Mutational analysis of Ras hotspots in patients with urothelial carcinoma of the bladder
Open Access
- 24 August 2020
- journal article
- research article
- Published by Baishideng Publishing Group Inc. in World Journal of Clinical Oncology
- Vol. 11 (8), 614-628
- https://doi.org/10.5306/wjco.v11.i8.614
Abstract
BACKGROUND Mutational activation of Ras genes is established as a prognostic factor for the genesis of a constitutively active RAS-mitogen activated protein kinase pathway that leads to cancer. Heterogeneity among the distribution of the most frequent mutations in Ras isoforms is reported in different patient populations with urothelial carcinoma of the bladder (UCB). AIM To determine the presence/absence of mutations inRasisoforms in patients with UCB in order to predict disease outcome. METHODS This study was performed to determine the mutational spectrum at the hotspot regions of H-Ras,K-Ras and N-Ras genes by polymerase chain reaction - restriction fragment length polymorphism (PCR-RFLP) and DNA sequencing followed by their clinical impact (if any) by examining the relationship of mutational spectrum with clinical histopathological variables in 87 UCB patients. RESULTS None of the 87 UCB patients showed point mutations in codon 12 of H-Ras gene; codon 61 of N-Rasgene and codons 12, 13 of K-Ras gene by PCR-RFLP. Direct DNA sequencing of tumor and normal control bladder mucosal specimens followed by Blastn alignment with the reference wild-type sequences failed to identify even one nucleotide difference in the coding exons 1 and 2 of H-Ras, N-R as and K-R as genes in the tumor and control bladder mucosal specimens. CONCLUSION Our findings on the lack of mutations in H-Ras, K-Ras and N-Ras genes could be explained on the basis of different etiological mechanisms involved in tumor development/progression, inherent genetic susceptibility, tissue specificity or alternative Ras dysfunction such as gene amplification and/or overexpression in a given cohort of patients.This publication has 31 references indexed in Scilit:
- Bladder cancer, a review of the environmental risk factorsEnvironmental Health, 2012
- RAS Mutations and Oncogenesis: Not all RAS Mutations are Created EquallyFrontiers in Genetics, 2012
- A Systematic Study of Gene Mutations in Urothelial Carcinoma; Inactivating Mutations in TSC2 and PIK3R1PLOS ONE, 2011
- Activation of RAS Family Genes in Urothelial CarcinomaJournal of Urology, 2009
- Mutation pattern of K-ras gene in colorectal cancer patients of Kashmir: A reportIndian Journal of Cancer, 2009
- FGFR3 and Ras gene mutations are mutually exclusive genetic events in urothelial cell carcinomaOncogene, 2005
- Identification of H-ras Mutations in Urine Sediments Complements Cytology in the Detection of Bladder TumorsJNCI Journal of the National Cancer Institute, 1995
- Infrequent Involvement of Mutations on Neurofibromatosis Type 1 H-ras, K-ras and N-ras in Urothelial TumorsUrologia Internationalis, 1995
- RAS Mutations in Human Melanoma: A Marker of Malignant ProgressionJournal of Investigative Dermatology, 1994
- Genetic alterations in bladder cancerThe Lancet, 1993