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非吸烟肺腺癌患者中恶性磨玻璃影结节的胚系突变分析

Germline mutation analyses of malignant ground glass opacity nodules in non-smoking lung adenocarcinoma patients.

作者信息

Mao Wenjun, Chen Ruo, Lu Rongguo, Wang Shengfei, Song Huizhu, You Dan, Liu Feng, He Yijun, Zheng Mingfeng

机构信息

Department of Cardiothoracic Surgery, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, Jiangsu, China.

Department of Pharmacy, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, Jiangsu, China.

出版信息

PeerJ. 2021 Aug 31;9:e12048. doi: 10.7717/peerj.12048. eCollection 2021.

Abstract

BACKGROUND

Germline mutations play an important role in the pathogenesis of lung cancer. Nonetheless, research on malignant ground glass opacity (GGO) nodules is limited.

METHODS

A total of 13 participants with malignant GGO nodules were recruited in this study. Peripheral blood was used for exome sequencing, and germline mutations were analyzed using InterVar. The whole exome sequencing dataset was analyzed using a filtering strategy. KOBAS 3.0 was used to analyze KEGG pathway to further identify possible deleterious mutations.

RESULTS

There were seven potentially deleterious germline mutations. NM_001184790:exon8: c.C1070T in , NM_001170721:exon4:c.C392T in and NM_001127221:exon46: c.G6587A in were present in three cases each; rs756875895 frameshift in , NM_005732: exon13:c.2165_2166insT in and NM_001142316:exon2:c.G203C in , were present in two cases each; one variant was present in .

CONCLUSIONS

Our results expand the germline mutation spectrum in malignant GGO nodules. Importantly, these findings will potentially help screen the high-risk population, guide their health management, and contribute to their clinical treatment and determination of prognosis.

摘要

背景

胚系突变在肺癌发病机制中起重要作用。尽管如此,关于恶性磨玻璃影(GGO)结节的研究仍然有限。

方法

本研究共纳入13例恶性GGO结节患者。采集外周血进行外显子组测序,使用InterVar分析胚系突变。采用过滤策略分析整个外显子组测序数据集。使用KEGG 3.0分析KEGG通路以进一步鉴定可能的有害突变。

结果

共发现7种潜在有害的胚系突变。NM_001184790:exon8:c.C1070T、NM_001170721:exon4:c.C392T和NM_001127221:exon46:c.G6587A各在3例患者中出现;rs756875895移码突变、NM_005732:exon13:c.2165_2166insT和NM_001142316:exon2:c.G203C各在2例患者中出现;1个变异仅在1例患者中出现。

结论

我们的研究结果扩展了恶性GGO结节的胚系突变谱。重要的是,这些发现可能有助于筛查高危人群,指导其健康管理,并为其临床治疗和预后判定提供帮助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad6b/8415279/4ae903e68229/peerj-09-12048-g001.jpg

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