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雑誌文献

臨床検査57巻3号

2013年03月発行

文献概要

今月の特集1 分子病理診断の進歩

K-ras

著者: 佐々木素子1 中沼安二1

所属機関: 1金沢大学大学院医薬保健研究域医学系形態機能病理学

ページ範囲:P.256 - P.261

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■K-rasは代表的な癌遺伝子で,遺伝子変異による恒常的なK-ras蛋白活性化は,細胞増殖を亢進させる.

■膵癌のK-ras検査は補助診断項目として現在,保険適用になっている.

■大腸癌や肺癌では,上皮成長因子受容体(EGFR)抗体製剤の適応決定におけるEGFR発現とK-ras遺伝子変異解析が保健適用になっている.

■K-ras変異があると,EGFR抗体製剤が効かない.

参考文献

1)Schubbert S, Shannon K, Bollag G:Hyperactive Ras in developmental disorders and cancer. Nat Rev Cancer 7:295-308,2007
2)Kumar V, Abbas AK, Aster JC, eds:Robbins Basic Pathology, 9th ed, Saunders,2012
3)Porta M, Crous-Bou M, Wark PA, et al:Cigarette smoking and K-ras mutations in pancreas, lung and colorectal adenocarcinomas: etiopathogenic similarities, differences and paradoxes. Mutat Res 682:83-93,2009
4)Bosman FT, Carneiro F, Hruban RH, et al eds:WHO classification of tumours of the digestive system, IARC, Lyon,2010
5)Singh P, Srinivasan R, Wig JD:Major molecular markers in pancreatic ductal adenocarcinoma and their roles in screening, diagnosis, prognosis, and treatment. Pancreas 40:644-652,2011
6)Kanda M, Matthaei H, Wu J, et al:Presence of somatic mutations in most early-stage pancreatic intraepithelial neoplasia. Gastroenterology 142:730-733,2012
7)Zaret KS, Grompe M:Generation and regeneration of cells of the liver and pancreas. Science 322:1490-1494,2008
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9)Hsu M, Sasaki M, Igarashi S, et al:KRAS and GNAS mutations and p53 overexpression in biliary intraepithelial neoplasia and intrahepatic cholangiocarcinomas. Cancer, in press
10)Mooi WJ, Peeper DS:Oncogene-induced cell senescence--halting on the road to cancer. N Engl J Med 355:1037-1046,2006
11)Varambally S, Dhanasekaran SM, Zhou M, et al:The polycomb group protein EZH2 is involved in progression of prostate cancer. Nature 419:624-629,2002
12)Sasaki M, Yamaguchi J, Itatsu K, et al:Over-expression of polycomb group protein EZH2 relates to decreased expression of p16 INK4a in cholangiocarcinogenesis in hepatolithiasis. J Pathol 215:175-183,2008
13)日本臨床腫瘍学会KRAS遺伝子変異検討小委員会:大腸がん患者におけるKRAS遺伝子変異の測定に関するガイダンス,2009
14)van Krieken JH, Jung A, Kirchner T, et al:KRAS mutation testing for predicting response to anti-EGFR therapy for colorectal carcinoma: proposal for an European quality assurance program. Virchows Arch 453:417-431,2008
15)Kamisawa T, Tsuruta K, Okamoto A, et al:Frequent and significant K-ras mutation in the pancreas, the bile duct, and the gallbladder in autoimmune pancreatitis. Pancreas 38:890-895,2009
16)Goggins M:Molecular markers of early pancreatic cancer. J Clin Oncol 23:4524-4531,2005
17)Raponi M, Winkler H, Dracopoli NC:KRAS mutation predict response to EGFR inhibitors. Curr Opin Pharmacol 8:413-418,2008
18)Lubner SJ, Mahoney MR, Kolesar JL, et al:Report of a multicenter phase II trial testing a combination of biweekly bevacizumab and daily erlotinib in patients with unresectable biliary cancer: a phase II Consortium study. J Clin Oncol 28:3491-3497,2010

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1367

印刷版ISSN:0485-1420

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