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Horizonte Médico (Lima)

Print version ISSN 1727-558X


BULEJE-SONO, José et al. Identification of a causative deletion of gastrointestinal stromal tumor (gist) by the analysis of the KIT and PDGFRA genes. Horiz. Med. [online]. 2014, vol.14, n.4, pp.43-47. ISSN 1727-558X.

Objective: To optimize the detection of mutations in the genes KIT and PDGFRA in a sample of gastrointestinal stromal tumor (GIST). Material and Methods: We analyzed a GIST tumor sample fixed and embedded in paraffin. Using the technique of the polymerase chain reaction (PCR) we amplified exons 9, 11, 13 and 17 of the KIT gene and exons 12 and 18 PDGFR gene which contain tha causal mutations of GIST. PCR amplification was confirmed by gel electrophoresis on 2% agarose. The amplified fragments were purified and cloned for subsequent sequencing. An overlap of baeses, characteristic of a deletion was detected, so we had to clone the exon 11 products to identify mutated allele. Results: We determined the presence of a pathogenic mutation in exon 11 of KIT gene. The mutation is a deletion of 15 base pairs and generates a loss of 5 amino acids in the KIT receptor tyrosine kinase. Neutral polymorphisms were also found in exon 11 of KIT gene and exon 18 of PDGFRA gene. Conclusion: Molecular analysis by automatic sequencing identified a mutation in the KIT gene in a tumor sample GIST. This technique can be applied to characterize genetic mutations Peruvian cases of GIST and thus establish adequate treatment by mutational profile.

Keywords : Proto-Oncogene Protein c-KIT; Alpha Receptor Platelet-Derived Growth Factor; Gastrointestinal Stromal Tumors.

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