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BRCA2 基因突变与犬乳腺肿瘤及其在临床治疗中的靶向治疗潜力。

Mutations of BRCA2 in canine mammary tumors and their targeting potential in clinical therapy.

机构信息

Division of Radiation Oncology, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.

出版信息

BMC Vet Res. 2020 Jan 31;16(1):30. doi: 10.1186/s12917-020-2247-4.

DOI:10.1186/s12917-020-2247-4
PMID:32005245
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6995156/
Abstract

Dogs develop cancer spontaneously with age, with breed-specific risk underlying differences in genetics. Mammary tumors are reported as the most frequent neoplasia in intact female dogs. Their high prevalence in certain breeds suggests a genetic component, as it is the case in human familial breast cancer, distinctly in BRCA2-associated cancers. However, the molecular genetics of BRCA2 in the pathogenesis of canine cancer are still under investigation.Genetic variations of canine BRCA2 comprised single nucleotide polymorphisms, insertions and deletions. The BRCA2 level has been shown to be reduced in tumor gland samples, suggesting that low expression of BRCA2 is contributing to mammary tumor development in dogs. Additionally, specific variations of the BRCA2 gene affect RAD51 binding strength, critically damage the BRCA2-RAD51 binding and further provoke a defective repair. In humans, preclinical and clinical data revealed a synthetic lethality interaction between BRCA2 mutations and PARP inhibition. PARP inhibitors are successfully used to increase chemo- and radiotherapy sensitivity, although they are also associated with numerous side effects and acquired resistance. Cancer treatment of canine patients could benefit from increased chemo- and radiosensitivity, as their cancer therapy protocols usually include only low doses of drugs or radiation. Early investigations show tolerability of iniparib in dogs. PARP inhibitors also imply higher therapy costs and consequently are less likely to be accepted by pet owners.We summarized the current evidence of canine BRCA2 gene alterations and their association with mammary tumors. Mutations in the canine BRCA2 gene have the potential to be exploited in clinical therapy through the usage of PARP inhibitors. However, further investigations are needed before introducing PARP inhibitors in veterinary clinical practice.

摘要

狗会随着年龄的增长自发患上癌症,其遗传学基础存在特定品种的风险。乳腺肿瘤是未绝育雌性犬最常见的肿瘤。某些品种的高发病率表明存在遗传因素,就像人类家族性乳腺癌一样,尤其是与 BRCA2 相关的癌症。然而,BRCA2 在犬癌症发病机制中的分子遗传学仍在研究中。犬 BRCA2 的遗传变异包括单核苷酸多态性、插入和缺失。研究表明,肿瘤腺样本中 BRCA2 水平降低,提示 BRCA2 低表达可能导致犬乳腺肿瘤的发生。此外,BRCA2 基因的特定变异会影响 RAD51 结合强度,严重破坏 BRCA2-RAD51 结合,并进一步导致缺陷修复。在人类中,临床前和临床数据显示 BRCA2 突变与 PARP 抑制之间存在合成致死性相互作用。PARP 抑制剂已成功用于提高化疗和放疗敏感性,尽管它们也与许多副作用和获得性耐药性有关。犬科患者的癌症治疗可能受益于化疗和放疗敏感性的提高,因为它们的癌症治疗方案通常只包括低剂量的药物或辐射。早期研究表明,在狗中伊匹单抗是可以耐受的。PARP 抑制剂还意味着更高的治疗成本,因此不太可能被宠物主人接受。我们总结了犬科 BRCA2 基因突变及其与乳腺肿瘤的相关性的现有证据。通过使用 PARP 抑制剂,犬科 BRCA2 基因突变有可能在临床治疗中得到利用。然而,在将 PARP 抑制剂引入兽医临床实践之前,还需要进一步的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7992/6995156/2a86e1e504e0/12917_2020_2247_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7992/6995156/2a86e1e504e0/12917_2020_2247_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7992/6995156/2a86e1e504e0/12917_2020_2247_Fig1_HTML.jpg

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