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家族性腺瘤性息肉病的基因组学见解:解析一例罕见的全APC基因缺失及智力残疾病例

Genomic insights into familial adenomatous polyposis: unraveling a rare case with whole APC gene deletion and intellectual disability.

作者信息

Tanabe Hiroki, Ijiri Masami, Takahashi Kenji, Sasagawa Honoka, Kamanaka Tomomi, Kuroda Shohei, Sato Hiroki, Sarashina Takeo, Mizukami Yusuke, Makita Yoshio, Okumura Toshikatsu

机构信息

Oncology Center, Asahikawa Medical University Hospital, Asahikawa, Japan.

Genetic Oncology Department, Asahikawa Medical University Hospital, Asahikawa, Japan.

出版信息

Hum Genome Var. 2024 Mar 29;11(1):13. doi: 10.1038/s41439-024-00270-3.

DOI:10.1038/s41439-024-00270-3
PMID:38548799
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10978947/
Abstract

A young patient diagnosed with advanced colon cancer and liver metastasis was found to have familial adenomatous polyposis (FAP) through comprehensive genomic analysis. Whole-genome array comparative genomic hybridization (aCGH) revealed germline deletions at chromosome 5q22.1-22.2 encompassing the entire APC gene. The patient and her son exhibited mild intellectual disability without developmental delay. This case highlights the need for further exploration of the characteristics associated with whole APC deletions. aCGH is a valuable tool for studying FAP and provides a detailed analysis of large deletions.

摘要

一名被诊断为晚期结肠癌并伴有肝转移的年轻患者,通过全面的基因组分析发现患有家族性腺瘤性息肉病(FAP)。全基因组阵列比较基因组杂交(aCGH)显示5号染色体q22.1 - 22.2区域存在胚系缺失,该区域包含整个APC基因。该患者及其儿子表现出轻度智力残疾,但无发育迟缓。此病例凸显了进一步探索与整个APC基因缺失相关特征的必要性。aCGH是研究FAP的一种有价值的工具,可对大片段缺失进行详细分析。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ad6/10978947/a164c991f870/41439_2024_270_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ad6/10978947/c5f47e190441/41439_2024_270_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ad6/10978947/a164c991f870/41439_2024_270_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ad6/10978947/c5f47e190441/41439_2024_270_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ad6/10978947/a164c991f870/41439_2024_270_Fig2_HTML.jpg

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本文引用的文献

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Am J Hum Genet. 2023 Aug 3;110(8):1343-1355. doi: 10.1016/j.ajhg.2023.07.007.
2
-Related Phenotypes and Intellectual Disability in 5q Interstitial Deletions: A New Case and Review of the Literature.5q 染色体中间缺失相关表型和智力障碍:一个新病例及文献复习
Genes (Basel). 2023 Jul 23;14(7):1505. doi: 10.3390/genes14071505.
3
APC germline variant analysis in the adenomatous polyposis phenotype in Japanese patients.
日本患者腺瘤性息肉病表型中的APC种系变异分析。
Int J Clin Oncol. 2021 Sep;26(9):1661-1670. doi: 10.1007/s10147-021-01946-4. Epub 2021 Jun 9.
4
Interstitial Deletion of 5q22.2q23.1 Including and in a Patient with Adenomatous Polyposis and Asthenoteratozoospermia.一名患有腺瘤性息肉病和弱畸精子症的患者存在5q22.2q23.1间质性缺失,包括[具体基因名称1]和[具体基因名称2]。
Mol Syndromol. 2019 Jan;9(5):235-240. doi: 10.1159/000492516. Epub 2018 Aug 22.
5
A large deletion of chromosome 5q22.1-22.2 associated with sparse type of familial adenomatous polyposis: report of a case.与稀疏型家族性腺瘤性息肉病相关的5号染色体5q22.1-22.2大片段缺失:一例报告
Jpn J Clin Oncol. 2014 Dec;44(12):1243-7. doi: 10.1093/jjco/hyu150. Epub 2014 Oct 16.
6
APC rearrangements in familial adenomatous polyposis: heterogeneity of deletion lengths and breakpoint sequences underlies similar phenotypes.家族性腺瘤性息肉病中的APC重排:缺失长度和断点序列的异质性是相似表型的基础。
Fam Cancer. 2015 Mar;14(1):41-9. doi: 10.1007/s10689-014-9750-3.
7
Multidisciplinary treatment of desmoid tumours in Gardner's syndrome due to a large interstitial deletion of chromosome 5q. Gardner 综合征中由于 5q 染色体大片段缺失导致的硬纤维瘤的多学科治疗。
QJM. 2014 Jul;107(7):521-7. doi: 10.1093/qjmed/hcu036. Epub 2014 Feb 18.
8
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Hum Mutat. 2005 Feb;25(2):125-34. doi: 10.1002/humu.20122.