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Genotype Phenotype Correlation in Familial Adenomatous Polyposis

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Hereditary Colorectal Cancer

Part of the book series: M.D. Anderson Solid Tumor Oncology Series ((MDA,volume 5))

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Abstract

Familial Adenomatous Polyposis (FAP) is an autosomal dominant inherited syndrome whereby affected individuals can have less than 100 adenomas (Attenuated Adenomatous Polyposis) to thousands of adenomas (Classic Familial Adenomatous Polyposis). The syndrome is also characterized by extracolonic manifestations such as fundic gland polyps, duodenal adenomas, desmoids tumors, thyroid cancer, osteomas, and congenital hypertrophied pigmented retinal epithelium among others. There are genotype and phenotype correlations noted in and these will be discussed in this chapter.

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References

  1. Campbell WJ, Spence RA, Parks TG. Familial adenomatous polyposis. Br J Surg. 1994;81(12):1722–33.

    Article  PubMed  CAS  Google Scholar 

  2. Bussey HJR. Familial polyposi coli. The Johns Hopkins University: Baltimore; 1975.

    Google Scholar 

  3. Spirio LN et al. Alleles of APC modulate the frequency and classes of mutations that lead to colon polyps. Nat Genet. 1998;20(4):385–8.

    Article  PubMed  CAS  Google Scholar 

  4. Knudsen AL, Bisgaard ML, Bulow S. Attenuated familial adenomatous polyposis (AFAP). A review of the literature. Fam Cancer. 2003;2(1):43–55.

    Article  PubMed  Google Scholar 

  5. Hernegger GS, Moore HG, Guillem JG. Attenuated familial adenomatous polyposis: an evolving and poorly understood entity. Dis Colon Rectum. 2002;45(1):127–34.

    Article  PubMed  Google Scholar 

  6. Spirio L et al. Alleles of the APC gene: an attenuated form of familial polyposis. Cell. 1993;75(5):951–7.

    Article  PubMed  CAS  Google Scholar 

  7. Carvajal-Carmona LG, Silver A, Tomlinson I. Molecular genetics of familial adenomatous polyposis. In: Rodriguez-Bigas M et al., editors. Hereditary colorectal cancer. New York, NY: Springer; 2009.

    Google Scholar 

  8. Beroud C, Soussi T. APC gene: database of germline and somatic mutations in human tumors and cell lines. Nucleic Acids Res. 1996;24(1):121–4.

    Article  PubMed  CAS  Google Scholar 

  9. Lamlum H, Ilyas M, Rowan A, Clark S, Johnson V, Bell JF et al. The type of somatic ­mutation at APC in familial adenomatous polyposis is determined by the site of the germline mutation: a new facet to Knudson’s ‘two-hit’ hypothesis. Nat Med. 1999;5(9):1071–5.

    Article  PubMed  CAS  Google Scholar 

  10. Rowan AJ, Lamlum H, Ilyas M, Wheeler J, Straub J, Papadopoulou A, et al. APC mutations in sporadic colorectal tumors: a mutational “hotspot” and interdependence of the “two hits”. Proc Natl Acad Sci U S A. 2000;97(7):3352–7.

    Article  PubMed  CAS  Google Scholar 

  11. Nagase H, Miyoshi Y, Horii A, Aoki T, Ogawa M, Utsunomiya J, et al. Correlation between the location of germ-line mutations in the APC gene and the number of colorectal polyps in familial adenomatous polyposis patients. Cancer Res. 1992;52(14):4055–7.

    PubMed  CAS  Google Scholar 

  12. Enomoto M, Konishi M, Iwama T, Utsunomiya J, Sugihara KI, Miyaki M. The relationship between frequencies of extracolonic manifestations and the position of APC germline mutation in patients with familial adenomatous polyposis. Jpn J Clin Oncol. 2000;30(2):82–8.

    Article  PubMed  CAS  Google Scholar 

  13. Ficari F, Cama A, Valanzano R, Curia MC, Palmirotta R, Aceto G, et al. APC gene mutations and colorectal adenomatosis in familial adenomatous polyposis. Br J Cancer. 2000;82(2):348–53.

    Article  PubMed  CAS  Google Scholar 

  14. Bertario L, Russo A, Sala P, Varesco L, Giarola M, Mondini P, et al. Multiple approach to the exploration of genotype–phenotype correlations in familial adenomatous polyposis. J Clin Oncol. 2003;21(9):1698–707.

    Article  PubMed  CAS  Google Scholar 

  15. Caspari R et al. Familial adenomatous polyposis: mutation at codon 1309 and early onset of colon cancer. Lancet. 1994;343(8898):629–32.

    Article  PubMed  CAS  Google Scholar 

  16. Brensinger JD, Laken SJ, Luce MC, Powell SM, Vance GH, Ahnen DJ, et al. Variable phenotype of familial adenomatous polyposis in pedigrees with 3′ mutation in the APC gene. Gut. 1998;43(4):548–52.

    Article  PubMed  CAS  Google Scholar 

  17. Soravia C, Berk T, Madlensky L, Mitri A, Cheng H, Gallinger S, et al. Genotype-phenotype correlations in attenuated adenomatous polyposis coli. Am J Hum Genet. 1998;62(6): 1290–301.

    Article  PubMed  CAS  Google Scholar 

  18. van der Luijt RB, Meera Khan P, Vasen HF, Breukel C, Tops CM, Scott RJ, et al. Germline mutations in the 3′ part of APC exon 15 do not result in truncated proteins and are associated with attenuated adenomatous polyposis coli. Hum Genet. 1996;98(6): 727–34.

