镶嵌型基底细胞痣综合征中拷贝数变异的检测
Detection of Copy-Number Variants in Mosaic Basal Cell Nevus Syndrome.
作者信息
Roemen Guido M J M, Theunissen Tom E J, Hoezen Ward W J, Steyls Anja R M, Paulussen Aimee D C, Mosterd Klara, Rahikkala Elisa, Zur Hausen Axel, Speel Ernst Jan M, van Geel Michel
机构信息
Department of Pathology, Maastricht University Medical Center, 6229 HX Maastricht, The Netherlands.
GROW School for Oncology and Reproduction, Maastricht University, 6229 ER Maastricht, The Netherlands.
出版信息
Biomedicines. 2024 Jan 31;12(2):330. doi: 10.3390/biomedicines12020330.
Basal cell nevus syndrome (BCNS) is an inherited disorder characterized mainly by the development of basal cell carcinomas (BCCs) at an early age. BCNS is caused by heterozygous small-nucleotide variants (SNVs) and copy-number variants (CNVs) in the Patched1 () gene. Genetic diagnosis may be complicated in mosaic BCNS patients, as accurate SNV and CNV analysis requires high-sensitivity methods due to possible low variant allele frequencies. We compared test outcomes for CNV detection using multiplex ligation-probe amplification (MLPA) and digital droplet PCR (ddPCR) with samples from a BCNS patient heterozygous for a CNV duplication and the patient's father, suspected to have a mosaic form of BCNS. ddPCR detected a significantly increased copy-number ratio in the index patient's blood, and the father's blood and tissues, indicating that the father was postzygotic mosaic and the index patient inherited the CNV from him. MLPA only detected the duplication in the index patient's blood and in hair and saliva from the mosaic father. Our data indicate that ddPCR more accurately detects CNVs, even in low-grade mosaic BCNS patients, which may be missed by MLPA. In general, quantitative ddPCR can be of added value in the genetic diagnosis of mosaic BCNS patients and in estimating the recurrence risk for offspring.
基底细胞痣综合征(BCNS)是一种遗传性疾病,主要特征为早年发生基底细胞癌(BCC)。BCNS由Patched1()基因中的杂合小核苷酸变异(SNV)和拷贝数变异(CNV)引起。对于嵌合型BCNS患者,基因诊断可能较为复杂,因为由于变异等位基因频率可能较低,准确的SNV和CNV分析需要高灵敏度方法。我们使用多重连接探针扩增(MLPA)和数字液滴PCR(ddPCR)对一名CNV重复杂合的BCNS患者及其疑似患有嵌合型BCNS的父亲的样本进行CNV检测,并比较检测结果。ddPCR检测到索引患者血液、父亲的血液和组织中CNV拷贝数比率显著增加,表明父亲是合子后嵌合体,索引患者从他那里继承了CNV。MLPA仅在索引患者血液以及嵌合型父亲的毛发和唾液中检测到了该重复。我们的数据表明,即使在低级别嵌合型BCNS患者中,ddPCR也能更准确地检测到CNV,而MLPA可能会遗漏这些CNV。一般来说,定量ddPCR在嵌合型BCNS患者的基因诊断以及评估后代复发风险方面可能具有附加价值。
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