TY - JOUR T1 - Cancerogenesis in colorectal neoplasms: Evidence from early onset colorectal cancer A1 - Mahsa Molaei A1 - Babak Mansoori A1 - Somayeh Ghiasi A1 - Fatemeh Nemati A1 - Shohreh Almasi A1 - Seyed Fatemi A1 - Ali Motlagh A1 - Mohammad Zali JF - Clinical Cancer Investigation Journal JO - Clin Cancer Investig J SN - 2278-0513 Y1 - 2012 VL - 1 IS - 2 DO - 10.4103/2278-0513.99562 SP - 57 EP - 64 N2 - Objective: Majority of colorectal cancers (CRC) happen via two distinct mechanisms of genomic instability: chromosomal and microsatellite instability. The proportion to which colorectal cancers belong to these pathways is well addressed in literature. However, there is much paucity and controversy regarding this proportion in early onset CRC; therefore, in the present study, major proteins involved in chromosomal and microsatellite instability pathways were determined in 104 early-onset CRC specimens. Materials and Methods: Outcome measures comprised expression of 4 mismatch repair (MMR) proteins (MLH1, MSH2, MSH6, PMS2), and two representative proteins of chromosomal instability pathway (P53 and β-catenin), which were determined by immunohistochemistry. Results: Twenty-nine cases (27.9%) had loss of expression of MMR proteins, of which 17 belonged to MutSα pathway and 12 to MutLα. Four tumors had solitary loss of PMS2. Tumors with abnormal MMR status were more likely to be right sided, and occurred mainly in familial setting (P UR - https://ccij-online.org/article/cancerogenesis-in-colorectal-neoplasms:-evidence-from-early-onset-colorectal-cancer-18 ER -