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两种不同肿瘤组织中的插入/缺失(InDEL)不稳定性及其法医学意义。

InDEL instability in two different tumoral tissues and its forensic significance.

作者信息

Gürel İpek, Aşıcıoğlu Faruk, Ersoy Gökhan, Bülbül Özlem, Öztürk Tülin, Filoğlu Gönül

机构信息

Department of Science, Institute of Forensic Sciences and Legal Medicine, İstanbul University- Cerrahpaşa, İstanbul, Türkiye.

Department of Molecular Biology and Genetics, Faculty of Arts and Sciences, Haliç University, İstanbul, Türkiye.

出版信息

Forensic Sci Med Pathol. 2024 Dec;20(4):1241-1250. doi: 10.1007/s12024-024-00808-5. Epub 2024 Apr 3.

Abstract

There may be cases where malignant tumor samples can be used for forensic DNA profiling studies. STRs are the first systems preferred in forensic science laboratories for identification purposes. However, genetic instability in tumoral tissues causes STR polymorphism to change, leading to erroneous results. On the other hand, insertion/deletion polymorphism (InDels) are used as genetic markers in forensic science, as they have features that make both STR and SNPs preferable. Although previous studies approved that STR instability is observed in many different tumors, there are only a few studies that have displayed the instability of InDels in tumoral tissues before. In this study, it was aimed to determine whether instability is observed in formalin-fixed paraffin-embedded breast and thyroid tumoral tissues at 36plex InDel Panel. A total of 47 cases, 26 of which were diagnosed as breast cancer and 21 as thyroid cancer, were included in the study. In 21 of 26 (80.76%) breast cancers mutational changes were observed, however only 6 of 21 (28.57%) thyroid carcinoma cases displayed instability.Moreover, in these six cases, mutations were detected at only 1 or 2 loci. The most common change in both tissues was loss of heterozygosity. These findings suggest that paraffin embedded tissues of thyroid tumor can be used in cases of forensic genetic identification, however paraffin embedded breast cancer tissues should be examined with care. In conclusion, low InDel mutation rates compared to STR instability, make InDel analysis from paraffin blocks suitable for forensic genetic identification. However, researchers should keep in mind that there may be differences between the profiles of the tumoral tissues taken as reference and the actual case. In addition, by incorporating additional markers such as SNPs and microhaplotypes with low mutation rates into the study alongside Indels, researchers can significantly enhance the discrimination power in identification processes.

摘要

在某些情况下,恶性肿瘤样本可用于法医DNA分析研究。短串联重复序列(STR)是法医学实验室用于身份识别的首选系统。然而,肿瘤组织中的基因不稳定性会导致STR多态性发生变化,从而产生错误结果。另一方面,插入/缺失多态性(InDels)在法医学中用作遗传标记,因为它们具有使STR和单核苷酸多态性(SNP)都更受青睐的特征。尽管先前的研究证实许多不同肿瘤中都存在STR不稳定性,但之前仅有少数研究显示肿瘤组织中InDels的不稳定性。本研究旨在确定在36重InDel面板检测下,福尔马林固定石蜡包埋的乳腺和甲状腺肿瘤组织中是否存在不稳定性。该研究共纳入47例病例,其中26例被诊断为乳腺癌,21例为甲状腺癌。26例乳腺癌中有21例(80.76%)观察到突变变化,然而21例甲状腺癌病例中只有6例(28.57%)显示出不稳定性。此外,在这6例病例中,仅在1或2个位点检测到突变。两种组织中最常见的变化是杂合性缺失。这些发现表明,甲状腺肿瘤的石蜡包埋组织可用于法医遗传学鉴定,但石蜡包埋的乳腺癌组织应谨慎检查。总之,与STR不稳定性相比,InDel突变率较低,使得从石蜡块中进行InDel分析适用于法医遗传学鉴定。然而,研究人员应牢记,作为参考的肿瘤组织图谱与实际病例之间可能存在差异。此外,通过在研究中纳入额外的低突变率标记,如SNP和微单倍型,研究人员可以显著提高鉴定过程中的辨别能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2163/11790770/9fbb192aece6/12024_2024_808_Fig1_HTML.jpg

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