在非高度血清性卵巢癌中,BRCA1和BRCA2致病变体的因果关系和功能相关性
Cjh Kramer1, L Lanjouw2, D Ruano1
1Department of Pathology, Leiden University Medical Center, Leiden, The Netherlands.
建议对BRCA1/2致病变体 (PVs) 进行表皮性卵巢癌 (EOC) 测序,但因果性PVs主要存在于高度血清性卵巢癌 (HGSOC). 这项研究表明,基因型导向的BRCA1/2 PV测试可能对EOC患者更有效.
科学领域:
- 在瘤学瘤学.
- 遗传学 遗传学是一种遗传学.
- 病理学 病理学 病理学
背景情况:
- 在表皮卵巢癌 (EOC) 患者管理中,BRCA1/2致病变体 (PVs) 是至关重要的.
- 目前的指导方针建议对BRCA1/2 PVs进行所有EOC的测序,尽管有证据表明它们集中在高度血清性卵巢癌 (HGSOC) 中.
研究的目的:
- 分析BRCA1/2 PVs在所有EOC基因型中的患病率和因果关系.
- 评估基因型导向BRCA1/2测序策略的潜力.
主要方法:
- 在各种基因型中对946个EOC进行测序.
- 组织学重新评估,异性损失和同源重组缺陷分析.
- 在确定的病例中评估变异因果关系.
主要成果:
- 在13%的EOC中发现了BRCA1/2PVs,主要在HGSOC中.
- 在非HGSOC中发现了8个PV,在高度子宫内膜体和低度血清亚型中可能存在因果变异.
- 一个非HGSOC案件在审查后被重新归类为HGSOC.
结论:
- 可能引起的BRCA1/2变异主要与HGSOC和高度子宫内膜体EOC有关.
- 这些发现支持在EOC中从普遍转向基因型导向的BRCA1/2测序.
- 进一步的验证和功能研究是有必要的.
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