Hereditary Cancer in Clinical Practice最新文献

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Multiple endocrine neoplasia type 1: a new germline “homozygous” variant (c.201delC) caused by detection errors 1型多发性内分泌瘤:由检测错误引起的一种新的种系“纯合”变异(c.201delC)
IF 1.7 4区 医学
Hereditary Cancer in Clinical Practice Pub Date : 2022-03-07 DOI: 10.1186/s13053-022-00216-2
Zhang, Fan, Yu, Xiaohui, Wang, Xiaoli, Shao, Hua
{"title":"Multiple endocrine neoplasia type 1: a new germline “homozygous” variant (c.201delC) caused by detection errors","authors":"Zhang, Fan, Yu, Xiaohui, Wang, Xiaoli, Shao, Hua","doi":"10.1186/s13053-022-00216-2","DOIUrl":"https://doi.org/10.1186/s13053-022-00216-2","url":null,"abstract":"Multiple endocrine neoplasia type 1 (MEN1) is a hereditary cancer syndrome caused by germline variants in the MEN1 gene located on chromosome 11q13. We found a Chinese woman who had a pancreatic tumor, parathyroid tumor, adrenal tumor, and suspicion of gastrinoma. The proband and her immediate family members underwent genetic detection. The results showed that two of the proband’s six relatives had the same variants as the proband, and her sister also had the typical symptoms of MEN1. However, the first- and second-time genetic detection results showed that they were homozygous variants, which did not conform to Mendelian inheritance laws. Multiplex ligation-dependent probe amplification (MLPA) was used to rule out homozygous variants caused by a deletion of gene fragments in the proband and her immediate family members. The MLPA results showed that the gene deletion was absent in the MEN1. The results from the third genetic detection (redesigned the primer) showed that they had a heterozygous variant. A new MEN1 germline variant [c.201delC (p.Ala68Profs*51)], which could induce MEN1, was found in this study. This newly identified germline variant could improve the identification of clinical phenotypes and the early diagnosis of MEN1. Clinician should consider the present of situation that intron variant causing detection error. Re-designing the primers close to the variant site for gene detection could avoid this situation.","PeriodicalId":55058,"journal":{"name":"Hereditary Cancer in Clinical Practice","volume":"52 4","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138509799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence of germline TP53 mutation among early onset middle eastern breast cancer patients. 早发性中东乳腺癌患者种系TP53突变的患病率
IF 1.7 4区 医学
Hereditary Cancer in Clinical Practice Pub Date : 2021-12-14 DOI: 10.1186/s13053-021-00206-w
Abdul Khalid Siraj, Tariq Masoodi, Rong Bu, Sandeep Kumar Parvathareddy, Kaleem Iqbal, Saud Azam, Maha Al-Rasheed, Dahish Ajarim, Asma Tulbah, Fouad Al-Dayel, Khawla Sami Al-Kuraya
{"title":"Prevalence of germline TP53 mutation among early onset middle eastern breast cancer patients.","authors":"Abdul Khalid Siraj,&nbsp;Tariq Masoodi,&nbsp;Rong Bu,&nbsp;Sandeep Kumar Parvathareddy,&nbsp;Kaleem Iqbal,&nbsp;Saud Azam,&nbsp;Maha Al-Rasheed,&nbsp;Dahish Ajarim,&nbsp;Asma Tulbah,&nbsp;Fouad Al-Dayel,&nbsp;Khawla Sami Al-Kuraya","doi":"10.1186/s13053-021-00206-w","DOIUrl":"https://doi.org/10.1186/s13053-021-00206-w","url":null,"abstract":"<p><strong>Background: </strong>The data on prevalence and clinical relevance of TP53 germline mutations in early onset Middle-Eastern breast cancer (BC) is limited.</p><p><strong>Methods: </strong>We determined TP53 germline mutations in a cohort of 464 early onset BC patients from Saudi Arabia using capture sequencing based next generation sequencing.</p><p><strong>Results: </strong>Germline TP53 pathogenic mutations were found in 1.5% (7/464) of early onset Saudi BC patients. A total of six pathogenic missense mutations, one stop gain mutation and two variants of uncertain significance (VUS) were detected in our cohort. No TP53 pathogenic mutations were detected among 463 healthy controls. TP53 mutations carriers were significantly more likely to have bilateral breast cancer (p = 0.0008). At median follow-up of 41 months, TP53 mutations were an unfavorable factor for overall survival in univariate analysis. All the patients carrying TP53 mutations were negative for BRCA1 and BRCA2 mutations. Majority of patients (85.7%; 6/7) carrying TP53 mutation had no family history suggestive of Li-Fraumeni Syndrome (LFS) or personal history of multiple LFS related tumors. Only one patient had a positive family history suggestive of LFS.