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Brief Title: Changes in Stem Cells of the Colon in Response to Increased Risk of Colorectal Cancer
Official Title: Changes in Stem Cells of the Colon in Response to Increased Risk of Colorectal Cancer
Study ID: NCT01075893
Brief Summary: Colorectal cancer is a common disease worldwide. Increasing evidence is demonstrating that colorectal cancers arise from 'cancer stem cells.' Stem cells in the colon reside at the bottom of thousands of microscopic crypts throughout the wall of the colon. They create all the cells lining the bowel wall. These cells are created in the base of the crypt and ascend to the top acquiring the characteristics of mature cells of the bowel wall as they ascend. It is now thought that colorectal cancer cells arise from stem cells where the genetic material regulating growth and division of the stem cell has become defective. This leads to unregulated production of cells which in turn have defective genetic information and cancer formation. Prior studies have demonstrated that the earliest changes before a cancer develops are changes in cellular proliferation. Now that reliable markers to identify stem cells have been found, the researchers aim to investigate stem cell numbers and changes in distribution in those at normal risk of colorectal cancer and those at higher risk. The researchers hypothesise that changes in cellular proliferation at the top of the crypt in individuals at higher risk of colorectal cancer are due to a change in the number of stem cells in the crypt base.
Detailed Description:
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: Yes
Wansbeck General Hospital, Ashington, Tyne & Wear, United Kingdom
North Tyneside Hospital, North Shields, Tyne & Wear, United Kingdom
Name: Iain JD McCallum, MBChB MRCS
Affiliation: Newcastle University, UK
Role: PRINCIPAL_INVESTIGATOR
Name: John C Mathers, PhD
Affiliation: Newcastle University, UK
Role: STUDY_CHAIR
Name: Seamus B Kelly, MD FRCS
Affiliation: Newcastle University, UK
Role: STUDY_DIRECTOR
Name: Mike Bradburn, MD FRCS
Affiliation: Northumbria NHS foundation trust
Role: STUDY_DIRECTOR