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Abstract

A predisposition to colorectal cancer is shown to be linked to markers on chromosome 2 in some families. Molecular features of "familial" cancers were compared with those of sporadic colon cancers. Neither the familial nor sporadic cancers showed loss of heterozygosity for chromosome 2 markers, and the incidence of mutations in KRAS, P53, and APC was similar in the two groups of tumors. Most of the familial cancers, however, had widespread alterations in short repeated DNA sequences, suggesting that numerous replication errors had occurred during tumor development. Thirteen percent of sporadic cancers had identical abnormalities and these cancers shared biologic properties with the familial cases. These data suggest a mechanism for familial tumorigenesis different from that mediated by classic tumor suppressor genes.

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Published In

Science
Volume 260 | Issue 5109
7 May 1993

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Published in print: 7 May 1993

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Authors

Affiliations

Lauri A. Aaltonen
Department of Medical Genetics, University of Helsinki, SF-00014 Helsinki, Finland.
Päivi Peltomäki
Department of Medical Genetics, University of Helsinki, SF-00014 Helsinki, Finland.
Fredrick S. Leach
Departments of Oncology, Pathology, Surgery, and Epidemiology, Johns Hopkins University School of Medicine and School of Public Health and Hygiene, and Johns Hopkins Hospital, Baltimore, MD 21231.
Pertti Sistonen
Department of Medical Sciences, University of Helsinki, and Finnish Red Cross Blood Transfusion Service, SF-00310 Helsinki, Finland.
Lea Pylkkänen
Department of Medical Genetics, University of Helsinki, SF-00014 Helsinki, Finland.
Jukka-Pekka Mecklin
Department of Surgery, Jyvdskyla Central Hospital, SF-40620 Jyvaskyla, Finland.
Heikki Järvinen
Second Department of Surgery, Helsinki University Central Hospital, SF-00290 Helsinki, Finland.
Steven M. Powell
Departments of Oncology, Pathology, Surgery, and Epidemiology, Johns Hopkins University School of Medicine and School of Public Health and Hygiene, and Johns Hopkins Hospital, Baltimore, MD 21231.
Jin Jen
Departments of Oncology, Pathology, Surgery, and Epidemiology, Johns Hopkins University School of Medicine and School of Public Health and Hygiene, and Johns Hopkins Hospital, Baltimore, MD 21231.
Stanley R. Hamilton
Departments of Oncology, Pathology, Surgery, and Epidemiology, Johns Hopkins University School of Medicine and School of Public Health and Hygiene, and Johns Hopkins Hospital, Baltimore, MD 21231.
Gloria M. Petersen
Departments of Oncology, Pathology, Surgery, and Epidemiology, Johns Hopkins University School of Medicine and School of Public Health and Hygiene, and Johns Hopkins Hospital, Baltimore, MD 21231.
Kenneth W. Kinzler
Departments of Oncology, Pathology, Surgery, and Epidemiology, Johns Hopkins University School of Medicine and School of Public Health and Hygiene, and Johns Hopkins Hospital, Baltimore, MD 21231.
Bert Vogelstein
Departments of Oncology, Pathology, Surgery, and Epidemiology, Johns Hopkins University School of Medicine and School of Public Health and Hygiene, and Johns Hopkins Hospital, Baltimore, MD 21231.
Albert de la Chapelle
Department of Medical Genetics, University of Helsinki, SF-00014 Helsinki, Finland.

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