The Korean Journal of Medicine

  • 제79권2호
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  • Pages.113-118
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  • 2010
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
권호 표지

대장암의 유전학적 관련성의 최신지견

Understanding of molecular pathogenesis and genetic markers in colorectal cancer

  • 김영호 (성균관대학교 의과대학 삼성서울병원 소화기내과)
  • Kim, Young-Ho (Department of Gastroenterology, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 발행 : 2010.08.01
⟨ 이전 논문 다음 논문 ⟩

초록

Colorectal cancers results from the progressive accumulation of genetic and epigenetic alterations that lead to cellular transformation and tumor progression. Genomic instability, including chromosomal translocations and microsatellite instability, plays a role in acquisition of enough mutations for malignant transformation. In addition, epigenetic silencing is an important mechanism in the evolution of a subgroup of colorectal cancers. These genetic and epigenetic changes causes activation of oncogene pathway (APC, KRAS) and inactivation of tumor-suppressor pathway (p53, TGF-${\beta}$). Recent advance in colorectal carcinogenensis leads to development of molecular markers for early detection and predictive and prognostic markers.

키워드

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