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VHL、PTEN和BAP1突变在肾肿瘤中的潜在作用。

Potential Role of VHL, PTEN, and BAP1 Mutations in Renal Tumors.

作者信息

Szegedi Krisztián, Szabó Zsuzsanna, Kállai Judit, Király József, Szabó Erzsébet, Bereczky Zsuzsanna, Juhász Éva, Dezső Balázs, Szász Csaba, Zsebik Barbara, Flaskó Tibor, Halmos Gábor

机构信息

Department of Urology, Faculty of Medicine, University of Debrecen, 4032 Debrecen, Hungary.

Doctoral School of Pharmaceutical Sciences, University of Debrecen, 4032 Debrecen, Hungary.

出版信息

J Clin Med. 2023 Jul 7;12(13):4538. doi: 10.3390/jcm12134538.

Abstract

The genetic profiling of renal tumors has revealed genomic regions commonly affected by structural changes and a general genetic heterogeneity. The VHL, PTEN, and BAP1 genes are often mutated in renal tumors. The frequency and clinical relevance of these mutations in renal tumors are still being researched. In our study, we investigated VHL, PTEN, and BAP1 genes and the sequencing of 24 samples of patients with renal tumors, revealing that VHL was mutated at a noticeable frequency (25%). Six of the investigated samples showed mutations, and one genetic polymorphism (rs779805) was detected in both heterozygote and homozygote forms. PTEN gene mutation was observed in only one sample, and one specimen showed genetic polymorphism. In the case of the BAP1 gene, all of the samples were wild types. Interestingly, VHL mutation was detected in two female patients diagnosed with AML and in one with oncocytoma. We assume that VHL or PTEN mutations may contribute to the development of human renal cancer. However, the overall mutation rate was low in all specimens investigated, and the development and prognosis of the disease were not exclusively associated with these types of genetic alterations.

摘要

肾肿瘤的基因谱分析揭示了通常受结构变化影响的基因组区域以及普遍存在的基因异质性。VHL、PTEN和BAP1基因在肾肿瘤中常发生突变。这些突变在肾肿瘤中的频率及临床相关性仍在研究中。在我们的研究中,我们对24例肾肿瘤患者样本中的VHL、PTEN和BAP1基因进行了研究及测序,结果显示VHL突变频率显著(25%)。所研究的样本中有6个显示出突变,并且检测到一种基因多态性(rs779805)的杂合子和纯合子形式。仅在一个样本中观察到PTEN基因突变,并且一个标本显示出基因多态性。就BAP1基因而言,所有样本均为野生型。有趣的是,在两名诊断为AML的女性患者和一名肾嗜酸细胞瘤患者中检测到VHL突变。我们推测VHL或PTEN突变可能促成人类肾癌的发生。然而,在所研究的所有标本中总体突变率较低,并且疾病的发生和预后并非仅与这些类型的基因改变相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0395/10342994/b5389f302eb9/jcm-12-04538-g001.jpg

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