Abstract
Colorectal cancers are a group of diseases caused by genetic predisposition, nutritional habits, lifestyle, and environmental factors. Colorectal cancers may occur due to changes in a number of well-defined colorectal cancer-related genes so far, as well as inherited factors that create familial risk. Of these genetic factors, the ones which are well-defined, highly penetrant, and associated with specific clinical syndromes cause hereditary colorectal cancers. Approximately 5–10% of all colorectal cancers are hereditary. Hereditary colorectal cancers are classified into two main groups as “hereditary non-polyposis colorectal cancer” and “hereditary colorectal cancers with polyposis” according to histopathological evaluation. While hereditary non-polyposis colorectal cancers are mainly associated with mismatch repair genes causing microsatellite instability, hereditary colorectal cancers with polyposis are associated with the APC gene. In the diagnosis of these disorders, the use of “next-generation sequence analysis” of multigene panels improved the diagnosis rates with better cost and time effectiveness. Determining the gene in which the germline mutation is involved is critical since it will guide the genetic counseling and prophylactic follow-up approaches.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Riggins GJ, et al. Mad-related genes in the human. Nat Genet. 1996;13(3):347.
Weinberg RA. The biology of cancer: second international student edition. New York, NY: WW Norton & Company; 2013.
Shi J, et al. Basic characteristics and therapy regimens for colorectal squamous cell carcinoma. Transl Cancer Res. 2018;7(2):268–82.
Lindor NM, et al. Concise handbook of familial cancer susceptibility syndromes. JNCI Monogr. 2008;2008(38):3–93.
Resta R, et al. A new definition of genetic counseling: National Society of Genetic Counselors’ Task Force report. J Genet Couns. 2006;15(2):77–83.
Zhao Y, et al. Colorectal cancers utilize glutamine as an anaplerotic substrate of the TCA cycle in vivo. Sci Rep. 2019;9(1):19180.
Cancer in AFRO. Cancer today. Geneva: WHO; 2018.
Kantor ED, Giovannucci EL. Gene-diet interactions and their impact on colorectal cancer risk. Curr Nutr Rep. 2015;4(1):13–21.
Figueiredo JC, et al. Genome-wide diet-gene interaction analyses for risk of colorectal cancer. PLoS Genet. 2014;10(4):e1004228.
Fearon ER, Vogelstein B. A genetic model for colorectal tumorigenesis. Cell. 1990;61(5):759–67.
Grady WM, Carethers JM. Genomic and epigenetic instability in colorectal cancer pathogenesis. Gastroenterology. 2008;135(4):1079–99.
Pino MS, Chung DC. The chromosomal instability pathway in colon cancer. Gastroenterology. 2010;138(6):2059–72.
Sinicrope FA, Sargent DJ. Molecular pathways: microsatellite instability in colorectal cancer: prognostic, predictive, and therapeutic implications. Clin Cancer Res. 2012;18(6):1506–12.
Lao VV, Grady WM. Epigenetics and colorectal cancer. Nat Rev Gastroenterol Hepatol. 2011;8(12):686.
Weisenberger DJ, et al. CpG island methylator phenotype underlies sporadic microsatellite instability and is tightly associated with BRAF mutation in colorectal cancer. Nat Genet. 2006;38(7):787–93.
Willett CG, et al., Cancer Genome Atlas Network. Comprehensive molecular characterization of human colon and rectal cancer (Nature 2012;5). Int J Rad Oncol Biol Phys. 2013;86(1):87.
Brocardo M, Henderson BR. APC shuttling to the membrane, nucleus and beyond. Trends Cell Biol. 2008;18(12):587–96.
Brocardo M, et al. Mitochondrial targeting of adenomatous polyposis coli protein is stimulated by truncating cancer mutations regulation of Bcl-2 and implications for cell survival. J Biol Chem. 2008;283(9):5950–9.
Herzig DO, Tsikitis VL. Molecular markers for colon diagnosis, prognosis and targeted therapy. J Surg Oncol. 2015;111(1):96–102.
Toon CW, et al. Immunohistochemistry for myc predicts survival in colorectal cancer. PLoS One. 2014;9(2):e87456.
Atreya CE, et al. PTEN expression is consistent in colorectal cancer primaries and metastases and associates with patient survival. Cancer Med. 2013;2(4):496–506.
