在患有下垂体腺瘤的个体中,生殖系致病性CHEK2变异的患病率增加
Sunita M C De Sousa1,2,3, Ann McCormack4,5,6, Andreas Orsmond5
1Endocrine & Metabolic Unit, Royal Adelaide Hospital, Adelaide, SA 5000, Australia.
The Journal of clinical endocrinology and metabolism
|April 23, 2024
概括
已知导致乳腺癌风险的致病性CHEK2基因变异在3%的垂体腺瘤患者中被发现. 这表明CHEK2可能有助于垂体瘤的发展,影响一般人群的风险.
科学领域:
- 遗传学 遗传学 是一个
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
背景情况:
- 已知CHEK2是乳腺癌倾向的中等风险基因,特别是在截断变体中.
- 它在其他瘤类型中的作用是正在进行的研究领域.
研究的目的:
- 研究被诊断患有垂体腺瘤 (PAs) 的个体中CHEK2基因变异的频率和重要性.
主要方法:
- 评估了165名下垂体腺瘤患者的CHEK2变异,使用全外序列和目标下一代序列.
- 在可用的情况下,分析了生殖线和瘤DNA.
主要成果:
- 在所有PA患者中,罕见的,致病性/可能致病性CHEK2变异在3.0%中被确定.
- 发现了致病性零变体 (c.1100delC,c.444 + 1G > A) 和可能致病性误解变体 (p.Asn186His,p.Thr476Met).
- 在PA患者中,CHEK2变异的发生率明显高于国家对照数据.
结论:
- 这项研究是第一个将乳腺癌倾向基因CHEK2与垂体瘤发生联系起来的研究.
- 致病性CHEK2变异可能是一般人群中垂体腺瘤的重要危险因素.
- 需要进一步的研究来阐明具体的机制.
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