RT Journal Article SR Electronic T1 Colitic Cancer Develops Through Mutational Alteration Distinct from that in Sporadic Colorectal Cancer: A Comparative Analysis of Mutational Rates at Each Step JF Cancer Genomics - Proteomics JO Cancer Genomics Proteomics FD International Institute of Anticancer Research SP 341 OP 348 VO 14 IS 5 A1 TANAKA, TOSHIAKI A1 KOBUNAI, TAKASHI A1 YAMAMOTO, YOKO A1 EMOTO, SHIGENOBU A1 MURONO, KOJI A1 KANEKO, MANABU A1 SASAKI, KAZUHITO A1 OTANI, KENSUKE A1 NISHIKAWA, TAKESHI A1 KAWAI, KAZUSHIGE A1 HATA, KEISUKE A1 NOZAWA, HIROAKI A1 WATANABE, TOSHIAKI YR 2017 UL http://cgp.iiarjournals.org/content/14/5/341.abstract AB Background: Patients with ulcerative colitis (UC) are at risk of UC-associated colorectal cancer (CRC); however, little is known about genetic alterations occurring during UC carcinogenesis. We examined mutational changes in patients with colitic cancer and the features that differed between the carcinogenesis of UC and sporadic CRC. Material and Methods: Specimens were obtained from the non-neoplastic mucosa and cancer cells of 12 patients with colitic cancer. The mutational rate of oncogenes in colitic cancer was analyzed and compared to that of oncogenes in sporadic CRC. Results: We observed a lower mutation rate in adenomatous polyposis coli (APC) (16.7%(2/12) vs. 75.9%(161/212), respectively, p=0.0001) and KRAS (16.7%(2/12) vs. 42% (89/212), respectively, p=0.04) in colitic cancer than in sporadic CRC. With respect to cadherin 1 (CDH1) and fibroblast growth factor receptor 2 (FGFR2), the mutational rates for non-neoplastic colorectal mucosa were similar to those in sporadic CRC. Conclusion: We demonstrated that mutational rates for APC and KRAS differ between colitic cancer and sporadic CRC. Furthermore, we revealed that CDH1 and FGFR2 become mutated at an earlier stage in colitic carcinogenesis than in sporadic CRC.