Midthun Lauren, Shaheen Shagufta, Deisch Jeremy, Senthil Maheswari, Tsai James, Hsueh Chung-Tsen
Department of Internal Medicine, Loma Linda University, Loma Linda, California, USA.
Division of Oncology, Stanford Medical Center, Stanford, California, USA.
J Gastrointest Oncol. 2019 Jun;10(3):577-581. doi: 10.21037/jgo.2019.01.10.
and are two key oncogenes in the RAS/RAF/MEK/MAP-kinase signaling pathway. While previously considered mutually exclusive, concomitant mutations in both and genes have been identified in colorectal cancer (CRC). The clinical outcome of these patients remains undetermined. We present the clinical course of two patients with CRC harboring mutations at codon 12 of and non-V600E mutations. More research is needed to determine the clinical-pathological effect of these simultaneous mutations of and in CRC on disease course and treatment outcome.
[原文中未明确提及的两个基因]和[原文中未明确提及的另一个基因]是RAS/RAF/MEK/MAP激酶信号通路中的两个关键致癌基因。虽然之前认为二者相互排斥,但在结直肠癌(CRC)中已发现这两个基因同时发生突变。这些患者的临床结局仍未确定。我们报告了两名患有CRC且[原文中未明确提及的第一个基因]密码子12发生突变和[原文中未明确提及的第二个基因]非V600E突变患者的临床病程。需要更多研究来确定CRC中[原文中未明确提及的第一个基因]和[原文中未明确提及的第二个基因]同时突变对疾病进程和治疗结果的临床病理影响。