对患有乳腺癌且有乳腺癌和/或卵巢癌家族史但致病突变检测呈阴性的患者中BRCA1基因的三种可变转录本进行特征分析。

Characterization of three alternative transcripts of the BRCA1 gene in patients with breast cancer and a family history of breast and/or ovarian cancer who tested negative for pathogenic mutations.

作者信息

Gambino Gaetana, Tancredi Mariella, Falaschi Elisabetta, Aretini Paolo, Caligo Maria Adelaide

机构信息

Department of Translational Research and New Technologies in Medicine, University of Pisa, Pisa 56126, Italy.

Section of Genetic Oncology, Santa Chiara University Hospital, Pisa 56126, Italy.

出版信息

Int J Mol Med. 2015 Apr;35(4):950-6. doi: 10.3892/ijmm.2015.2103. Epub 2015 Feb 16.

Abstract

The study of BRCA1 and BRCA2 genes and their alterations has been essential to the understanding of the development of familial breast and ovarian cancers. Many of the variants identified have an unknown pathogenic significance. These include variants which determine alternative mRNA splicing, identified in the intronic regions and those are capable of destroying the splicing ability. The aim of this study was to detect BRCA1/BRCA2 aberrant transcripts resulting from alternative splicing, in women with a known family history and/or early onset of breast and/or ovarian cancer, tested wild-type for BRCA1 and BRCA2. The identification and characterization of aberrant transcripts through the analysis of mRNA levels in blood lymphocytes may help us to recognize families otherwise misclassified as wild-type BRCA1 and BRCA2. Blood samples were collected from 13 women that had a family history of breast and/or ovarian cancer and tested negative for pathogenic mutations in the BRCA1 and BRCA2 genes. Total RNA was analyzed for the presence of BRCA1 and BRCA2 naturally occurring and pathological transcripts using RT-PCR. In 2 out of the 13 samples, 2 alternative transcripts of the BRCA1 gene were identified. These were probably pathogenic as they lacked exon 17 and exon 15, respectively, giving rise to a truncated protein. In addition to these, we identified the Δ17-19 transcript in 1 patient, which gives rise to a protein with an in-frame deletion of 69 amino acids. In conclusion, this study on alternative transcripts of the BRCA1 and BRCA2 genes revealed the presence of isoforms (prevalence of 15%) in blood samples from women with breast and ovarian cancer that were probably pathogenic, that were not detected by conventional methods of mutation screening based on direct sequencing of all coding regions, intron-exons junctions and MLPA analysis.

摘要

对BRCA1和BRCA2基因及其改变的研究对于理解家族性乳腺癌和卵巢癌的发展至关重要。许多已鉴定出的变异体的致病意义尚不清楚。这些变异体包括在内含子区域中确定的决定可变mRNA剪接的变异体,以及那些能够破坏剪接能力的变异体。本研究的目的是在已知有家族病史和/或乳腺癌和/或卵巢癌早发的女性中检测由可变剪接产生的BRCA1/BRCA2异常转录本,这些女性经检测BRCA1和BRCA2为野生型。通过分析血液淋巴细胞中的mRNA水平来鉴定和表征异常转录本,可能有助于我们识别那些原本被错误分类为BRCA1和BRCA2野生型的家族。从13名有乳腺癌和/或卵巢癌家族病史且BRCA1和BRCA2基因致病突变检测呈阴性的女性中采集血样。使用逆转录聚合酶链反应(RT-PCR)分析总RNA中BRCA1和BRCA2天然存在的和病理性转录本的情况。在13个样本中的2个样本中,鉴定出了BRCA1基因的2种可变转录本。它们可能具有致病性,因为它们分别缺失了外显子17和外显子15,从而产生了截短蛋白。除此之外,我们在1名患者中鉴定出了Δ17-19转录本,该转录本产生的蛋白质在阅读框内缺失69个氨基酸。总之,这项关于BRCA1和BRCA2基因可变转录本的研究表明,在患有乳腺癌和卵巢癌的女性血液样本中存在可能具有致病性的异构体(患病率为15%),而基于对所有编码区、内含子-外显子连接区的直接测序和多重连接探针扩增(MLPA)分析的传统突变筛查方法并未检测到这些异构体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5866/4356434/32b18aa11c02/IJMM-35-04-0950-g00.jpg

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