Skip to main content

Advertisement

Log in

Genetic alterations in human pancreatic cancer

  • Basic Knowledge of Interest
  • Published:
Journal of Hepato-Biliary-Pancreatic Surgery

Abstract

Pancreatic cancers, like many other solid tumors in humans, develop and progress toward malignancy through accumulation of multiple genetic alterations. Previous studies demonstrated that point mutations of the c-K-ras gene and inactivation of thep53 gene were frequent events in human pancreatic cancers. The high incidence of mutation at codon 12 of the c-K-ras gene, which is detectable even in early stages of pancreatic tumors by means of the polymerase chain reaction, could make this codon an appropriate target for sensitive diagnosis. We now have evidence that inactivation ofMTS1 (p16), DPC4, andBRCA2 tumor suppressor genes, as well as amplification of theAKT2 gene, is also involved in human pancreatic cancers. Moreover, pancreatic cancers develop in some cancer-prone individuals who carry germline mutations of thep53, MTS1 (p16), orBRCA2 genes. Further elucidation of the molecular mechanism of each step of pancreatic carcinogenesis is essential for prevention, early diagnosis, and treatment of human pancreatic cancers.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Kakizoe T (1995) Figures on cancer in Japan—1995. Foundation for promotion of cancer research, Tokyo

  2. Weinberg RA (1996). How cancer arises. Sci Am 275:62–70

    Article  PubMed  CAS  Google Scholar 

  3. Nishimura S, Sekiya T (1987) Human cancer and cellular oncogenes. Biochem J 243:313–327

    PubMed  CAS  Google Scholar 

  4. Almoquesta C, Shibata D, Forrester K, Martin J, Arnheim N, Perucho M (1988) Most human carcinomas of the exocrine pancreas contain mutant c-K-ras genes. Cell 53:549–554

    Article  Google Scholar 

  5. Smit VTHBM, Boot AJM, Amit AMM, Fleuren GJ, Cornelisse CJ, Bos JL (1987) K-ras codon 12 mutations occur very frequently in panccreatic adenocarcinomas. Nucleic Acids Res 16:7773–7782

    Google Scholar 

  6. Grunewald K, Lyons J, Frohlich A, Feichtinger H, Weger RA, Schwab G, Janssen JWG, Bartram CR (1989) High frequency of Ki-ras codon 12 mutations in pancreatic adenocarcinomas. Int J Cancer 43:1037–1041

    PubMed  CAS  Google Scholar 

  7. Mariyama M, Kishi K, Nakamura K, Obata H, Nishimura S (1989) Frequency and types of point mutation at the 12th codon of the c-K-ras gene found in pancreatic cancers from Japanese patients. Jpn J Cancer Res 80:622–626

    PubMed  CAS  Google Scholar 

  8. Lemoine NR, Jain S, Hughes CM, Staddon SL, Maillet B, Hall PA, Kloppel G (1992) K-ras oncogene activation in preinvasive pancreatic cancer. Gastroenterology 102:230–236

    PubMed  CAS  Google Scholar 

  9. Motojima K, Urano T, Nagata Y, Shiku H, Tsunoda T, Kanematsu T (1991) Mutations in the Kirsten-ras oncogene are common but lack correlation with prognosis and tumor stage in human pancreatic carcinoma. Am J Gastroenterol 86:1784–1788

    PubMed  CAS  Google Scholar 

  10. Cheng JQ, Godwin AK, Bellacosa A, Taguchi T, Franke TF, Hamilton TC, Tsichlis PN, Testa JR (1992) AKT2, a putative oncogene encoding a member of a subfamily of protein-serine/threonine kinases, is amplified in human ovarian carciomas Proc Natl Acad Sci USA 89:9267–9271

    Article  PubMed  CAS  Google Scholar 

  11. Cheng JQ, Ruggeri B, Klein WM, Sonoda G, Altomare DA, Watson DK, Testa JR (1996) Amplfication of AKT2 in human pancreatic cells and inhibition of AKT2 expression and tumorigenicity by antisense RNA. Proc Natl Acad Sci USA 93:3636–3641

    Article  PubMed  CAS  Google Scholar 

  12. Miwa W, Yasuda J, Murakami Y, Yashima K, Sugano K, Sekine T, Kono A, Egawa S, Yamaguchi K, Hayashizaki Y, Sekiya T (1996) Isolation of DNA sequences amplified at chromosome 19q13.1–13.2 including the AKT2 locus in human pancreatic cancer. Biochem Biophys Res Commun 225:968–974

