J 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.

Basic information

Original name

Somatic Mutations in Exon 7 of the TP53 Gene in Index Colorectal Lesions Are Associated with the Early Occurrence of Metachronous Adenoma

Authors

HÁLKOVÁ, Tereza (203 Czech Republic, guarantor), Renata PTÁČKOVÁ (203 Czech Republic), Anastasiya SEMYAKINA, Štěpán SUCHÁNEK (203 Czech Republic), Eva TRABOULSI, Ondřej NGO (203 Czech Republic, belonging to the institution), Kateřina HEJCMANOVÁ (203 Czech Republic, belonging to the institution), Ondřej MÁJEK (203 Czech Republic, belonging to the institution), Jan BUREŠ (203 Czech Republic), Miroslav ZAVORAL (203 Czech Republic), Marek MINÁRIK and Lucie BENEŠOVÁ (203 Czech Republic)

Edition

Cancers, Basel, MDPI, 2022, 2072-6694

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30204 Oncology

Country of publisher

Switzerland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 5.200

RIV identification code

RIV/00216224:14110/22:00129671

Organization unit

Faculty of Medicine

UT WoS

000816439200001

Keywords in English

colorectal cancer; colorectal adenomas; colonoscopy; index lesion; synchronous lesion; metachronous lesion; tumor heterogeneity; TP53

Tags

Tags

International impact, Reviewed
Změněno: 19/7/2022 13:04, Mgr. Tereza Miškechová

Abstract

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.

Links

NV17-31909A, research and development project
Name: Vývoj multiparametrického testu nové generace pro predikci rizika rekurence kolorektální neoplázie