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分类 MMR 变异:林奇综合征命名法修订的时机。

Classifying MMR variants: time for revised nomenclature in Lynch syndrome.

机构信息

Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas 77230, USA.

出版信息

Clin Cancer Res. 2013 May 1;19(9):2280-2. doi: 10.1158/1078-0432.CCR-13-0392. Epub 2013 Mar 26.

DOI:10.1158/1078-0432.CCR-13-0392
PMID:23532885
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3854938/
Abstract

Inactivating germline mutations in DNA mismatch repair (MMR) genes are diagnostic for Lynch syndrome. However, the clinical significance of missense variants is uncertain. A threshold level of compromised MLH1 expression, correlating with greater protein instability and MMR functional defect, has been identified to help classify the pathogenicity of missense variants.

摘要

胚系 DNA 错配修复 (MMR) 基因突变失活可诊断林奇综合征。然而,错义变异的临床意义尚不确定。已经确定了 MLH1 表达受损的阈值水平,与更高的蛋白质不稳定性和 MMR 功能缺陷相关,以帮助分类错义变异的致病性。

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本文引用的文献

1
Expression defect size among unclassified MLH1 variants determines pathogenicity in Lynch syndrome diagnosis.未分类 MLH1 变异体中的表达缺陷大小决定了林奇综合征诊断中的致病性。
Clin Cancer Res. 2013 May 1;19(9):2432-41. doi: 10.1158/1078-0432.CCR-12-3299. Epub 2013 Feb 12.
2
Implementation of universal microsatellite instability and immunohistochemistry screening for diagnosing lynch syndrome in a large academic medical center.在一家大型学术医疗中心实施普遍的微卫星不稳定性和免疫组织化学筛选,以诊断林奇综合征。
J Clin Oncol. 2013 Apr 1;31(10):1336-40. doi: 10.1200/JCO.2012.45.1674. Epub 2013 Feb 11.
3
Risk of cancer in cases of suspected lynch syndrome without germline mutation.疑似林奇综合征而无胚系突变病例的癌症风险。
Gastroenterology. 2013 May;144(5):926-932.e1; quiz e13-4. doi: 10.1053/j.gastro.2013.01.044. Epub 2013 Jan 24.
4
A multifactorial likelihood model for MMR gene variant classification incorporating probabilities based on sequence bioinformatics and tumor characteristics: a report from the Colon Cancer Family Registry.一种基于序列生物信息学和肿瘤特征的概率的多因素似然模型,用于 MMR 基因突变分类:来自结肠癌家族登记处的报告。
Hum Mutat. 2013 Jan;34(1):200-9. doi: 10.1002/humu.22213. Epub 2012 Oct 11.
5
Comprehensive functional assessment of MLH1 variants of unknown significance.综合评估 MLH1 意义未明的变异体。
Hum Mutat. 2012 Nov;33(11):1576-88. doi: 10.1002/humu.22142. Epub 2012 Jul 12.
6
Lynch or not Lynch? Is that always a question?林奇还是不林奇?这总是一个问题吗?
Adv Cancer Res. 2012;113:121-66. doi: 10.1016/B978-0-12-394280-7.00004-X.
7
Clinical relevance of rare germline sequence variants in cancer genes: evolution and application of classification models.癌症基因中罕见种系序列变异的临床相关性:分类模型的演进与应用。
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Lower cancer incidence in Amsterdam-I criteria families without mismatch repair deficiency: familial colorectal cancer type X.阿姆斯特丹-I标准家族中无错配修复缺陷的癌症发病率较低:X型家族性结直肠癌
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JAMA. 1999 Jul 21;282(3):247-53. doi: 10.1001/jama.282.3.247.