在高风险的巴西患者中描述潜在的黑色素瘤倾向基因
Bianca Costa Soares de Sá1, Luciana Facure Moredo1, Giovana Tardin Torrezan2,3
1Skin Cancer Department, A.C. Camargo Cancer Center, São Paulo 01529-001, Brazil.
International journal of molecular sciences
|November 14, 2023
概括
对巴西黑色素瘤家族的基因分析显示,高透性基因变异的发病率低,但MC1R变异的发病率高. 这突出了MC1RR的特点.
科学领域:
- 遗传学 是一个遗传学.
- 皮肤病学 皮肤病学
- 在瘤学瘤学.
背景情况:
- 高透基因 (例如CDKN2A) 和低至中度透基因 (例如MC1R,MITF) 的生殖线致病变体增加了黑色素瘤的风险.
- 像ACD,TERF2IP和TERT这样的新兴基因也可能导致黑色素瘤易感性.
研究的目的:
- 在巴西患者中识别黑色素瘤风险基因的生殖系变异,满足家族黑色素瘤综合征的标准.
- 评估高和低至中度透基因对这一队列中黑色素瘤风险的贡献.
主要方法:
- 一组由36名巴西患有家族黑色素瘤综合征的患者组成的队列,根据个人或家族多发黑色素瘤或黑色素瘤和胰腺癌病史进行了选择.
- 基因测试使用9个基因小组进行,包括ACD,BAP1,CDK4,CDKN2A,POT1,TERT,TERF2IP,MC1R和MITF.
主要成果:
- 在5.6%的患者中发现了高透基因 (CDKN2A,BAP1) 的生殖系病原体变异,其中11.1%具有不确定的意义的变异.
- 与对照组相比,MC1R变异的流行率很高 (86.5%),红发颜色和未知的风险变异显著增加.
- 该研究观察到高透基因中致病变异的频率低,MC1R变异的流行率高.
结论:
- 这些发现强调了MC1R基因型在巴西易患黑色素瘤的家庭中决定黑色素瘤风险的重要作用.
- 已知高透基因中致病变体的低检测率表明,其他遗传因素,包括MC1R,在这个人群中至关重要.
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