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Mutational Analysis of thePTENGene in Endometrial Carcinoma and Hyperplasia
- Source :
- American Journal of Clinical Pathology. 115:32-38
- Publication Year :
- 2001
- Publisher :
- Oxford University Press (OUP), 2001.
-
Abstract
- To determine the potential role of PTEN in the process of endometrial carcinogenesis, we examined a series of endometrial carcinoma and hyperplasia of the uterine corpus for the presence of a PTEN mutation. The entire coding region of the gene was screened for the presence of mutations by single-strand conformation polymorphism analysis, and mutations were confirmed by sequencing. We detected mutations in 14 of 57 endometrial carcinomas (13 of 50 endometrioid adenocarcinomas and 1 of 7 nonendometrioid adenocarcinomas) and 7 of 73 endometrial hyperplasias (1 of 24 simple hyperplasias without atypia, none of 16 complex hyperplasias without atypia, and 6 of 33 complex hyperplasias with atypia). Most (88%) mutations were clustered in exons 5, 7, and 8. Of the 24 mutations detected in 21 cases, 12 were frameshifts, 9 were nonsense, 2 were missense, and 1 was a silent mutation. Patients with a PTEN mutation had a better prognosis than those with no PTEN mutation. The presence of PTEN mutations in hyperplasia suggests that PTEN inactivation may occur as an initiating event in endometrial carcinogenesis and is involved in the development of cytologic atypia in hyperplasia.
- Subjects :
- Silent mutation
Pathology
medicine.medical_specialty
DNA Mutational Analysis
medicine.disease_cause
Polymerase Chain Reaction
medicine
Atypia
Humans
Missense mutation
PTEN
Cloning, Molecular
Polymorphism, Single-Stranded Conformational
biology
Tumor Suppressor Proteins
Carcinoma
PTEN Phosphohydrolase
General Medicine
Hyperplasia
Prognosis
medicine.disease
Survival Analysis
Phosphoric Monoester Hydrolases
Endometrial Neoplasms
Endometrial hyperplasia
Endometrial Hyperplasia
Mutation
biology.protein
Cancer research
Adenocarcinoma
Female
Carcinogenesis
Subjects
Details
- ISSN :
- 19437722 and 00029173
- Volume :
- 115
- Database :
- OpenAIRE
- Journal :
- American Journal of Clinical Pathology
- Accession number :
- edsair.doi.dedup.....13d395d8b0d683771bf62bc528fbeaef