2014
DOI: 10.1053/j.gastro.2014.04.039
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Differences in DNA Methylation Signatures Reveal Multiple Pathways of Progression From Adenoma to Colorectal Cancer

Abstract: Background & Aims Genetic and epigenetic alterations contribute to the pathogenesis of colorectal cancer (CRC). There is considerable molecular heterogeneity among colorectal tumors, which appears to arise as polyps progress to cancer. This heterogeneity results in different pathways to tumorigenesis. Although epigenetic and genetic alterations have been detected in conventional tubular adenomas, little is known about how these affect progression to CRC. We compared methylomes of normal colon mucosa, tubular a… Show more

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Cited by 180 publications
(214 citation statements)
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“…However, we only analyzed a limited region [BLAST: chr5:112,175,118-112,176,026 (Feb. 2009 GRCh37/hg19 Assembly)] with the most prevalent APC mutations. Still, our results were similar to those of Luo et al 28 finding APC mutations in 29.7% of CRC and 27.8% of adenoma tissue samples using larger sample size and testing longer APC regions.…”
supporting
confidence: 92%
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“…However, we only analyzed a limited region [BLAST: chr5:112,175,118-112,176,026 (Feb. 2009 GRCh37/hg19 Assembly)] with the most prevalent APC mutations. Still, our results were similar to those of Luo et al 28 finding APC mutations in 29.7% of CRC and 27.8% of adenoma tissue samples using larger sample size and testing longer APC regions.…”
supporting
confidence: 92%
“…MethylCap-seq can test both promoter and gene body regions in the entire genome. For comparing previous and our DNA methylation results, the in silico analysis of Luo et al 28 data, also including adenomas besides CRC and NAT samples, was performed. Similarly to the work of Luo et al, 28 we compared a group of NAT samples to CRC and adenoma sample groups, instead of doing a pairwise comparison of CRC and NAT samples.…”
Section: Discussionmentioning
confidence: 99%
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“…Although the most effective treatment of CRC is surgery and adjuvant chemotherapy, patients with late-stage of colorectal cancer still have poor prognosis and the overall mortality of the disease is around 40% (Luo et al, 2014). Thus, chemoprevention has received attention as an effective approach to reduce incidence and malignancy of colorectal cancer.…”
Section: Introductionmentioning
confidence: 99%