Skip to main content

Advertisement

Log in

Molecular genetics of intraductal papillary–mucinous neoplasms of the pancreas

  • Topics: Current understanding of precursors to pancreatic cancer
  • Published:
Journal of Hepato-Biliary-Pancreatic Surgery

Abstract

Intraductal papillary–mucinous neoplasms of the pancreas show characteristic clinicopathological and molecular pathobiological features which are distinct from those of conventional ductal adenocarcinomas. Alterations of KRAS, AKT/PKB, CDKN2A, TP53, SMAD4, STK11/LKB1, and DUSP6, and other molecular alterations, including global expression studies as well as their clinical implications, are discussed.

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. T Furukawa T Takahashi M Kobari S Matsuno (1992) ArticleTitleThe mucus-hypersecreting tumor of the pancreas. Development and extension visualized by three-dimensional computerized mapping Cancer 70 1505–13 Occurrence Handle1516002 Occurrence Handle10.1002/1097-0142(19920915)70:6<1505::AID-CNCR2820700611>3.0.CO;2-D Occurrence Handle1:STN:280:By2A1cnktFE%3D

    Article  PubMed  CAS  Google Scholar 

  2. M Kobari S Egawa K Shibuya H Shimamura M Sunamura K Takeda et al. (1999) ArticleTitleIntraductal papillary mucinous tumors of the pancreas comprise 2 clinical subtypes: differences in clinical characteristics and surgical management Arch Surg 134 1131–6 Occurrence Handle10522860 Occurrence Handle10.1001/archsurg.134.10.1131 Occurrence Handle1:STN:280:DyaK1MvltVKqtw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  3. Y Suzuki Y Atomi M Sugiyama S Isaji K Inui W Kimura et al. (2004) ArticleTitleCystic neoplasm of the pancreas: a Japanese multiinstitutional study of intraductal papillary mucinous tumor and mucinous cystic tumor Pancreas 28 241–6 Occurrence Handle15084964 Occurrence Handle10.1097/00006676-200404000-00005

    Article  PubMed  Google Scholar 

  4. W Kimura N Sasahira T Yoshikawa T Muto M Makuuchi (1996) ArticleTitleDuct-ectatic type of mucin-producing tumor of the pancreas — new concept of pancreatic neoplasia Hepatogastroenterology 43 692–709 Occurrence Handle8799417 Occurrence Handle1:STN:280:BymA1M3mt10%3D

    PubMed  CAS  Google Scholar 

  5. M Tanaka (2004) ArticleTitleIntraductal papillary mucinous neoplasm of the pancreas: diagnosis and treatment Pancreas 28 282–8 Occurrence Handle15084972 Occurrence Handle10.1097/00006676-200404000-00013

    Article  PubMed  Google Scholar 

  6. T Furukawa G Klöppel N Volkan Adsay J Albores-Saavedra N Fukushima A Horii et al. (2005) ArticleTitleClassification of types of intraductal papillary–mucinous neoplasm of the pancreas: a consensus study Virchows Arch 447 794–9 Occurrence Handle16088402 Occurrence Handle10.1007/s00428-005-0039-7

    Article  PubMed  Google Scholar 

  7. DS Longnecker G Adler RH Hruban G Klöppel (2000) Intraductal papillary–mucinous neoplasms of the pancreas LA Aaltonen SR Hamilton (Eds) Pathology and genetics of tumours of the digestive system IARC Press Lyon 237–40

    Google Scholar 

  8. NV Adsay KC Conlon SY Zee MF Brennan DS Klimstra (2002) ArticleTitleIntraductal papillary–mucinous neoplasms of the pancreas: an analysis of in situ and invasive carcinomas in 28 patients Cancer 94 62–77 Occurrence Handle11815961 Occurrence Handle10.1002/cncr.10203

    Article  PubMed  Google Scholar 

  9. C Almoguera D Shibata K Forrester J Martin N Arnheim M Perucho (1988) ArticleTitleMost human carcinomas of the exocrine pancreas contain mutant c-K-ras genes Cell 53 549–54 Occurrence Handle2453289 Occurrence Handle10.1016/0092-8674(88)90571-5 Occurrence Handle1:CAS:528:DyaL1cXksV2nsbs%3D

