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与Birt-Hogg-Dubé综合征相关的肾细胞癌中的全基因组单亲二体性和拷贝数变异

Genome-Wide Uniparental Disomy and Copy Number Variations in Renal Cell Carcinomas Associated with Birt-Hogg-Dubé Syndrome.

作者信息

Iribe Yasuhiro, Yao Masahiro, Tanaka Reiko, Kuroda Naoto, Nagashima Yoji, Nakatani Yukio, Furuya Mitsuko

机构信息

Department of Molecular Pathology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.

Department of Urology and Molecular Genetics, Yokohama City University Graduate School of Medicine, Yokohama, Japan.

出版信息

Am J Pathol. 2016 Feb;186(2):337-46. doi: 10.1016/j.ajpath.2015.10.013.

Abstract

Birt-Hogg-Dubé syndrome is an inherited disorder caused by germline mutations of the folliculin gene (FLCN). The affected patients are prone to developing renal cell carcinomas (RCCs). Most mutant FLCN-associated RCCs (mFLCN-RCCs) are histologically chromophobe RCCs and hybrid oncocytic/chromophobe tumors. It is incompletely understood whether mFLCN-RCCs have different chromosomal abnormalities compared with their sporadic histological counterparts. Herein, we describe somatic mutations of FLCN and DNA-copy number abnormalities using a high-density, whole-genome, single-nucleotide polymorphism array. The histological types included chromophobe RCC (n = 12), hybrid oncocytic/chromophobe tumor (n = 5), and clear-cell RCC (n = 2). Of 19 tumors, 8 had pathological somatic mutations of FLCN. Among 11 mFLCN-RCCs investigated by single-nucleotide polymorphism array, 8 showed balanced genomic profiles, 2 had gains in chromosome 3q, and 1 had gains in chromosomes 1q and 7. All had copious numbers of loss of heterozygosity in a wide range of chromosomes. The common loss-of-heterozygosity regions were chromosomes 3p24, 8q11, 16q11, Xp22-21, Xp11, Xq11, Xq13, and Xq23. Most of the loss of heterozygosity was because of uniparental disomy. Common uniparental disomy patterns in chromophobe RCCs and hybrid oncocytic/chromophobe tumors indicated that these types were relatively similar in cytogenetic events. Two clear-cell RCCs also shared several uniparental disomy regions with chromophobe RCCs and hybrid oncocytic/chromophobe tumors. mFLCN-RCCs may have common therapeutic targets among different histological types.

摘要

Birt-Hogg-Dubé综合征是一种由卵泡抑素基因(FLCN)的种系突变引起的遗传性疾病。受影响的患者易患肾细胞癌(RCC)。大多数与FLCN突变相关的RCC(mFLCN-RCC)在组织学上为嫌色性RCC和混合性嗜酸性细胞/嫌色性肿瘤。与散发性组织学对应物相比,mFLCN-RCC是否具有不同的染色体异常尚不完全清楚。在此,我们使用高密度全基因组单核苷酸多态性阵列描述了FLCN的体细胞突变和DNA拷贝数异常。组织学类型包括嫌色性RCC(n = 12)、混合性嗜酸性细胞/嫌色性肿瘤(n = 5)和透明细胞RCC(n = 2)。在19个肿瘤中,8个具有FLCN的病理性体细胞突变。在通过单核苷酸多态性阵列研究的11个mFLCN-RCC中,8个显示基因组图谱平衡,2个在染色体3q有增益,1个在染色体1q和7有增益。所有肿瘤在广泛的染色体上都有大量杂合性缺失。常见的杂合性缺失区域是染色体3p24、8q11、16q11、Xp22 - 21、Xp11、Xq11、Xq13和Xq23。大多数杂合性缺失是由于单亲二体性。嫌色性RCC和混合性嗜酸性细胞/嫌色性肿瘤中常见的单亲二体性模式表明,这些类型在细胞遗传学事件中相对相似。两个透明细胞RCC也与嫌色性RCC和混合性嗜酸性细胞/嫌色性肿瘤共享几个单亲二体性区域。mFLCN-RCC在不同组织学类型中可能有共同的治疗靶点。

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