• Journal of Gastric Cancer
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• 제5권4호
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• pp.260-265
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• 2005

목적: Chk1 kinase는 세포 내 DNA 손상에 따른 세포주기의 저지에 관여하며 G2/M checkpoint에서 중요한 역할을 한다. 연구자들은 위암에서 현미부수체 불안정성과 Chk1 유전자의 격자이동 돌연변이와의 연관성을 알아보고자 하였다. 대상 및 방법: 95예의 위암조직에서 레이저를 이용하여 정상과 암세포를 미세절제한 다음 6개의 현미부수체 표식자를 이용하여 현미부수체 불안정성을 조사하였다. 현미부수체 불안정이 있는 예에서 single strand conformational polymorphism과 염기서열 분석으로 Chk1 유전자의 격자이동 돌연변이를 조사하였다. 결과: 현미부수체 불안정성은 95예의 위암 중 19예 (20%)에서 발견되었는데 고빈도와 저빈도의 현미부수체 불안정성은 각각 13예와 6예였다. 고빈도의 현미부수체 불안정성이 있는 13예 중 2예에서 Chk1 유전자의 격자이동 돌연변이가 발견되었는데 이는 아미노산의 격자이동으로 truncated 단백을 형성하였다. 결론 : 이러한 결과는 현미부수체 불안정성은 Chk1 유전자의 격자이동 돌연변이를 유도하여 세포주기 조절 기능을 상실하게 함으로써 위암의 발생에 관여한다는 것을 의미한다.

• Journal of Digestive Cancer Research
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• 제10권2호
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• pp.117-119
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• 2022

• Journal of Gastric Cancer
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• 제3권4호
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• pp.214-220
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• 2003

Purpose: The aim of this study was to investigate the frequency of loss of heterozygosity and the microsatellite instability at multiple tumor suppressor gene loci in gastric adenocarcinomas. Materials and Methods: Loss of heterozygosity and the microsatellite instability at several tumor suppressor gene loci were analyzed in 29 primary gastric carcinomas by using microdissection and the polymerase chain reaction. Results: Twenty-three ($79\%$) of the 29 cases demonstrated loss of heterozygosity at one or more loci. The frequency of loss of heterozygosity at the p53 locus was the highest ($63\%$) and those at the VHL, APC, p16, Rb, MEN1, BRCA1, DPC4, 3p21, and 16p13 region were $41\%,\;36\%,\;19\%,\;29\%,\;33\%,\;26\%,\;21\%,\;32\%,\;and\;11\%$, respectively. Compared with histological type, loss of heterozygosity was more common in diffuse-type gastric cancer (P<0.01). Interestingly, 9 of 10 tumors with allelic deletion at the p53 locus showed loss of heterozygosity at other tumor suppressor gene loci. The microsatellite instability was also detected in 6 ($20\%$) of the 29 cases at one or more loci. Conclusion: These data suggest that frequent loss of heterozygosity and the microsatellite instability at multiple tumor suppressor genes might be required for the development and the progression of gastric carcinomas and that p53 allelic loss may be the most frequent event in the development of gastric carcinomas.

• 대한종양외과학회지
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• 제9권2호
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• pp.80-86
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• 2013

Purpose: Hypermethylation of human mut L homologue 1 (hMLH1) promoter region is known to cause sporadic microsatellite instability (MSI) colorectal cancers. 5,10-methylenetetrahydrofolate reductase (MTHFR) is the key enzyme in folate metabolism, acting as a methyl donor for DNA methylation. In this study, we investigate whether the polymorphism of MTHFR 677C>T plays a role in the alteration of the promoter-specific hypermethylation, predisposing to MSI colorectal cancers. Methods: Total of 487 sporadic colorectal cancer patients in CHA Bundang Medical Center were collected. MSI was identified when two or more are positive among five microsatellite markers (BAT25, BAT26, D17S250, D5S346, D2S123). The others were classified as microsatellite stable (MSS). Polymorphism of MTHFR 677C>T was genotyped by the polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP). Results: MSI was observed in 65 of 487 patients (12.73%). MSI colorectal cancers showed similar clinicopathological features with previously reported; younger age onset, right-sided preponderance, mucinous and poorly differentiated histology, lower stage, fewer lymph node metastases than MSS tumors (each P<0.05). The frequency of MTHFR 677TT genotype was 17.7% in the MSI group higher than 14.6% in the MSS group (P=0.17). Although not statistically significant, compared to the MTHFR 677CC referent, MTHFR 677 CT+TT genotype was more likely to have MSI than MSS (odds ratio, 1.81; 95% confidence interval, 0.94 to 3.68; P=0.06). Conclusion: This study demonstrated higher frequency of MTHFR 677TT genotype in MSI colorectal cancers. Furthermore, individuals with MTHFR 677CT+TT variant type might potentially develop MSI rather than MSS colorectal cancers.