Navigation Links
Genes May Be Key for Patients With Multiple Colon Polyps
Date:7/31/2012

TUESDAY, July 31 (HealthDay News) -- A new study finds a strong correlation between certain genes passed down through families and the odds of multiple colon polyps discovered by colonoscopy.

The findings could point the way to deciding who will benefit from gene testing when assessing risks for colon cancer, the study's authors said.

Two "germline mutations" -- DNA changes passed down from parent to offspring -- are often implicated when multiple colorectal adenomas (polyps) are found in people with a condition called familial adenomatous polyposis, noted a team led by Dr. Shilpa Grover, of Brigham and Women's Hospital in Boston.

However, there is no consensus on when genetic testing for the two genes, known as APC and MUTYH, should be done.

In the new study, published in the Aug. 1 issue of the Journal of the American Medical Association, Grover and colleagues looked at data on almost 8,700 people who had undergone full genetic mapping between 2004 and 2011.

The researchers found that 80 percent of people with 1,000 or more polyps also carried the APC mutation, whereas just 2 percent carried the MUTYH mutation. Rates of the APC mutation were also much more prevalent than MUTYH among people with between 100 and 999 polyps, the study found.

However, the rate of either of the mutations was similarly low (estimated at 10 percent of patients or less) for people with fewer adenomas (between 10 and 99 polyps).

The bottom line: The number of colorectal polyps a patient had "was strongly associated" with the presence or absence of these genetic mutations, the researchers said.

Based on the finding, the investigators reasoned that testing for APC or MUTYH might be considered for anyone with 10 or more polyps detected on colonoscopy. "However, our results are derived from a selected cohort [group] of high-risk individuals and need to be validated in larger populations of unselected patients," the researchers added in a journal news release.

Two experts said the information in the study was valuable.

"This study is important because it helps to correlate the number of colon polyps with genetic testing for certain genetic abnormalities," said Dr. David Feldman, an attending physician at Beth Israel Medical Center in New York City.

Familial adenomatous polyposis "causes many polyps and usually [when] untreated leads to colon cancer before age 40," he added. "The study's findings may be helpful in counseling people with familial adenomatous polyposis and family members, and could lead to changes in the future in screening for polyps in people with [the condition] and families of these patients."

Another expert cautioned, however, that it's still too early for concrete recommendations on genetic testing for patients at risk of colon cancer.

"This study suggests that patients with 10 or more adenomas be considered for genetic testing, [but] this recommendation needs to be carefully considered in the context of the patient population evaluated in this study and the potential positive or negative effects of genetic testing," said Dr. David Bernstein, chief of hepatology and acting chief of gastroenterology at North Shore University Hospital in Manhasset, N.Y.

And Feldman noted that while many people will have a positive finding of polyps on colonoscopy, familial adenomatous polyposis remains relatively rare.

"Colon polyps are found commonly in people undergoing screening colonoscopy. Up to 85 percent of people undergoing a screening colonoscopy will be found to have colon polyps," he said. "Less than 10 percent of these patients found on screening colonoscopy will have familial adenomatous polyposis. Most patients with colon polyps will have sporadic polyps for which no genetic testing is currently available."

More information

There's more on familial adenomatous polyposis at the U.S. National Institutes of Health.

-- E.J. Mundell

SOURCES: David M. Feldman, M.D., attending physician, department of medicine, Beth Israel Medical Center, New York City; David Bernstein, M.D., chief, hepatology and acting chief, gastroenterology, North Shore University Hospital, Manhasset, N.Y.; Journal of the American Medical Association, news release, Aug. 1, 2012


'/>"/>
Copyright©2012 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Researchers ID Genes That May Determine Mental Illness
2. 2 repressor genes identified as essential for placental development
3. Genes Associated With Autism Also Related to Schizophrenia
4. Genes Might Cause Some to Shun Pork
5. Blond Genes May Vary Around the World
6. Mystery of the missing breast cancer genes
7. Living longer - variability in infection-fighting genes can be a boon for male survival
8. Genes Might Be Key to Parkinsons Spread
9. Strategy discovered to activate genes that suppress tumors and inhibit cancer
10. Study Ties Genes to Lower Urinary Tract Symptoms, Prostate Cancer Risk
11. Obesity genes may influence food choices, eating patterns
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Genes May Be Key for Patients With Multiple Colon Polyps
(Date:6/26/2016)... ... June 26, 2016 , ... PawPaws brand pet supplements ... that was developed to enhance the health of felines. The formula is all-natural and ... main herbs in the PawPaws Cat Kidney Support Supplement Soft Chews are ...
(Date:6/25/2016)... , ... June 25, 2016 , ... The temporary closing of Bruton Memorial Library on ... Observer , brings up a new, often overlooked aspect of head lice: the parasite’s ability ... fumigation is not a common occurrence, but a necessary one in the event that lice ...
(Date:6/25/2016)... ... June 25, 2016 , ... On Friday, June 10, Van Mitchell, Secretary ... Work award to iHire in recognition of their exemplary accomplishments in worksite health promotion. ... Maryland Workplace Health & Wellness Symposium at the BWI Marriott in Linthicum Heights. iHire ...
(Date:6/24/2016)... CA (PRWEB) , ... June 24, 2016 , ... Marcy was in a crisis. Her ... would lash out at his family verbally and physically. , “When something upset him, he ... he would use it. He would throw rocks at my other children and say he ...
(Date:6/24/2016)... ... June 24, 2016 , ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain Relief Products, ... minimum wage raise to $12 an hour by 2020 and then adjusting it yearly to ... value of the minimum wage, assure the wage floor does not erode again, and make ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... Belgium , June 24, 2016 /PRNewswire/ ... announced the appointment of Dr. Edward Futcher ... a Non-Executive Director, effective June 23, 2016.Dr. Futcher ... and Nominations and Governance Committees.  As a non-executive ... provide independent expertise and strategic counsel to VolitionRx ...
(Date:6/23/2016)... 23, 2016 Research and Markets has ... - Forecast to 2022" report to their offering. ... for the patients with kidney failure, it replaces the function ... the patient,s blood and thus the treatment helps to keep ... in balance. Increasing number of ESRD patients ...
(Date:6/23/2016)... Ill. , June 23, 2016  In a startling report ... are failing their residents by lacking a comprehensive, proven plan to ... a definitive ranking of how states are tackling the worst ... to only four states – Kentucky , ... Vermont . Of the 28 failing states, three ...
Breaking Medicine Technology: