染色体11p15.5的变化作为胚胎狂宫肌肉瘤的特定标志物?
Ales Vicha1, Pavla Jencova1, Daniela Novakova-Kodetova2
1Department of Pediatric Hematology and Oncology, 2nd Faculty of Medicine, Charles University in Prague and University Hospital Motol, Prague, Czech Republic.
Genes, chromosomes & cancer
|August 2, 2023
概括
11p15.5的父单亲异构 (pUPD) 是常见的rhabdomyosarcomas (RMS),不仅仅是胚胎类型. 确定了胚胎RMS和膜RMS的新诊断标记,扩大了我们对这些罕见癌症的理解.
科学领域:
- 在瘤学瘤学.
- 分子遗传学 分子遗传学
- 癌症基因组学 癌症基因组学
背景情况:
- 轮骨髓瘤 (RMS) 是一组多样化的瘤,具有不同的临床和形态特征.
- 染色体11p15.5的父单亲异构 (pUPD) 是一种已知的分子变异,主要与胚胎RMS (ERMS) 相关.
- MLPA技术提供了对拷贝数变异和基因甲基化,包括H19和KCNQ1OT1的全面分析,这就需要在RMS中进行系统的调查.
研究的目的:
- 为了研究在11p15.5的分子变化的频率和频谱,在127个RMS瘤的队列中,在不同的组织学亚型中.
- 确定pUPD 11p15.5是否仅存在于ERMS或其他RMS亚型中,如膜RMS (ARMS).
- 使用MLPA分析识别ERMS和ARMS的新型分子标记物.
主要方法:
- 对127个RMS瘤进行了MLPA (ME030套件) 分析.
- 根据组织学和PAX融合状态,瘤被分为四组:多形,PAX阳性ARMS,ERMS和PAX阴性ARMS与膜模式.
- 分析包括检测异构性丧失 (LOH),UPD,拷贝数变异以及H19和KCNQ1OT1.1.的甲基化状态.
主要成果:
- pUPD 11p15.5在75个瘤中检测到,并且在所有RMS亚型中没有显著差异.
- 新发现包括父方等位基因的增加 (9个瘤),母方等位基因的丧失 (9个瘤),H19高甲基化 (6个瘤),KCNQ1OT1低甲基化 (6个瘤) 和CDKN1C删除 (1个瘤).
- pUPD 11p15.5在ERMS和ARMS中发现,挑战了它对ERMS的独家概念.
结论:
- 11p15.5中的变化不仅仅局限于ERMS,而且在ARMS中也经常观察到.
- 新的ERMS潜在的诊断标记包括父亲的重复和全染色体11 UPD.
- 低甲基化KCNQ1OT1已经成为PAX阳性ARMS的潜在诊断标志物.
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