MSH2 c.793-1G>A 变种破坏正常拼接,并与林奇综合征有关
Yiming Li1,2,3, Lulu Yu4,5,6, Jiajia Cui4,5,6
1Department of Geratic Surgery, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Frontiers in oncology
|August 4, 2023
概括
这项研究确定了一种新的MSH2基因拼接变异 (c.793-1G>A),导致中国家庭的林奇综合征 (LS). 基因检测对于早期检测和管理这种遗传性癌症倾向至关重要.
科学领域:
- 遗传学 是一个遗传学.
- 在瘤学瘤学.
- 分子生物学分子生物学
背景情况:
- 林奇综合征 (LS) 是一种常见的遗传性癌症倾向,主要与不匹配修复 (MMR) 基因缺陷有关.
- 结肠直肠癌 (CRC) 是LS患者的一个主要问题.
- 识别遗传变异是了解LS病因和管理的关键.
研究的目的:
- 在一个多代中国家庭中确定林奇综合征的遗传原因.
- 描述一种新型MSH2基因变异的功能影响.
- 强调LS遗传检测的重要性.
主要方法:
- 整体外体测序 (WES) 和桑格测序用于识别基因变异.
- 微卫星不稳定性 (MSI) 测试和免疫组织化学 (IHC) 评估了MMR缺乏.
- 在体外小基因拼接试验中,研究了该变体的功能影响.
主要成果:
- 在受影响的家庭成员中,在MSH2基因中发现了一种致病拼接变体 (c.793-1G>A).
- 这种变异被证实会导致微卫星不稳定性高 (MSI-H) 和缺乏MMR (dMMR).
- 功能性测试表明,该变种破坏了MSH2拼接,导致蛋白质表达减少.
结论:
- 一种新的MSH2拼接突变 (c.793-1G>A) 是该家族林奇综合征的致病因素.
- 这一发现强调了MSH2在LS病变发生过程中的关键作用.
- 对于处于风险的个体,建议对这种变体进行早期遗传查.
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