Department of Molecular Cancer Genetic, University Hospital of Martinique, Fort de France, France.
Department of Oncology, Hematology, Urology, University Hospital of Martinique, Fort de France, France.
Prostate. 2020 May;80(6):463-470. doi: 10.1002/pros.23960. Epub 2020 Feb 10.
In Martinique, prostate cancer (Pca) incidence rates are nowadays among the highest worldwide with a high incidence of early-onset and familial forms. Despite the demonstration of a strong familial component, identification of the genetic basis for hereditary Pca is challenging. The HOXB13 germline variant G84E (rs138213197) was described in men of European descent with Pca risk.
To investigate the potential involvement of HOXB13 mutations in Martinique, we performed sequencing of the HOXB13 coding regions of 46 index cases with early-onset Pca (before the age of 51). Additional breast cancers and controls were performed. All cancer cases analyzed in this study have been observed in the context of genetic counseling.
We identified a rare heterozygous germline variant c.853delT (p.Ter285Lysfs) rs77179853, reported only among patients of African ancestry with a minor allele frequency of 3.2%. This variant is a stop loss reported only among patients of African ancestry with a frequency of 0.2%.
In conclusion, we think that this study provides supplementary arguments that HOXB13 variants are involved in Pca.
如今,马提尼克岛的前列腺癌 (Pca) 发病率位居世界前列,且发病年龄较早,具有家族聚集倾向。尽管已经证明前列腺癌具有很强的家族成分,但确定遗传性前列腺癌的遗传基础具有挑战性。HOXB13 种系变异 G84E (rs138213197) 已在具有前列腺癌风险的欧洲血统男性中得到描述。
为了研究 HOXB13 突变是否与马提尼克岛有关,我们对 46 名早发性前列腺癌(51 岁之前)的指数病例的 HOXB13 编码区进行了测序。还进行了额外的乳腺癌和对照研究。本研究分析的所有癌症病例均在遗传咨询的背景下进行观察。
我们发现了一种罕见的杂合性种系变异 c.853delT (p.Ter285Lysfs) rs77179853,仅在具有非洲血统的患者中发现,其等位基因频率为 3.2%。该变体是一种终止丢失突变,仅在具有非洲血统的患者中发现,频率为 0.2%。
综上所述,我们认为这项研究提供了补充论据,表明 HOXB13 变体参与了前列腺癌的发生。