    Article  PubMed  CAS  Google Scholar 

  13. Franke TF, Yang SI, Chan TO, Datta K, Kazlauskas A, Morrison DK, Kaplan DR, Tsichlis PN (1995) The protein kinase encoded by the Akt proto-oncogene is a target of the PDGF-activated phosphatidylinositol 3-kinase. Cell 81:727–736

    Article  PubMed  CAS  Google Scholar 

  14. Ebert M, Yokoyama M, Friess H, Kobrin MS, Buchler MW, Korc M (1995) Induction of platelet-derived growth factor A and B chains and over-expression of their receptors in human pancreatic cancer. Int J Cancer 62:529–535

    PubMed  CAS  Google Scholar 

  15. Lemoine NR, Hughes CM, Barton CM, Poulsom R, Jeffery RE, Kloppel G, Hall PA, Gullick WJ (1992) The epidermal growth factor receptor in human pancreatic cancer. J Pathol 166:7–12

    Article  PubMed  CAS  Google Scholar 

  16. Lemoine NR, Lobresco M, Leung H, Barton C, Hughes CM, Prigent SA, Gullick WJ, Kloppel G (1992) TheerbB-3 gene in human pancreatic cancer. Pathol 168:269–723

    Article  CAS  Google Scholar 

  17. Lei S, Appert HE, Nakata B, Domenico DR, Kim K, Howard JM (1995) Overexpression ofHER2/neu oncogene in pancreatic cancer correlates with shortened survival. Int J Pancreatol 17:15–21

    PubMed  CAS  Google Scholar 

  18. Okada N, Ohshi G, Yamaki K, Imamura T, Imamura M (1995) Elevated serum c-erbB-2 protein levels in patients with pancreatic cancer: Correlation to metastasis and shorter survival. Oncology 52:392–396

    Article  PubMed  CAS  Google Scholar 

  19. Hall PA, Hughes CM, Staddon SL, Richman PI, Gullick WJ, Lemoine NR (1990) Thec-erb B-2 proto-oncogene in human pancreatic cancer. J Pathol 161:195–200

    Article  PubMed  CAS  Google Scholar 

  20. Di Renzo MF, Poulsom R, Olivero M, Comoglio PM, Lemoine NR (1995) Expression of the Met/hepatocyte growth factor receptor in human pancreatic cancer. Cancer Res 55:1129–1138

    PubMed  Google Scholar 

  21. Ebert M, Yokoyama M, Friess H, Buchler MW, Korc M (1994) Coexpression of thec-met proto-oncogene and hepatocyte growth factor in human pancreatic cancer. Cancer Res 54:5775–5778

    PubMed  CAS  Google Scholar 

  22. Shibata D, Almoguera C, Forrester K, Dunitz J, Martin SE, Cosgrove MM, Perucho M, Arnheim N (1989) Detectio of c-K-ras mutations in fine needle aspirates from human pancreatic adenocarcinomas. Science 230:1242–1246

    Google Scholar 

  23. Caldas C, Hahn SA, Hruban RH, Redston MS, Yeo CJ, Kern SE (1994) Detection of K-ras mutations in the stool of patients with pancreatic adenocarcinoma and pancreatic ductal hyperplasia. Cancer Res 54:3568–3573

    PubMed  CAS  Google Scholar 

  24. Tada M, Omata M, Kawai S, Saisho H, Ohto M, Saiki R, Sninsky JJ (1993) Detection ofras gene mutations in pancreatic juice and peripheral blood of patients with pancreatic adenocarcinoma. Cancer Res 53:2472–2474

    PubMed  CAS  Google Scholar 

  25. Watanabe H, Sawabu N, Ohta H, Satomura Y, Yamakawa O, Motoo Y, Okai T, Takahashi H, Wakabayashi T (1993) Identification of K-ras oncogene mutations in the pure pancreatic juice of patients with ductal pancreatic cancers. Jpn J Cancer Res 84:961–965

    PubMed  CAS  Google Scholar 

  26. Kondo H, Sugano K, Futayama N, Kyogoku A, Nose H, Shimada K, Ohkura H, Ohtsu A, Yoshida S, Shimosato Y (1994) Detection of point mutations in the K-ras oncogene at codon 12 in pure pancreatic juice for diagnosis of pancreatic carcinoma. Cancer 73:1590–1594

    Article  Google Scholar 

  27. Inoue S, Nakao A, Kasai Y, Harada A, Nonami T, Takagi H (1995) Detection of hepatic micrometastasis in pancreatic adenocarcinoma patients by two-stage polymerase chain reaction/restriction fragment length polymorphism analysis. Jpn J Cancer Res 86:626–630