</p><p><strong>Conclusions: </strong>TP53 germline mutation screening detects a clinically meaningful risk of early onset BC from this ethnicity and should be considered in all early onset BC regardless of the family history of cancer, especially in young patients that are negative for BRCA mutations.</p>","PeriodicalId":55058,"journal":{"name":"Hereditary Cancer in Clinical Practice","volume":"19 1","pages":"49"},"PeriodicalIF":1.7,"publicationDate":"2021-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8670057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39724107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Retroperitoneal leiomyosarcoma in a female patient with a germline splicing variant RAD51D c.904-2A > T: a case report. 种系剪接变异RAD51D c.904-2A > T女性患者腹膜后平滑肌肉瘤1例报告
IF 1.7 4区 医学
Hereditary Cancer in Clinical Practice Pub Date : 2021-11-27 DOI: 10.1186/s13053-021-00205-x
Mashu Futagawa, Hideki Yamamoto, Mariko Kochi, Yusaku Urakawa, Reimi Sogawa, Fumino Kato, Mika Okazawa-Sakai, Daisuke Ennishi, Katsunori Shinozaki, Hirofumi Inoue, Hiroyuki Yanai, Akira Hirasawa
{"title":"Retroperitoneal leiomyosarcoma in a female patient with a germline splicing variant RAD51D c.904-2A > T: a case report.","authors":"Mashu Futagawa,&nbsp;Hideki Yamamoto,&nbsp;Mariko Kochi,&nbsp;Yusaku Urakawa,&nbsp;Reimi Sogawa,&nbsp;Fumino Kato,&nbsp;Mika Okazawa-Sakai,&nbsp;Daisuke Ennishi,&nbsp;Katsunori Shinozaki,&nbsp;Hirofumi Inoue,&nbsp;Hiroyuki Yanai,&nbsp;Akira Hirasawa","doi":"10.1186/s13053-021-00205-x","DOIUrl":"https://doi.org/10.1186/s13053-021-00205-x","url":null,"abstract":"<p><strong>Background: </strong>RAD51D (RAD51 paralog D) is an intermediate cancer susceptibility gene for primary ovarian cancer, including fallopian tube and peritoneal carcinomas and breast cancer. Although gynecological non-epithelial tumors such as uterine sarcomas are associated with genomic instability, including BRCA impairment, there is no clear evidence of the relationship between RAD51D variants and the risk of sarcoma development.</p><p><strong>Case presentation: </strong>A Japanese woman in her 50s underwent multiple surgical resections and several regimens of chemotherapy for tumors that originated in the retroperitoneum and recurred in the peritoneum over a clinical course of approximately 4 years. The peritoneal tumor was histologically diagnosed as a leiomyosarcoma and was genetically identified to show a splice variant of RAD51D c.904-2A > T [NM_002878] through tumor profiling performed as a part of cancer precision medicine. The confirmatory genetic test performed after genetic counseling revealed that the RAD51D splicing variant detected in her tumor was of germline origin. In silico analyses supported the possible pathogenicity of the detected splice variant of RAD51D with a predicted attenuation in mRNA transcription and truncated protein production due to frameshifting, which was attributed to a single-nucleotide alteration in the splicing acceptor site at the 3'-end of intron 9 of RAD51D. Considering her unfavorable clinical outcome, which showed a highly aggressive phenotype of leiomyosarcoma with altered RAD51D, this case provided novel evidence for the relationship of a RAD51D splicing variant with malignant tumor development or progression. We report the findings of this rare case with possible involvement of the germline variant of RAD51D c.904-2A > T as a potential predisposing factor for malignant tumors, including leiomyosarcoma.</p><p><strong>Conclusions: </strong>We present the findings of a case of leiomyosarcoma in the peritoneum of a female patient with a novel germline splicing variant of RAD51D as potential evidence for the pathogenicity of the variant and its involvement in the risk of sarcoma etiology and/or development. To the best of our knowledge, this is the first case report describing a leiomyosarcoma carrying a germline RAD51D splicing variant and elucidating its pathogenicity on the basis of computational prediction of the impairment of normal transcription and the presumed loss of functional protein production.</p>","PeriodicalId":55058,"journal":{"name":"Hereditary Cancer in Clinical Practice","volume":"19 1","pages":"48"},"PeriodicalIF":1.7,"publicationDate":"2021-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8627011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39924811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Correction to: Massive parallel sequencing in individuals with multiple primary tumours reveals the benefit of re-analysis. 更正:对患有多种原发肿瘤的个体进行大规模平行测序揭示了重新分析的好处。