Chen J, et al. BRAF V600E mutation and KRAS codon 13 mutations predict poor survival in Chinese colorectal cancer patients. BMC Cancer. 2014;14(1):802.
Day F, et al. A mutant BRAF V600E-specific immunohistochemical assay: correlation with molecular mutation status and clinical outcome in colorectal cancer. Target Oncol. 2015;10(1):99–109.
Kadowaki S, et al. Prognostic value of KRAS and BRAF mutations in curatively resected colorectal cancer. World J Gastroenterol: WJG. 2015;21(4):1275.
Li W, et al. Colorectal carcinomas with KRAS codon 12 mutation are associated with more advanced tumor stages. BMC Cancer. 2015;15(1):340.
Liao X, et al. Prognostic role of PIK3CA mutation in colorectal cancer: cohort study and literature review. Clin Cancer Res. 2012;18(8):2257–68.
Morkel M, et al. Similar but different: distinct roles for KRAS and BRAF oncogenes in colorectal cancer development and therapy resistance. Oncotarget. 2015;6(25):20785.
Rosty C, et al. PIK3CA activating mutation in colorectal carcinoma: associations with molecular features and survival. PLoS One. 2013;8(6):e65479.
Yaeger R, et al. Pilot trial of combined BRAF and EGFR inhibition in BRAF-mutant metastatic colorectal cancer patients. Clin Cancer Res. 2015;21(6):1313–20.
Popat S, Houlston RS. A systematic review and meta-analysis of the relationship between chromosome 18q genotype, DCC status and colorectal cancer prognosis. Eur J Cancer. 2005;41(14):2060–70.
Munro A, Lain S, Lane D. P53 abnormalities and outcomes in colorectal cancer: a systematic review. Br J Cancer. 2005;92(3):434–44.
Sarli L, et al. Association between recurrence of sporadic colorectal cancer, high level of microsatellite instability, and loss of heterozygosity at chromosome 18q. Dis Colon Rectum. 2004;47(9):1467–82.
Valle L, et al. Genetic predisposition to colorectal cancer: syndromes, genes, classification of genetic variants and implications for precision medicine. J Pathol. 2019;247(5):574–88.
Lamlum H, 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.
Duraturo F, et al. Genetics, diagnosis and treatment of Lynch syndrome: old lessons and current challenges. Oncol Lett. 2019;17(3):3048–54.
Blount J, Prakash A. The changing landscape of Lynch syndrome due to PMS2 mutations. Clin Genet. 2018;94(1):61–9.
Burócziová M. Molecular characteristics of mismatch repair pathway in ovarian cancer. Gynecol Oncol. 2016;132(2):506–12.
Madhusudan S, Wilson DM III. DNA repair and cancer: from bench to clinic. Boca Raton, FL: CRC Press; 2013.
Vasen H, et al. The international collaborative group on hereditary non-polyposis colorectal cancer (ICG-HNPCC). Dis Colon Rectum. 1991;34(5):424–5.
Vasen HF, et al. Guidelines for the clinical management of familial adenomatous polyposis (FAP). Gut. 2008;57(5):704–13.
Vasen HF, et al. New clinical criteria for hereditary nonpolyposis colorectal cancer (HNPCC, Lynch syndrome) proposed by the international collaborative group on HNPCC. Gastroenterology. 1999;116(6):1453–6.
Rodriguez-Bigas MA, et al. A National Cancer Institute workshop on hereditary nonpolyposis colorectal cancer syndrome: meeting highlights and Bethesda guidelines. J Natl Cancer Inst. 1997;89(23):1758–62.
Umar A, et al. Revised Bethesda guidelines for hereditary nonpolyposis colorectal cancer (Lynch syndrome) and microsatellite instability. J Natl Cancer Inst. 2004;96(4):261–8.
Lindor NM, et al. Lower cancer incidence in Amsterdam-I criteria families without mismatch repair deficiency: familial colorectal cancer type X. JAMA. 2005;293(16):1979–85.
Shiovitz S, et al. Characterisation of familial colorectal cancer type X, Lynch syndrome, and non-familial colorectal cancer. Br J Cancer. 2014;111(3):598.
Moreira L, et al. Identification of Lynch syndrome among patients with colorectal cancer. JAMA. 2012;308(15):1555–65.
