Department of Reproductive Biology, National Center for Child Health and Development, Tokyo 157-8535, Japan.
Department of Molecular Genetics, Kitasato University Graduate School of Medical Sciences, Sagamihara 252-0374, Japan.
Aging (Albany NY). 2020 May 21;12(10):9935-9947. doi: 10.18632/aging.103258.
Gorlin syndrome is a rare autosomal dominant hereditary disease with a high incidence of tumors such as basal cell carcinoma and medulloblastoma. Disease-specific induced pluripotent stem cells (iPSCs) and an animal model have been used to analyze disease pathogenesis. In this study, we generated iPSCs derived from fibroblasts of four patients with Gorlin syndrome (Gln-iPSCs) with heterozygous mutations of the gene. Gln-iPSCs from the four patients developed into medulloblastoma, a manifestation of Gorlin syndrome, in 100% (four out of four), of teratomas after implantation into immunodeficient mice, but none (0/584) of the other iPSC-teratomas did so. One of the medulloblastomas showed loss of heterozygosity in the gene while the benign teratoma, i.e. the non-medulloblastoma portion, did not, indicating a close clinical correlation between tumorigenesis in Gorlin syndrome patients and Gln-iPSCs.
Gorlin 综合征是一种罕见的常染色体显性遗传疾病,其肿瘤发病率较高,如基底细胞瘤和髓母细胞瘤。疾病特异性诱导多能干细胞(iPSC)和动物模型已被用于分析疾病发病机制。在这项研究中,我们从四名 Gorlin 综合征患者的成纤维细胞中生成了诱导多能干细胞(Gln-iPSC),这些患者的 基因存在杂合突变。这四名患者的 Gln-iPSC 在植入免疫缺陷小鼠后 100%(四分之四)形成了髓母细胞瘤,这是 Gorlin 综合征的一种表现形式,而其他 iPSC 畸胎瘤中没有(584 个中无一例)形成髓母细胞瘤。其中一个髓母细胞瘤显示 基因杂合性缺失,而良性畸胎瘤(即非髓母细胞瘤部分)则没有,这表明 Gorlin 综合征患者的肿瘤发生与 Gln-iPSC 之间存在密切的临床相关性。