Artigo Acesso aberto Revisado por pares

A family with attenuated familial adenomatous polyposis due to a mutation in the alternatively spliced region of APC exon 9

1998; Wiley; Volume: 11; Issue: 6 Linguagem: Inglês

10.1002/(sici)1098-1004(1998)11

ISSN

1098-1004

Autores

Joanne Young, Lisa A. Simms, J. H. Tarish, Ron Buttenshaw, Ngaire Knight, Gregory J. Anderson, Andrew M. Bell, Barbara Leggett,

Tópico(s)

Colorectal Cancer Screening and Detection

Resumo

A family is presented with attenuated familial adenomatous polyposis of variable phenotype. The clinical features range from sparse right-sided polyposis and cancer in the proximal colon at the age of 34 to pan-colonic polyposis and cancer at the age of 68. Rectal sparing is common to all affected members. Heteroduplex analysis detected bands of altered mobility in exon 9 of the APC gene in all affected family members. Subsequently, a frameshift mutation was found in the alternatively spliced region of exon 9 at codon 398 which resulted in a stop signal 4 codons downstream. Alternatively spliced transcripts that delete the mutation were readily amplified from normal colonic mucosa and therefore create a mechanism for the attenuated phenotype seen in this family. Hum Mutat 11:450–455, 1998. © 1998 Wiley-Liss, Inc.

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