Background
Familial adenomatous polyposis (FAP), which has a very high tendency of progression to colorectal cancer, is mainly caused by mutations of the adenomatous polyposis coli (APC) gene. This study systematically screened the
APC
mutations and observed the correlation of
APC
mutations with clinical manifestations of FAP.
Material/Methods
Eighty subjects (probands and their family members of 22 FAP pedigrees) were enrolled, underwent abdominal ultrasound, computed tomography, and colonoscopic examinations, and were assessed for
APC
mutations between January 2010 and June 2015 at Tianjin Union Medical Center. Peripheral blood was collected from subjects, and DNA was extracted and screened for
APC
mutations using multiplex ligation-dependent probe amplification for large-fragment deletions or PCR-denaturing high-performance liquid chromatography with DNA sequencing for micromutations.
Results
Nineteen of 22 FAP pedigrees were found to have mutations of
APC
, and 17 types
APC
mutations were identified. All the mutations were heterozygosity with autosomal dominant inheritance.
APC
mutations included 8 caused by frameshift, 3 by aberrant splicing, 2 by missense mutation, 2 by nonsense mutation, and 2 by large-fragment deletion. Frameshift mutation was the most common type of
APC
mutation, and Coding DNA Sequence 15 was the most common mutation site. Five novel
APC
mutations, including 1 with large-fragment deletion, were identified.
Conclusions
We systematically screened 17 mutations of
APC
from 22 Chinese pedigrees with FAP. This study will broaden the spectrum of known
APC
germline mutations and help understand the types and distribution of
APC
mutations among Chinese patients with FAP.