© 2004 by Oxford University Press
© 2004 Oxford University Press
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Association Between Biallelic and Monoallelic Germline MYH Gene Mutations and Colorectal Cancer Risk
Affiliations of authors: Samuel Lunenfeld Research Institute (MEC, SPC, NDN, MM, JK, RG, SG) and Department of Surgery (RG, SG), Mount Sinai Hospital, Toronto, ON, Canada; Ontario Familial Colorectal Cancer Registry, Cancer Care Ontario, Toronto (MM, TS, MA, MC, JK, SG); Department of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (MR)
Correspondence to: Steven Gallinger, MD, MSc, FRCS, Rm. 1225, Mount Sinai Hospital, 600 University Ave., Toronto, ON, Canada M5G 1X5 (e-mail: sgallinger{at}mtsinai.on.ca)
The MutY human homologue (MYH) gene encodes a member of the base excision repair pathway that is involved in repairing oxidative damage to DNA. Two germline MYH gene mutations that result in Myh proteins containing amino acid substitutions Y165C and G382D (hereafter called the Y165C and G382D mutations) are associated with adenomatous poly-posis and colorectal cancer among patients from several European poly-posis registries. We used a population-based series of 1238 colorectal cancer patients and 1255 healthy control subjects from Ontario, Canada, to examine the risk of colorectal cancer among biallelic and monoallelic germline MYH Y165C and G382D mutation carriers. The entire MYH gene coding region was screened in all MYH Y165C and G382D mutation carriers. Compared with noncarriers, biallelic and monoallelic germline MYH gene mutation carriers had an increased risk of colorectal cancer and were more likely to have first-or second-degree relatives with colorectal cancer (relative risk = 1.54, 95% confidence interval = 1.10 to 2.16). The increased risk of colorectal cancer in biallelic and monoallelic MYH gene mutation carriers was not consistently associated with the development of multiple adenomatous polyps. Loss of heterozygosity in at least one of four loci in MYH was detected in eight (47%) of 17 colorectal tumors from monoallelic MYH gene mutation carriers but in only two (20%) of 10 colorectal tumors from biallelic MYH gene mutation carriers. These two MYH gene mutations may account for a substantial fraction of hereditary colorectal cancer.
Correspondence about this Article
- Re: Association Between Biallelic and Monoallelic Germline MYH Gene Mutations and Colorectal Cancer Risk
- Albert Tenesa, Susan M. Farrington, and Malcolm G. Dunlop
J Natl Cancer Inst 2005 97: 320-321.[Extract] [Full Text] [PDF]
- RESPONSE: Re: Association Between Biallelic and Monoallelic Germline MYH Gene Mutations and Colorectal Cancer Risk
- Sean P. Cleary, Marina E. Croitoru, Robert Gryfe, Michael Manno, Michelle Cotterchio, Julia Knight, and Steven Gallinger
J Natl Cancer Inst 2005 97: 321-322.[Extract] [Full Text] [PDF]
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