    Article  PubMed  CAS  Google Scholar 

  10. K Satoh T Shimosegawa S Moriizumi M Koizumi T Toyota (1996) ArticleTitleK-ras mutation and p53 protein accumulation in intraductal mucin-hypersecreting neoplasms of the pancreas Pancreas 12 362–8 Occurrence Handle8740403 Occurrence Handle10.1097/00006676-199605000-00007 Occurrence Handle1:STN:280:BymA3M%2Fks1U%3D

    Article  PubMed  CAS  Google Scholar 

  11. JS Gutkind (2000) Signaling networks and cell cycle control: the molecular basis of cancer and other diseases Humana Press Totowa (NJ) Occurrence Handle10.1385/159259218X

    Book  Google Scholar 

  12. M Kitago M Ueda K Aiura K Suzuki S Hoshimoto S Takahashi et al. (2004) ArticleTitleComparison of K-ras point mutation distributions in intraductal papillary–mucinous tumors and ductal adenocarcinoma of the pancreas Int J Cancer 110 177–82 Occurrence Handle15069678 Occurrence Handle10.1002/ijc.20084 Occurrence Handle1:CAS:528:DC%2BD2cXjvVeitLg%3D

    Article  PubMed  CAS  Google Scholar 

  13. K Yoshizawa H Nagai S Sakurai M Hironaka S Morinaga K Saitoh et al. (2002) ArticleTitleClonality and K-ras mutation analyses of epithelia in intraductal papillary mucinous tumor and mucinous cystic tumor of the pancreas Virchows Arch 441 437–43 Occurrence Handle12447672 Occurrence Handle10.1007/s00428-002-0645-6 Occurrence Handle1:CAS:528:DC%2BD3sXos1emuw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  14. B Vanhaesebroeck DR Alessi (2000) ArticleTitleThe PI3K-PDK1 connection: more than just a road to PKB Biochem J 346 IssueIDPt 3 561–76 Occurrence Handle10698680 Occurrence Handle10.1042/0264-6021:3460561 Occurrence Handle1:CAS:528:DC%2BD3cXit1Kku78%3D

    Article  PubMed  CAS  Google Scholar 

  15. S Semba T Moriya W Kimura M Yamakawa (2003) ArticleTitlePhosphorylated Akt/PKB controls cell growth and apoptosis in intraductal papillary–mucinous tumor and invasive ductal adenocarcinoma of the pancreas Pancreas 26 250–7 Occurrence Handle12657951 Occurrence Handle10.1097/00006676-200304000-00008 Occurrence Handle1:CAS:528:DC%2BD3sXmvFSntL0%3D

    Article  PubMed  CAS  Google Scholar 

  16. C Caldas SA Hahn LT Da Costa MS Redston M Schutte AB Seymour et al. (1994) ArticleTitleFrequent somatic mutations and homozygous deletions of the p16 (MTS1) gene in pancreatic adenocarcinoma [published erratum appears in Natuse Genet 1994 Dec;8(4):410] Nature Genet 8 27–32 Occurrence Handle7726912 Occurrence Handle10.1038/ng0994-27 Occurrence Handle1:CAS:528:DyaK2cXmtVajsL0%3D

    Article  PubMed  CAS  Google Scholar 

  17. M Schutte RH Hruban J Geradts R Maynard W Hilgers SK Rabindran et al. (1997) ArticleTitleAbrogation of the Rb/p16 tumor-suppressive pathway in virtually all pancreatic carcinomas Cancer Res 57 3126–30 Occurrence Handle9242437 Occurrence Handle1:CAS:528:DyaK2sXkvFKru78%3D

    PubMed  CAS  Google Scholar 

  18. T Furukawa R Fujisaki Y Yoshida N Kanai M Sunamura T Abe et al. (2005) ArticleTitleDistinct progression pathways involving the dysfunction of DUSP6/MKP-3 in pancreatic intraepithelial neoplasia and intraductal papillary–mucinous neoplasms of the pancreas Mod Pathol 18 1034–42 Occurrence Handle15832194 Occurrence Handle10.1038/modpathol.3800383 Occurrence Handle1:CAS:528:DC%2BD2MXmtlCku7o%3D

    Article  PubMed  CAS  Google Scholar 

  19. MG House M Guo C Iacobuzio-Donahue JG Herman (2003) ArticleTitleMolecular progression of promoter methylation in intraductal papillary mucinous neoplasms (IPMN) of the pancreas Carcinogenesis 24 193–8 Occurrence Handle12584167 Occurrence Handle10.1093/carcin/24.2.193 Occurrence Handle1:CAS:528:DC%2BD3sXit1yms7c%3D

