Ulcerative Colitis Case Study

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Understanding Ulcerative Colitis
Ulcerative Colitis is a chronic inflammatory bowel disease (IBD) of the large intestine (colon). Ulcerative colitis only affects the colon, it causes the colon to become inflamed and develop ulcers along the lining of the large intestine. Patients can develop colorectal cancer (bowel cancer) from having extensive ulcerative colitis. Cells and proteins in a healthy immune system protect people from the infection. Patients suffering from ulcerative colitis dysplasia have an abnormal immune system. The body may mistake food or other materials as invading/foreign substances and will send in white blood cells into the lining of the intestines (colon). Ulcerations along with chronic inflammation are serious symptoms …show more content…

DNA fingerprinting techniques can be used to detect changes in DNA/genome copy number and methylation. Inter-simple sequence repeat polymerase chain reaction (ISSR-PCR), arbitrarily primed polymerase chain reaction (AP-PCR), and Random Amplification of Polymorphic DNA (RAPD) are three PCR-based DNA fingerprinting techniques. These DNA fingerprinting techniques can be used to quantify genomic instability in sporadic tumors, adenomas, and matching constitutional DNA.
RAPD is useful for distinguishing between different cell strains. It can also be used to analyze chromosomal copy number changes in cancer cells. In the study of Malkhosyan et al., 1998 they went into detail with AP-PCR and how they used it for detecting genetic alterations. This technique would be useful in tumorigenesis and for losses or gains of allelic in tumorigenesis as well as karyotyping of tumors. In the study of Samuelsson et al., 2010 they mention that not only is AP-PCR good for detecting copy number changes but that it can detect small insertions and deletions in the DNA template. ISSR-PCR is good for genetic identify, gene mapping studies, etc. In the study of Stoler et al., 1999, they use ISSR-PCR to measure the occurrence of genomic events in a …show more content…

Genomic instability can be manifested as an abnormality from multiple chromosomal alterations. Genomic instability can also occur from errors in DNA replication or better known as microsatellite instability (MSI).
The patients in the Chen, et al., 2003 study suffered from damaged colonic epithelium because of “elevated levels of reactive oxygen species (ROS) and reduced oxidative defenses” (Chen et al., 2003). ROS are chemical species containing oxygen. This is another cause of genomic instability, in turn, this will lead to tumor formation and progression. Not only did the reactive oxygen species cause damage to the colonic epithelium but it also induces genetic damage to the DNA. The DNA received acute damage from base alterations, abasic sites, and strand breaks.
In the Chen et al., 2003 study, they compared genomic instability results from UC patients and non-UC patients. First, they wanted to use ISSR-PCR to see if genomic instability occurred in non-colonic organs outside the gastrointestinal tract or only in the colon. Once they assayed the five pairs of stroma and epithelium from the colons of non-UC patients, they determined that the stroma, epithelium and other non-colonic organs demonstrated no excess genomic instability. Also, there was no genomic instability in nondysplastic

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