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Profuse familial adenomatous polyposis with an Adenomatous Polyposis Coli exon 3 mutation

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Abstract

The attenuated form of familial adenomatous polyposis coli (AAPC) is associated with mutations in the adenomatous polyposis coli (APC) gene which cluster in the 5′ region of the gene. It has been proposed that a 'genotype–phenotype boundary' exists at codons 159–163, and mutations that are 5′ of this boundary will produce AAPC. Herein we document a three-generation family with an exon 3 mutation well to the 5′ side of the proposed boundary, in which two affected individuals have had, in their 40s, a profuse form of familial adenomatous polyposis coli. We conclude that the codon 159–163 'boundary' is indicative rather than definitive. These two patients also had postoperative intra-abdominal adhesions, severely so in one.

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References

  1. Lynch HT, Smyrk TC. Classification of familial adenomatous polyposis: a diagnostic nightmare. Am J Hum Genet 1998; 62: 1288-9.

    Google Scholar 

  2. Nagase H, Miyoshi Y, Horii A et al. Correlation between the location of germline mutations in the APC gene and the number of colorectal polyps in familial adenomatous polyposis patients. Cancer Res 1992; 52: 4055-7.

    Google Scholar 

  3. Spirio L, Olschwang S, Groden J et al. Alleles of the APC gene: an atypical form of familial polyposis. Cell 1993; 75: 951-7.

    Google Scholar 

  4. Dobbie Z, Spycher M, Hürliman R et al. Mutational analysis of the first 14 exons of the Adenomatous Polyposis Coli (APC) gene. Eur J Cancer 1994; 30A: 1709-13.

    Google Scholar 

  5. Dobbie Z, Spycher M, Mary J-L et al. Correlation between the development of extracolonic manifestations in FAP patients and mutations beyond codon 1403 in the APC gene. J Med Genet 1996; 33: 274-80.

    Google Scholar 

  6. Lynch HT, Smyrk T, McGinn T et al. Attenuated familial adenomatous polyposis (AFAP). A phenotypically and genotypically distinctive variant of FAP. Cancer 1995; 76: 2427-33.

    Google Scholar 

  7. Marshall B, Isidro G, Carvalhas R et al. Three novel APC gene mutations in three Portuguese FAP kindreds. Hum Mutat 1996; 8: 395-6.

    Google Scholar 

  8. Armstrong JG, Davies DR, Guy SP et al. APC mutations in familial adenomatous polyposis families in the Northwest of England. Hum Mutat 1997; 10: 376-80.

    Google Scholar 

  9. Soravia C, Berk T, Madlensky L et al. Genotype-phenotype correlations in attenuated adenomatous polyposis coli. Am J Hum Genet 1998; 62: 1290-301.

    Google Scholar 

  10. Kraus C, Günther K, Vogler A et al. Rapid RT-PCR-based protein truncation test in the screening for 5′ located mutations of the APC gene. Molec Cell Probes 1998; 12: 143-7.

    Google Scholar 

  11. Spirio L, Green J, Robertson J et al. The identical 5' splice-site acceptor mutation in five attenuated APC families from Newfoundland demonstrates a founder effect. Hum Genet 1999; 105: 388-98.

    Google Scholar 

  12. Smith-Ravin J, Pack K, Hodgson S et al. APC mutation associated with late onset of familial adenomatous polyposis. J Med Genet 1994; 31: 888-90.

    Google Scholar 

  13. Varesco L, Gismondi V, Presciuttini S et al. Mutation in the splice-donor site of the APC gene in a family with polyposis and late age of colonic cancer death. Hum Genet 1994; 93: 281-6.

    Google Scholar 

  14. Van der Luijt RB, Vasen HFA, Tops CMJ et al. APC mutation in the alternatively spliced region of exon 9 associated with late onset familial adenomatous polyposis. Hum Genet 1995; 96: 705-10.

    Google Scholar 

  15. Scott RJ, van der Luijt R, Spycher M et al. Novel germline APC mutation in a large familial adenomatous polyposis kindred displaying variable phenotypes. Gut 1995; 36: 731-6.

    Google Scholar 

  16. Scott RJ, Froggatt NJ, Trembath RC et al. Familial infiltrative fibromatosis (desmoid tumours) (MIM135290) caused by a recurrent 3'APC gene mutation. Hum Molec Genet 1996; 5: 1921-4.

    Google Scholar 

  17. Friedl W, Meuschel S, Caspari R et al. Atypical familial adenomatous polyposis due to a mutation in the 3'part of the APC gene. A clue for understanding the function of the APC protein. Hum Genet 1996; 97: 579-84.

