2022
Somatic Mutations in Exon 7 of the TP53 Gene in Index Colorectal Lesions Are Associated with the Early Occurrence of Metachronous Adenoma
HÁLKOVÁ, Tereza; Renata PTÁČKOVÁ; Anastasiya SEMYAKINA; Štěpán SUCHÁNEK; Eva TRABOULSI et al.Základní údaje
Originální název
Somatic Mutations in Exon 7 of the TP53 Gene in Index Colorectal Lesions Are Associated with the Early Occurrence of Metachronous Adenoma
Autoři
HÁLKOVÁ, Tereza; Renata PTÁČKOVÁ; Anastasiya SEMYAKINA; Štěpán SUCHÁNEK; Eva TRABOULSI; Ondřej NGO; Kateřina HEJCMANOVÁ; Ondřej MÁJEK ORCID; Jan BUREŠ; Miroslav ZAVORAL; Marek MINÁRIK a Lucie BENEŠOVÁ
Vydání
Cancers, Basel, MDPI, 2022, 2072-6694
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30204 Oncology
Stát vydavatele
Švýcarsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 5.200
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/22:00129671
Organizační jednotka
Lékařská fakulta
UT WoS
EID Scopus
Klíčová slova anglicky
colorectal cancer; colorectal adenomas; colonoscopy; index lesion; synchronous lesion; metachronous lesion; tumor heterogeneity; TP53
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 19. 7. 2022 13:04, Mgr. Tereza Miškechová
Anotace
V originále
(1) Background: this prospective study was focused on detailed analysis of the mutation heterogeneity in colorectal lesions removed during baseline (index) colonoscopy to identify patients at high risk of early occurrence of metachronous adenomas. (2) Methods: a total of 120 patients after endoscopic therapy of advanced colorectal neoplasia size ≥10 mm (index lesion) with subsequent surveillance colonoscopy after 10–18 months were included. In total, 143 index lesions and 84 synchronous lesions in paraffin blocks were divided into up to 30 samples. In each of them, the detection of somatic mutations in 11 hot spot gene loci was performed. Statistical analysis to correlate the mutation profiles and the degree of heterogeneity of the lesions with the risk of metachronous adenoma occurrence was undertaken. (3) Results: mutation in exon 7 of the TP53 gene found in the index lesion significantly correlated with the early occurrence of metachronous adenoma (log-rank test p = 0.003, hazard ratio 2.73, 95% confidence interval 1.14–6.56). We did not find an association between the risk of metachronous adenomas and other markers monitored. (4) Conclusions: the findings of this study could lead to an adjustment of existing recommendations for surveillance colonoscopies in a specific group of patients with mutations in exon 7 of the TP53 gene in an index lesion, where a shortening of surveillance interval may be warranted.
Návaznosti
| NV17-31909A, projekt VaV |
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