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伊朗结直肠癌患者 KRAS 和 BRAF 的突变分析:BRAF 外显子 15 的新变异体。

Mutation Analysis of KRAS and BRAF in Iranian Colorectal Cancer patients: A Novel Variant in Exon 15 of BRAF.

机构信息

Department of Medical Genetics and Molecular Biology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

Gastrointestinal and Liver Diseases Research Center, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Asian Pac J Cancer Prev. 2023 Nov 1;24(11):3665-3671. doi: 10.31557/APJCP.2023.24.11.3665.

Abstract

BACKGROUND

Mitogen-Activated Protein Kinase (MAPK) pathway and its downstream signaling pathways, play an important role in intracellular signaling. Mutations in KRAS (activating mutation) and BRAF proto-oncogenes are identified as key finding of colorectal cancer. The aim of this study was to examine mutation analysis of KRAS and BRAF in Iranian Colorectal cancer patients.

METHODS

We used fifty archived formalin fixed paraffin-embedded (FFPE) blocks of Iranian colorectal cancer patients. DNA was extracted from FFPE blocks for PCR assay. The quality of PCR products was determined using horizontal electrophoresis. Then, sequencing and analysis of the sequencing results were performed to investigate variation status in the sequences.

RESULTS

KRAS exons and BRAF genes exon 15 in 50 CRC patients were analyzed, among the 19 mutant KRAS samples, 18 (36%) patients had a single base substitution (synonymous mutation) in exon 5, p. Arg161Arg (c.483G>A) and 1 (2%) patient in exon 2 (codon 12), p. Gly12Cys (c.34G>T). Also, we observed two mutations p. Val600Glu (c.1799 T>A) and p. Ser616Thr (c.1846T>A) in exon 15 of BRAF gene.

CONCLUSIONS

We found a novel variant in BRAF gene. The p. Ser616Thr (c.1846T>A) mutation was not previously reported and we conclude that other new mutations can be identified in KRAS and BRAF which may lead to colorectal cancer.

摘要

背景

丝裂原活化蛋白激酶(MAPK)途径及其下游信号通路在细胞内信号转导中发挥重要作用。KRAS(激活突变)和 BRAF 原癌基因的突变被确定为结直肠癌的关键发现。本研究旨在检测伊朗结直肠癌患者 KRAS 和 BRAF 的突变分析。

方法

我们使用了 50 个伊朗结直肠癌患者的存档福尔马林固定石蜡包埋(FFPE)块。从 FFPE 块中提取 DNA 进行 PCR 分析。使用水平电泳确定 PCR 产物的质量。然后,对测序结果进行测序和分析,以研究序列中的变异状态。

结果

对 50 例 CRC 患者的 KRAS 外显子和 BRAF 基因外显子 15 进行了分析,在 19 个突变 KRAS 样本中,18 个(36%)患者在外显子 5 中发生单个碱基替换(同义突变),p.Arg161Arg(c.483G>A),1 个(2%)患者在外显子 2 (密码子 12),p.Gly12Cys(c.34G>T)。此外,我们还观察到 BRAF 基因外显子 15 中的两个突变 p.Val600Glu(c.1799 T>A)和 p.Ser616Thr(c.1846T>A)。

结论

我们发现了 BRAF 基因的一个新变体。p.Ser616Thr(c.1846T>A)突变以前没有报道过,我们得出结论,在 KRAS 和 BRAF 中可能会发现其他新的突变,这可能导致结直肠癌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b5/10772775/2f4de94bb604/APJCP-24-3665-g001.jpg

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