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跨四代的种系CDKN2A变异级联检测揭示家族性黑色素瘤-乳腺癌的基因型-表型相关性。

Germline CDKN2A Variant Cascade Testing Across Four Generations Reveals Familial Melanoma-Breast Cancer Genotype-Phenotype Correlation.

作者信息

Berkman Jennifer, Maas Ellie J, DeBortoli E, Primiero Clare A, Soyer H Peter, McInerney-Leo Aideen

机构信息

Frazer Institute, The University of Queensland, Dermatology Research Centre, Brisbane, Queensland, Australia.

Department of Dermatology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.

出版信息

Pigment Cell Melanoma Res. 2025 Sep;38(5):e70055. doi: 10.1111/pcmr.70055.

DOI:10.1111/pcmr.70055
PMID:41006694
Abstract

This study reports co-segregation of a pathogenic CDKN2A variant with both melanoma and breast cancer in a four-generation pedigree. Eighteen individuals were test positive (n = 10), obligate (n = 5) or assumed carriers (n = 3) of the CDKN2A variant. Eleven of these had multiple melanomas, with initial diagnoses from teens to fifties. Six of thirteen female carriers had breast cancer (n = 5 test positive, n = 1 assumed carrier), with diagnoses ranging from thirties to sixties. Additional cancer diagnoses included pancreatic, and head and neck cancers. This study illustrates a possible genotype-phenotype association between a pathogenic CDKN2A variant and the co-occurrence of melanoma and breast cancer in a hereditary context.

摘要

本研究报告了在一个四代家系中,致病性CDKN2A变异与黑色素瘤和乳腺癌的共分离情况。18人检测为CDKN2A变异的阳性携带者(n = 10)、确诊携带者(n = 5)或推定携带者(n = 3)。其中11人患有多发性黑色素瘤,初次诊断年龄从十几岁到五十几岁不等。13名女性携带者中有6人患乳腺癌(n = 5检测为阳性,n = 1为推定携带者),诊断年龄从三十几岁到六十几岁不等。其他癌症诊断包括胰腺癌、头颈癌。本研究说明了在遗传背景下,致病性CDKN2A变异与黑色素瘤和乳腺癌同时发生之间可能存在的基因型-表型关联。

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本文引用的文献

1
Prevalence of high-risk melanoma variants in early-onset and/or multiple primary melanoma in an Australian cohort.澳大利亚队列中早发性和/或多发性原发性黑色素瘤的高危黑色素瘤变体患病率。
J Eur Acad Dermatol Venereol. 2025 Apr 7. doi: 10.1111/jdv.20673.
2
Exploring the Common Mutational Landscape in Cutaneous Melanoma and Pancreatic Cancer.探索皮肤黑色素瘤和胰腺癌的常见突变图谱。
Pigment Cell Melanoma Res. 2025 Jan;38(1):e13210. doi: 10.1111/pcmr.13210. Epub 2024 Nov 28.
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Gene Mutations: Implications for Hereditary Cancer Syndromes.
基因突变:对遗传性癌症综合征的影响
Biomedicines. 2023 Dec 18;11(12):3343. doi: 10.3390/biomedicines11123343.
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MITF E318K: A rare homozygous case with multiple primary melanoma.MITF E318K:一个罕见的伴有多发原发性黑素瘤的纯合子病例。
Pigment Cell Melanoma Res. 2024 Jan;37(1):68-73. doi: 10.1111/pcmr.13122. Epub 2023 Aug 27.
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J Med Genet. 2023 Sep;60(9):835-837. doi: 10.1136/jmg-2023-109348. Epub 2023 Jul 24.
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Impact of Transcript (p16/p14ARF) Alteration on Cancer Risk in CDKN2A Germline Pathogenic Variant Carriers.转录本(p16/p14ARF)改变对 CDKN2A 种系致病性变异携带者癌症风险的影响。
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Unusual suspects in hereditary melanoma: POT1, POLE, BAP1.遗传性黑色素瘤的不寻常嫌疑人:POT1、POLE、BAP1。
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The Role of Inherited Pathogenic CDKN2A Variants in Susceptibility to Pancreatic Cancer.遗传致病性 CDKN2A 变异在胰腺癌易感性中的作用。
Pancreas. 2021 Sep 1;50(8):1123-1130. doi: 10.1097/MPA.0000000000001888.
9
Familial Melanoma and Susceptibility Genes: A Review of the Most Common Clinical and Dermoscopic Phenotypic Aspect, Associated Malignancies and Practical Tips for Management.家族性黑色素瘤与易感基因:最常见临床及皮肤镜表型、相关恶性肿瘤综述及管理实用技巧
J Clin Med. 2021 Aug 23;10(16):3760. doi: 10.3390/jcm10163760.
10
Evolution of approaches to identify melanoma missing heritability.鉴定黑色素瘤遗传缺失的方法的演变。
Expert Rev Mol Diagn. 2020 May;20(5):523-531. doi: 10.1080/14737159.2020.1738221. Epub 2020 Mar 14.