Miyaki M
Hereditary Tumor Research Project, Tokyo Metropolitan Komagome Hospital.
Nihon Rinsho. 2000 Jul;58(7):1400-4.
Peutz-Jeghers syndrome(PJS) is an autosomal dominant disease which is characterized by melanin spots on lips and buccal mucosa, and multiple gastrointestinal hamartomatous polyps. Patients are at risk of forming carcinomas in the gastrointestinal tract, uterus, ovary, breast and other organs. The LKB1(STK11) gene at chromosome 19p13.3 has been identified in 1998 as the causative gene for PJS, and germline mutations of this gene have been detected in about 50 PJS families. These mutations include nonsense mutations, frameshift mutations and missense mutations, all of which are assumed to inactivate the LKB1 gene. LKB1 gene appears to be a tumor suppressor gene, and inactivation of this gene through germline mutation and loss of normal allele may develop hamartomatous polyps. However, the function of LKB1 and mechanism of carcinoma formation are still unclear.
佩-吉综合征(PJS)是一种常染色体显性疾病,其特征为嘴唇和颊黏膜上有黑色素斑以及多发胃肠道错构瘤性息肉。患者有在胃肠道、子宫、卵巢、乳腺及其他器官形成癌的风险。1998年已确定位于19号染色体p13.3的LKB1(STK11)基因为PJS的致病基因,在约50个PJS家族中检测到了该基因的种系突变。这些突变包括无义突变、移码突变和错义突变,所有这些突变均被认为会使LKB1基因失活。LKB1基因似乎是一种肿瘤抑制基因,该基因通过种系突变和正常等位基因的缺失而失活可能会导致错构瘤性息肉的发生。然而,LKB1的功能及癌形成机制仍不清楚。