Kawakami H, Zaanan A, Sinicrope FA. Microsatellite instability testing and its role in the management of colorectal cancer. Curr Treat Options in Oncol. 2015;16(7):30.
Kohlmann W, Gruber SB. Lynch syndrome, in GeneReviews®. Seattle, WA: University of Washington; 2018.
Gausachs M, et al. MLH1 promoter hypermethylation in the analytical algorithm of Lynch syndrome: a cost-effectiveness study. Eur J Hum Genet. 2012;20(7):762.
Thompson BA, et al. Application of a 5-tiered scheme for standardized classification of 2,360 unique mismatch repair gene variants in the InSiGHT locus-specific database. Nat Genet. 2014;46(2):107.
Xavier A, et al. Comprehensive mismatch repair gene panel identifies variants in patients with Lynch-like syndrome. Mol Genet Genomic Med. 2019;7(8):e850.
Hamilton SR, et al. The molecular basis of Turcot's syndrome. N Engl J Med. 1995;332(13):839–47.
Neugut AI, Jacobson JS, De Vivo I. Epidemiology of colorectal adenomatous polyps. Cancer Epidemiol Prevent Biomarkers. 1993;2(2):159–76.
Winawer SJ, et al. A comparison of colonoscopy and double-contrast barium enema for surveillance after polypectomy. N Engl J Med. 2000;342(24):1766–72.
Aretz S, et al. High proportion of large genomic deletions and a genotype–phenotype update in 80 unrelated families with juvenile polyposis syndrome. J Med Genet. 2007;44(11):702–9.
Bisgaard ML, et al. Familial adenomatous polyposis (FAP): frequency, penetrance, and mutation rate. Hum Mutat. 1994;3(2):121–5.
Campbell W, Spence R, Parks T. Familial adenomatous polyposis. Br J Surg. 1994;81(12):1722–33.
Galiatsatos P, Foulkes WD. Familial adenomatous polyposis. Am J Gastroenterol. 2006;101(2):385.
Moisio A-L, Järvinen H, Peltomäki P. Genetic and clinical characterisation of familial adenomatous polyposis: a population based study. Gut. 2002;50(6):845–50.
Fodde R, et al. Mutations in the APC tumour suppressor gene cause chromosomal instability. Nat Cell Biol. 2001;3(4):433.
Lamlum H, et al. APC mutations are sufficient for the growth of early colorectal adenomas. Proc Natl Acad Sci. 2000;97(5):2225–8.
Morin PJ, et al. Activation of β-catenin-Tcf signaling in colon cancer by mutations in β-catenin or APC. Science. 1997;275(5307):1787–90.
Uthoff SM, et al. Wingless-type frizzled protein receptor signaling and its putative role in human colon cancer. Mol Carcinogen. 2001;31(1):56–62.
Van De Wetering M, et al. The β-catenin/TCF-4 complex imposes a crypt progenitor phenotype on colorectal cancer cells. Cell. 2002;111(2):241–50.
Attard TM, et al. Brain tumors in individuals with familial adenomatous polyposis: a cancer registry experience and pooled case report analysis. Cancer. 2007;109(4):761–6.
Bertario L, et al. Genotype and phenotype factors as determinants of desmoid tumors in patients with familial adenomatous polyposis. Int J Cancer. 2001;95(2):102–7.
Bertario L, et al. Multiple approach to the exploration of genotype-phenotype correlations in familial adenomatous polyposis. J Clin Oncol. 2003;21(9):1698–707.
Brensinger J, et al. Variable phenotype of familial adenomatous polyposis in pedigrees with 3′ mutation in the APC gene. Gut. 1998;43(4):548–52.
Caspari R, 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.
Giardiello FM, et al. Very high risk of cancer in familial Peutz–Jeghers syndrome. Gastroenterology. 2000;119(6):1447–53.
Laken SJ, et al. Familial colorectal cancer in Ashkenazim due to a hypermutable tract in APC. Nat Genet. 1997;17(1):79.
Leoz ML, et al. The genetic basis of familial adenomatous polyposis and its implications for clinical practice and risk management. Appl Clin Genet. 2015;8:95.
Li J, et al. Point mutations in exon 1B of APC reveal gastric adenocarcinoma and proximal polyposis of the stomach as a familial adenomatous polyposis variant. Am J Hum Genet. 2016;98(5):830–42.
