Summary We investigated in the rat the role of the Apc gene, which is mutated in familial adenomatous polyposis and sporadic colon cancer in the process leading from normal colonic mucosa to aberrant crypt foci (ACF) and finally to adenomas and adenocarcinomas. We analysed mutations in exon 15 of the rat Apc gene using in vitro synthesized protein assay in 66 ACF and in 28 colon tumours induced by azoxymethane. No Apc mutations were found in ACF, whereas five mutations were found in the tumours. The data suggest that mutations of the Apc gene are associated with the transition from ACF to adenoma and adenocarcinoma and not from normal mucosa to ACF.Keywords: Apc gene; aberrant crypt foci; colon cancer; experimental carcinogenesis; azoxymethane According to current views, colon carcinogenesis is a multistep process in which preneoplastic lesions accumulate in mucosa cells, finally leading to neoplastic transformation (Kinzler and Vogelstein, 1996). Many molecular events have been suggested to play a role in the transition from normal colon mucosa to cancer, such as the activation of oncogenes, the inactivation or loss of tumour-suppressor genes and mutations in DNA repair genes (Kinzler and Vogelstein, 1996). According to a commonly accepted model of colorectal tumorigenesis, K-ras and APC (adenomatous polyposis coli) gene mutations are early genetic events (Kinzler and Vogelstein, 1996). The APC gene in mutated in familial adenomatous polyposis (FAP) and in human sporadic colon tumours with a frequency ranging from 40% to 80% (Nakamura, 1993;De Benedetti et al, 1994;Kinzler and Vogelstein, 1996). The human APC gene (exons 1-15) contains an open reading frame of over 8500 nucleotides (Groden et al, 1991;Kinzler et al, 1991) and encodes for a cytoplasmic protein of 300 kDa that binds to 3-catenin (Rubinfeld et al, 1996), suggesting that APC product might regulate cell adhesion. About 50-60% of the somatic mutations of the APC gene are clustered in a 700-bp region, designated in humans as the mutation cluster region (MCR) (Nakamura, 1993). More than 95% of the mutations in the human APC gene are nonsense or frameshift mutations that result in truncated proteins (Nakamura, 1993;Powell et al, 1993).Aberrant crypt foci (ACF) have been suggested to be the first preneoplastic lesions preceding the development of adenomas and carcinomas (Bird, 1987). ACF are easily induced in experimental animals by a variety of carcinogens (Bird, 1987;Bruce et al, 1993) and have been described in humans with sporadic colon cancer and with familial adenomatous polyposis coli (Pretlow et al, 1991;Roncucci et al, 1991). ACF have been widely used as end points in experimental colon carcinogenesis , although some authors have not observed a correlation between ACF formation and colon cancer (Hardmann et al, 1991 Correspondence to: G Caderni Azoxymethane (AOM), one of the most extensively studied colon carcinogens, is able to induce both ACF and tumours in rats, and AOM-induced colon carcinogenesis is a widely used model for studying the mult...