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Mutations in STK11 gene in Czech Peutz-Jeghers patients
Peter Vasovcák1, Alena Puchmajerová, Jan Roubalík
1Department of Biology and Medical Genetics, Charles University 2nd Medical School, University Hospital Motol, Prague, Czech Republic. pevas78@hotmail.com
Insights
Genetic testing for Peutz-Jeghers syndrome (PJS) identified STK11 gene mutations in families meeting PJS criteria and in some sporadic cases. A patient with an STK11 frameshift mutation developed aggressive gastric cancer.
Area of Science:
- Genetics and Genomics
- Oncology
- Hereditary Cancer Syndromes
Background:
- Peutz-Jeghers syndrome (PJS) is an autosomal dominant disorder linked to STK11 gene mutations.
- PJS patients face an elevated risk of developing various neoplasms.
- Characterizing genotype-phenotype correlations in PJS is crucial for risk assessment.
Observation:
- This study investigated STK11 gene mutations in Czech PJS patients using sequencing and MLPA.
- Genomic DNA from 8 individuals across five families and three sporadic cases was analyzed.
- The analysis covered the STK11 gene's promoter, coding, and splice-site regions.
Findings:
- Pathogenic STK11 mutations were identified in two PJS families and one of three sporadic cases.
- A patient with an STK11 frameshift mutation developed aggressive gastric cancer.
- No other participants have developed carcinoma to date.
Implications:
- STK11 mutations are present not only in classic PJS but also in some sporadic cases.
- This finding expands the spectrum of clinical presentations associated with STK11 mutations.
- Early identification of STK11 mutations can aid in cancer surveillance and management.
Background:
Peutz-Jeghers syndrome (PJS) is an autosomal dominant hereditary disease characterized by mucocutaneous pigmentation and gastrointestinal hamartomatous polyposis. The germline mutations in the serine/threonine kinase 11 (STK11) gene have been shown to be associated with the disease. Individuals with PJS are at increased risk for development of various neoplasms. The aim of the present study was to characterize the genotype and phenotype of Czech patients with PJS.
Methods:
We examined genomic DNA of 8 individuals from five Czech families by sequencing analysis of STK11 gene, covering its promotor region, the entire coding region and the splice-site boundaries, and by multiplex ligation-dependent probe amplification (MLPA) assay designed for the identification of large exonic deletions or duplications of STK11 gene.
Results:
We found pathogenic mutations in STK11 gene in two families fulfilling the diagnostic criteria of PJS and in one of three sporadic cases not complying with the criteria. The patient with the frameshift mutation in STK11 gene developed aggressive gastric cancer. No other studied proband has developed a carcinoma so far.
Conclusion:
Our results showed that a germline mutation of STK11 gene can be found not only in probands fulfilling the PJS diagnostic criteria, but also in some sporadic cases not complying with the criteria. Moreover, we observed a new case of aggressive gastric cancer in a young patient with a frameshift mutation of STK11 gene.
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