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亚洲人群中的种族特异性变异:来自印度、中国、韩国和日本人群中超过 78000 例癌症和 40000 例非癌症病例的证据。

Ethnic-specific variation within Asia population: evidence from over 78 000 cancer and 40 000 non-cancer cases of Indian, Chinese, Korean and Japanese populations.

机构信息

Faculty of Health Sciences, University of Macau, Taipa, Macau, China.

Healthcare Analytics Institute, Eastern Virginia Medical School, Norfolk, VA, USA.

出版信息

J Med Genet. 2021 Nov;58(11):752-759. doi: 10.1136/jmedgenet-2020-107299. Epub 2020 Sep 22.

Abstract

BACKGROUND

Germline mutation in 1 and () is genetic predisposition for breast and ovarian cancer. Identification of mutation carriers is a critical step to prevent and treat the cancer in the mutation carriers. Human variation has been well determined as ethnic-specific by studies in Ashkenazi Jewish, Polish and Icelandic populations in the 1990s. However, sufficient evidence is lacking to determine if ethnic-specific variation is also present in Asia population, which is the largest and the most diversified in modern humans. Our current study aims to investigate ethnic-specific variation in Asian population.

METHODS

We performed a comprehensive data mining to collect variation data in Indian, Chinese, Korean and Japanese populations derived from over 78 000 cancer and 40 000 non-cancer cases. We standardised all variation data following the international standard. We made a systematic comparison between the datasets including variant composition, variation spectrum, variant type, clinical class, founder mutation and high-frequent variants.

RESULTS

Our analysis showed that over half of the Asian variants were Asian-specific, and significant differences were present between the four Asia populations in each category analysed.

CONCLUSION

Data from our study reveal that ethnic-specific variation is commonly present in Asia population as existing in non-Asian populations. Our study indicates that ethnicity should be an important factor to consider in prevention and treatment of mutation-related cancer in the Asia population. We recommend that the current variation databases should include ethnic variation information in order to function as true global references.

摘要

背景

1 和 () 种系突变是乳腺癌和卵巢癌的遗传易感性。识别突变携带者是预防和治疗突变携带者癌症的关键步骤。20 世纪 90 年代,对阿什肯纳兹犹太、波兰和冰岛人群的研究已经充分确定了人类 变体的种族特异性。然而,缺乏足够的证据来确定亚洲人群是否也存在种族特异性 变体,亚洲人群是现代人类中最大和最多样化的人群。我们目前的研究旨在调查亚洲人群中的种族特异性 变体。

方法

我们进行了全面的数据挖掘,收集了来自 78000 多个癌症和 40000 个非癌症病例的印度、中国、韩国和日本人群的 变体数据。我们按照国际标准对所有 变体数据进行了标准化。我们对数据集进行了系统比较,包括变体组成、变体谱、变体类型、临床分类、创始人突变和高频变体。

结果

我们的分析表明,超过一半的亚洲 变体是亚洲特有的,在分析的每个类别中,四个亚洲人群之间都存在显著差异。

结论

我们的研究数据表明,种族特异性 变体在亚洲人群中普遍存在,就像在非亚洲人群中存在一样。我们的研究表明,在亚洲人群中预防和治疗与 突变相关的癌症时,种族应该是一个重要的考虑因素。我们建议当前的 变体数据库应包括种族变体信息,以便作为真正的全球 参考。

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