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口腔鳞状细胞癌中TERT基因启动子突变的患病率

Prevalence of promoter mutations in the TERT gene in oral cavity squamous cell carcinoma.

作者信息

Chang Kai-Ping, Wang Chun-I, Pickering Curtis R, Huang Yenlin, Tsai Chi-Neu, Tsang Ngan-Ming, Kao Huang-Kai, Cheng Ming-Huei, Myers Jeffrey N

机构信息

Department of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial Hospital, Tao-Yuan, Taiwan.

Molecular Medicine Research Center, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan.

出版信息

Head Neck. 2017 Jun;39(6):1131-1137. doi: 10.1002/hed.24728. Epub 2017 Feb 23.

Abstract

BACKGROUND

Mutations in the human telomerase reverse transcriptase (TERT) promoter contribute to increased TERT activity. The purpose of the present study was to assess the prevalence of TERT promoter mutations in oral cavity squamous cell carcinoma (SCC).

METHODS

Total DNA was extracted from 201 oral cavity SCC tumors and adjacent normal tissues. Primers were used to amplify the sequence region containing 2 TERT promoter mutations (C228T and C250T) that were then sequenced using the Sanger method.

RESULTS

Sequencing revealed that 52.5% (104/201) and 12.9% (26/201) of oral cavity SCC tumor tissues and 6.0% (12/201) and 2.5% (5/201) of adjacent normal tissues contained C228T and C250T mutations, respectively. In addition, the C228T mutation was significantly associated with betel nut chewing.

CONCLUSION

Our results show that mutations in the TERT promoter occur in patients with oral cavity SCC at a high frequency. This suggests that somatic TERT promoter mutations could play a vital role in the pathogenesis and progression of oral cavity SCC. © 2017 Wiley Periodicals, Inc. Head Neck 39: 1131-1137, 2017.

摘要

背景

人类端粒酶逆转录酶(TERT)启动子突变会导致TERT活性增加。本研究的目的是评估口腔鳞状细胞癌(SCC)中TERT启动子突变的发生率。

方法

从201例口腔SCC肿瘤及相邻正常组织中提取总DNA。使用引物扩增包含2个TERT启动子突变(C228T和C250T)的序列区域,然后采用桑格法进行测序。

结果

测序显示,口腔SCC肿瘤组织中分别有52.5%(104/201)和12.9%(26/201)含有C228T和C250T突变,相邻正常组织中分别有6.0%(12/201)和2.5%(5/201)含有这两种突变。此外,C228T突变与嚼槟榔显著相关。

结论

我们的结果表明,TERT启动子突变在口腔SCC患者中高频发生。这表明体细胞TERT启动子突变可能在口腔SCC的发病机制和进展中起重要作用。©2017威利期刊公司。《头颈》39: 1131 - 1137, 2017。

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