COMMENTARY
See article on page 553
Genetic instability in colorectal cancer
| The first 150 words of the full text of this article appear below. |
The development of neoplasia has been thought to be associated with genetic alterations for many years. In colorectal cancer two specific types of genetic instability have been defined. One is associated with chromosomal instability and the other with DNA microsatellite instability, also known as replication errors.1 The mechanism underlying tumorigenesis leads to profound differences in the pathological features, prognosis and response to chemotherapy of these two types of colorectal cancer.
The great majority of colorectal cancers are aneuploid with a variable
chromosome complement. However, between 10 and 15% of colorectal
cancers are near diploid and exhibit DNA microsatellite instability in
which replication errors may be demonstrated within repetitive
sequences of tumour DNA which are not present in the normal DNA of the
individual. Tumours with microsatellite instability occur more
frequently in younger patients, are more frequently proximal to the
splenic flexure and exhibit exophytic growth, poor differentiation,
extracellular mucin production, and
Relevant Article
- Frequency of replication errors in colorectal cancer and their association with family history
- S R Brown, P J Finan, L Cawkwell, P Quirke, and D T Bishop
Gut 1998 43: 553-557.[Abstract] [Full Text] [PDF]
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FRAYLING, I M
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