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多层证据在C端变体注释中的应用。

Application of Multilayer Evidence for Annotation of C-Terminal Variants.

作者信息

Butz Henriett, Papp János, Bozsik Anikó, Krokker Lilla, Pócza Tímea, Oláh Edit, Patócs Attila

机构信息

Department of Molecular Genetics, National Institute of Oncology, H-1122 Budapest, Hungary.

Hereditary Cancers Research Group, Hungarian Academy of Sciences-Semmelweis University, H-1089 Budapest, Hungary.

出版信息

Cancers (Basel). 2021 Feb 20;13(4):881. doi: 10.3390/cancers13040881.

Abstract

The clinical relevance of the C-terminal stop codon variants is controversial. The pathogenic role of the germline c.9976A>T and c.10095delinsGAATTATATCT variants in hereditary breast and ovarian cancer (HBOC) patients was evaluated. An association with clinicopathological parameters was performed in 2491 independent probands diagnosed with HBOC and in 122,209 cancer patients reported earlier. Loss-of-heterozygosity (LOH) in tumor samples and allelic imbalance in RNA extracted from peripheral blood cells were investigated. Neither c.10095delinsGAATTATATCT or c.9976A>T variants showed significant association with clinicopathological parameters or elevated risk for HBOC-associated tumors. Lung cancer was more prevalent in families carrying the c.9976A>T variant compared to pathogenic or carrier families. An increased prevalence of pancreatic cancer was found in families where c.9976A>T occurred together with other pathogenic variants. An increased risk for familial pancreatic, lung and upper aero-digestive tract cancers was confirmed in the validation set. Regarding C-terminal variants, no linkage with other pathogenic variants, no LOH in tumor tissue and no allelic imbalance in RNA level were confirmed. The c.9976A>T variant may be considered as a potential risk for lung cancer, and a potential modifying factor in pancreatic cancer when it occurs along with the pathogenic variant, although this observation should be validated in a larger sample cohort.

摘要

C 末端终止密码子变异的临床相关性存在争议。对遗传性乳腺癌和卵巢癌(HBOC)患者中胚系 c.9976A>T 和 c.10095delinsGAATTATATCT 变异的致病作用进行了评估。在 2491 名被诊断为 HBOC 的独立先证者以及之前报告的 122209 名癌症患者中,分析了这些变异与临床病理参数之间的关联。研究了肿瘤样本中的杂合性缺失(LOH)以及从外周血细胞中提取的 RNA 中的等位基因失衡情况。c.10095delinsGAATTATATCT 或 c.9976A>T 变异均未显示与临床病理参数有显著关联,也未显示 HBOC 相关肿瘤的风险升高。与携带致病或携带变异的家族相比,携带 c.9976A>T 变异的家族中肺癌更为常见。在 c.9976A>T 与其他致病变异同时出现的家族中,发现胰腺癌的患病率增加。在验证集中证实了家族性胰腺癌、肺癌和上呼吸道消化道癌症的风险增加。关于 C 末端变异,未证实与其他致病变异存在连锁关系,肿瘤组织中未发现 LOH,RNA 水平也未发现等位基因失衡。c.9976A>T 变异可能被视为肺癌的潜在风险因素,当它与致病变异同时出现时,可能是胰腺癌的潜在修饰因素,不过这一观察结果应在更大的样本队列中进行验证。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a422/7923782/9ea1ee14b467/cancers-13-00881-g001.jpg

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