    Article  PubMed  CAS  Google Scholar 

  20. T Tokino S Thiagalingam WS el-Deiry T Waldman KW Kinzler B Vogelstein (1994) ArticleTitlep53 tagged sites from human genomic DNA Hum Mol Genet 3 1537–42 Occurrence Handle7833908 Occurrence Handle10.1093/hmg/3.9.1537 Occurrence Handle1:CAS:528:DyaK2cXmslemtr4%3D

    Article  PubMed  CAS  Google Scholar 

  21. Y Nakamura (2004) ArticleTitleIsolation of p53-target genes and their functional analysis Cancer Sci 95 7–11 Occurrence Handle14720320 Occurrence Handle10.1111/j.1349-7006.2004.tb03163.x Occurrence Handle1:CAS:528:DC%2BD2cXhvFOrtLw%3D

    Article  PubMed  CAS  Google Scholar 

  22. F Sessa E Solcia C Capella M Bonato A Scarpa G Zamboni et al. (1994) ArticleTitleIntraductal papillary–mucinous tumours represent a distinct group of pancreatic neoplasms: an investigation of tumour cell differentiation and K-ras, p53 and c-erbB-2 abnormalities in 26 patients Virchows Arch 425 357–67 Occurrence Handle7820300 Occurrence Handle10.1007/BF00189573 Occurrence Handle1:STN:280:ByqC38%2FhvVM%3D

    Article  PubMed  CAS  Google Scholar 

  23. KW Kinzler B Vogelstein (1997) ArticleTitleCancer-susceptibility genes. Gatekeepers and caretakers [news; comment] Nature 386 761 Occurrence Handle9126728 Occurrence Handle10.1038/386761a0 Occurrence Handle1:CAS:528:DyaK2sXivVCltro%3D

    Article  PubMed  CAS  Google Scholar 

  24. SA Hahn AB Seymour AT Hoque M Schutte LT da Costa MS Redston et al. (1995) ArticleTitleAllelotype of pancreatic adenocarcinoma using xenograft enrichment Cancer Res 55 4670–5 Occurrence Handle7553647 Occurrence Handle1:CAS:528:DyaK2MXoslWmsb0%3D

    PubMed  CAS  Google Scholar 

  25. M Kimura T Abe M Sunamura S Matsuno A Horii (1996) ArticleTitleDetailed deletion mapping on chromosome arm 12q in human pancreatic adenocarcinoma: identification of a 1-cM region of common allelic loss Genes Chromosomes Cancer 17 88–93 Occurrence Handle8913725 Occurrence Handle10.1002/(SICI)1098-2264(199610)17:2<88::AID-GCC3>3.0.CO;2-X Occurrence Handle1:CAS:528:DyaK28XntVemsLs%3D

    Article  PubMed  CAS  Google Scholar 

  26. H Inoue T Furukawa M Sunamura K Takeda S Matsuno A Horii (2001) ArticleTitleExclusion of SMAD4 mutation as an early genetic change in human pancreatic ductal tumorigenesis Genes Chromosomes Cancer 31 295–9 Occurrence Handle11391801 Occurrence Handle10.1002/gcc.1147 Occurrence Handle1:CAS:528:DC%2BD3MXkslClsbs%3D

    Article  PubMed  CAS  Google Scholar 

  27. CA Iacobuzio-Donahue DS Klimstra NV Adsay RE Wilentz P Argani TA Sohn et al. (2000) ArticleTitleDpc-4 protein is expressed in virtually all human intraductal papillary mucinous neoplasms of the pancreas: comparison with conventional ductal adenocarcinomas Am J Pathol 157 755–61 Occurrence Handle10980115 Occurrence Handle1:CAS:528:DC%2BD3cXmvFWqt74%3D

    PubMed  CAS  Google Scholar 

  28. C Forcet S Etienne-Manneville H Gaude L Fournier S Debilly M Salmi et al. (2005) ArticleTitleFunctional analysis of Peutz–Jeghers mutations reveals that the LKB1 C-terminal region exerts a crucial role in regulating both the AMPK pathway and the cell polarity Hum Mol Genet 14 1283–92 Occurrence Handle15800014 Occurrence Handle10.1093/hmg/ddi139 Occurrence Handle1:CAS:528:DC%2BD2MXktFyqtr8%3D