    PubMed  CAS  Google Scholar 

  28. Brentnall TA, Chen R, Lee JG, Kimmey MB, Bronner MP, Haggitt RC, Kowdley KV, Hecker LM, Byrd DR (1995) Microsatellite instability and K-ras mutations associated with pancreatic adenocarcinoma and pancreatitis. Cancer Res 55:4264–4267

    PubMed  CAS  Google Scholar 

  29. Tada M, Ohashi M, Okudaira T, Komatsu Y, Kawabe T, Yoshida H, Machinami R, Kishi K, Omata M (1996) Analysis of K-ras gene mutation in hyperplastic duct cells of the pancreas without pancreatic disease. Gastroenterology 110:227–231

    Article  PubMed  CAS  Google Scholar 

  30. Tabata T, Fujimori T, Maeda S, Yamamoto M, Saitoh Y (1993) The role ofRas mutation in pancreaticc cancer, precancerous lesions, and chronic pancreatitis. Int J Pancreatol 14:237–244

    PubMed  CAS  Google Scholar 

  31. Yanagisawa A, Ohtake K, Ohashi K, Hori M, Kitagawa T, Sugano H, Kato Y (1993) Frequent c-Ki-ras oncogene activation in mucous cell hyperplasias of pancreas suffering from chronic inflammation. Cancer Res 53:953–956

    PubMed  CAS  Google Scholar 

  32. Iguchi H, Sugano K, Fukayama N, Ohkura H, Sadamoto K, Ohkoshi K, Seo Y, Tomoda H, Funakoshi A, Wakasugi H (1996) Analysis of Ki-ras codon 12 mutations in the duodenal juice of patients with pancreatic cancer. Gastroenterology 110:221–226

    Article  PubMed  CAS  Google Scholar 

  33. Aoki K, Yoshida T, Sugimura T, Terada M (1995) Liposome-mediated in vivo gene transfer of antisense K-ras construct inhibits pancreatic tumor dissemination in the murine peritoneal cavity. Cancer Res 55:3810–3816

    PubMed  CAS  Google Scholar 

  34. Murakami Y, Hayashi K, Sekiya T (1991) Detection of aberrations of the p53 alleles and the gene transcript in human tumor cell lines by single-strand conformation polymorphism analysis. Cancer Res 51:3356–3361

    PubMed  CAS  Google Scholar 

  35. Ruggeri B, Zhang SY, Caamano J, DiRado M, Flynn SD, Klein-Szanto AJ (1992) Human pancreatic carcinomas and cell lines reveal frequent and multiple alterations in thep53 andRb-1 tumor-suppressor genes. Oncogene 7:1503–1511

    PubMed  CAS  Google Scholar 

  36. Scarpa A, Capelli P, Mukai K, Zamboni G, Oda T, Lacono C, Hirohashi S (1993) Pancreatic adenocarcinomas frequently showp53 gene mutations. Am J Pathol 142:1534–1543

    PubMed  CAS  Google Scholar 

  37. Sekiya T, Murakami Y, Hayashi K (1993) Detection of DNA aberrations in human cancers by single-strand conformation polymorphism analysis of the polymerase chain reaction. Int J Pancreatol 13:69–78

    Google Scholar 

  38. Casey G, Yamanaka Y, Friess H, Kobrin MS, Lopez ME, Buchler M, Beger HG, Korc M (1993)p53 mutations are common in pancreatic cancer and are absent in chronic pancreatitis. Cancer Lett 69:151–160

    Article  PubMed  CAS  Google Scholar 

  39. Nakamori S, Yashima K, Murakami Y, Ishikawa O, Ohigashi H, Imaoka S, Yaegashi S, Konishi Y, Sekiya Y (1995) Association ofp53 gene mutations with short survival in pancreatic adenocarcinoma. Jpn J Cancer Res 86:174–181

    PubMed  CAS  Google Scholar 

  40. Yokoyama M, Yamanaka Y, Friess H, Buchler M, Korc M (1994)p53 expression in human pancreatic cancer correlates with enhanced biological aggressiveness. Anticancer Res 14:2477–2483

    PubMed  CAS  Google Scholar 

  41. Shimizu T, Miwa W, Nakamori S, Ishikawa O, Konishi Y, Sekiya T (1996) Absence of a mutation of thep21/WAF1 gene in human lung and pancreatic cancers. Jpn J Cancer Res 87:275–278