IF 1.7 4区 医学
Hereditary Cancer in Clinical Practice Pub Date : 2021-11-16 DOI: 10.1186/s13053-021-00204-y
Karin Wallander, Håkan Thonberg, Daniel Nilsson, Emma Tham
{"title":"Correction to: Massive parallel sequencing in individuals with multiple primary tumours reveals the benefit of re-analysis.","authors":"Karin Wallander,&nbsp;Håkan Thonberg,&nbsp;Daniel Nilsson,&nbsp;Emma Tham","doi":"10.1186/s13053-021-00204-y","DOIUrl":"https://doi.org/10.1186/s13053-021-00204-y","url":null,"abstract":"","PeriodicalId":55058,"journal":{"name":"Hereditary Cancer in Clinical Practice","volume":"19 1","pages":"47"},"PeriodicalIF":1.7,"publicationDate":"2021-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8594138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39629421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Massive parallel sequencing in individuals with multiple primary tumours reveals the benefit of re-analysis. 对患有多种原发性肿瘤的个体进行大规模平行测序,揭示了重新分析的益处。
IF 1.7 4区 医学
Hereditary Cancer in Clinical Practice Pub Date : 2021-10-28 DOI: 10.1186/s13053-021-00203-z
Karin Wallander, Håkan Thonberg, Daniel Nilsson, Emma Tham
{"title":"Massive parallel sequencing in individuals with multiple primary tumours reveals the benefit of re-analysis.","authors":"Karin Wallander, Håkan Thonberg, Daniel Nilsson, Emma Tham","doi":"10.1186/s13053-021-00203-z","DOIUrl":"10.1186/s13053-021-00203-z","url":null,"abstract":"<p><p>Multiple primary cancers, defined as three or more primary tumours, are rare, and there are few genetic studies concerning them. There is a need for increased knowledge on the heritability of multiple primary cancers and genotype-phenotype correlations. We have performed whole-genome/exome sequencing (WGS/WES) in ten individuals with three or more primary tumours, with no previous findings on standard clinical genetic investigations. In one individual with a clinical diagnosis of MEN1, a likely pathogenic cryptic splice site variant was detected in the MEN1 gene. The variant (c.654C > A) is synonymous but we showed in a cDNA analysis that it affects splicing and leads to a frameshift, with the theoretical new amino acid sequence p.(Gly219Glufs*13). In one individual with metachronous colorectal cancers, ovarian cancer, endometrial cancer and chronic lymphocytic leukaemia, we found a likely pathogenic variant in the MLH1 gene (c.27G > A), and two risk factor variants in the genes CHEK2 and HOXB13. The MLH1 variant is synonymous but has previously been shown to be associated to constitutional low-grade hypermethylation of the MLH1 promoter, and segregates with disease in families with colorectal and endometrial cancer. No pathogenic single nucleotide or structural variants were detected in the remaining eight individuals in the study. The pathogenic variants found by WGS/WES were in genes already sequenced by Sanger sequencing and WES in the clinic, without any findings. We conclude that, in individuals with an unequivocal clinical diagnosis of a specific hereditary cancer syndrome, where standard clinical testing failed to detect a causative variant, re-analysis may lead to a diagnosis.</p>","PeriodicalId":55058,"journal":{"name":"Hereditary Cancer in Clinical Practice","volume":"19 1","pages":"46"},"PeriodicalIF":1.7,"publicationDate":"2021-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8555269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39823924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Can harmful lifestyle, obesity and weight changes increase the risk of breast cancer in BRCA 1 and BRCA 2 mutation carriers? A Mini review. 有害的生活方式、肥胖和体重变化会增加BRCA 1和BRCA 2突变携带者患乳腺癌的风险吗?一个小评论。
IF 1.7 4区 医学
Hereditary Cancer in Clinical Practice Pub Date : 2021-10-27 DOI: 10.1186/s13053-021-00199-6
A Daniele, R Divella, B Pilato, S Tommasi, P Pasanisi, M Patruno, M Digennaro, C Minoia, M Dellino, S Pisconti, P Casamassima, E Savino, A V Paradiso
