伊朗结直肠癌患者结肠组织BRAF-V600E基因突变的评价

Kobra Farahani, Behzad Poopak, M. Ebadi, B. Roudi
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摘要

背景:结直肠癌是最常见的癌症类型之一,也是导致大量患者死亡的原因,需要对其病因进行调查并采取靶向治疗。考虑到遗传标记的诊断、治疗和预后意义,本研究在伊朗结直肠癌患者的组织样本中评估BRAF-V600E基因突变。材料与方法:本研究取结直肠癌患者结肠组织石蜡标本43份,瘤缘标本5份作为对照。测定肿瘤细胞百分比后提取DNA。采用等位基因特异性PCR对BRAF-V600E突变基因和正常等位基因进行特异性引物鉴定,并对突变样本进行测序。结果:患者平均年龄53.5岁(最小20岁,最大81岁),4例(9.3%)检测到BRAF-V600E突变。对检测到BRAFV600E突变的样品进行测序。PCR结果与测序结果的比较也显示出100%的一致性。69.77%的样本肿瘤百分比等于或大于50%,30.23%的样本肿瘤百分比小于50%。结论:考虑到BRAF-V600E基因突变在结直肠癌患者治疗方法发展中的诊断价值,对该突变的评估似乎是加快康复进程、确定预后的积极点,可以作为该突变患者合适的治疗靶点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of BRAF-V600E gene mutation in colon tissue of patients with colorectal cancer in Iran
Background : Colorectal cancer is one of the most common types of cancer and the cause of death of a large number of patients and requires investigating the causes of the disease and adopting targeted therapies. Considering the diagnostic, therapeutic, and prognostic significance of genetic markers, in the present study BRAF-V600E gene mutation was evaluated in tissue samples of colorectal cancer patients in Iran. Materials and methods : In this study, 43 paraffin samples of colonic tissue were collected from patients with colorectal cancer and 5 tumor margin samples were collected as control. DNA was extracted after determining the percentage of tumor cells. BRAF-V600E mutation was evaluated using specific primers for mutant and normal alleles by Allele-specific PCR and also sequencing was done on samples with mutations. Results : Mean age of the patients was 53.5 years (minimum 20 and maximum 81 years) and BRAF-V600E mutation was detected in 4 samples (9.3%). Sequencing was performed on samples in which the BRAFV600E mutation was detected. Comparison of PCR results with sequencing also showed 100% agreement. In 69.77% of the samples, the tumor percentage was equal to or more than 50% and in 30.23% of the samples, the tumor percentage was less than 50%. Conclusion : Considering the diagnostic value of BRAF-V600E gene mutation in the development of treatment methods in patients with colorectal cancer, it seems that the evaluation of this mutation is a positive point in accelerating the recovery process and determining the prognosis and can be a suitable therapeutic target for patients with this mutation.
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