    Article  PubMed  CAS  Google Scholar 

  29. H Mehenni N Lin-Marq K Buchet-Poyau A Reymond MA Collart D Picard et al. (2005) ArticleTitleLKB1 interacts with and phosphorylates PTEN: a functional link between two proteins involved in cancer predisposing syndromes Hum Mol Genet 14 2209–19 Occurrence Handle15987703 Occurrence Handle10.1093/hmg/ddi225 Occurrence Handle1:CAS:528:DC%2BD2MXmt1ertrg%3D

    Article  PubMed  CAS  Google Scholar 

  30. GH Su RH Hruban RK Bansal GS Bova DJ Tang MC Shekher et al. (1999) ArticleTitleGermline and somatic mutations of the STK11/LKB1 Peutz–Jeghers gene in pancreatic and biliary cancers Am J Pathol 154 1835–40 Occurrence Handle10362809 Occurrence Handle1:CAS:528:DyaK1MXjvFGrtL0%3D

    PubMed  CAS  Google Scholar 

  31. N Sato C Rosty M Jansen N Fukushima T Ueki CJ Yeo et al. (2001) ArticleTitleSTK11/LKB1 Peutz–Jeghers gene inactivation in intraductal papillary–mucinous neoplasms of the pancreas Am J Pathol 159 2017–22 Occurrence Handle11733352 Occurrence Handle1:CAS:528:DC%2BD38XhslarsA%3D%3D

    PubMed  CAS  Google Scholar 

  32. M Kimura T Furukawa T Abe T Yatsuoka EM Youssef T Yokoyama et al. (1998) ArticleTitleIdentification of two common regions of allelic loss in chromosome arm 12q in human pancreatic cancer Cancer Res 58 2456–60 Occurrence Handle9622089 Occurrence Handle1:CAS:528:DyaK1cXjs12qs7g%3D

    PubMed  CAS  Google Scholar 

  33. T Furukawa T Yatsuoka EM Youssef T Abe T Yokoyama S Fukushige et al. (1998) ArticleTitleGenomic analysis of DUSP6, a dual-specificity MAP kinase phosphatase, in pancreatic cancer Cytogenet Cell Genet 82 156–9 Occurrence Handle9858808 Occurrence Handle10.1159/000015091 Occurrence Handle1:CAS:528:DyaK1MXkslyqsQ%3D%3D

    Article  PubMed  CAS  Google Scholar 

  34. SM Keyse (2000) ArticleTitleProtein phosphatases and the regulation of mitogen-activated protein kinase signalling Curr Opin Cell Biol 12 186–92 Occurrence Handle10712927 Occurrence Handle10.1016/S0955-0674(99)00075-7 Occurrence Handle1:CAS:528:DC%2BD3cXitVantLk%3D

    Article  PubMed  CAS  Google Scholar 

  35. T Furukawa M Sunamura F Motoi S Matsuno A Horii (2003) ArticleTitlePotential Tumor Suppressive Pathway involving DUSP6/MKP-3 in Pancreatic Cancer Am J Pathol 162 1807–15 Occurrence Handle12759238 Occurrence Handle1:CAS:528:DC%2BD3sXkvVyjsbk%3D

    PubMed  CAS  Google Scholar 

  36. S Xu T Furukawa N Kanai M Sunamura A Horii (2005) ArticleTitleAbrogation of DUSP6 by hypermethylation in human pancreatic cancer J Hum Genet 50 159–67 Occurrence Handle15824892 Occurrence Handle10.1007/s10038-005-0235-y Occurrence Handle1:CAS:528:DC%2BD2MXjvFKru7c%3D

    Article  PubMed  CAS  Google Scholar 

  37. N Sato N Fukushima A Maitra CA Iacobuzio-Donahue NT van Heek JL Cameron et al. (2004) ArticleTitleGene expression profiling identifies genes associated with invasive intraductal papillary mucinous neoplasms of the pancreas Am J Pathol 164 903–14 Occurrence Handle14982844 Occurrence Handle1:CAS:528:DC%2BD2cXitl2jtrc%3D

    PubMed  CAS  Google Scholar 

  38. N Sato H Matsubayashi T Abe N Fukushima M Goggins (2005) ArticleTitleEpigenetic down-regulation of CDKNIC/p57KIP2 in pancreatic ductal neoplasms identified by gene expression profiling Clin Cancer Res 11 4681–8 Occurrence Handle16000561 Occurrence Handle10.1158/1078-0432.CCR-04-2471 Occurrence Handle1:CAS:528:DC%2BD2MXlvVGht7Y%3D

