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墨西哥东北部女性三阴性乳腺癌(TNBC)的基因改变

Genetic alterations of triple negative breast cancer (TNBC) in women from Northeastern Mexico.

作者信息

Uscanga-Perales Grecia I, Santuario-Facio Sandra K, Sanchez-Dominguez Celia N, Cardona-Huerta Servando, Muñoz-Maldonado Gerardo E, Ruiz-Flores Pablo, Barcenas-Walls Jose R, Osuna-Rosales Luis E, Rojas-Martinez Augusto, Gonzalez-Guerrero Juan Francisco, Valero-Gomez Javier, Gomez-Macias Gabriela S, Barbosa-Quintana Alvaro, Barboza-Quintana Oralia, Garza-Guajardo Raquel, Ortiz-Lopez Rocio

机构信息

Centro de Investigación y Desarrollo en Ciencias de la Salud, Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon 66460, Mexico.

Departamento de Bioquimica y Medicina Molecular, Facultad de Medicina, Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon 66460, Mexico.

出版信息

Oncol Lett. 2019 Mar;17(3):3581-3588. doi: 10.3892/ol.2019.9984. Epub 2019 Jan 29.

Abstract

Triple negative breast cancer (TNBC) is a subtype of breast cancer of heterogeneous nature that is negative for estrogen receptor (ER), progesterone receptor (PR) and growth factor human epidermal 2 (HER2) following immunohistochemical analysis. TNBC is frequently characterized by relapse and reduced survival. To date, there is no targeted therapy for this type of cancer. Chemotherapy, radiotherapy, and surgery remain as the standard treatments options. The lack of a target therapy and the heterogeneity of TNBC highlight the need to seek new therapeutic options. In this study, fresh tissue samples of TNBC were analyzed with a panel of 48 driver genes (212 amplicons) that are likely to be therapeutic targets. We found intron variants, missense, stop gained and splicing variants in and genes. Interestingly, all the analyzed samples had at least two variants in the gene, one being a drug response variant, rs1042522, found in 94% of our samples. We also found seven additional variants not previously reported in the gene, to the best of our knowledge, with probable deleterious characteristics of the tumor suppressor gene. We found four genetic variants in the gene, including two missense variants. The rs2491231 variant in the gene was identified in 84% (16/19) of the samples, which not yet reported for TNBC, to the best of our knowledge. In conclusion, genetic variants in were found in all TNBC tumors, with rs1042522 being the most frequent (94% of TNBC biopsies), which had not been previously reported in TNBC. Also, we found two missense variants in the gene. These results justify the validation of these genetic variants in a large cohort, as well as the extensive study of their impact on the prognosis and therapy management of TBNC.

摘要

三阴性乳腺癌(TNBC)是一种性质异质的乳腺癌亚型,在免疫组织化学分析中,雌激素受体(ER)、孕激素受体(PR)和生长因子人表皮生长因子2(HER2)均为阴性。TNBC的特征通常是复发和生存率降低。迄今为止,这种类型的癌症尚无靶向治疗方法。化疗、放疗和手术仍然是标准的治疗选择。缺乏靶向治疗以及TNBC的异质性凸显了寻求新治疗方案的必要性。在本研究中,我们用一组48个可能成为治疗靶点的驱动基因(212个扩增子)对TNBC的新鲜组织样本进行了分析。我们在[具体基因]和[具体基因]中发现了内含子变异、错义变异、截短变异和剪接变异。有趣的是,所有分析样本在[具体基因]中至少有两个变异,其中一个是药物反应变异rs1042522,在我们94%的样本中都有发现。据我们所知,我们还在[具体基因]中发现了另外七个此前未报道过的变异,这些变异可能具有肿瘤抑制基因的有害特征。我们在[具体基因]中发现了四个基因变异,包括两个错义变异。据我们所知,[具体基因]中的rs2491231变异在84%(16/19)的样本中被鉴定出来,此前尚未在TNBC中报道过。总之,在所有TNBC肿瘤中均发现了[具体基因]的基因变异,其中rs1042522最为常见(占TNBC活检样本的94%),此前尚未在TNBC中报道过。此外,我们在[具体基因]中发现了两个错义变异。这些结果证明了在大型队列中验证这些基因变异的合理性,以及对它们对TNBC预后和治疗管理影响的深入研究。

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