Saurin J-C, et al. The influence of mutation site and age on the severity of duodenal polyposis in patients with familial adenomatous polyposis. Gastrointest Endosc. 2002;55(3):342–7.
Soravia C, et al. Genotype-phenotype correlations in attenuated adenomatous polyposis coli. Am J Hum Genet. 1998;62(6):1290–301.
Croner RS, et al. Age and manifestation related symptoms in familial adenomatous polyposis. BMC Cancer. 2005;5(1):24.
Neale K, Ritchie S, Thomson JP. Screening of offspring of patients with familial adenomatous polyposis: the St. Mark’s Hospital polyposis register experience. In: Familial adenomatous polyposis. New York, NY: Springer; 1990. p. 61–6.
Petersen GM, Slack J, Nakamura Y. Screening guidelines and premorbid diagnosis of familial adenomatous polyposis using linkage. Gastroenterology. 1991;100(6):1658–64.
Leppert M, et al. Genetic analysis of an inherited predisposition to colon cancer in a family with a variable number of adenomatous polyps. N Engl J Med. 1990;322(13):904–8.
Lynch HT, et al. Attenuated familial adenomatous polyposis (AFAP) a phenotypically and genotypically distinctive variant of FAP. Cancer. 1995;76(12):2427–33.
Gardner EJ, Richards RC. Multiple cutaneous and subcutaneous lesions occurring simultaneously with hereditary polyposis and osteomatosis. Am J Hum Genet. 1953;5(2):139.
Turcot J, Després J-P, Pierre FS. Malignant tumors of the central nervous system associated with familial polyposis of the colon: report of two cases. Dis Colon Rectum. 1959;2:465.
Grover S, et al. Prevalence and phenotypes of APC and MUTYH mutations in patients with multiple colorectal adenomas. JAMA. 2012;308(5):485–92.
Kadiyska T, et al. APC promoter 1B deletion in familial polyposis—implications for mutation-negative families. Clin Genet. 2014;85(5):452–7.
Michils G, et al. Large deletions of the APC gene in 15% of mutation-negative patients with classical polyposis (FAP): a Belgian study. Hum Mutat. 2005;25(2):125–34.
Mu W, et al. Detection of structural variation using target captured next-generation sequencing data for genetic diagnostic testing. Genet Med. 2019;21(7):1603–10.
Patenaude A. Cancer susceptibility testing: risks, benefits, and personal beliefs. The genetic testing of children. Oxford: BIOS Scientific; 1998. p. 145–56.
Sieber OM, et al. Multiple colorectal adenomas, classic adenomatous polyposis, and germ-line mutations in MYH. N Engl J Med. 2003;348(9):791–9.
Viel A, et al. A specific mutational signature associated with DNA 8-oxoguanine persistence in MUTYH-defective colorectal cancer. EBioMedicine. 2017;20:39–49.
Lipton L, et al. Carcinogenesis in MYH-associated polyposis follows a distinct genetic pathway. Cancer Res. 2003;63(22):7595–9.
Marra G, Jiricny J. Multiple colorectal adenomas—is their number up? Waltham, MA: Massachusetts Medical Society; 2003.
Cleary SP, et al. Germline MutY human homologue mutations and colorectal cancer: a multisite case-control study. Gastroenterology. 2009;136(4):1251–60.
Jo WS, et al. Correlation of polyp number and family history of colon cancer with germline MYH mutations. Clin Gastroenterol Hepatol. 2005;3(10):1022–8.
Venesio T, et al. High frequency of MYH gene mutations in a subset of patients with familial adenomatous polyposis. Gastroenterology. 2004;126(7):1681–5.
Nielsen M, et al. Analysis of MUTYH genotypes and colorectal phenotypes in patients with MUTYH-associated polyposis. Gastroenterology. 2009;136(2):471–6.
Theodoratou E, et al. A large-scale meta-analysis to refine colorectal cancer risk estimates associated with MUTYH variants. Br J Cancer. 2010;103(12):1875.
Wang L, et al. MYH mutations in patients with attenuated and classic polyposis and with young-onset colorectal cancer without polyps. Gastroenterology. 2004;127(1):9–16.
