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在两名高级别浆液性卵巢癌姐妹中鉴定出新型BRCA1基因c.2463_2464delTA突变及其潜在剂量效应影响:一例报告

Identification of the novel BRCA1 c.2463_2464delTA mutation in two high grade serous ovarian cancer sisters and potential dosage effects implications: a case report.

作者信息

Lombardo Valentina, Scandurra Giuseppa, Pettinato Angela, Scaglione Giovanni Luca, Scollo Paolo, Capoluongo Ettore D

机构信息

Department of Medical Oncology, A.O.E. Cannizzaro, Catania, Italy.

Faculty of Medicine, "Kore" University, Enna, Italy.

出版信息

Mol Biol Rep. 2025 Jan 7;52(1):103. doi: 10.1007/s11033-024-10213-4.

DOI:10.1007/s11033-024-10213-4
PMID:39775979
Abstract

BACKGROUND

Ovarian Cancer is one of the leading causes of cancer death among women worldwide and the therapeutic landscape to treat it is constantly evolving. One of the major points of decision for the treatment choice is the presence of some genomic alterations that could confer sensitivity to the new available therapies including inhibitors of poly (ADP-ribose) polymerase (PARPi) with BRCA1 and 2 genes playing the most important role.

METHODS AND RESULTS

We performed the search for any somatic and/or germline alteration in patient's samples by next generation sequencing (NGS). On two patients, our bioinformatic tools allowed us to correctly classify the c.2463_2464delTA BRCA1 new variant.

CONCLUSIONS

The novel BRCA1 c.2463_2464delTA variant which falls into the DNA Binding Domain (DBD) of the BRCA1 gene can be considered as a variant of clinical significance due to the peculiar family and personal history of patients.

摘要

背景

卵巢癌是全球女性癌症死亡的主要原因之一,其治疗格局也在不断演变。治疗方案选择的一个主要决策点是某些基因组改变的存在,这些改变可能使患者对新出现的疗法敏感,包括聚(ADP - 核糖)聚合酶(PARPi)抑制剂,其中BRCA1和2基因发挥着最重要的作用。

方法与结果

我们通过二代测序(NGS)对患者样本中的任何体细胞和/或种系改变进行了检测。在两名患者中,我们的生物信息学工具使我们能够正确分类c.2463_2464delTA这一BRCA1新变体。

结论

由于患者特殊的家族史和个人史,位于BRCA1基因DNA结合域(DBD)的新型BRCA1 c.2463_2464delTA变体可被视为具有临床意义的变体。

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本文引用的文献

1
Paradigm Shift: A Comprehensive Review of Ovarian Cancer Management in an Era of Advancements.范式转变:先进时代卵巢癌管理的全面综述。
Int J Mol Sci. 2024 Feb 3;25(3):1845. doi: 10.3390/ijms25031845.
2
Homologous Recombination Deficiency (HRD) Scoring, by Means of Two Different Shallow Whole-Genome Sequencing Pipelines (sWGS), in Ovarian Cancer Patients: A Comparison with Myriad MyChoice Assay.同源重组缺陷 (HRD) 评分,使用两种不同的浅层全基因组测序分析方法(sWGS),在卵巢癌患者中的应用:与 Myriad MyChoice 检测的比较。
Int J Mol Sci. 2023 Dec 4;24(23):17095. doi: 10.3390/ijms242317095.
3
Ovarian Cancer in a Northern Italian Province and the Multidisciplinary Team.
意大利北部某省的卵巢癌与多学科团队
Cancers (Basel). 2022 Dec 31;15(1):299. doi: 10.3390/cancers15010299.
4
Association of location of BRCA1 and BRCA2 mutations with benefit from olaparib and bevacizumab maintenance in high-grade ovarian cancer: phase III PAOLA-1/ENGOT-ov25 trial subgroup exploratory analysis.BRCA1 和 BRCA2 突变位置与奥拉帕利和贝伐珠单抗维持治疗高级别卵巢癌获益的相关性:III 期 PAOLA-1/ENGOT-ov25 试验亚组探索性分析。
Ann Oncol. 2023 Feb;34(2):152-162. doi: 10.1016/j.annonc.2022.11.003. Epub 2022 Nov 28.
5
Recommendations for the implementation of BRCA testing in ovarian cancer patients and their relatives.BRCA 检测在卵巢癌患者及其亲属中的实施建议。
Crit Rev Oncol Hematol. 2019 Aug;140:67-72. doi: 10.1016/j.critrevonc.2019.05.012. Epub 2019 May 25.