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采用靶向下一代测序技术对前列腺癌进行种系变异筛查:表型-基因型相关性。

Germline variant screening with targeted next generation sequencing in prostate cancer: phenotype-genotype correlation.

机构信息

Department of Bioengineering, Science Institute, Süleyman Demirel University, Isparta, Turkey.

Department of Medical Genetics, Faculty of Medicine, Süleyman Demirel University, Isparta, Turkey.

出版信息

Turk J Med Sci. 2022 Feb;52(1):131-143. doi: 10.3906/sag-2105-348. Epub 2022 Feb 22.

DOI:10.3906/sag-2105-348
PMID:34579513
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10734870/
Abstract

BACKGROUND

Next generation sequencing provides new information about the molecular pathogenesis of cancer. We used a targeted NGS-based multiple gene panel comprising prostate cancer (PCa) predisposing genes to assess the prevalence of germline mutations in PCa patients.

METHODS

In a cohort of twenty-one PCa patients with a family history of cancer, a targeted multigene panel consisting of 39 genes associated with hereditary cancer was created and analyzed using the next generation sequencing method. The novel and pathogenic mutations detected were confirmed by Sanger sequencing method. Thereafter, the data obtained were evaluated using different genomic variant classifiers and databases.

RESULTS

With an incidence of less than 5% in different populations (MAF<0.05); a total of 81 variants were identified, including 41 missense, 16 synonymous, 3 splice-site, 11 intronic, 5 in-del and 5 novels. According to the ACMG criteria, 5 (6.2%) of these variants are pathogenic/likely pathogenic; 5 (6.2%) of them were classified as novel variants. In addition, variants having very low-frequency and unknown clinical significance (VUS) in the databases were detected.

摘要

背景

下一代测序为癌症的分子发病机制提供了新信息。我们使用基于靶向 NGS 的多个基因panel,包括前列腺癌(PCa)易感基因,以评估前列腺癌患者种系突变的患病率。

方法

在 21 名有癌症家族史的 PCa 患者队列中,创建了一个包含 39 个与遗传性癌症相关基因的靶向多基因 panel,并使用下一代测序方法进行分析。通过 Sanger 测序方法确认检测到的新的致病性突变。然后,使用不同的基因组变异分类器和数据库对获得的数据进行评估。

结果

在不同人群中的发生率低于 5%(MAF<0.05);共鉴定出 81 个变体,包括 41 个错义、16 个同义、3 个剪接位点、11 个内含子、5 个插入/缺失和 5 个新变体。根据 ACMG 标准,其中 5 个(6.2%)变体是致病性/可能致病性的;其中 5 个(6.2%)被归类为新变体。此外,还检测到数据库中低频且临床意义未知的变异(VUS)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e61/10734870/6444128fcf7c/turkjmedsci-52-1-131f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e61/10734870/6444128fcf7c/turkjmedsci-52-1-131f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e61/10734870/6444128fcf7c/turkjmedsci-52-1-131f1.jpg

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本文引用的文献

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Cryptorchidism and Testicular Tumor: Comprehensive Analysis of Common Clinical Features and Search of SNVs in the and Genes.隐睾症与睾丸肿瘤:常见临床特征的综合分析及对 和 基因中体细胞单核苷酸变异的探索
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伴有同源重组修复基因 FANCA 体细胞缺失的侵袭性前列腺癌:病例报告。
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Interactions between Germline and Somatic Mutated Genes in Aggressive Prostate Cancer.侵袭性前列腺癌中种系突变基因与体细胞突变基因之间的相互作用
Prostate Cancer. 2019 Mar 17;2019:4047680. doi: 10.1155/2019/4047680. eCollection 2019.
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Prevalence of Germline Variants in Prostate Cancer and Implications for Current Genetic Testing Guidelines.前列腺癌种系变异的流行情况及其对当前遗传检测指南的影响。
JAMA Oncol. 2019 Apr 1;5(4):523-528. doi: 10.1001/jamaoncol.2018.6760.
8
Germline Mutations and Polymorphisms of Androgen Receptor in Prostate Cancer Patients: Frequency and Results of in Silico Analysis.前列腺癌患者雄激素受体的种系突变和多态性:计算机模拟分析的频率及结果
Asian Pac J Cancer Prev. 2018 Aug 24;19(8):2241-2245. doi: 10.22034/APJCP.2018.19.8.2241.
9
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