The BRAF mutation is associated with the prognosis in colorectal cancer

Background Two members of the Ras/Raf signaling pathway, KRAS and B-raf, are suspected to be involved in the stepwise progression of colorectal cancer (CRC) tumorigenesis. Objective We compared the KRAS and BRAF mutation status of CRC patients with their clinicopathological characteristics and exami...

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Veröffentlicht in:Journal of cancer research and clinical oncology 2014-11, Vol.140 (11), p.1863-1871
Hauptverfasser: Ahn, Tae Sung, Jeong, Dongjun, Son, Myoung Won, Jung, Haeil, Park, Soyoung, Kim, Hyungjoo, Bae, Sang Byung, Kim, Han Jo, Jeon, Young-Woo, Lee, Moon Soo, Baek, Moo-Jun
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container_end_page 1871
container_issue 11
container_start_page 1863
container_title Journal of cancer research and clinical oncology
container_volume 140
creator Ahn, Tae Sung
Jeong, Dongjun
Son, Myoung Won
Jung, Haeil
Park, Soyoung
Kim, Hyungjoo
Bae, Sang Byung
Kim, Han Jo
Jeon, Young-Woo
Lee, Moon Soo
Baek, Moo-Jun
description Background Two members of the Ras/Raf signaling pathway, KRAS and B-raf, are suspected to be involved in the stepwise progression of colorectal cancer (CRC) tumorigenesis. Objective We compared the KRAS and BRAF mutation status of CRC patients with their clinicopathological characteristics and examined the effect of mutation status on survival rates. Methods DNA was extracted from 164 samples, and the mutation statuses of KRAS and BRAF were assessed using peptide PNA clamp real-time PCR method. The presences of mutation were compared with clinicopathological factors and 5-year survival rate. Results Among the 164 CRC cases, KRAS mutation as detected in 71 cases (43.3 %), respectively, with no relationship with clinicopathological factors of the patients. On Kaplan–Meier survival analysis, KRAS mutation was not significantly associated with survival ( p  = 0.971). BRAF mutation was detected in 26 cases (15.9 %) and not associated with clinicopathological factors of the patients. However, the 5-year survival rate of BRAF mutations was significantly decreased ( p  = 0.02). Conclusions The presence of KRAS mutation did not correlate with the various clinicopathological factors of CRC patients or the survival rate. However, the survival rate was reduced in BRAF -mutated CRC patients. Therefore, BRAF mutation could be an important prognostic factor in CRC patients.
doi_str_mv 10.1007/s00432-014-1735-y
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Objective We compared the KRAS and BRAF mutation status of CRC patients with their clinicopathological characteristics and examined the effect of mutation status on survival rates. Methods DNA was extracted from 164 samples, and the mutation statuses of KRAS and BRAF were assessed using peptide PNA clamp real-time PCR method. The presences of mutation were compared with clinicopathological factors and 5-year survival rate. Results Among the 164 CRC cases, KRAS mutation as detected in 71 cases (43.3 %), respectively, with no relationship with clinicopathological factors of the patients. On Kaplan–Meier survival analysis, KRAS mutation was not significantly associated with survival ( p  = 0.971). BRAF mutation was detected in 26 cases (15.9 %) and not associated with clinicopathological factors of the patients. However, the 5-year survival rate of BRAF mutations was significantly decreased ( p  = 0.02). Conclusions The presence of KRAS mutation did not correlate with the various clinicopathological factors of CRC patients or the survival rate. However, the survival rate was reduced in BRAF -mutated CRC patients. Therefore, BRAF mutation could be an important prognostic factor in CRC patients.</description><identifier>ISSN: 0171-5216</identifier><identifier>EISSN: 1432-1335</identifier><identifier>DOI: 10.1007/s00432-014-1735-y</identifier><identifier>PMID: 24942334</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Cancer Research ; Colorectal cancer ; Colorectal Neoplasms - diagnosis ; Colorectal Neoplasms - genetics ; Colorectal Neoplasms - mortality ; Female ; Genetic Association Studies ; Genetic Predisposition to Disease ; Hematology ; Humans ; Internal Medicine ; Kaplan-Meier Estimate ; Male ; Medical prognosis ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Mutation ; Mutation, Missense ; Oncology ; Original Article – Cancer Research ; Prognosis ; Proportional Hazards Models ; Proteins ; Proto-Oncogene Proteins - genetics ; Proto-Oncogene Proteins B-raf - genetics ; Proto-Oncogene Proteins p21(ras) ; ras Proteins - genetics ; Tumorigenesis</subject><ispartof>Journal of cancer research and clinical oncology, 2014-11, Vol.140 (11), p.1863-1871</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-9ac261baef75a906de733aa614c0877b93df8c6839b1a5f2d48b7c5a3fe2ae2a3</citedby><cites>FETCH-LOGICAL-c442t-9ac261baef75a906de733aa614c0877b93df8c6839b1a5f2d48b7c5a3fe2ae2a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00432-014-1735-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00432-014-1735-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24942334$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ahn, Tae Sung</creatorcontrib><creatorcontrib>Jeong, Dongjun</creatorcontrib><creatorcontrib>Son, Myoung Won</creatorcontrib><creatorcontrib>Jung, Haeil</creatorcontrib><creatorcontrib>Park, Soyoung</creatorcontrib><creatorcontrib>Kim, Hyungjoo</creatorcontrib><creatorcontrib>Bae, Sang Byung</creatorcontrib><creatorcontrib>Kim, Han Jo</creatorcontrib><creatorcontrib>Jeon, Young-Woo</creatorcontrib><creatorcontrib>Lee, Moon Soo</creatorcontrib><creatorcontrib>Baek, Moo-Jun</creatorcontrib><title>The BRAF mutation is associated with the prognosis in colorectal cancer</title><title>Journal of cancer research and clinical oncology</title><addtitle>J Cancer Res Clin Oncol</addtitle><addtitle>J Cancer Res Clin Oncol</addtitle><description>Background Two members of the Ras/Raf signaling pathway, KRAS and B-raf, are suspected to be involved in the stepwise progression of colorectal cancer (CRC) tumorigenesis. Objective We compared the KRAS and BRAF mutation status of CRC patients with their clinicopathological characteristics and examined the effect of mutation status on survival rates. Methods DNA was extracted from 164 samples, and the mutation statuses of KRAS and BRAF were assessed using peptide PNA clamp real-time PCR method. The presences of mutation were compared with clinicopathological factors and 5-year survival rate. Results Among the 164 CRC cases, KRAS mutation as detected in 71 cases (43.3 %), respectively, with no relationship with clinicopathological factors of the patients. On Kaplan–Meier survival analysis, KRAS mutation was not significantly associated with survival ( p  = 0.971). BRAF mutation was detected in 26 cases (15.9 %) and not associated with clinicopathological factors of the patients. However, the 5-year survival rate of BRAF mutations was significantly decreased ( p  = 0.02). Conclusions The presence of KRAS mutation did not correlate with the various clinicopathological factors of CRC patients or the survival rate. However, the survival rate was reduced in BRAF -mutated CRC patients. 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Objective We compared the KRAS and BRAF mutation status of CRC patients with their clinicopathological characteristics and examined the effect of mutation status on survival rates. Methods DNA was extracted from 164 samples, and the mutation statuses of KRAS and BRAF were assessed using peptide PNA clamp real-time PCR method. The presences of mutation were compared with clinicopathological factors and 5-year survival rate. Results Among the 164 CRC cases, KRAS mutation as detected in 71 cases (43.3 %), respectively, with no relationship with clinicopathological factors of the patients. On Kaplan–Meier survival analysis, KRAS mutation was not significantly associated with survival ( p  = 0.971). BRAF mutation was detected in 26 cases (15.9 %) and not associated with clinicopathological factors of the patients. However, the 5-year survival rate of BRAF mutations was significantly decreased ( p  = 0.02). Conclusions The presence of KRAS mutation did not correlate with the various clinicopathological factors of CRC patients or the survival rate. However, the survival rate was reduced in BRAF -mutated CRC patients. Therefore, BRAF mutation could be an important prognostic factor in CRC patients.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24942334</pmid><doi>10.1007/s00432-014-1735-y</doi><tpages>9</tpages></addata></record>
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source MEDLINE; Springer Nature - Complete Springer Journals
subjects Cancer Research
Colorectal cancer
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - genetics
Colorectal Neoplasms - mortality
Female
Genetic Association Studies
Genetic Predisposition to Disease
Hematology
Humans
Internal Medicine
Kaplan-Meier Estimate
Male
Medical prognosis
Medicine
Medicine & Public Health
Middle Aged
Mutation
Mutation, Missense
Oncology
Original Article – Cancer Research
Prognosis
Proportional Hazards Models
Proteins
Proto-Oncogene Proteins - genetics
Proto-Oncogene Proteins B-raf - genetics
Proto-Oncogene Proteins p21(ras)
ras Proteins - genetics
Tumorigenesis
title The BRAF mutation is associated with the prognosis in colorectal cancer
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