    Article  PubMed  Google Scholar 

  19. van der Luijt RB, Vasen HF, Tops CM, Breukel C, Fodde R, Meera Khan P. APC mutation in the alternatively spliced region of exon 9 associated with late onset familial adenomatous polyposis. Hum Genet. 1995;96(6):705–10.

    Article  PubMed  Google Scholar 

  20. Sieber OM, Segditsas S, Knudsen AL, Zhang J, Luz J, Rowan AJ, et al. Disease severity and genetic pathways in attenuated familial adenomatous polyposis vary greatly but depend on the site of the germline mutation. Gut. 2006;55(10):1440–8.

    Article  PubMed  CAS  Google Scholar 

  21. Nieuwenhuis MH, Vasen HF. Correlations between mutation site in APC and phenotype of familial adenomatous polyposis (FAP): a review of the literature. Crit Rev Oncol Hematol. 2007;61(2):153–61.

    Article  PubMed  CAS  Google Scholar 

  22. Bülow S, Bülow C, Vasen H, Järvinen H, Björk J, Christensen IJ. Colectomy and ileorectal anastomosis is still an option for selected patients with familial adenomatous polyposis. Dis Colon Rectum. 2008;51(9):1318–23.

    Article  PubMed  Google Scholar 

  23. Church J, Burke C, McGannon E, Pastean O, Clark B. Risk of rectal cancer in patients after colectomy and ileorectal anastomosis for familial adenomatous polyposis: a function of available surgical options. Dis Colon Rectum. 2003;46(9):1175–81.

    Article  PubMed  Google Scholar 

  24. Debinski HS, Love S, Spigelman AD, Phillips RK. Colorectal polyp counts and cancer risk in familial adenomatous polyposis. Gastroenterology. 1996;110(4):1028–30.

    Article  PubMed  CAS  Google Scholar 

  25. Vasen HF, van der Luijt RB, Slors JF, Buskens E, de Ruiter P, Baeten CG, et al. Molecular genetic tests as a guide to surgical management of familial adenomatous polyposis. Lancet. 1996;348(9025):433–5.

    Article  PubMed  CAS  Google Scholar 

  26. Wu JS, Paul P, McGannon EA, Church JM. APC genotype, polyp number, and surgical options in familial adenomatous polyposis. Ann Surg. 1998;227(1):57–62.

    Article  PubMed  CAS  Google Scholar 

  27. Friedl W, Caspari R, Sengteller M, Uhlhaas S, Lamberti C, Jungck M, et al. Can APC mutation analysis contribute to therapeutic decisions in familial adenomatous polyposis? Experience from 680 FAP families. Gut. 2001;48(4):515–21.

    Article  PubMed  CAS  Google Scholar 

  28. Groves C, Lamlum H, Crabtree M, Williamson J, Taylor C, Bass S, et al. Mutation cluster region, association between germline and somatic mutations and genotype-phenotype correlation in upper gastrointestinal familial adenomatous polyposis. Am J Pathol. 2002;160(6):2055–61.

    Article  PubMed  CAS  Google Scholar 

  29. Caspari R, Olschwang S, Friedl W, Mandl M, Boisson C, Böker T, et al. Familial adenomatous polyposis: desmoid tumours and lack of ophthalmic lesions (CHRPE) associated with APC mutations beyond codon 1444. Hum Mol Genet. 1995;4(3):337–40.

    Article  PubMed  CAS  Google Scholar 

  30. Davies DR, Armstrong JG, Thakker N, Horner K, Guy SP, Clancy T, et al. Severe Gardner syndrome in families with mutations restricted to a specific region of the APC gene. Am J Hum Genet. 1995;57(5):1151–8.

    PubMed  CAS  Google Scholar 

  31. Eccles DM, van der Luijt R, Breukel C, Bullman H, Bunyan D, Fisher A, et al. Hereditary desmoid disease due to a frameshift mutation at codon 1924 of the APC gene. Am J Hum Genet. 1996;59(6):1193–201.

    PubMed  CAS  Google Scholar 

  32. Olschwang S, Tiret A, Laurent-Puig P, Muleris M, Parc R, Thomas G. Restriction of ocular fundus lesions to a specific subgroup of APC mutations in adenomatous polyposis coli patients. Cell. 1993;75(5):959–68.

    Article  PubMed  CAS  Google Scholar 

  33. Bisgaard ML, Bulow S. Familial adenomatous polyposis (FAP): genotype correlation to FAP phenotype with osteomas and sebaceous cysts. Am J Med Genet A. 2006;140(3):200–4.

    PubMed  Google Scholar 

  34. Cetta F, Montalto G, Gori M, Curia MC, Cama A, Olschwang S. Germline mutations of the APC gene in patients with familial adenomatous polyposis-associated thyroid carcinoma: results from a European cooperative study. J Clin Endocrinol Metab. 2000;85(1):286–92.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Miguel A. Rodriguez-Bigas .

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Rodriguez-Bigas, M.A. (2010). Genotype Phenotype Correlation in Familial Adenomatous Polyposis. In: Rodriguez-Bigas, M., Cutait, R., Lynch, P., Tomlinson, I., Vasen, H. (eds) Hereditary Colorectal Cancer. M.D. Anderson Solid Tumor Oncology Series, vol 5. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-6603-2_10

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  • DOI: https://doi.org/10.1007/978-1-4419-6603-2_10

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