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Mutations are changes in the sequence of DNA. These changes can occur spontaneously or they can be induced by exposure to environmental factors. Mutations can be characterized in a number of different ways: whether and how they alter the amino acid sequence of the protein, whether they occur over a small or large area of DNA, and whether they occur in somatic cells or germline cells.
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In a population that is not at Hardy-Weinberg equilibrium, the frequency of alleles changes over time. Therefore, any deviations from the five conditions of Hardy-Weinberg equilibrium can alter the genetic variation of a given population. Conditions that change the genetic variability of a population include mutations, natural selection, non-random mating, gene flow, and genetic drift (small population size).
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Mutational Signature Analysis Reveals NTHL1 Deficiency to Cause a Multi-tumor Phenotype.

Judith E Grolleman1, Richarda M de Voer1, Fadwa A Elsayed2

  • 1Department of Human Genetics, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, 6525 GA Nijmegen, the Netherlands.

Cancer Cell
|February 13, 2019
PubMed
Summary

Biallelic germline mutations in NTHL1 increase cancer risk, particularly extracolonic and breast cancers. NTHL1 deficiency drives a distinct mutational signature across multiple tumor types, aiding syndrome recognition.

Keywords:
DNA repair defectNTHL1adenomatous polyposisbase excision repairbreast cancercolorectal cancergenetic predispositionmultiple malignanciesmutational signaturesomatic mutation spectrum

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Area of Science:

  • Genetics and Genomics
  • Oncology
  • Molecular Biology

Background:

  • Biallelic germline mutations in NTHL1 are linked to adenomatous polyposis and colorectal cancer.
  • The full spectrum of clinical manifestations associated with NTHL1 mutations remains incompletely understood.

Purpose of the Study:

  • To delineate the complete phenotype of individuals with biallelic germline NTHL1 mutations.
  • To investigate the mutational processes associated with NTHL1 deficiency across various cancer types.

Main Methods:

  • Phenotypic characterization of 29 individuals from 17 families with biallelic NTHL1 mutations.
  • Comprehensive mutational signature analysis of 14 tumors from 7 different organs.

Main Results:

  • Twenty-six out of 29 individuals developed one or multiple malignancies in 14 distinct tissues.
  • A significantly high incidence of breast cancer (60%) was observed in female carriers.
  • NTHL1 deficiency was identified as the primary mutational driver in 93% of analyzed tumors, exhibiting a consistent mutational signature.

Conclusions:

  • NTHL1 is a multi-tumor predisposition gene associated with a high lifetime risk of extracolonic cancers.
  • The characteristic mutational signature linked to NTHL1 deficiency can aid in the clinical recognition of this cancer predisposition syndrome.