    Google Scholar 

  18. Dobbie Z, Müller H, Scott RJ. Secretory phospolipase A2 does not appear to be associated with phenotypic variation in familial adenomatous polyposis. Hum Genet 1996; 98: 386-90.

    Google Scholar 

  19. Gardner RJM, Kool D, Edkins E et al. The clinical correlates of a 3' truncating mutation (codons 1982-1983) in the adenomatous polyposis coli gene. Gastroenterology 1997; 113: 326-31.

    Google Scholar 

  20. Leggett BA, Young JP, Biden K et al. Severe upper gastrointestinal polyposis associated with sparse colonic polyposis in a familial adenomatous polyposis family with an APC mutation at codon 1520. Gut 1997; 41: 518-21.

    Google Scholar 

  21. Pilarski RT, Brothman AR, Benn P, Rosengren SS. Attenuated familial adenomatous polyposis in a man with an interstitial deletion of chromosome arm 5q. Amer J Med Genet 1999; 86: 321-4.

    Google Scholar 

  22. Walon C, Kartheuser A, Michils G et al. Novel germline mutations in the APC gene and their phenotypic spectrum in familial adenomatous polyposis kindreds. Hum Genet 1997; 100: 601-5.

    Google Scholar 

  23. Powell SM, Gloria M, Petersen et al. Molecular diagnosis of familial adenomatous polyposis. New Engl J Med 1993; 329: 1982-7.

    Google Scholar 

  24. Roest PAM, Roberts RG, Sugino S et al. Protein truncation test (PTT) for rapid detection of translation terminating mutations. Hum Molec Genet 1993; 2: 1719-21.

    Google Scholar 

  25. Groden J, Thliveris A, Samowitz W et al. Identification and characterization of the familial adenomatous polyposis coli gene. Cell 1991; 66: 589-600.

    Google Scholar 

  26. Distante S, Nasioulas S, Somers G et al. Familial adenomatous polyposis in a 5 year old child: a clinical, pathological and molecular genetic study. J Med Genet 1996; 33: 157-60.

    Google Scholar 

  27. Spirio LN, Samowitz W, Robertson J et al. Alleles of APC modulate the frequency and classes of mutations that lead to colon polyps. Nature Genet 1998; 20: 385-8.

    Google Scholar 

  28. Lamlum H, Ilyas M, Rowan A et al. The type of somatic mutation at APC in familial adenomatous polyposis is determined by the site of the germline mutation: a new facet to Knudson's 'two-hit' hypothesis. Nature Med 1999; 5: 1071-5.

    Google Scholar 

  29. Friedl W, Meuschel S, Caspari R et al. Attenuated familial adenomatous polyposis due to a mutation in the 3'part of the APC gene. A clue for understanding the function of the APC protein. Hum Genet 1996; 97: 579-84.

    Google Scholar 

  30. Samowitz WS, Thliveris A, Spirio LN, White R. Alternatively spliced adenomatous polyposis coli (APC) gene transcripts that delete exons mutated in attenuated APC. Cancer Res 1995; 55: 3732-4.

    Google Scholar 

  31. Dobbie Z, Heinimann K, Bishop DT et al. Identification of a modifier gene locus on chromosome 1p35-36 in familial adenomatous polyposis. Hum Genet 1997; 99: 653-7.

    Google Scholar 

  32. Eccles DM, van der Luijt R, Breukel C et al. Hereditary desmoid disease due to a frameshift mutation at codon 1924 of the APC gene. Am J Hum Genet 1996; 59: 1193-201.

    Google Scholar 

  33. Gismondi V, Bafico A, Biticchi R et al. Characterization of 19 novel and six recurring APC mutations in Italian adenomatous polyposis patients, using two different mutation detection techniques. Hum Mutat 1997; 9: 370-3.

    Google Scholar 

  34. Joslyn G, Carlson M, Thliveris A et al. Identification of deletion mutations and three new genes at the familial polyposis locus. Cell 1991; 66: 601-3.

    Google Scholar 

  35. Enomoto M, Konishi M, Iwama T et al. The relationship between frequencies of extracolonic manifestations and the position of APC germline mutation in patients with familial adenomatous polyposis. Jpn J Clin Oncol 2000; 30: 82-8.

    Google Scholar 

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Nasioulas, S., Jones, I.T., St. John, D.J.B. et al. Profuse familial adenomatous polyposis with an Adenomatous Polyposis Coli exon 3 mutation. Familial Cancer 1, 3–7 (2001). https://doi.org/10.1023/A:1011570523343

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