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墨西哥卵巢癌患者基因中的遗传变异描述:迈向实施个性化医疗的第一步。

Description of Genetic Variants in Genes in Mexican Patients with Ovarian Cancer: A First Step towards Implementing Personalized Medicine.

作者信息

Delgado-Balderas Jesus Rolando, Garza-Rodriguez Maria Lourdes, Gomez-Macias Gabriela Sofia, Barboza-Quintana Alvaro, Barboza-Quintana Oralia, Cerda-Flores Ricardo M, Miranda-Maldonado Ivett, Vazquez-Garcia Hugo Mauricio, Valdez-Chapa Lezmes Dionicio, Antonio-Macedo Mauro, Dean Michael, Barrera-Saldaña Hugo A

机构信息

Biochemistry and Molecular Medicine Department, School of Medicine, Universidad Autonoma de Nuevo Leon, Monterrey 64460, Mexico.

Pathology Department, Hospital Universitario "Dr. Jose Eleuterio-Gonzalez", Universidad Autonoma de Nuevo Leon, Monterrey 64460, Mexico.

出版信息

Genes (Basel). 2018 Jul 11;9(7):349. doi: 10.3390/genes9070349.

DOI:10.3390/genes9070349
PMID:29997359
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6071230/
Abstract

Gynecologic cancers are among the leading causes of death worldwide, ovarian cancer being the one with the highest mortality rate. Olaparib is a targeted therapy used in patients presenting mutations in and genes. The aim of this study was to describe and gene variants in Mexican patients with ovarian cancer. Sequencing of and genes from tumors of 50 Mexican patients with ovarian cancer was made in a retrospective, non-randomized, and exploratory study. We found genetic variants in 48 of 50 cases. A total of 76 polymorphic variants were found in , of which 50 (66%) had not been previously reported. Furthermore, 104 polymorphic variants were found in , of which 63 (60%) had not been reported previously. Of these polymorphisms, 5/76 (6.6%) and 4/104 (3.8%) were classified as pathogenic in and , respectively. We have described the genetic variants in and of tumors from Northeast Mexican patients with sporadic ovarian cancers. Our results showed that the use of genetic testing helps recognize patients that carry pathogenic variants which could be beneficial for personalized medicine treatments.

摘要

妇科癌症是全球主要死因之一,卵巢癌是死亡率最高的一种。奥拉帕尼是一种用于携带BRCA1和BRCA2基因突变患者的靶向治疗药物。本研究的目的是描述墨西哥卵巢癌患者的BRCA1和BRCA2基因变异情况。在一项回顾性、非随机的探索性研究中,对50名墨西哥卵巢癌患者肿瘤的BRCA1和BRCA2基因进行了测序。我们在50例病例中的48例发现了基因变异。在BRCA1中总共发现了76个多态性变异,其中50个(66%)此前未被报道。此外,在BRCA2中发现了104个多态性变异,其中63个(60%)此前未被报道。在这些多态性中,BRCA1和BRCA2中分别有5/76(6.6%)和4/104(3.8%)被分类为致病性变异。我们描述了墨西哥东北部散发性卵巢癌患者肿瘤中BRCA1和BRCA2的基因变异情况。我们的结果表明,基因检测有助于识别携带致病性变异的患者,这可能对个性化药物治疗有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcd3/6071230/6067b2d9efcc/genes-09-00349-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcd3/6071230/d58e95d6a081/genes-09-00349-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcd3/6071230/3cc96a478ce9/genes-09-00349-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcd3/6071230/6067b2d9efcc/genes-09-00349-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcd3/6071230/d58e95d6a081/genes-09-00349-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcd3/6071230/3cc96a478ce9/genes-09-00349-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcd3/6071230/6067b2d9efcc/genes-09-00349-g003.jpg

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本文引用的文献

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Erroneously Suspected Ovarian Cancer in a 38-Year-Old Woman with Pelvic Inflammatory Disease and Chlamydia.一名38岁患有盆腔炎和衣原体感染的女性被误诊为卵巢癌
Case Rep Obstet Gynecol. 2017;2017:2514613. doi: 10.1155/2017/2514613. Epub 2017 Dec 13.
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Cancer statistics, 2018.癌症统计数据,2018 年。
CA Cancer J Clin. 2018 Jan;68(1):7-30. doi: 10.3322/caac.21442. Epub 2018 Jan 4.
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Committee Opinion No. 716: The Role of the Obstetrician-Gynecologist in the Early Detection of Epithelial Ovarian Cancer in Women at Average Risk.
委员会意见 No.716:妇产科医生在平均风险女性上皮性卵巢癌的早期检测中的作用。
Obstet Gynecol. 2017 Sep;130(3):e146-e149. doi: 10.1097/AOG.0000000000002299.
4
Baseline clinical predictors of antitumor response to the PARP inhibitor olaparib in germline BRCA1/2 mutated patients with advanced ovarian cancer.胚系BRCA1/2突变的晚期卵巢癌患者对PARP抑制剂奥拉帕尼抗肿瘤反应的基线临床预测指标。
Oncotarget. 2017 Jul 18;8(29):47154-47160. doi: 10.18632/oncotarget.17005.
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Delivering widespread BRCA testing and PARP inhibition to patients with ovarian cancer.为卵巢癌患者提供广泛的 BRCA 检测和 PARP 抑制治疗。
Nat Rev Clin Oncol. 2017 May;14(5):284-296. doi: 10.1038/nrclinonc.2016.191. Epub 2016 Dec 13.
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Global trends and predictions in ovarian cancer mortality.全球卵巢癌死亡率的趋势和预测。
Ann Oncol. 2016 Nov;27(11):2017-2025. doi: 10.1093/annonc/mdw306. Epub 2016 Sep 5.
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A personalized paradigm in the treatment of platinum-resistant ovarian cancer - A cost utility analysis of genomic-based versus cytotoxic therapy.铂耐药卵巢癌治疗中的个性化模式——基于基因组学疗法与细胞毒性疗法的成本效用分析
Gynecol Oncol. 2016 Jul;142(1):144-149. doi: 10.1016/j.ygyno.2016.04.024. Epub 2016 May 2.
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The prognostic value of pretreatment CA-125 levels and CA-125 normalization in ovarian clear cell carcinoma: a two-academic-institute study.术前CA-125水平及CA-125正常化在卵巢透明细胞癌中的预后价值:一项双学术机构研究
Oncotarget. 2016 Mar 29;7(13):15566-76. doi: 10.18632/oncotarget.7216.
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BMC Cancer. 2016 Feb 8;16:74. doi: 10.1186/s12885-016-2062-2.
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Efficacy and safety of olaparib monotherapy in germline BRCA1/2 mutation carriers with advanced ovarian cancer and three or more lines of prior therapy.奥拉帕利单药治疗对携带胚系BRCA1/2突变、患有晚期卵巢癌且接受过三线或更多线既往治疗患者的疗效和安全性。
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