    PubMed  CAS  Google Scholar 

  42. Liu Q, Yan YX, McClure M, Nakagawa H, Fujimura F, Rustgi AK (1995)MTS-1 (CDKN2) tumor suppressor gene deletions are a frequent event in esophagus squamous cancer and pancreatic adenocarcinoma cell lines. Oncogene 10:619–622

    PubMed  CAS  Google Scholar 

  43. Bartsch D, Shevlin DW, Tung WS, Kisker O, Wells SA Jr, Goodfellow PJ (1995) Frequent mutations of CDKN2 in primary pancreatic adenocarcinomas. Genes Chromosom Cancer 14:189–195

    PubMed  CAS  Google Scholar 

  44. Huang L, Goodrow TL, Zhang SY, Klein-Szanto AJ, Chang H, Ruggeri BA (1996) Deletion and mutation analyses of theP16/MTS-1 tumor suppressor gene in human ductal pancreatic cancer reveals a higher frequency of abnormalities in tumor-derived cell lines than in primary ductal adenocarcinomas. Cancer Res 56:1137–1141

    PubMed  CAS  Google Scholar 

  45. Naumann M, Savitskaia N, Eilert C, Schramm A, Kalthoff H, Schmiegel W (1996) Frequent codeletion of p16/MTS1 and p15/MTS2 and genetic alterations in p16/MTS1 in pancreatic tumors. Gastroenterology 110:1215–1224

    Article  PubMed  CAS  Google Scholar 

  46. Hahn SA, Hoque AT, Moskaluk CA, da Costa LT, Schutte M, Rozenblum E, Seymour AB, Weinstein CL, Yeo CJ, Hruban RH, Kern SE (1996) Homozygous deletion map at 18q21.1 in pancreatic cancer. Cancer Res 56:490–494

    PubMed  CAS  Google Scholar 

  47. Hahn SA, Schutte M, Hoque AT, Moskaluk CA, da Costa LT, Rozenblum E, Weinstein CL, Fischer A, Yeo CJ, Hruban RH, Kern SE (1996) DPC4, a candidate tumor suppressor gene at human chromosome 18q21.1 Science 271:350–353

    PubMed  CAS  Google Scholar 

  48. Liu F, Hata A, Baker JC, Doody J, Carcamo J, Harland RM, Massague J (1996) A human Mad protein acting as a BMP-regulated transcriptional activator. Nature 381:620–623

    Article  PubMed  CAS  Google Scholar 

  49. Horii A, Nakatsuru S, Miyoshi Y, Ichii S, Nagase H, Ando H, Yanagisawa A, Tsuchiya E, Kato Y, Nakamura Y (1992) Frequent somatic mutations of theAPC gene in human pancreatic cancer. Cancer Res 52:6696–6698

    PubMed  CAS  Google Scholar 

  50. Yashima K, Nakamori S, Murakami Y, Yakaguchi A, Hayashi K, Ishikawa O, Konishi Y, Sekiya T (1994) Mutations of theadenomatous polyposis coli gene in the mutation cluster region: Comparison of human pancreatic and colorectal cancers. Int J Cancer 59:43–47

    PubMed  CAS  Google Scholar 

  51. Huang L, Lang D, Geradts J, Obara T, Klein-Szanto AJ, Lynch HT, Ruggeri BA (1996) Molecular and immunochemical analyses of RB1 and cyclin D1 in human ductal pancreatic carcinomas and cell lines. Mol Carcinogen 15:85–95

    Article  CAS  Google Scholar 

  52. Schutte M, da Costa LT, Hahn SA, Moskaluk C, Hoque ATNS, Rozenblum E, Weinstein CL, Bittner M, Meltzer PS, Trent JM, Yeo CJ, Hruban RH, Kern SE (1995) Identification by representational difference analysis of a homozygous deletion in pancreatic carcinoma that lies within the BRCA2 region. Proc Natl Acad Sci USA 92:5950–5954

    Article  PubMed  CAS  Google Scholar 

  53. Tavtigian SV, Simoard J, Romments J (1996) The completeBRCA2 gene and mutations in chromosome 13q-linked kindreds. Nature Genet 12:333–337

    Article  PubMed  CAS  Google Scholar 

  54. Teng DH-F, Bogden R, Mitchell J, Baumgard M, Bell S, Berry S, David T, Ha PC, Kehrer R, Jammulapati S, Chen Q, Offit K, Skolnick MH, Taytigian SV, Jhanwar S, Swedlund B, Wong AKC, Kamb A (1996) Low incidence of BRCA2 mutations in breast carcinoma and other cancers. Nature Genet 13:241–244