{"title":"Can harmful lifestyle, obesity and weight changes increase the risk of breast cancer in BRCA 1 and BRCA 2 mutation carriers? A Mini review.","authors":"A Daniele,&nbsp;R Divella,&nbsp;B Pilato,&nbsp;S Tommasi,&nbsp;P Pasanisi,&nbsp;M Patruno,&nbsp;M Digennaro,&nbsp;C Minoia,&nbsp;M Dellino,&nbsp;S Pisconti,&nbsp;P Casamassima,&nbsp;E Savino,&nbsp;A V Paradiso","doi":"10.1186/s13053-021-00199-6","DOIUrl":"https://doi.org/10.1186/s13053-021-00199-6","url":null,"abstract":"<p><strong>Background and aim: </strong>The BRCA 1 and BRCA 2 genes are associated with an inherited susceptibility to breast cancer with a cumulative risk of 60% in BRCA 1 mutation carriers and of 30% in BRCA 2 mutation carriers. Several lifestyle factors could play a role in determining an individual's risk of breast cancer. Obesity, changes in body size or unhealthy lifestyle habits such as smoking, alcohol consumption and physical inactivity have been evaluated as possible determinants of breast cancer risk. The aim of this study was to explore the current understanding of the role of harmful lifestyle and obesity or weight change in the development of breast cancer in female carriers of BRCA 1/2 mutations.</p><p><strong>Methods: </strong>Articles were identified from MEDLINE in October 2020 utilizing related keywords; they were then read and notes, study participants, measures, data analysis and results were used to write this review.</p><p><strong>Results: </strong>Studies with very large case series have been carried out but only few of them have shown consistent results. Additional research would be beneficial to better determine the actual role and impact of such factors.</p>","PeriodicalId":55058,"journal":{"name":"Hereditary Cancer in Clinical Practice","volume":"19 1","pages":"45"},"PeriodicalIF":1.7,"publicationDate":"2021-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8554866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39563774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 19
Unusual course of disease and genetic profile in Li-Fraumeni syndrome-associated osteosarcoma - a case report. Li-Fraumeni综合征相关骨肉瘤的异常病程和遗传谱- 1例报告
IF 1.7 4区 医学
Hereditary Cancer in Clinical Practice Pub Date : 2021-10-20 DOI: 10.1186/s13053-021-00202-0
Alexander Puzik, Markus Uhl, Juri Ruf, Tilmann Schumacher, Udo Kontny
{"title":"Unusual course of disease and genetic profile in Li-Fraumeni syndrome-associated osteosarcoma - a case report.","authors":"Alexander Puzik,&nbsp;Markus Uhl,&nbsp;Juri Ruf,&nbsp;Tilmann Schumacher,&nbsp;Udo Kontny","doi":"10.1186/s13053-021-00202-0","DOIUrl":"https://doi.org/10.1186/s13053-021-00202-0","url":null,"abstract":"<p><strong>Background: </strong>Osteosarcoma is a highly malignant tumour associated with numerous and complex genetic alterations like copy number alterations. Recent whole genome studies revealed distinct mutations in several candidate oncogenes. While clinical parameters stratify osteosarcoma patients in risk groups, genetic profiles have not yet been used to tailor tumour treatment. However, specific copy number alterations seem to have a prognostic impact in osteosarcoma treatment. Somatic TP53 gene mutation frequently occurs in sporadic osteosarcoma. When arising germline, TP53 mutation leads to Li-Fraumeni syndrome and may result in early life osteosarcoma. The effect of Li-Fraumeni syndrome on the genetic profile of osteosarcoma and the consideration of the syndrome during cancer treatment are topics of current research.</p><p><strong>Case presentation: </strong>We report a 25-year-old female with pelvic osteosarcoma refusing continuation of therapy. She interrupted neo-adjuvant chemotherapy according to EURAMOS-1/COSS recommendations and declined local or further adjuvant therapy. Surprisingly, she remained in sustained remission for the osteosarcoma but eventually died from newly diagnosed breast cancer. After establishment of breast cancer, we detected TP53 germline mutation and investigated the osteosarcoma material with array-CGH.</p><p><strong>Conclusion: </strong>Genetic examination of the tumour evidenced several copy number alterations with striking differences to previously reported data. We discuss possible influences of the genetic profile on the unusual clinical course and the significance of Li-Fraumeni syndrome for the genetic profile. Specific loss of (proto-) oncogenes might have contributed to the unusual case. Further large-scale genetics of Li-Fraumeni patients combined with detailed clinical data will help to identify specific genetic risk profiles and improve treatment.</p>","PeriodicalId":55058,"journal":{"name":"Hereditary Cancer in Clinical Practice","volume":"19 1","pages":"44"},"PeriodicalIF":1.7,"publicationDate":"2021-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8527636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39537513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
