objective: We wished to assess the
molecular genetic profile of this tumor, particularly KRAS gene mutations, which are frequent in tumors associated with
chronic inflamemation elsewhere within the abdomen. Design: We ascertained 25
cases of gallbladder adenocarcinoma from our pathology department records for
2000-2012. PCR based techniques were used to evaluate the DNA for loss of
heterozygosity of the APC and DCC genes; for point mutations in the KRAS gene, codons 12 and 13; for point
mutation in the BRAF gene, codon 600;
for point mutation in the GNAS gene,
codon 201; and for microsatellite instability. Results: Patients included 5
males and 20 females. Approximately three-quarters of cases were associated
with gallstones, inflammation and dysplasia. Microsatellite instability and GNAS mutation, both present in just 4%
of cases, and BRAF mutation present
in no cases, do not appear to be significant parts of carcinogenesis of gallbladder
carcinoma. We detected a KRAS gene
mutation in only 8% of the cases. Loss of heterozygosity for the APC was detected in 16.7% of informative
cases; and for the DCC gene, in 34.8%
of informative cases. Conclusions: Many molecular genetic changes frequently
seen with tumors arising from other intra-abdominal organs are infrequent in this tumor type. In
particular, KRAS mutations were
uncommon, in contra-distinction to other malignant tumors developing in the
setting of chronic inflammation/infection.
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