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病例回顾:全外显子组测序分析鉴定出卵巢癌病例中已知致病性和可能致病性的内含子变异的携带者,这些病例在临床上为阴性。

Case Review: Whole-Exome Sequencing Analyses Identify Carriers of a Known Likely Pathogenic Intronic Variant in Ovarian Cancer Cases Clinically Negative for Pathogenic and Variants.

机构信息

Department of Human Genetics, McGill University, Montreal, QC H3A 0C7, Canada.

Cancer Research Program, Centre for Translational Biology, The Research Institute of McGill University Health Centre, Montreal, QC H4A 3J1, Canada.

出版信息

Genes (Basel). 2022 Apr 15;13(4):697. doi: 10.3390/genes13040697.


DOI:10.3390/genes13040697
PMID:35456503
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9032308/
Abstract

Background: Detecting pathogenic intronic variants resulting in aberrant splicing remains a challenge in routine genetic testing. We describe germline whole-exome sequencing (WES) analyses and apply in silico predictive tools of familial ovarian cancer (OC) cases reported clinically negative for pathogenic BRCA1 and BRCA2 variants. Methods: WES data from 27 familial OC cases reported clinically negative for pathogenic BRCA1 and BRCA2 variants and 53 sporadic early-onset OC cases were analyzed for pathogenic variants in BRCA1 or BRCA2. WES data from carriers of pathogenic BRCA1 or BRCA2 variants were analyzed for pathogenic variants in 10 other OC predisposing genes. Loss of heterozygosity analysis was performed on tumor DNA from variant carriers. Results: BRCA1 c.5407-25T>A intronic variant, identified in two affected sisters and one sporadic OC case, is predicted to create a new splice effecting transcription of BRCA1. WES data from BRCA1 c.5407-25T>A carriers showed no evidence of pathogenic variants in other OC predisposing genes. Sequencing the tumor DNA from the variant carrier showed complete loss of the wild-type allele. Conclusions: The findings support BRCA1 c.5407-25T>A as a likely pathogenic variant and highlight the importance of investigating intronic sequences as causal variants in OC families where the involvement of BRCA1 is highly suggestive.

摘要

背景:检测导致异常剪接的致病变异体基因仍然是常规基因检测中的一个挑战。我们描述了家族性卵巢癌(OC)病例的种系外显子组测序(WES)分析,并应用了临床上无致病性 BRCA1 和 BRCA2 变异的家族性 OC 病例的计算机预测工具。

方法:对 27 例临床上无致病性 BRCA1 和 BRCA2 变异的家族性 OC 病例和 53 例散发的早发性 OC 病例的 WES 数据进行分析,以寻找 BRCA1 或 BRCA2 中的致病性变异。对携带致病性 BRCA1 或 BRCA2 变异的 WES 数据进行分析,以寻找其他 10 个 OC 易感基因中的致病性变异。对变异携带者的肿瘤 DNA 进行杂合性缺失分析。

结果:在两个受影响的姐妹和一个散发的 OC 病例中发现的 BRCA1 c.5407-25T>A 内含子变异,预计会产生新的剪接效应,转录 BRCA1。BRCA1 c.5407-25T>A 携带者的 WES 数据显示,其他 OC 易感基因中没有致病性变异的证据。对变异携带者的肿瘤 DNA 进行测序显示,野生型等位基因完全缺失。

结论:这些发现支持 BRCA1 c.5407-25T>A 作为一种可能的致病性变异,并强调了在 BRCA1 高度提示的 OC 家族中,研究内含子序列作为因果变异的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28de/9032308/f3546c1c99c6/genes-13-00697-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28de/9032308/0e7e78d261a0/genes-13-00697-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28de/9032308/f3546c1c99c6/genes-13-00697-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28de/9032308/0e7e78d261a0/genes-13-00697-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28de/9032308/f3546c1c99c6/genes-13-00697-g002.jpg

相似文献

[1]
Case Review: Whole-Exome Sequencing Analyses Identify Carriers of a Known Likely Pathogenic Intronic Variant in Ovarian Cancer Cases Clinically Negative for Pathogenic and Variants.