"Left in limbo": Exploring how patients with colorectal cancer interpret and respond to a suspected Lynch syndrome diagnosis. “陷入困境”:探讨结直肠癌患者对疑似Lynch综合征诊断的理解和反应。
IF 1.7 4区 医学
Hereditary Cancer in Clinical Practice Pub Date : 2021-10-16 DOI: 10.1186/s13053-021-00201-1
Nicole den Elzen, Sharelle L Joseland, Sibel Saya, Sowmya Jonnagadla, Joanne Isbister, Ingrid Winship, Daniel D Buchanan
{"title":"\"Left in limbo\": Exploring how patients with colorectal cancer interpret and respond to a suspected Lynch syndrome diagnosis.","authors":"Nicole den Elzen,&nbsp;Sharelle L Joseland,&nbsp;Sibel Saya,&nbsp;Sowmya Jonnagadla,&nbsp;Joanne Isbister,&nbsp;Ingrid Winship,&nbsp;Daniel D Buchanan","doi":"10.1186/s13053-021-00201-1","DOIUrl":"https://doi.org/10.1186/s13053-021-00201-1","url":null,"abstract":"<p><strong>Background: </strong>A diagnosis of suspected Lynch syndrome (SLS) is given when a tumour displays characteristics consistent with Lynch syndrome (LS), but no germline pathogenic variant is identified. This inconclusive diagnosis results in uncertainty around appropriate cancer risk management. This qualitative study explored how patients with CRC interpret and respond to an SLS diagnosis.</p><p><strong>Methods: </strong>Semi-structured telephone interviews were conducted with 15 patients with CRC who received an SLS diagnosis, recruited from cancer genetics services across Australia. Interviews were transcribed verbatim and analysed using thematic analysis. Participant responses were compared with appointment summary letters from cancer genetics services.</p><p><strong>Results: </strong>Participants' interpretations of genetic test results were found to vary widely. While this variation often aligned with variation in interpretations by cancer genetics services, participants also had difficulties with the complexity and recall of genetic test results. Participants had a range of psychological responses to the uncertainty that their results presented, from relief to disappointment and doubt. Cancer risk perceptions also varied widely, with participants' interpretations of their genetic test results just one of several influencing factors. Despite this variability, almost all participants adhered to cancer risk management advice, although different participants received different advice. All participants also communicated any cancer risk management advice to first-degree relatives, motivated by protecting them, but information communicated was not always consistent with advice received.</p><p><strong>Conclusions: </strong>Our study findings highlight the variability in patients' interpretations of their diagnosis, cancer risk management and family communication when a diagnosis of SLS is received, and provide novel insights into how healthcare professionals can better support patients with SLS.</p>","PeriodicalId":55058,"journal":{"name":"Hereditary Cancer in Clinical Practice","volume":"19 1","pages":"43"},"PeriodicalIF":1.7,"publicationDate":"2021-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8520179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39523320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Germline mutations among Polish patients with acute myeloid leukemia. 波兰急性髓性白血病患者的种系突变
IF 1.7 4区 医学
Hereditary Cancer in Clinical Practice Pub Date : 2021-10-12 DOI: 10.1186/s13053-021-00200-2
Aneta Bąk, Katarzyna Skonieczka, Anna Jaśkowiec, Anna Junkiert-Czarnecka, Marta Heise, Maria Pilarska-Deltow, Stanisław Potoczek, Maria Czyżewska, Olga Haus
