Distinct Patterns of Somatic Mosaicism in the APC Gene in Neoplasms From Patients With Unexplained Adenomatous Polyposis

AML Jansen, Stijn Crobach, Willemina R R Geurts-Giele, Brendy E W M van den Akker, Marina Ventayol Garcia, Dina Ruano, Maartje Nielsen, Carli Mj Tops, Juul T. Wijnen, Frederik J. Hes, Tom van Wezel, Winand N M Dinjens, Hans Morreau

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

We investigated the presence and patterns of mosaicism in the APC gene in patients with colon neoplasms not associated with any other genetic variants; we performed deep sequence analysis of APC in at least 2 adenomas or carcinomas per patient. We identified mosaic variants in APC in adenomas from 9 of the 18 patients with 21 to approximately 100 adenomas. Mosaic variants of APC were variably detected in leukocyte DNA and/or non-neoplastic intestinal mucosa of these patients. In a comprehensive sequence analysis of 1 patient, we found no evidence for mosaicism in APC in non-neoplastic intestinal mucosa. One patient was found to carry a mosaic c.4666dupA APC variant in only 10 of 16 adenomas, indicating the importance of screening 2 or more adenomas for genetic variants.
Original languageEnglish
Pages (from-to)546-549
JournalGastroenterology
Volume152
Issue number3
DOIs
Publication statusPublished - Feb 2017
Externally publishedYes

Keywords

  • Wnt signaling
  • colorectal carcinogenesis
  • mutation
  • unexplained polyposis

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