区分BRCA1和BRCA2剪接位点的致病性突变与多态性改变。

Differentiating pathogenic mutations from polymorphic alterations in the splice sites of BRCA1 and BRCA2.

作者信息

Claes Kathleen, Poppe Bruce, Machackova Eva, Coene Ilse, Foretova Lenka, De Paepe Anne, Messiaen Ludwine

机构信息

Center for Medical Genetics, Ghent University Hospital, Belgium.

出版信息

Genes Chromosomes Cancer. 2003 Jul;37(3):314-20. doi: 10.1002/gcc.10221.

Abstract

About 4% of all BRCA1 and BRCA2 alterations reported to the Breast Information Core database are splice site variants. Only a limited number of them have been studied at the RNA level. By BRCA1 and BRCA2 mutation analysis of breast/ovarian cancer families, we identified two novel and eight previously reported potential splice site mutations, never characterized at the cDNA level before. RT-PCR was performed to determine whether these variants disrupted correct splicing. To ensure efficient detection of transcripts containing premature termination codons, a nonsense-mediated mRNA decay inhibitor was added to the lymphoblastoid cell lines of the patients before RNA extraction. We found that BRCA1 IVS3+3A>C, 4304G>A (in the last codon of exon 12), and IVS19+2delT and BRCA2 IVS6+1G>A, IVS23-2A>G, and IVS24+1G>A lead to aberrant transcripts in lymphocytes. Therefore, they were considered to be true pathogenic mutations, predisposing carriers to cancers of the hereditary breast/ovarian cancer syndrome. BRCA2 IVS24-16T>C is a frequent polymorphism in linkage disequilibrium, with a polymorphic stop codon in exon 27, K3326X. BRCA1 IVS2-14C>T and BRCA2 IVS9-5insT and IVS25+9A>C represent rare variants, not disrupting normal splicing in blood lymphocytes. However, some of the alterations may act differently, qualitatively and/or quantitatively, in breast or ovarian tissues. The data provided in this paper allowed more accurate risk estimation of patients and relatives carrying the mutations described herein and have facilitated genetic counseling. Furthermore, our study is important for a better understanding of splicing mechanisms and revealed new patterns of alternative splicing in BRCA1 and BRCA2.

摘要

向乳腺信息核心数据库报告的所有BRCA1和BRCA2基因改变中,约4%是剪接位点变异。其中仅有少数在RNA水平进行过研究。通过对乳腺癌/卵巢癌家系进行BRCA1和BRCA2基因突变分析,我们鉴定出两个新的以及八个先前报道的潜在剪接位点突变,这些突变以前从未在cDNA水平进行过特征描述。进行逆转录聚合酶链反应(RT-PCR)以确定这些变异是否破坏了正确的剪接。为确保有效检测含有提前终止密码子的转录本,在提取RNA之前,向患者的淋巴母细胞系中添加了无义介导的mRNA降解抑制剂。我们发现,BRCA1基因的IVS3+3A>C、4304G>A(位于外显子12的最后一个密码子)以及IVS19+2delT,还有BRCA2基因的IVS6+1G>A、IVS23-2A>G和IVS24+1G>A会导致淋巴细胞中出现异常转录本。因此,它们被认为是真正的致病突变,使携带者易患遗传性乳腺癌/卵巢癌综合征相关的癌症。BRCA2基因的IVS24-16T>C是处于连锁不平衡状态的常见多态性,在外显子27中有一个多态性终止密码子K3326X。BRCA1基因的IVS2-14C>T以及BRCA2基因的IVS9-5insT和IVS25+9A>C代表罕见变异,不会破坏血液淋巴细胞中的正常剪接。然而,其中一些改变在乳腺或卵巢组织中可能在质量和/或数量上有不同表现。本文提供的数据有助于更准确地估计携带本文所述突变的患者及其亲属的风险,并促进了遗传咨询。此外,我们的研究对于更好地理解剪接机制很重要,并揭示了BRCA1和BRCA2基因新的可变剪接模式。

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