PMID- 25776026 OWN - NLM STAT- MEDLINE DCOM- 20150616 LR - 20211203 IS - 1532-8392 (Electronic) IS - 0046-8177 (Linking) VI - 46 IP - 5 DP - 2015 May TI - Frameshift mutations in mammalian target of rapamycin pathway genes and their regional heterogeneity in sporadic colorectal cancers. PG - 753-60 LID - S0046-8177(15)00043-X [pii] LID - 10.1016/j.humpath.2015.01.017 [doi] AB - Mammalian target of rapamycin (mTOR) pathway is known to be involved in cancer pathogenesis. The aim of our study was to find whether mTOR-related genes were mutated and expressionally altered in colorectal cancers (CRCs). Through public database searching, we found that PIK3CB, insulin receptor substrate 1/2 (IRS1), RPS6, EIF4B, RPS6KA5, and PRKAA2 that were known as mTOR-related genes possessed mononucleotide repeats in DNA coding sequences that could be mutated in cancers with microsatellite instability (MSI). We analyzed 124 CRCs by single-strand conformation polymorphism analysis and DNA sequencing and found 7 (8.9%), 8 (10.1%), and 3 (3.8%) of 79 CRCs with high MSI that harbored IRS1, EIF4B, and RPS6KA5 frameshift mutations, respectively. These mutations were not identified in stable MSI/low MSI (0/45). In addition, we analyzed intratumoral heterogeneity (ITH) of PIK3CB, IRS1, RPS6, EIF4B, RPS6KA5, and PRKAA2 frameshift mutations in 16 CRCs and found that IRS1, EIF4B, and RPS6KA5 mutations had regional ITH in 2, 2, and 1 CRCs, respectively. We also analyzed IRS1 expression in the CRCs by immunohistochemistry. Loss of IRS1 expression was identified in 31% of the CRCs. The loss of expression was more common in those with IRS1 mutation than those with wild-type IRS1. Our data indicate mTOR-related genes harbored not only somatic mutations but also mutational ITH and loss of expression, which together might play a role in tumorigenesis of CRC, especially with high MSI. Our data also suggest that mutation analysis in multiregional areas is needed for a precise evaluation of mutation status in CRC with MSI-H. CI - Copyright (c) 2015 Elsevier Inc. All rights reserved. FAU - Choi, Mi Ryoung AU - Choi MR AD - Department of Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea 137-701. FAU - Yoo, Nam Jin AU - Yoo NJ AD - Department of Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea 137-701. FAU - An, Chang Hyeok AU - An CH AD - Department of General Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea 137-701. Electronic address: achcolo@catholic.ac.kr. FAU - Lee, Sug Hyung AU - Lee SH AD - Department of Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea 137-701. Electronic address: suhulee@catholic.ac.kr. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150212 PL - United States TA - Hum Pathol JT - Human pathology JID - 9421547 RN - 0 (DNA, Neoplasm) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Colorectal Neoplasms/*genetics/pathology MH - DNA Mutational Analysis/methods MH - DNA, Neoplasm/*genetics MH - Female MH - Frameshift Mutation/*genetics MH - *Genetic Heterogeneity MH - *Genetic Predisposition to Disease MH - Humans MH - Immunohistochemistry/methods MH - Male MH - Microsatellite Instability MH - Microsatellite Repeats/genetics MH - Middle Aged MH - Polymerase Chain Reaction/methods MH - Polymorphism, Single-Stranded Conformational/*genetics MH - TOR Serine-Threonine Kinases/*genetics OTO - NOTNLM OT - Colon cancers OT - Intratumoral heterogeneity OT - Microsatellite instability OT - Mutation OT - mTOR EDAT- 2015/03/18 06:00 MHDA- 2015/06/17 06:00 CRDT- 2015/03/18 06:00 PHST- 2014/11/13 00:00 [received] PHST- 2014/12/27 00:00 [revised] PHST- 2015/01/26 00:00 [accepted] PHST- 2015/03/18 06:00 [entrez] PHST- 2015/03/18 06:00 [pubmed] PHST- 2015/06/17 06:00 [medline] AID - S0046-8177(15)00043-X [pii] AID - 10.1016/j.humpath.2015.01.017 [doi] PST - ppublish SO - Hum Pathol. 2015 May;46(5):753-60. doi: 10.1016/j.humpath.2015.01.017. Epub 2015 Feb 12.