
Medicina, Journal Year: 2025, Volume and Issue: 61(4), P. 694 - 694
Published: April 10, 2025
Background and Objectives: KRAS genes are among the most prominent oncogenes that trigger tumor formation in colorectal cancer (CRC) serve as predictive biomarkers for resistance to anti-EGFR therapies metastatic (mCRC) patients. However, prevalence mutation spectrum of gene family mCRC patients Turkey have not been sufficiently analyzed. This study investigates frequency distribution mutations across different regions examines gender-related variations. Materials Methods: multicenter observational included 2458 histologically confirmed collected from 52 centers Turkey. In a central laboratory, codons 12 13 were analyzed using polymerase chain reaction (PCR). Statistical analyses performed chi-square tests Monte Carlo simulations, with significance threshold set at p < 0.05. Results: Depending on region, detected 45% patients, ranging 39.6% 47.5%. The rate was significantly higher female (48.8%) compared male (42.6%) (p = 0.002). Codon more frequent than codon mutations. G12D, G12V, G13D accounted 80% all G12V prevalent 0.007). Based diversity similar, no statistically significant difference found > 0.05). Conclusions: large-scale, provides comprehensive dataset revealed regional trends, well gender differences. findings highlight importance routine genotyping guiding personalized treatment strategies, especially regarding candidate selection therapies. Further research is required elucidate prognostic therapeutic implications specific
Language: Английский