Frequent involvement of ras-signalling pathways in both polypoid-type and flat-type early-stage colorectal cancers

J Exp Clin Cancer Res. 2006 Jun;25(2):235-42.

Abstract

The development of colorectal neoplasms proceeds mainly via the adenoma-carcinoma sequence. BRAF and RASSF1A are members of Ras-signaling pathways, but the roles of their aberrations in colorectal carcinogenesis remain unclear. The authors studied mutations of the BRAF and K-ras genes, RASSF1A promoter methylation, and p53 overexpression in 43 polypoid-type and 30 flat-type early-stage colorectal cancers. No tumor simultaneously showed any combination of K-ras mutations, BRAF mutations, and RASSF1A promoter methylation. Three of the 73 tumors (4.1%) had BRAF mutations. All BRAF mutation-positive tumors were flat-type cancers, not associated with coexisting adenoma or p53 overexpression. RASSF1A promoter methylation was detected in 12 out of 73 tumors (16.4%), and the proportion of positive cases was similar in polypoid-type and flat-type cancers. BRAF mutations, K-ras mutations, and RASSF1A promoter methylation independently participate in early-stage colorectal carcinogenesis. BRAF mutations are involved only in flat-type cancers, whereas RASSF1A promoter methylation is involved in both polypoid-type and flat-type cancers. Thus, BRAF mutations most likely participate in de novo colorectal carcinogenesis, K-ras mutations in the adenoma-carcinoma sequence of colorectal carcinogenesis, and RASSF1A promoter methylation in both cascades.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenocarcinoma / genetics*
  • Adenocarcinoma / pathology
  • Aged
  • Colorectal Neoplasms / genetics*
  • DNA Methylation
  • DNA Mutational Analysis
  • Disease Progression
  • Female
  • Genes, ras / genetics*
  • Humans
  • Lymph Nodes
  • Male
  • Middle Aged
  • Mutation
  • Neoplasm Invasiveness
  • Polyploidy
  • Promoter Regions, Genetic
  • Proto-Oncogene Proteins B-raf / genetics*
  • Signal Transduction*
  • Tumor Suppressor Protein p53 / genetics
  • Tumor Suppressor Proteins / genetics*

Substances

  • RASSF1 protein, human
  • Tumor Suppressor Protein p53
  • Tumor Suppressor Proteins
  • BRAF protein, human
  • Proto-Oncogene Proteins B-raf