    Article  PubMed  CAS  Google Scholar 

  55. Malkin D, Li FP, Strong LC, Fraumeni JF Jr, Nelson CE, Kim DH, Kassel J, Gryka MA, Bischoff FZ, Tainsky MA, Friend SH (1990) Germline p53 mutations in a familial syndrome of breast cancer, sarcomas and other neoplasms. Science 250:1233–1238

    PubMed  CAS  Google Scholar 

  56. Goldstein AM, Fraser MC, Struewing JP, Hussussian CJ, Ranade K, Zametkin DP, Fontaine LS, Organic SM, Dracopoli NC, Clark WH Jr, Tucker MA (1995) Increased risk of pancreatic cancer in melanoma-prone kindreds with p16INK4 mutations. N Engl J Med 333:970–974

    Article  PubMed  CAS  Google Scholar 

  57. Whelan AJ, Bartsch D, Goodfellow PJ (1995) Brief report: A familial syndrome of pancreatic cancer and melanoma with a mutation in the CDKN2 tumor-suppressor gene. N Engl J Med 333:975–977

    Article  PubMed  CAS  Google Scholar 

  58. Lynch HT, Smyrk T, Kern SE, Hruban RH, Lightdale CJ, Lemon SJ, Lynch JF, Fusaro LR, Fusaro RM, Ghadirian P (1996) Familial pancreatic cancer: A review. Semin Oncol 23:251–275

    PubMed  CAS  Google Scholar 

  59. Thoracius S, Olafsdottir G, Tryggvadottir L, Neuhausen S, Jonasson JG, Tavtigian SV, Tulinius H, Ogmundsdottir HM, Eyfjord JE (1996) A single BRCA2 mutation in male and female breast cancer families from Iceland with varied cancer phenotypes. Nature Genet 13:117–122

    Article  Google Scholar 

  60. Fearon ER, Vogelstein B (1990) A genetic model for colorectal tumorigenesis. Cell 61:759–767

    Article  PubMed  CAS  Google Scholar 

  61. Yamada H, Yoshida T, Sakamoto H, Terada M, Sugimura T (1986) Establishment of a human pancreatic adenocarcinoma cell line (PSN-1) with amplifications of both c-myc and activated c-Ki-ras by a point mutation. Biochem Biophys Res Commun 140:167–173

    Article  PubMed  CAS  Google Scholar 

  62. Yamada H, Sakamoto H, Taira M, Nishimura S, Shimosato Y, Terada M, Sugimura T (1986) Amplifications of both c-Ki-ras with a point mutation and c-myc in a primary pancreatic cancer and its metastatic tumors in lymph nodes. Jpn J Cancer Res 77:370–375

    PubMed  CAS  Google Scholar 

  63. Pellegata NS, Sessa F, Renault B, Bonato M, Leone BE, Solcia E, Ranzani GN (1994) K-ras andp53 gene mutations in pancreatic cancer: Ductal and nonductal tumors progress through different genetic lesions. Cancer Res 54:1556–1560

    PubMed  CAS  Google Scholar 

  64. Berrozpe G, Schaeffer J, Peinado MA, Real FX, Perucho M (1994) Comparative analysis of mutations in thep53 and K-ras genes in pancreatic cancer. Int J Cancer 58:185–191

    PubMed  CAS  Google Scholar 

  65. Papadopoulos N, Nicolaides NC, Wei YF, Ruben SM, Carter KC, Rosen CA, Haseltine WA, Fleischmann RD, Fraser CM, Adams MD, Venter JC, Hamilton SR, Petersen GM, Watson P, Lynch HT, Peltomaki P, Mecklin J-K, de la Chapelle A, Kinzler KW, Vogelstein B (1994) Mutation of a mutL homolog in hereditary colon cancer. Science 263:1625–1629

    PubMed  CAS  Google Scholar 

  66. Seymour AB, Hruban RH, Redston M, Caldas C, Powell SM, Kinzler KW, Yeo CJ, Kern SE (1994) Allelotype of pancreatic adenocarcinoma. Cancer Res 54:2761–2764

    PubMed  CAS  Google Scholar 

  67. Cairns J (1975) The cancer problem. Sci Am 235:64–78

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

About this article

Cite this article

Murakami, Y. Genetic alterations in human pancreatic cancer. J Hep Bil Pancr Surg 4, 283–290 (1997). https://doi.org/10.1007/BF02489026

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02489026

Key words

Navigation