[Abstract] [Full Text PDF] (in Japanese / 944KB) [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 92(4): 453-458, 1991


Original article

DETECTION OF POINT MUTATION OF KIRSTEN RAS ONCOGENE IN PANCREATIC
CARCINOMA BY POLYMERASE CHAIN REACTION

Second Department of Surgery, Nagasaki University School of Medicine, Nagasaki, Japan
1) Department of Oncology, Nagasaki University School of Medicine, Nagasaki, Japan

Koichi Motojima, Norihiro Kohara, Junichiro Furui, Masazumi Terada, Tsukasa Tsunoda, Yasuhiko Nagata1), Ken Urano1)

Regarding to the pancreatic cancer, outcomes of the patients surgically treated have been poor. By using polymerase chain reaction (PCR), paraffin-embeded specimens of the pancreatic carcinoma were confined point mutation in Kirsten (K)-ras codon 12. Then, incidence and type of point mutation of this oncogene and correlative studies with stage, T or N factor of pancreatic cancer were analysed.
Extremely high incidence of K-ras gene mutation was shown in present report. The highest mode of point mutation of K-ras oncogene was GGT to GAT coded aspertic acid. Cases without point mutation in K-ras codon 12 were significantly frequent in papillary adenocarcinoma than in tubular type. There were not correlative result among mutation types, stage and T factor of pancreatic cancer. Most patients with pancreatic cancer who survived more than 2 years have not shown mutation to aspertic acid. Four cases including two cases of mucin producing pancreatic cancer did not have point mutation in K-ras codon 12.
Pathogenesis of mucin producing cancer can be distinguished from typical pancreatic cancer by detection of point mutation in K-ras codon 12 using PCR.


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