Abstract
Background Mutations in the APC gene lead to Familial adenomatous polyposis (FAP) and an attenuated form of this condition (AFAP). Mutation detection fails using DNAbased technology in 20% of FAP and 50% of AFAP patients due to testing limitations, inability to determine significance of change, or other responsible genes. A testing protocol in our Hereditary Gastrointestinal Cancer Registry has been developed as a research tool in uncharacterized cases to rule out the obvious APC mutations, using a multi-step approach. This approach offers a significant cost savings which could be applied to clinical genetic testing approaches. Methods
Highlights
Mutations in the APC gene lead to Familial adenomatous polyposis (FAP) and an attenuated form of this condition (AFAP)
CLIA- and research-negative cases were run through an RNA-based assay that encompasses all of the APC intron/exon boundaries, to detect mutations that would not be found through current clinical testing methods
Genetic markers were run on individuals from 154 kindreds, resulting in 1680 potential matches at one or both alleles at each of the 4 genetic markers
Summary
Mutations in the APC gene lead to Familial adenomatous polyposis (FAP) and an attenuated form of this condition (AFAP). Mutation detection fails using DNAbased technology in 20% of FAP and 50% of AFAP patients due to testing limitations, inability to determine significance of change, or other responsible genes. A testing protocol in our Hereditary Gastrointestinal Cancer Registry has been developed as a research tool in uncharacterized cases to rule out the obvious APC mutations, using a multi-step approach. This approach offers a significant cost savings which could be applied to clinical genetic testing approaches
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