Win AK, et al. Risk of colorectal cancer for carriers of mutations in MUTYH, with and without a family history of cancer. Gastroenterology. 2014;146(5):1208–11.
Vogt S, et al. Expanded extracolonic tumor spectrum in MUTYH-associated polyposis. Gastroenterology. 2009;137(6):1976–85.
Walton S-J, et al. Frequency and features of duodenal adenomas in patients with MUTYH-associated polyposis. Clin Gastroenterol Hepatol. 2016;14(7):986–92.
Castillejo A, et al. Prevalence of germline MUTYH mutations among Lynch-like syndrome patients. Eur J Cancer. 2014;50(13):2241–50.
Ricci MT, et al. Type and frequency of MUTYH variants in Italian patients with suspected MAP: a retrospective multicenter study. J Hum Genet. 2017;62(2):309.
Rouleau E, et al. First large rearrangement in the MUTYH gene and attenuated familial adenomatous polyposis syndrome. Clin Genet. 2011;80(3):301–3.
Torrezan GT, et al. Breakpoint characterization of a novel large intragenic deletion of MUTYH detected in a MAP patient: case report. BMC Med Genet. 2011;12(1):128.
Nielsen M, et al. MUTYH-associated polyposis (MAP). Crit Rev Oncol Hematol. 2011;79(1):1–16.
Syngal S, et al. ACG clinical guideline: genetic testing and management of hereditary gastrointestinal cancer syndromes. Am J Gastroenterol. 2015;110(2):223.
Aretz S, et al. Large submicroscopic genomic APC deletions are a common cause of typical familial adenomatous polyposis. J Med Genet. 2005;42(2):185–92.
Boudeau J, Sapkota G, Alessi DR. LKB1, a protein kinase regulating cell proliferation and polarity. FEBS Lett. 2003;546(1):159–65.
Hearle N, et al. Mapping of a translocation breakpoint in a Peutz–Jeghers hamartoma to the putative PJS locus at 19q13. 4 and mutation analysis of candidate genes in polyp and STK11-negative PJS cases. Genes Chromosom Cancer. 2004;41(2):163–9.
Hernan I, et al. De novo germline mutation in the serine–threonine kinase STK11/LKB1 gene associated with Peutz–Jeghers syndrome. Clin Genet. 2004;66(1):58–62.
Jenne DE, et al. Peutz-Jeghers syndrome is caused by mutations in a novel serine threoninekinase. Nat Genet. 1998;18(1):38.
Kullmann L, Krahn MP. Controlling the master—upstream regulation of the tumor suppressor LKB1. Oncogene. 2018;37(23):3045.
Tchekmedyian A, et al. Findings from the Peutz-Jeghers syndrome registry of Uruguay. PLoS One. 2013;8(11):e79639.
Amos C, et al. Genotype–phenotype correlations in Peutz-Jeghers syndrome. J Med Genet. 2004;41(5):327–33.
Lim W, et al. Relative frequency and morphology of cancers in STK11 mutation carriers. Gastroenterology. 2004;126(7):1788–94.
Salloch H, et al. Truncating mutations in Peutz-Jeghers syndrome are associated with more polyps, surgical interventions and cancers. Int J Color Dis. 2010;25(1):97–107.
Duan S-X, et al. Peutz–Jeghers syndrome with intermittent upper intestinal obstruction: a case report and review of the literature. Medicine. 2017;96(17):e6538.
Haggitt RC, Reid BJ. Hereditary gastrointestinal polyposis syndromes. Am J Surg Pathol. 1986;10(12):871–87.
McKay V, et al. First report of somatic mosaicism for mutations in STK11 in four patients with Peutz–Jeghers syndrome. Familial Cancer. 2016;15(1):57–61.
Resta N, et al. Cancer risk associated with STK11/LKB1 germline mutations in Peutz–Jeghers syndrome patients: results of an Italian multicenter study. Dig Liver Dis. 2013;45(7):606–11.
Schumacher V, et al. STK11 genotyping and cancer risk in Peutz-Jeghers syndrome. J Med Genet. 2005;42(5):428–35.
Scully RE. Sex cord tumor with annular tubules a distinctive ovarian tumor of the Peutz-Jeghers syndrome. Cancer. 1970;25(5):1107–21.