{"title":"Germline mutations among Polish patients with acute myeloid leukemia.","authors":"Aneta Bąk,&nbsp;Katarzyna Skonieczka,&nbsp;Anna Jaśkowiec,&nbsp;Anna Junkiert-Czarnecka,&nbsp;Marta Heise,&nbsp;Maria Pilarska-Deltow,&nbsp;Stanisław Potoczek,&nbsp;Maria Czyżewska,&nbsp;Olga Haus","doi":"10.1186/s13053-021-00200-2","DOIUrl":"https://doi.org/10.1186/s13053-021-00200-2","url":null,"abstract":"<p><strong>Background: </strong>A small but important proportion of patients (4-10 %) with AML have germline mutations. They can cause the development of AML at an earlier age, confer a higher risk of relapse or predispose to secondary leukemias, including therapy-related leukemias. The analysis of germline mutations in a patient and his/her family is also critical for the selection of suitable family donors if the patient is a candidate for hematopoietic stem cell transplantation (HSCT).</p><p><strong>Methods: </strong>103 unrelated consecutive patients with de novo AML were enrolled in the study. Control group consisted of 103 persons from the general population. We performed NGS sequencing of bone marrow cells and buccal swabs DNA of six genes: CEBPA, DDX41, ETV6, TERT, GATA2, and IDH2 to detect germline pathogenic mutations.</p><p><strong>Results: </strong>In the investigated group, 49 variants were detected in six genes. 26 of them were somatic and 23 germline. Germline variants were detected in all six tested genes. Eight pathogenic germline mutations were detected in 7 AML patients, in three genes: CEBPA, ETV6, and IDH2. One patient had two pathogenic germinal mutations, one in ETV6 and one in CEBPA gene. We identified one novel pathogenic germline mutation in CEBPA gene. The difference in frequency of all pathogenic germline mutations between the tested (7.77 %) and control groups (0.97 %) was statistically significant (p = 0.046). In the tested group, the median age at AML diagnosis was 11 years lower in patients with pathogenic germline mutations than in patients without them (p = 0.028).</p><p><strong>Conclusions: </strong>We showed higher frequency of CEBPA, ETV6, and IDH2 germline mutations in AML patients than in control group, which confirms the role of these mutations in the development of AML. We also showed that the median age at the onset of AML in patients with pathogenic germline mutations is significantly lower than in patients without them.</p>","PeriodicalId":55058,"journal":{"name":"Hereditary Cancer in Clinical Practice","volume":"19 1","pages":"42"},"PeriodicalIF":1.7,"publicationDate":"2021-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8507332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39512031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Danish guidelines for management of non-APC-associated hereditary polyposis syndromes. 丹麦非apc相关遗传性息肉病综合征管理指南。
IF 1.7 4区 医学
Hereditary Cancer in Clinical Practice Pub Date : 2021-10-07 DOI: 10.1186/s13053-021-00197-8
Anne Marie Jelsig, John Gásdal Karstensen, Niels Jespersen, Zohreh Ketabi, Charlotte Lautrup, Karina Rønlund, Lone Sunde, Karin Wadt, Ole Thorlacius-Ussing, Niels Qvist
{"title":"Danish guidelines for management of non-APC-associated hereditary polyposis syndromes.","authors":"Anne Marie Jelsig,&nbsp;John Gásdal Karstensen,&nbsp;Niels Jespersen,&nbsp;Zohreh Ketabi,&nbsp;Charlotte Lautrup,&nbsp;Karina Rønlund,&nbsp;Lone Sunde,&nbsp;Karin Wadt,&nbsp;Ole Thorlacius-Ussing,&nbsp;Niels Qvist","doi":"10.1186/s13053-021-00197-8","DOIUrl":"https://doi.org/10.1186/s13053-021-00197-8","url":null,"abstract":"<p><p>Hereditary Polyposis Syndromes are a group of rare, inherited syndromes characterized by the presence of histopathologically specific or numerous intestinal polyps and an increased risk of cancer. Some polyposis syndromes have been known for decades, but the development in genetic technologies has allowed the identification of new syndromes.. The diagnosis entails surveillance from an early age, but universal guideline on how to manage and surveille these new syndromes are lacking. This paper represents a condensed version of the recent guideline (2020) from a working group appointed by the Danish Society of Medical Genetics and the Danish Society of Surgery on recommendations for the surveillance of patients with hereditary polyposis syndromes, including rare polyposis syndromes.</p>","PeriodicalId":55058,"journal":{"name":"Hereditary Cancer in Clinical Practice","volume":"19 1","pages":"41"},"PeriodicalIF":1.7,"publicationDate":"2021-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8499431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39494203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
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