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TP53的双等位基因失活很少导致恶性外周神经鞘瘤的发生。

Biallelic inactivation of TP53 rarely contributes to the development of malignant peripheral nerve sheath tumors.

作者信息

Lothe R A, Smith-Sørensen B, Hektoen M, Stenwig A E, Mandahl N, Saeter G, Mertens F

机构信息

Department of Genetics, Institute for Cancer Research, The Norwegian Radium Hospital, Oslo, Norway.

出版信息

Genes Chromosomes Cancer. 2001 Feb;30(2):202-6.

Abstract

About 10% of the patients with neurofibromatosis type 1 (NF1) develop malignant peripheral nerve sheath tumors (MPNSTs), accounting for half of all MPNST cases. Several nonrandom chromosomal aberrations have been found, but the target genes remain mostly unrecognized. Mutations in the NF1 and TP53 genes have been found in some MPNSTs, and recent data from mouse models support a synergistic effect of these two genes in the development of MPNST. In the present study, we have analyzed 16 MPNSTs, including 11 from patients with NF1 and 5 sporadic cases, for mutations in the coding sequence of the TP53 gene (exons 2-11). We applied denaturing gradient gel electrophoresis and modifications of this technique for analyses of 12 genomic fragments, followed by direct sequencing for identification of the mutated base(s). None of the MPNSTs revealed mutations. The detection of control mutants for each fragment analyzed, the high sensitivity of the technique, the detection of polymorphisms in some samples, and the high content of tumor tissue in the biopsies imply that false negatives are highly unlikely. Although we cannot exclude that deletions including large parts of the gene remain undetected by the mutation analyses, previous comparative genomic hybridization (CGH), cytogenetic banding analysis, and/or loss of heterozygosity studies on 14 of the cases included here had revealed 17p deletions in only three. We thus conclude that TP53 biallelic inactivation is rare in MPNST, and that the potential impact of an altered TP53 pathway on the malignant transformation of a neurofibroma into an MPNST may more frequently occur by changes in other components of that pathway.

摘要

约10%的1型神经纤维瘤病(NF1)患者会发生恶性外周神经鞘瘤(MPNST),占所有MPNST病例的一半。已发现一些非随机染色体畸变,但目标基因大多仍未被识别。在一些MPNST中发现了NF1和TP53基因的突变,最近来自小鼠模型的数据支持这两个基因在MPNST发生过程中的协同作用。在本研究中,我们分析了16例MPNST,包括11例来自NF1患者和5例散发性病例,检测TP53基因编码序列(外显子2 - 11)中的突变。我们应用变性梯度凝胶电泳及其改进技术分析12个基因组片段,随后进行直接测序以鉴定突变碱基。所有MPNST均未发现突变。对每个分析片段的对照突变体的检测、该技术的高灵敏度、一些样本中多态性的检测以及活检中肿瘤组织的高含量表明假阴性极不可能。虽然我们不能排除包括基因大部分区域的缺失通过突变分析未被检测到,但此前对这里纳入的14例病例进行的比较基因组杂交(CGH)、细胞遗传学带型分析和/或杂合性缺失研究仅在3例中发现了17p缺失。因此,我们得出结论,TP53双等位基因失活在MPNST中很少见,并且TP53信号通路改变对神经纤维瘤恶性转化为MPNST的潜在影响可能更频繁地通过该信号通路其他成分的变化发生。

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