Srivatsa PJ, Keeney GL, Podratz KC. Disseminated cervical adenoma malignum and bilateral ovarian sex cord tumors with annular tubules associated with Peutz-Jeghers syndrome. Gynecol Oncol. 1994;53(2):256–64.
Utsunomiya J, et al. Peutz-Jeghers syndrome: its natural course and management. Johns Hopkins Med J. 1975;136(2):71–82.
Van Lier M, et al. High cancer risk in Peutz–Jeghers syndrome: a systematic review and surveillance recommendations. Am J Gastroenterol. 2010;105(6):1258.
Van Lier MG, et al. Peutz–Jeghers syndrome and family planning: the attitude towards prenatal diagnosis and pre-implantation genetic diagnosis. Eur J Hum Genet. 2012;20(2):236.
Wang Z, et al. STK 11 domain XI mutations: candidate genetic drivers leading to the development of dysplastic polyps in P eutz–J eghers syndrome. Hum Mutat. 2014;35(7):851–8.
Chow E, Macrae F. A review of juvenile polyposis syndrome. J Gastroenterol Hepatol. 2005;20(11):1634–40.
Jass J, et al. Juvenile polyposis—a precancerous condition. Histopathology. 1988;13(6):619–30.
Latchford AR, et al. Juvenile polyposis syndrome: a study of genotype, phenotype, and long-term outcome. Dis Colon Rectum. 2012;55(10):1038–43.
Zbuk KM, Eng C. Hamartomatous polyposis syndromes. Nat Rev Gastroenterol Hepatol. 2007;4(9):492.
Burger B, et al. Novel de novo mutation of MADH4/SMAD4 in a patient with juvenile polyposis. Am J Med Genet. 2002;110(3):289–91.
Fogt F, et al. Low prevalence of loss of heterozygosity and SMAD4 mutations in sporadic and familial juvenile polyposis syndrome-associated juvenile polyps. Am J Gastroenterol. 2004;99(10):2025.
Howe JR, et al. Germline mutations of the gene encoding bone morphogenetic protein receptor 1A in juvenile polyposis. Nat Genet. 2001;28(2):184.
Gallione CJ, et al. A combined syndrome of juvenile polyposis and hereditary haemorrhagic telangiectasia associated with mutations in MADH4 (SMAD4). Lancet. 2004;363(9412):852–9.
Lesca G, et al. Distribution of ENG and ACVRL1 (ALK1) mutations in French HHT patients. Hum Mutat. 2006;27(6):598.
Sayed M, et al. Germlinesmad4 orbmpria mutations and phenotype of juvenile polyposis. Ann Surg Oncol. 2002;9(9):901–6.
Calva-Cerqueira D, et al. The rate of germline mutations and large deletions of SMAD4 and BMPR1A in juvenile polyposis. Clin Genet. 2009;75(1):79–85.
Dahdaleh FS, et al. Juvenile polyposis and other intestinal polyposis syndromes with microdeletions of chromosome 10q22–23. Clin Genet. 2012;81(2):110–6.
Brosens LA, et al. Risk of colorectal cancer in juvenile polyposis. Gut. 2007;56(7):965–7.
Cohen S, et al. Management of juvenile polyposis syndrome in children and adolescents: a position paper from the ESPGHAN polyposis working group. J Pediatr Gastroenterol Nutr. 2019;68(3):453–62.
Dunlop M, British Society for Gastroenterology; Association of Coloproctology for Great Britain and Ireland. Guidance on gastrointestinal surveillance for hereditary non-polyposis colorectal cancer, familial adenomatous polypolis, juvenile polyposis, and Peutz-Jeghers syndrome. Gut. 2002;51(Suppl 5):V21–7.
Zhou X-P, et al. Germline PTEN promoter mutations and deletions in Cowden/Bannayan-Riley-Ruvalcaba syndrome result in aberrant PTEN protein and dysregulation of the phosphoinositol-3-kinase/Akt pathway. Am J Hum Genet. 2003;73(2):404–11.
Pilarski R, et al. Cowden syndrome and the PTEN hamartoma tumor syndrome: systematic review and revised diagnostic criteria. J Natl Cancer Inst. 2013;105(21):1607–16.
Lachlan KL, et al. Cowden syndrome and Bannayan–Riley–Ruvalcaba syndrome represent one condition with variable expression and age-related penetrance: results of a clinical study of PTEN mutation carriers. J Med Genet. 2007;44(9):579–85.
