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Germline Genetic Associations for Hepatobiliary Cancers
Perapa Chotiprasidhi1, Angela Karina Sato-Espinoza1, Kirk J Wangensteen1
1Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, Minnesota.
Cellular and Molecular Gastroenterology and Hepatology
|January 1, 2024
Summary
Hereditary genetics research reveals germline variants linked to hepatobiliary cancers (HBCs). Integrating multi-gene panel testing into clinical guidelines could improve HBC management and personalized treatments.
Area of Science:
- Oncology
- Genetics
- Cancer Research
Background:
- Hepatobiliary cancers (HBCs), including liver, bile duct, and gallbladder cancers, cause significant global cancer deaths.
- Despite advances, HBC prognosis remains poor, with evidence suggesting a familial risk component.
- Germline genetic research has identified variants associated with HBC susceptibility.
Purpose of the Study:
- To review the hereditary genetics of HBC.
- To explore studies on single nucleotide polymorphisms (SNPs) and pathogenic/likely pathogenic (P/LP) variants in HBC patients.
- To discuss the clinical implications of genetic testing for HBC management and personalized treatments.
Main Methods:
- Review of existing literature on HBC genetics.
- Analysis of studies investigating germline variants (SNPs, P/LP variants) in HBC.
- Examination of genome-wide association studies and next-generation sequencing data.
Main Results:
- Germline variants in cancer-associated genes are linked to HBC risk.
- Multi-gene panel testing is recommended for other cancers but lags in HBC guidelines.
- Genetic testing has potential implications for personalized treatments and family member risk assessment.
Conclusions:
- Germline genetic testing holds promise for HBC management.
- Further research is needed to establish clinical guidelines for genetic testing in HBC.
- Integrating genetic testing may facilitate personalized medicine approaches for HBC patients.
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