Genes (Basel). 2022-4-15

[2]
A functionally impaired missense variant identified in French Canadian families implicates FANCI as a candidate ovarian cancer-predisposing gene.

Genome Med. 2021-12-3

[3]
Whole-exome sequencing of non-BRCA1/BRCA2 mutation carrier cases at high-risk for hereditary breast/ovarian cancer.

Hum Mutat. 2021-3

[4]
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Melanoma Res. 2019-10

[5]
Identification of candidate cancer predisposing variants by performing whole-exome sequencing on index patients from BRCA1 and BRCA2-negative breast cancer families.

BMC Cancer. 2019-4-4

[6]
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J Transl Med. 2021-3-16

[7]
BRCA1 and BRCA2 unclassified variants and missense polymorphisms in Algerian breast/ovarian cancer families.

Dis Markers. 2012

[8]
Screening of deep intronic regions by targeted gene sequencing identifies the first germline variant causing pseudoexon activation in a patient with breast/ovarian cancer.

J Med Genet. 2018-11-24

[9]
A Dominantly Inherited 5' UTR Variant Causing Methylation-Associated Silencing of BRCA1 as a Cause of Breast and Ovarian Cancer.

Am J Hum Genet. 2018-8-2

[10]
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Ann Oncol. 2019-7-1

引用本文的文献

[1]
Unraveling noncoding DNA variants and epimutations: a paradigm shift in hereditary cancer research.

Future Oncol. 2024

[2]
Olaparib-Resistant Ovarian Cancer Cells with Restored BRCA2 Abrogate Olaparib-Induced DNA Damage and G2/M Arrest Controlled by the ATR/CHK1 Pathway for Survival.

Cells. 2023-3-29

[3]
Genetic analyses of DNA repair pathway associated genes implicate new candidate cancer predisposing genes in ancestrally defined ovarian cancer cases.

Front Oncol. 2023-3-8

[4]
Molecular Genetic Characteristics of , a Proposed New Ovarian Cancer Predisposing Gene.

Genes (Basel). 2023-1-20

本文引用的文献

[1]
The Evolution of Ovarian Carcinoma Subclassification.

Cancers (Basel). 2022-1-14

[2]
A functionally impaired missense variant identified in French Canadian families implicates FANCI as a candidate ovarian cancer-predisposing gene.

Genome Med. 2021-12-3

[3]
Risk-Reducing Bilateral Salpingo-Oophorectomy for Ovarian Cancer: A Review and Clinical Guide for Hereditary Predisposition Genes.

JCO Oncol Pract. 2022-3

[4]
Prevalence of Germline Pathogenic Variants in Cancer Predisposing Genes in Czech and Belgian Pancreatic Cancer Patients.

Cancers (Basel). 2021-9-2

[5]
Altered regulation of BRCA1 exon 11 splicing is associated with breast cancer risk in carriers of BRCA1 pathogenic variants.

Hum Mutat. 2021-11

[6]
The Genetic Analyses of French Canadians of Quebec Facilitate the Characterization of New Cancer Predisposing Genes Implicated in Hereditary Breast and/or Ovarian Cancer Syndrome Families.

Cancers (Basel). 2021-7-7

[7]
Interpretable prioritization of splice variants in diagnostic next-generation sequencing.

Am J Hum Genet. 2021-9-2

[8]
Effective variant filtering and expected candidate variant yield in studies of rare human disease.

NPJ Genom Med. 2021-7-15

[9]
BRCA1 and BRCA2 whole cDNA analysis in unsolved hereditary breast/ovarian cancer patients.

Cancer Genet. 2021-11

[10]
Identification of Deep-Intronic Splice Mutations in a Large Cohort of Patients With Inherited Retinal Diseases.

Front Genet. 2021-3-2

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