Table 1. Genetics of colorectal cancer and potential impact of DM on colorectal cancer-related genes.
Colorectal cancer | Mutation | Inheritance | Impact of DM on gene expression * | Reference |
---|---|---|---|---|
Familial adenomatous polyposis | Inactivating germline mutation in adenomatous polyposis coli (APC) | Autosomal dominant | Increased APC | [283,284] |
MUTYH-associated polyposis | Inactivating germline mutation in MUTYH | Autosomal recessive | Unchanged MUTYH | [283,284] |
Peutz-Jeghers syndrome | Inactivating germline mutation in serine threonine kinase 11 (STK11) | Autosomal dominant | Increased STK11 | [285] |
Hereditary non-polyposis colorectal cancer (Lynch syndrome) | Inactivating germline mutation in MLH1, MSH2, MSH6, or PMS2 | Autosomal dominant | Unchanged MLH1, PMS2 Increased MSH2, MSH6 |
[286] |
Chromosomal instability (frequent) | Acquired accumulation of numerical (aneuploidy) or structural chromosomal abnormalities and mutations in specific oncogenes and tumor suppressor genes (e.g. APC, PIK3CA, SMAD4, KRAS, TP53, BRAF) | Unchanged PIK3CA, SMAD4, BRAF Increased KRAS, TP53 |
[287–289] |
Kidney gene expression in human diabetic kidney disease transcriptomics (http://www.nephromine.org).