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一种新型变体的鉴定及其与甲状腺乳头状癌的关联。

Identification of a novel variant and its association with papillary thyroid carcinoma.

作者信息

Dou Rui, Zhang Lili, Lu Tingxia, Liu Dong, Mei Fang, Huang Jian, Qian Linxue

机构信息

Department of Ultrasound, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, P.R. China.

Department of Ultrasound, The Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot, Inner Mongolia Autonomous Region 010030, P.R. China.

出版信息

Oncol Lett. 2018 Apr;15(4):4511-4516. doi: 10.3892/ol.2018.7818. Epub 2018 Jan 17.

Abstract

HRas proto-oncogene () is one of the most commonly mutated genes in thyroid cancer, with mutations frequently occurring in the follicular and Hurthle cell subtypes. However, the contribution of mutations in to papillary thyroid carcinoma (PTC) progression and the tall-cell variant (TCV) is poorly understood. The aim of the present study was to investigate the somatic genetic variants present in in patients with PTC, and to investigate the association of these mutations with PTC. The present study is a retrospective case-control study using tumor samples collected from 139 patients with PTC and blood samples from 195 healthy individuals. All patient samples were screened for mutations in 'hotspot' regions of and B-raf proto-oncogene () by single-stranded conformational polymorphism analysis, followed by direct sequencing. A novel variant (IVS1-82del gctgggcctggg) in the 5'-untranslated region was identified. There was no difference in age or sex of patients with PTC and the healthy controls; however, the variant was more frequently detected in PTC tissue than in the healthy control samples (37 vs. 26%, P=0.04). There was no association between the variant and age, sex, tumor size, encapsulation, multifocality/intra-thyroidal spread, Tumor-Node-Metastasis stage, history of Hashimoto's disease, V600E mutation or PTC subtype (all P>0.05). There were differences of V600E distribution among different subtypes (χ=6.390, P=0.041). variant co-occurring with the V600E mutation accounted for 31.6% of the total number (P=0.196). Therefore, this novel variant of (IVS1-82del gctgggcctggg) may be associated with PTC; however, larger scale studies are required to assess the contribution of this novel variant to PTC progression.

摘要

HRas原癌基因()是甲状腺癌中最常发生突变的基因之一,在滤泡状和许特莱细胞亚型中经常出现突变。然而,其突变对甲状腺乳头状癌(PTC)进展及高细胞变体(TCV)的作用却知之甚少。本研究的目的是调查PTC患者中存在的HRas体细胞遗传变异,并研究这些突变与PTC的关联。本研究是一项回顾性病例对照研究,使用了从139例PTC患者收集的肿瘤样本和195名健康个体的血液样本。通过单链构象多态性分析,随后进行直接测序,对所有患者样本进行HRas和B-raf原癌基因()“热点”区域的突变筛查。在HRas 5'-非翻译区鉴定出一种新的变体(IVS1-82del gctgggcctggg)。PTC患者与健康对照在年龄或性别上无差异;然而,HRas变体在PTC组织中的检测频率高于健康对照样本(37%对26%,P = 0.04)。HRas变体与年龄、性别、肿瘤大小、包膜、多灶性/甲状腺内扩散、肿瘤-淋巴结-转移分期、桥本氏病病史、BRAF V600E突变或PTC亚型之间均无关联(所有P>0.05)。BRAF V600E在不同亚型中的分布存在差异(χ=6.390,P = 0.041)。与BRAF V600E突变同时出现的HRas变体占总数的31.6%(P = 0.196)。因此,这种新的HRas变体(IVS1-82del gctgggcctggg)可能与PTC相关;然而,需要更大规模的研究来评估这种新的HRas变体对PTC进展的作用。

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