Gastric cancers of the microsatellite mutator phenotype display characteristic genetic and clinical features

作者: H YAMAMOTO , J PEREZPITEIRA , T YOSHIDA , M TERADA , F ITOH

DOI: 10.1016/S0016-5085(99)70499-3

关键词:

摘要: Abstract Background & Aims: Colon cancer of the microsatellite mutator phenotype (MMP) exhibits significant genotype differences from without MMP. Twenty-nine MMP-positive gastric cancers were analyzed to clarify if these also associated with distinctive clinicopathologic features. Methods: Alterations p53 , β 2 -microglobulin ( β2M ), hMLH1 and hMSH2 genes by using polymerase chain reaction, single-strand conformational polymorphism, sequencing, microallelotyping, hypermethylation assays, immunostaining. The results contrasted mutations in BAX, hMSH3 hMSH6 target for Results: Tumors MMP had a significantly lower incidence gene than other tumors often contained somatic mutations. Many concomitant genetic epigenetic alterations DNA mismatch repair genes, hMLH1, hMSH2, hMSH6. Gastric was well/moderate differentiation, distal location, better survival. Conclusions: Analysis sequences is useful classification groups different prognosis. further support concept that (gastric) represents oncogenic pathway because mutated are usually those found GASTROENTEROLOGY 1999;116:1348-1357

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