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Review
. 2014 Apr;44(4):593-600.
doi: 10.1007/s00595-013-0592-7. Epub 2013 Apr 19.

MUTYH-associated colorectal cancer and adenomatous polyposis

Satoru Yamaguchi  1 , Hideo Ogata, Daisuke Katsumata, Masanobu Nakajima, Takaaki Fujii, Soichi Tsutsumi, Takayuki Asao, Kinro Sasaki, Hiroyuki Kuwano, Hiroyuki Kato
Affiliations
Review

MUTYH-associated colorectal cancer and adenomatous polyposis

Satoru Yamaguchi et al. Surg Today. 2014 Apr.

Abstract

MUTYH-associated polyposis (MAP) was first described in 2002. MUTYH is a component of a base excision repair system that protects the genomic information from oxidative damage. When the MUTYH gene product is impaired by bi-allelic germline mutation, it leads to the mutation of cancer-related genes, such as the APC and/or the KRAS genes, via G to T transversion. MAP is a hereditary colorectal cancer syndrome inherited in an autosomal-recessive fashion. The clinical features of MAP include the presence of 10-100 adenomatous polyps in the colon, and early onset of colorectal cancer. Ethnic and geographical differences in the pattern of the MUTYH gene mutations have been suggested. In Caucasian patients, c.536A>G (Y179C) and c.1187G>A (G396D) mutations are frequently detected. In the Asian population, Y179C and G396D are uncommon, whereas other variants are suggested to be the major causes of MAP. We herein review the literature on MUTYH-associated colorectal cancer and adenomatous polyposis.

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