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一名患有髓母细胞瘤且有乳腺癌家族史的儿童的BRCA2基因变异。

Variation in the BRCA2 gene in a child with medulloblastoma and a family history of breast cancer.

作者信息

Bayrakli Fatih, Akgun Bekir, Soylemez Burcak, Kaplan Metin, Gurelik Mustafa

机构信息

Department of Neurosurgery, Cumhuriyet University School of Medicine, Sivas, Turkey.

出版信息

J Neurosurg Pediatr. 2011 Nov;8(5):476-8. doi: 10.3171/2011.8.PEDS11210.

Abstract

The fact that BRCA genes operate as tumor suppressors is evident from the genetics of the different human disorders caused by inherited mutations. Germline mutations affecting 1 allele of either BRCA1 or BRCA2 confer susceptibility to different types of cancers such as breast cancer and medulloblastoma. A family with a history of cancer was identified in Eastern Turkey in which one of the family members (a 13-year-old boy) had medulloblastoma. Venous blood was collected from available family members. The BRCA1 and BRCA2 genes were sequenced in the patient with medulloblastoma and the healthy father. An Asn372His homozygous variation was noted in the BRCA2 gene in the patient with medulloblastoma whereas the variation was heterozygous in the healthy father. A biallelic homozygous variation was demonstrated in the BRCA2 gene, which is important in medulloblastoma suppression, and may have caused medulloblastoma formation in the 13-year-old boy. Further investigations in large human populations with medulloblastoma are necessary for further delineation of BRCA gene malfunctions and their relationship to medulloblastoma formation, and to clarify the therapeutic implications of these malfunctions.

摘要

BRCA基因作为肿瘤抑制基因发挥作用这一事实,从由遗传突变引起的不同人类疾病的遗传学中可见一斑。影响BRCA1或BRCA2任一基因一个等位基因的种系突变会使人易患不同类型的癌症,如乳腺癌和髓母细胞瘤。在土耳其东部发现了一个有癌症病史的家族,其中一名家族成员(一名13岁男孩)患有髓母细胞瘤。从可获取的家族成员中采集静脉血。对患有髓母细胞瘤的患者及其健康父亲的BRCA1和BRCA2基因进行了测序。在患有髓母细胞瘤的患者的BRCA2基因中发现了Asn372His纯合变异,而在健康父亲中该变异为杂合。在BRCA2基因中证实存在双等位基因纯合变异,这在髓母细胞瘤抑制中很重要,可能导致了这名13岁男孩患髓母细胞瘤。有必要在大量患有髓母细胞瘤的人群中进行进一步研究,以进一步明确BRCA基因功能障碍及其与髓母细胞瘤形成的关系,并阐明这些功能障碍的治疗意义。

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