Abel TW, et al. Lhermitte-Duclos disease: a report of 31 cases with immunohistochemical analysis of the PTEN/AKT/mTOR pathway. J Neuropathol Exp Neurol. 2005;64(4):341–9.
Butler MG, et al. Subset of individuals with autism spectrum disorders and extreme macrocephaly associated with germline PTEN tumour suppressor gene mutations. J Med Genet. 2005;42(4):318–21.
Caux F, et al. Segmental overgrowth, lipomatosis, arteriovenous malformation and epidermal nevus (SOLAMEN) syndrome is related to mosaic PTEN nullizygosity. Eur J Hum Genet. 2007;15(7):767.
Ngeow J, et al. Detecting germline PTEN mutations among at-risk patients with cancer: an age-and sex-specific cost-effectiveness analysis. J Clin Oncol. 2015;33(23):2537.
Mester J, Eng C. Estimate of de novo mutation frequency in probands with PTEN hamartoma tumor syndrome. Genet Med. 2012;14(9):819.
Nelen MR, et al. Novel PTEN mutations in patients with Cowden disease: absence of clear genotype–phenotype correlations. Eur J Hum Genet. 1999;7(3):267.
Pilarski R, et al. Predicting PTEN mutations: an evaluation of Cowden syndrome and Bannayan–Riley–Ruvalcaba syndrome clinical features. J Med Genet. 2011;48(8):505–12.
Tan M-H, et al. A clinical scoring system for selection of patients for PTEN mutation testing is proposed on the basis of a prospective study of 3042 probands. Am J Hum Genet. 2011;88(1):42–56.
Eng C. PTEN: one gene, many syndromes. Hum Mutat. 2003;22(3):183–98.
Marsh DJ, et al. PTEN mutation spectrum and genotype-phenotype correlations in Bannayan-Riley-Ruvalcaba syndrome suggest a single entity with Cowden syndrome. Hum Mol Genet. 1999;8(8):1461–72.
Stambolic V, et al. Negative regulation of PKB/Akt-dependent cell survival by the tumor suppressor PTEN. Cell. 1998;95(1):29–39.
Bennett KL, Mester J, Eng C. Germline epigenetic regulation of KILLIN in Cowden and Cowden-like syndrome. JAMA. 2010;304(24):2724–31.
Ni Y, et al. Germline mutations and variants in the succinate dehydrogenase genes in Cowden and Cowden-like syndromes. Am J Hum Genet. 2008;83(2):261–8.
Orloff MS, et al. Germline PIK3CA and AKT1 mutations in Cowden and Cowden-like syndromes. Am J Hum Genet. 2013;92(1):76–80.
Yehia L, et al. Germline heterozygous variants in SEC23B are associated with Cowden syndrome and enriched in apparently sporadic thyroid cancer. Am J Hum Genet. 2015;97(5):661–76.
Colby S, et al. Exome sequencing reveals germline gain-of-function EGFR mutation in an adult with Lhermitte–Duclos disease. Mol Case Stud. 2016;2(6):a001230.
Ni Y, et al. Germline SDHx variants modify breast and thyroid cancer risks in Cowden and Cowden-like syndrome via FAD/NAD-dependant destabilization of p53. Hum Mol Genet. 2011;21(2):300–10.
Heald B, et al. Frequent gastrointestinal polyps and colorectal adenocarcinomas in a prospective series of PTEN mutation carriers. Gastroenterology. 2010;139(6):1927–33.
Nieuwenhuis M, et al. Is colorectal surveillance indicated in patients with PTEN mutations? Color Dis. 2012;14(9):e562–6.
Stanich PP, et al. Colonic polyposis and neoplasia in Cowden syndrome. In: Mayo Clinic proceedings. Amsterdam: Elsevier; 2011.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Kirbiyik, O., Özyilmaz, B. (2021). Genetic Knowledge of Colorectal Cancer. In: Engin, O. (eds) Colon Polyps and Colorectal Cancer. Springer, Cham. https://doi.org/10.1007/978-3-030-57273-0_24
Download citation
DOI: https://doi.org/10.1007/978-3-030-57273-0_24
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-57272-3
Online ISBN: 978-3-030-57273-0
eBook Packages: MedicineMedicine (R0)