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遗传性乳腺癌:新的基因进展,新的治疗途径。

Hereditary breast cancer: new genetic developments, new therapeutic avenues.

作者信息

Campeau Philippe M, Foulkes William D, Tischkowitz Marc D

机构信息

Department of Medical Genetics, McGill University Health Centre, McGill University, Montreal, QC, Canada.

出版信息

Hum Genet. 2008 Aug;124(1):31-42. doi: 10.1007/s00439-008-0529-1. Epub 2008 Jun 25.

DOI:10.1007/s00439-008-0529-1
PMID:18575892
Abstract

Six genes confer a high risk for developing breast cancer (BRCA1/2, TP53, PTEN, STK11, CDH1). Both BRCA1 and BRCA2 have DNA repair functions, and BRCA1/2 deficient tumors are now being targeted by poly(ADP-ribose) polymerase inhibitors. Other genes conferring an increased risk for breast cancer include ATM, CHEK2, PALB2, BRIP1 and genome-wide association studies have identified lower penetrance alleles including FGFR2, a minor allele of which is associated with breast cancer. We review recent findings related to the function of some of these genes, and discuss how they can be targeted by various drugs. Gaining deeper insights in breast cancer susceptibility will improve our ability to identify those families at increased risk and permit the development of new and more specific therapeutic approaches.

摘要

六个基因会增加患乳腺癌的风险(BRCA1/2、TP53、PTEN、STK11、CDH1)。BRCA1和BRCA2都具有DNA修复功能,现在聚(ADP-核糖)聚合酶抑制剂正靶向作用于BRCA1/2缺陷型肿瘤。其他增加乳腺癌风险的基因包括ATM、CHEK2、PALB2、BRIP1,全基因组关联研究已经确定了低外显率等位基因,包括FGFR2,其一个次要等位基因与乳腺癌有关。我们综述了与其中一些基因功能相关的最新研究结果,并讨论了如何通过各种药物对其进行靶向作用。对乳腺癌易感性有更深入的了解将提高我们识别那些风险增加的家族的能力,并有助于开发新的、更具特异性的治疗方法。

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本文引用的文献

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Higher occurrence of childhood cancer in families with germline mutations in BRCA2, MMR and CDKN2A genes.在携带BRCA2、错配修复(MMR)和CDKN2A基因种系突变的家庭中,儿童癌症的发生率更高。
Fam Cancer. 2008;7(4):331-7. doi: 10.1007/s10689-008-9195-7. Epub 2008 May 15.
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Common variants on chromosome 5p12 confer susceptibility to estrogen receptor-positive breast cancer.5号染色体短臂12区的常见变异会增加雌激素受体阳性乳腺癌的易感性。
Nat Genet. 2008 Jun;40(6):703-6. doi: 10.1038/ng.131. Epub 2008 Apr 27.
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Dynamic interactions between the promoter and terminator regions of the mammalian BRCA1 gene.
用于预防和治疗乳腺癌的香料和药草:具有机制见解的综合综述
Cancer Pathog Ther. 2024 Jul 6;3(3):197-214. doi: 10.1016/j.cpt.2024.07.003. eCollection 2025 May.
4
Characterizing safety, toxicity, and breast cancer risk reduction using a long-term fulvestrant eluting implant.使用长期释放氟维司群的植入物来表征安全性、毒性和降低乳腺癌风险。
Sci Rep. 2025 Jan 24;15(1):3028. doi: 10.1038/s41598-024-77186-z.
5
Uptake of Risk-Reducing Salpingo-Oophorectomy and Gynaecologic Surveillance Among Germline BRCA Pathogenic Variants Carriers.携带种系BRCA致病变异者对降低风险的输卵管卵巢切除术和妇科监测的接受情况。
Cancer Med. 2024 Dec;13(23):e70321. doi: 10.1002/cam4.70321.
6
Cancer risk assessment of premalignant breast tissues from patients with BRCA mutations by genome profiling.通过基因组分析对携带BRCA突变患者的癌前乳腺组织进行癌症风险评估。
NPJ Breast Cancer. 2024 Oct 4;10(1):87. doi: 10.1038/s41523-024-00693-9.
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A toxicogenomics-based identification of potential mechanisms and signaling pathways involved in PFCs-induced cancer in human.基于毒理基因组学对全氟化合物诱导人类癌症所涉及的潜在机制和信号通路的鉴定。
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哺乳动物BRCA1基因启动子区与终止子区之间的动态相互作用。
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Common breast cancer-predisposition alleles are associated with breast cancer risk in BRCA1 and BRCA2 mutation carriers.常见的乳腺癌易感等位基因与BRCA1和BRCA2突变携带者的乳腺癌风险相关。
Am J Hum Genet. 2008 Apr;82(4):937-48. doi: 10.1016/j.ajhg.2008.02.008. Epub 2008 Mar 20.
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