Raskin Leon, Guo Yan, Du Liping, Clendenning Mark, Rosty Christophe, Lindor Noralane M, Gruber Stephen B, Buchanan Daniel D
Division of Epidemiology, School of Medicine, Vanderbilt University Medical Center and Vanderbilt Ingram Comprehensive Cancer Center, Nashville, TN, USA.
Center for Quantitative Sciences, Vanderbilt University Medical Center and Vanderbilt Ingram Comprehensive Cancer Center, Nashville, TN, USA.
Oncotarget. 2017 Jun 21;8(55):93450-93463. doi: 10.18632/oncotarget.18596. eCollection 2017 Nov 7.
The underlying genetic cause of colorectal cancer (CRC) can be identified for 5-10% of all cases, while at least 20% of CRC cases are thought to be due to inherited genetic factors. Screening for highly penetrant mutations in genes associated with Mendelian cancer syndromes using next-generation sequencing (NGS) can be prohibitively expensive for studies requiring large samples sizes. The aim of the study was to identify rare single nucleotide variants and small indels in 40 established or candidate CRC susceptibility genes in 1,046 familial CRC cases (including both MSS and MSI-H tumor subtypes) and 1,006 unrelated controls from the Colon Cancer Family Registry Cohort using a robust and cost-effective DNA pooling NGS strategy. We identified 264 variants in 38 genes that were observed only in cases, comprising either very rare (minor allele frequency <0.001) or not previously reported (n=90, 34%) in reference databases, including six stop-gain, three frameshift, and 255 non-synonymous variants predicted to be damaging. We found novel germline mutations in established CRC genes , , and and likely pathogenic variants in cancer susceptibility genes and . For the candidate CRC genes, we identified likely pathogenic variants in the helicase domain of and in the , , and genes and present their clinicopathological characteristics. Using a DNA pooling NGS strategy, we identified novel germline mutations in established CRC susceptibility genes in familial CRC cases. Further studies are required to support the role of , , and as CRC susceptibility genes.
在所有结直肠癌(CRC)病例中,5%-10%的病例能够确定其潜在的遗传病因,而至少20%的CRC病例被认为是由遗传因素导致的。对于需要大样本量的研究而言,使用下一代测序(NGS)筛查与孟德尔癌症综合征相关基因中的高 penetrance 突变成本过高。本研究的目的是,使用一种稳健且经济高效的DNA池NGS策略,在来自结肠癌家族登记队列的1046例家族性CRC病例(包括微卫星稳定(MSS)和微卫星高度不稳定(MSI-H)肿瘤亚型)和1006例无关对照中,鉴定40个已确定的或候选的CRC易感基因中的罕见单核苷酸变异和小插入缺失。我们在38个基因中鉴定出264个仅在病例中观察到的变异,这些变异包括非常罕见的(次要等位基因频率<0.001)或在参考数据库中未曾报道过的(n = 90,34%),其中包括6个截短突变、3个移码突变和255个预测具有损害性的非同义变异。我们在已确定的CRC基因 、 和 中发现了新的种系突变,在癌症易感基因 和 中发现了可能致病的变异。对于候选CRC基因,我们在 的解旋酶结构域以及 、 和 基因中鉴定出可能致病的变异,并展示了它们的临床病理特征。使用DNA池NGS策略,我们在家族性CRC病例中已确定的CRC易感基因中鉴定出了新的种系突变。需要进一步的研究来支持 、 和 作为CRC易感基因的作用。
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