    Article  PubMed  CAS  Google Scholar 

  39. RH Hruban K Takaori DS Klimstra NV Adsay J Albores-Saavedra AV Biankin et al. (2004) ArticleTitleAn illustrated consensus on the classification of pancreatic intraepithelial neoplasia and intraductal papillary mucinous neoplasms Am J Surg Pathol 28 977–87 Occurrence Handle15252303 Occurrence Handle10.1097/01.pas.0000126675.59108.80

    Article  PubMed  Google Scholar 

  40. M Kaino S Kondoh S Okita S Hatano K Shiraishi S Kaino et al. (1999) ArticleTitleDetection of K-ras and p53 gene mutations in pancreatic juice for the diagnosis of intraductal papillary mucinous tumors Pancreas 18 294–9 Occurrence Handle10206488 Occurrence Handle10.1097/00006676-199904000-00011 Occurrence Handle1:STN:280:DyaK1M3itFehuw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  41. S O'Mahony A Sreedharan (2001) ArticleTitleDoes detection of K-ras mutations in pancreatic juice influence clinical decision making? Eur J Gastroenterol Hepatol 13 1141–2 Occurrence Handle11711767 Occurrence Handle10.1097/00042737-200110000-00003

    Article  PubMed  Google Scholar 

  42. Y Yamaguchi H Watanabe S Yrdiran K Ohtsubo Y Motoo T Okai et al. (1999) ArticleTitleDetection of mutations of p53 tumor suppressor gene in pancreatic juice and its application to diagnosis of patients with pancreatic cancer: comparison with K-ras mutation Clin Cancer Res 5 1147–53 Occurrence Handle10353750 Occurrence Handle1:STN:280:DyaK1M3otVaitQ%3D%3D

    PubMed  CAS  Google Scholar 

  43. L Yan C McFaul N Howes J Leslie G Lancaster T Wong et al. (2005) ArticleTitleMolecular analysis to detect pancreatic ductal adenocarcinoma in high-risk groups Gastroenterology 128 2124–30 Occurrence Handle15940643 Occurrence Handle10.1053/j.gastro.2005.03.006 Occurrence Handle1:CAS:528:DC%2BD2MXlvFKltL0%3D

    Article  PubMed  CAS  Google Scholar 

  44. D Soldini M Gugger E Burckhardt A Kappeler JA Laissue L Mazzucchelli (2003) ArticleTitleProgressive genomic alterations in intraductal papillary mucinous tumours of the pancreas and morphologically similar lesions of the pancreatic ducts J Pathol 199 453–61 Occurrence Handle12635136 Occurrence Handle10.1002/path.1301 Occurrence Handle1:CAS:528:DC%2BD3sXlt1Sgt7g%3D

    Article  PubMed  CAS  Google Scholar 

  45. S Fukushige T Furukawa K Satoh M Sunamura M Kobari M Koizumi et al. (1998) ArticleTitleLoss of chromosome 18q is an early event in pancreatic ductal tumors Cancer Res 58 4222–6 Occurrence Handle9766641 Occurrence Handle1:CAS:528:DyaK1cXmsVyqs7w%3D

    PubMed  CAS  Google Scholar 

  46. H Inoue A Tsuchida Y Kawasaki Y Fujimoto S Yamasaki G Kajiyama (2001) ArticleTitlePreoperative diagnosis of intraductal papillary–mucinous tumors of the pancreas with attention to telomerase activity Cancer 91 35–41 Occurrence Handle11148557 Occurrence Handle10.1002/1097-0142(20010101)91:1<35::AID-CNCR5>3.0.CO;2-A Occurrence Handle1:STN:280:DC%2BD38%2Fgs1SltA%3D%3D

    Article  PubMed  CAS  Google Scholar 

  47. N Teich J Mossner (2004) ArticleTitleMolecular analysis of pancreatic juice: a helpful tool to differentiate benign and malignant pancreatic tumors? Dig Dis 22 235–8 Occurrence Handle15753605 Occurrence Handle10.1159/000082794

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

About this article

Cite this article

Furukawa, T. Molecular genetics of intraductal papillary–mucinous neoplasms of the pancreas. J Hepatobiliary Pancreat Surg 14, 233–237 (2007). https://doi.org/10.1007/s00534-006-1167-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00534-006-1167-4

Key words

Navigation