Differences in gene mutations according to gender among patients with colorectal cancer

Abstract Background The incidence, site distribution, and mortality rates of patients with colorectal cancer differ according to gender. We investigated gene mutations in colorectal patients and wanted to examine gender-specific differences. Methods A total of 1505 patients who underwent surgical in...

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Main Authors: Yi-Jian Tsai, Sheng-Chieh Huang, Hung-Hsin Lin, Chun-Chi Lin, Yuan-Tzu Lan, Huann-Sheng Wang, Shung-Haur Yang, Jeng-Kai Jiang, Wei-Shone Chen, Tzu-chen Lin, Jen-Kou Lin, Shih-Ching Chang
Format: Article
Language:English
Published: BMC 2018-07-01
Series:World Journal of Surgical Oncology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12957-018-1431-5
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author Yi-Jian Tsai
Sheng-Chieh Huang
Hung-Hsin Lin
Chun-Chi Lin
Yuan-Tzu Lan
Huann-Sheng Wang
Shung-Haur Yang
Jeng-Kai Jiang
Wei-Shone Chen
Tzu-chen Lin
Jen-Kou Lin
Shih-Ching Chang
author_facet Yi-Jian Tsai
Sheng-Chieh Huang
Hung-Hsin Lin
Chun-Chi Lin
Yuan-Tzu Lan
Huann-Sheng Wang
Shung-Haur Yang
Jeng-Kai Jiang
Wei-Shone Chen
Tzu-chen Lin
Jen-Kou Lin
Shih-Ching Chang
author_sort Yi-Jian Tsai
collection DOAJ
description Abstract Background The incidence, site distribution, and mortality rates of patients with colorectal cancer differ according to gender. We investigated gene mutations in colorectal patients and wanted to examine gender-specific differences. Methods A total of 1505 patients who underwent surgical intervention for colorectal cancer were recruited from March 2000 to January 2010 at Taipei Veterans’ General Hospital and investigated for gene mutations in K-ras, N-ras, H-ras, BRAF, loss of 18q, APC, p53, SMAD4, TGF-β, PIK3CA, PTEN, FBXW7, AKT1, and MSI. Results There were significant differences between male and female patients in terms of tumor location (p < 0.0001) and pathological stage (p = 0.011). The female patients had significantly more gene mutations in BRAF (6.4 vs. 3.3%, OR 1.985, p = 0.006), TGF-β (4.7 vs. 2.5%, OR 1.887, p = 0.027), and revealed a MSI-high status (14.0 vs. 8.3%, OR 1.800, p = 0.001) than male patients. Male patients had significantly more gene mutations in N-ras (5.1 vs. 2.3%, OR 2.227, p = 0.012); however, the significance was maintained only for mutations in BRAF (OR 2.104, p = 0.038), MSI-high status (OR 2.003 p = 0.001), and N-ras (OR 3.000, p = 0.010) after the groups were divided by tumor site. Conclusion Gene mutations in BRAF, MSI-high status, and N-ras differ according to gender among patients with colorectal cancer.
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spelling doaj.art-add6b535ade741f3bf71e82467e720f52022-12-21T20:25:44ZengBMCWorld Journal of Surgical Oncology1477-78192018-07-011611510.1186/s12957-018-1431-5Differences in gene mutations according to gender among patients with colorectal cancerYi-Jian Tsai0Sheng-Chieh Huang1Hung-Hsin Lin2Chun-Chi Lin3Yuan-Tzu Lan4Huann-Sheng Wang5Shung-Haur Yang6Jeng-Kai Jiang7Wei-Shone Chen8Tzu-chen Lin9Jen-Kou Lin10Shih-Ching Chang11Division of Colon and Rectal Surgery, Department of Surgery, Taipei-Veterans General HospitalDivision of Colon and Rectal Surgery, Department of Surgery, Taipei-Veterans General HospitalDivision of Colon and Rectal Surgery, Department of Surgery, Taipei-Veterans General HospitalDivision of Colon and Rectal Surgery, Department of Surgery, Taipei-Veterans General HospitalDivision of Colon and Rectal Surgery, Department of Surgery, Taipei-Veterans General HospitalDivision of Colon and Rectal Surgery, Department of Surgery, Taipei-Veterans General HospitalDivision of Colon and Rectal Surgery, Department of Surgery, Taipei-Veterans General HospitalDivision of Colon and Rectal Surgery, Department of Surgery, Taipei-Veterans General HospitalDivision of Colon and Rectal Surgery, Department of Surgery, Taipei-Veterans General HospitalDivision of Colon and Rectal Surgery, Department of Surgery, Taipei-Veterans General HospitalDivision of Colon and Rectal Surgery, Department of Surgery, Taipei-Veterans General HospitalDivision of Colon and Rectal Surgery, Department of Surgery, Taipei-Veterans General HospitalAbstract Background The incidence, site distribution, and mortality rates of patients with colorectal cancer differ according to gender. We investigated gene mutations in colorectal patients and wanted to examine gender-specific differences. Methods A total of 1505 patients who underwent surgical intervention for colorectal cancer were recruited from March 2000 to January 2010 at Taipei Veterans’ General Hospital and investigated for gene mutations in K-ras, N-ras, H-ras, BRAF, loss of 18q, APC, p53, SMAD4, TGF-β, PIK3CA, PTEN, FBXW7, AKT1, and MSI. Results There were significant differences between male and female patients in terms of tumor location (p < 0.0001) and pathological stage (p = 0.011). The female patients had significantly more gene mutations in BRAF (6.4 vs. 3.3%, OR 1.985, p = 0.006), TGF-β (4.7 vs. 2.5%, OR 1.887, p = 0.027), and revealed a MSI-high status (14.0 vs. 8.3%, OR 1.800, p = 0.001) than male patients. Male patients had significantly more gene mutations in N-ras (5.1 vs. 2.3%, OR 2.227, p = 0.012); however, the significance was maintained only for mutations in BRAF (OR 2.104, p = 0.038), MSI-high status (OR 2.003 p = 0.001), and N-ras (OR 3.000, p = 0.010) after the groups were divided by tumor site. Conclusion Gene mutations in BRAF, MSI-high status, and N-ras differ according to gender among patients with colorectal cancer.http://link.springer.com/article/10.1186/s12957-018-1431-5Colorectal cancerGenderGene mutation
spellingShingle Yi-Jian Tsai
Sheng-Chieh Huang
Hung-Hsin Lin
Chun-Chi Lin
Yuan-Tzu Lan
Huann-Sheng Wang
Shung-Haur Yang
Jeng-Kai Jiang
Wei-Shone Chen
Tzu-chen Lin
Jen-Kou Lin
Shih-Ching Chang
Differences in gene mutations according to gender among patients with colorectal cancer
World Journal of Surgical Oncology
Colorectal cancer
Gender
Gene mutation
title Differences in gene mutations according to gender among patients with colorectal cancer
title_full Differences in gene mutations according to gender among patients with colorectal cancer
title_fullStr Differences in gene mutations according to gender among patients with colorectal cancer
title_full_unstemmed Differences in gene mutations according to gender among patients with colorectal cancer
title_short Differences in gene mutations according to gender among patients with colorectal cancer
title_sort differences in gene mutations according to gender among patients with colorectal cancer
topic Colorectal cancer
Gender
Gene mutation
url http://link.springer.com/article/10.1186/s12957-018-1431-5
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