Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2004-4-12
pubmed:abstractText
Colorectal cancer is a complex disease from a genetic point of view because both genetic and environmental factors interact in its development. Only familial adenomatous polyposis (FAP) follows mendelian genetics, in that mutations of the APC gene lead to development of the tumours. Lynch syndrome is the most frequent form of hereditary colorectal cancer and appears to be associated with other types of extracolonic cancers. The genetic basis has been established as a defect in DNA mismatch repair genes, and there is genetic heterogeneity due to the involvement of several genes in this system. Germinal mutations in these genes predispose to appearance of the syndrome. The aim of this study is to describe the tumoral spectrum of 10 families, comprising a total of 488 individuals, from the island of Tenerife (Canary Islands) and to assess whether the geographical isolation of this population has changed any features of the tumoral spectrum of the syndrome in comparison with studies that cover larger geographical areas with more genetic exchange. From our results we can conclude that the genetic drift and consanguinity in this population with a demographic history of isolation did not significantly alter the tumoral spectrum of the syndrome. Our data confirm that families affected by Lynch syndrome are a high-risk population and should be closely monitored, since their careful supervision has been shown to be useful in preventing cancer. We also emphasize the importance of developing a complete family history that permits these families to be identified together with a mutational screening of DNA mismatch repair genes (mainly MLH1 and MSH2 genes) with the aim of a possible identification of members of a family that should be carefully monitored (the carriers of germline mutations in these genes), whereas the remaining members, originally, are no more at risk than the general population.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0959-8278
pubmed:author
pubmed:issnType
Print
pubmed:volume
13
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
27-32
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:15075785-Age Distribution, pubmed-meshheading:15075785-Atlantic Islands, pubmed-meshheading:15075785-Base Pair Mismatch, pubmed-meshheading:15075785-Colorectal Neoplasms, Hereditary Nonpolyposis, pubmed-meshheading:15075785-Consanguinity, pubmed-meshheading:15075785-DNA, Neoplasm, pubmed-meshheading:15075785-DNA Repair, pubmed-meshheading:15075785-DNA-Binding Proteins, pubmed-meshheading:15075785-Female, pubmed-meshheading:15075785-Genetic Drift, pubmed-meshheading:15075785-Germ-Line Mutation, pubmed-meshheading:15075785-Humans, pubmed-meshheading:15075785-Male, pubmed-meshheading:15075785-Microsatellite Repeats, pubmed-meshheading:15075785-Middle Aged, pubmed-meshheading:15075785-Neoplasm Proteins, pubmed-meshheading:15075785-Pedigree, pubmed-meshheading:15075785-Polymerase Chain Reaction, pubmed-meshheading:15075785-Proto-Oncogene Proteins
pubmed:year
2004
pubmed:articleTitle
Tumour spectrum of non-polyposis colorectal cancer (Lynch syndrome) on the island of Tenerife and influence of insularity on the clinical manifestations.
pubmed:affiliation
Servicio de Cirugía General y Digestiva, Hospital Universitario de Canarias. Ofra-La Cuesta 38071, La Laguna, Tenerife, Spain.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't