Table 1.
Site and type of alteration | Percentage of tumors | No. tumors | Total tumors evaluated |
---|---|---|---|
APC gene | |||
APC gene alteration identified | 70.2 | 146 | 208 |
APC promoter hypermethylation | 31.7 | 64 | 202 |
Mutation in APC mutation cluster region | 62.0 | 129 | 208 |
Point mutation | — | 87 (136)* | — |
G-to-A transition | — | 19 (25)* | — |
C-to-T transition | — | 30 (32)* | |
Frameshift mutation | — | 57 (59)* | — |
MGMT gene and MGMT expression | |||
MGMT promoter hypermethylation | 27.4 | 57 | 208 |
Loss of MGMT protein expression | 24.5 | 51 | 208 |
Concordance of MGMT methylation status with MGMT protein expression status | 82.7 | 172 | 208 |
hMLH1 gene and microsatellite instability | |||
hMLH1 promoter hypermethylation† | 9.2 | 19 | 207 |
Loss of hMLH1 protein expression | 9.8 | 20 | 204 |
Concordance of hMLH1 methylation status with hMLH1 protein expression status | 94.6 | 192 | 203 |
High levels of microsatellite instability (MSI-H) | 10.6 | 22 | 208 |
Concordance of hMLH1 methylation status with MSI status | 92.6 | 187 | 202 |
CpG island methylation of additional markers | |||
Frequency of hypermethylation | |||
P16 gene† | 19.5 | 39 | 200 |
N33 gene | 93.8 | 180 | 192 |
MINT1† | 10.1 | 21 | 208 |
MINT2† | 22.6 | 47 | 208 |
MINT25 | 28.3 | 51 | 180 |
MINT27 | 39.6 | 67 | 169 |
MINT31† | 20.3 | 42 | 207 |
CIMP with three markers (≥ 60%) | 10.1 | 21 | 208 |
KRAS proto-oncogene/BRAF gene | |||
KRAS codon 12 or 13 mutation | 39.2 | 80 | 204 |
KRAS codon 12 or 13 G-to-A transition | — | 56 | — |
Codon 12a G-to-A | — | 5 | — |
Codon 12b G-to-A | — | 26 | — |
Codon 13b G-to-A | — | 25 | — |
BRAF mutation | 6.5 | 13 | 199 |
BRAF V600E nt 1799 T-to-A transversion | 4.5 | 9 | 199 |
Discordant KRAS and BRAF V600E mutation status | 100 | 9 | 9 |
P53 gene | |||
Exon 5–8 mutation | 55.2 | 112 | 203 |
G-to-A transition | — | 40 | — |
C-to-T transition | — | 31 | — |
Number in parenthesis is the number of APC mutations. The total number of APC mutations exceeds the number of tumors due to the occurrence of multiple mutations in 41 tumors. The total number of point mutations includes the number of G-to-A transition mutations.
Five markers used to define CIMP based on cluster analysis (see Fig. 2).