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A novel mutation in STK11 gene is associated with Peutz-Jeghers syndrome in Chinese patients
Zhiqing Wang1, Yulan Chen, Baoping Wu
1Guangdong Provincial Key Laboratory of Gastroenterology, Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.
Insights
A novel STK11 gene mutation, p.Q302X, identified in Peutz-Jeghers syndrome (PJS) patients, likely causes the condition and may increase cancer risk. This finding advances understanding of PJS genetics.
Area of Science:
- Genetics
- Oncology
- Molecular Biology
Background:
- Peutz-Jeghers syndrome (PJS) is a genetic disorder.
- It is linked to mutations in the STK11 tumor suppressor gene.
- PJS increases the risk of gastrointestinal hamartomas, melanin spots, and cancer.
Purpose of the Study:
- To investigate the genetic basis of PJS in Chinese families.
- To identify novel mutations in the STK11 gene.
- To understand the functional impact of identified mutations.
Main Methods:
- Collected blood samples from 20 individuals across two unrelated Chinese PJS families.
- Amplified the entire coding region of the STK11 gene using polymerase chain reaction.
- Performed direct sequencing to analyze the STK11 gene.
Main Results:
- Identified a novel mutation, c.904C > T (p.Q302X), in exon 7 of the STK11 gene in both families.
- This mutation results in a premature stop codon, truncating the STK11 protein and affecting its kinase domain and C-terminus.
- One PJS patient from each family developed visceral cancers (colon and liver).
Conclusions:
- The novel p.Q302X mutation is strongly associated with the Peutz-Jeghers syndrome phenotype.
- This mutation is likely responsible for the development of PJS.
- The mutation may also contribute to the increased risk of malignancy observed in PJS patients.
Background:
Peutz-Jeghers syndrome (PJS) is caused by mutations in the tumor suppressor gene, STK11, and is characterized by gastrointestinal hamartomas, melanin spots on the lips, and an increased risk of developing cancer.
Methods:
Blood samples were collected from two unrelated Chinese PJS families totaling 20 individuals (9 male and 11 females), including 6 PJS patients. The entire coding region of the STK11 gene was amplified by polymerase chain reaction and analyzed by direct sequencing.
Results:
A novel mutation, c.904C > T, in exon 7 was identified in both families. A C > T substitution changed codon 302 from CAG (glutamine) to TAG (stop), truncating the STK11 protein, thus leading to the partial loss of the kinase domain and complete loss of the α-helix C-terminus. Furthermore, one PJS patient from each family was diagnosed with a visceral cancer, a colon cancer and a liver cancer respectively.
Conclusion:
We predict that this novel mutation, p.Q302X, is most likely responsible for development of the PJS phenotype and may even contribute to malignancy.
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