Smitha C S, Suresh Babu M C, Linu J A, Lakshmaiah K C, Govind Babu K, Lokanatha D, Pretesh R K
Department of Medical Oncology, Kidwai Memorial Institute of Oncology, Bangalore, Karnataka 560029 India.
Department of Community Health, St John's Medical College, Bangalore, 560034 India.
Indian J Surg Oncol. 2017 Dec;8(4):511-513. doi: 10.1007/s13193-017-0704-8. Epub 2017 Sep 24.
Mutation analysis of the KRAS oncogene is established as a predictive biomarker in Colorectal cancer (CRC). Many prospective clinical trials have shown that only CRCs with wild-type KRAS respond to anti-epidermal growth factor receptor (EGFR) treatment. Hence, mutation analysis is mandatory before treatment of metastatic CRCs. There are very few studies on the KRAS mutation status in the Indian setting. Hence, this study was done to document the patterns of KRAS mutations in CRCs reporting to a regional cancer centre in South India. Among 150 cases of metastatic colorectal cancer reporting over a period of 20 months, 48 random cases were analyzed for the KRAS mutational status of codons 12 and 13 of the KRAS gene by genomic sequencing. KRAS mutations in codons 12 and 13 were present in 9/48 (18.75%) of all analyzed CRCs. The common types of mutations were glycine to aspartate on codon 12 (p.G12D), glycine to valine on codon 12 (p.G12 V), and glycine to aspartate on codon 13 (p.G13D).
KRAS癌基因的突变分析已被确立为结直肠癌(CRC)的一种预测性生物标志物。许多前瞻性临床试验表明,只有KRAS野生型的结直肠癌对抗表皮生长因子受体(EGFR)治疗有反应。因此,在治疗转移性结直肠癌之前必须进行突变分析。在印度背景下,关于KRAS突变状态的研究非常少。因此,本研究旨在记录向印度南部一个地区癌症中心报告的结直肠癌中KRAS突变模式。在20个月期间报告的150例转移性结直肠癌病例中,通过基因组测序对48例随机病例的KRAS基因第12和13密码子的KRAS突变状态进行了分析。在所有分析的结直肠癌中,第12和13密码子的KRAS突变存在于9/48(18.75%)中。常见的突变类型是第12密码子甘氨酸突变为天冬氨酸(p.G12D)、第12密码子甘氨酸突变为缬氨酸(p.G12V)以及第13密码子甘氨酸突变为天冬氨酸(p.G13D)。