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综合征:我们对其发病机制了解多少?

Syndrome: What Do We Know of the Pathogenetic Mechanisms?

作者信息

Jansen Floor A, Bakhuizen Jette, Kester Lennart, de Krijger Ronald R

机构信息

Princess Máxima Center for Pediatric Oncology, Heidelberglaan 25, 3584 CS Utrecht, The Netherlands.

Department of Genetics, Division of Laboratories, Pharmacy and Biomedical Genetics, Utrecht University, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands.

出版信息

Cancers (Basel). 2025 Sep 2;17(17):2885. doi: 10.3390/cancers17172885.

DOI:10.3390/cancers17172885
PMID:40940982
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12427558/
Abstract

syndrome is a hereditary cancer predisposition syndrome, characterized by a large range of benign and malignant neoplasms. Patients with syndrome have a broad phenotype, with pleuropulmonary blastoma, Sertoli-Leydig cell tumor, cystic nephroma, cervical embryonal rhabdomyosarcoma, cystic lung lesions, and thyroid follicular nodular disease being the most prevalent manifestations. The syndrome is caused by loss-of-function germline variants in the gene, and -related tumors are characterized by second somatic hotspot variants in the RNase IIIb domain of . encodes an endoribonuclease, which is important for RNA interference. This review describes the molecular mechanism of function and the pathogenetic mechanisms of tumorigenesis. The purpose of this review is to describe the pathogenesis, genotype-phenotype correlation and tissue specificity of syndrome. We conclude that there is a lack of knowledge about the exact molecular mechanisms of function and more research is needed to determine the exact role of this altered protein in relation to pathogenesis.

摘要

[综合征名称]是一种遗传性癌症易感性综合征,其特征为存在多种良性和恶性肿瘤。患有[综合征名称]的患者具有广泛的表型,其中胸膜肺母细胞瘤、支持-间质细胞瘤、囊性肾瘤、宫颈胚胎性横纹肌肉瘤、肺部囊性病变和甲状腺滤泡结节性疾病是最常见的表现。该综合征由[基因名称]基因的功能丧失性种系变异引起,与[综合征名称]相关的肿瘤的特征是在[基因名称]的RNase IIIb结构域中存在第二个体细胞热点变异。[基因名称]编码一种核糖核酸内切酶,这对RNA干扰很重要。本综述描述了[基因名称]功能的分子机制以及肿瘤发生的致病机制。本综述的目的是描述[综合征名称]的发病机制、基因型-表型相关性和组织特异性。我们得出结论,目前对于[基因名称]功能的确切分子机制缺乏了解,需要更多研究来确定这种改变的蛋白质在发病机制中的确切作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62dd/12427558/1df7e671df3e/cancers-17-02885-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62dd/12427558/1e7b4693f0a3/cancers-17-02885-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62dd/12427558/6da52c328078/cancers-17-02885-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62dd/12427558/8703119ba0d3/cancers-17-02885-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62dd/12427558/1df7e671df3e/cancers-17-02885-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62dd/12427558/1e7b4693f0a3/cancers-17-02885-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62dd/12427558/6da52c328078/cancers-17-02885-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62dd/12427558/8703119ba0d3/cancers-17-02885-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62dd/12427558/1df7e671df3e/cancers-17-02885-g004.jpg

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本文引用的文献

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Familial Thyroid Cancers Syndromes.家族性甲状腺癌综合征
Endocrinol Metab Clin North Am. 2025 Sep;54(3):521-536. doi: 10.1016/j.ecl.2025.03.018. Epub 2025 Apr 21.
2
RAS pathway targeted therapy in patients with DICER1-associated sarcomas.DICER1相关肉瘤患者的RAS通路靶向治疗
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3
Mutational Spectrum in Intracranial CNS-Neoplasias-A Review and a Report from the CNS-InterREST GPOH Study Center.颅内中枢神经系统肿瘤的突变谱——综述及来自CNS-InterREST GPOH研究中心的报告
Cancers (Basel). 2025 Apr 30;17(9):1513. doi: 10.3390/cancers17091513.
4
Prognostic Significance of Germline Pathogenic or Likely Pathogenic Variants in Outcomes of Ovarian Sertoli-Leydig Cell Tumor.种系致病性或可能致病性变异在卵巢支持-间质细胞瘤预后中的意义
JCO Precis Oncol. 2025 Apr;9:e2400902. doi: 10.1200/PO-24-00902. Epub 2025 Apr 23.
5
An imbalance between proliferation and differentiation underlies the development of microRNA-defective pineoblastoma.增殖与分化之间的失衡是微小RNA缺陷型松果体母细胞瘤发生发展的基础。
Genes Dev. 2025 Apr 16. doi: 10.1101/gad.352485.124.
6
Germline Pathogenic DROSHA Variants Are Linked to Pineoblastoma and Wilms Tumor Predisposition.生殖系致病性DROSHA变异与松果体母细胞瘤和肾母细胞瘤易感性相关。
Clin Cancer Res. 2025 Apr 14;31(8):1491-1503. doi: 10.1158/1078-0432.CCR-24-2785.
7
Update on Pediatric Surveillance Recommendations for PTEN Hamartoma Tumor Syndrome, DICER1-Related Tumor Predisposition, and Tuberous Sclerosis Complex.PTEN错构瘤肿瘤综合征、DICER1相关肿瘤易感性和结节性硬化症复合体的儿科监测建议更新
Clin Cancer Res. 2025 Jan 17;31(2):234-244. doi: 10.1158/1078-0432.CCR-24-1947.
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DICER1-Related Tumor Predisposition: Identification of At-risk Individuals and Recommended Surveillance Strategies.与DICER1相关的肿瘤易感性:高危个体的识别及推荐的监测策略
Clin Cancer Res. 2024 Dec 16;30(24):5681-5692. doi: 10.1158/1078-0432.CCR-24-1532.
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Thorax. 2024 Jun 14;79(7):644-651. doi: 10.1136/thorax-2023-221024.
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Expanding Our Knowledge of Gene Alterations and Their Role in Thyroid Diseases.拓展我们对基因改变及其在甲状腺疾病中作用的认识。
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