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The Journal of Thoracic and Cardiovascular Surgery, Vol 104, 1465-1469, Copyright © 1992 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
VW Rusch, VE Reuter, MG Kris, J Kurie, WH Miller Jr, DM Nanus, AP Albino and E Dmitrovsky
Ras oncogene point mutation, primarily activating the K-ras gene, has been
reported in approximately one third of lung adenocarcinomas. This
identifies a subset of early stage tumors clinically associated with
smoking and an aggressive clinical course. Because of these findings, this
study was undertaken to determine the occurrence of ras point mutations in
bronchioloalveolar carcinoma. This uncommon form of lung adenocarcinoma is
usually indolent but can sometimes present as a rapidly growing, multifocal
tumor. Twenty tumor samples obtained at thoracotomy were examined for
H-ras, K-ras, and N-ras oncogene mutational activation involving codons 12,
13, or 61. This was performed by an oligonucleotide hybridization technique
following polymerase chain reaction amplification of these specific
sequences. K- ras point mutation involving codon 12 was observed in two
tumors, but not in the adjacent histologically benign lung tissue. These
mutations were confirmed by direct sequencing of these polymerase chain
reaction products. Both patients were smokers, had stage I tumors, and
remain disease-free at 27 and 40 months postoperatively. No H-ras or N-ras
point mutations were found. These findings suggest that ras activation is
an infrequent event in bronchioloalveolar carcinoma. We speculate that ras
activation is not a common transformational event in this form of lung
adenocarcinoma.
ARTICLES
Ras oncogene point mutation: an infrequent event in bronchioloalveolar cancer
Laboratory of Molecular Medicine, Memorial Sloan-Kettering Cancer Center, New York, N.Y.
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