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Colonic exfoliated epithelial cells in faecal material provide a source of human DNA which has been analysed for the presence of the tumour marker ras, in order to detect early tumour cells. The stool samples were subjected to a preliminary sample preparation step followed by centrifugation. DNA was extracted from both the centrifugation pellet and supernatant fractions, as well as from endoscopy washings, using a conventional phenol chloroform extraction method and was then purified on glass milk or spin columns. The purified DNA was amplified using mitochondrial primers and analysed for ras mutations using a non-radioactive, allele specific mismatch method. Corresponding tumour DNA was analysed for mutations using the same method. The results show that approximately 50% of the faecal samples analysed exhibited the presence of ras mutations which were also observed in the corresponding tumours. A double mutation was detected in one supernatant. Our findings represent an important stage in the development of a diagnostic test for the early detection of colorectal cancer.

Type

Journal article

Journal

Gut

Publication Date

01/1995

Volume

36

Pages

81 - 86

Keywords

Adult, Aged, Aged, 80 and over, Base Sequence, Colonic Neoplasms, DNA, Neoplasm, Feces, Female, Genes, ras, Humans, Male, Middle Aged, Molecular Sequence Data, Mutation, Polymerase Chain Reaction, Rectal Neoplasms