棺材-西里斯综合征和癌症易感性
Nicholas A Borja1, Samantha A Schrier Vergano2,3, Mustafa Tekin1,4
1Dr. John T. Macdonald Foundation Department of Human Genetics, Miller School of Medicine, University of Miami, Miami, FL.
Genetics in medicine open
|December 13, 2024
概括
棺材-西里斯综合征 (CSS) 患者,特别是那些患有ARID1A基因变异的患者,表现出肝细胞瘤的风险增加. 建议在ARID1A-CSS患者中对这种罕见的癌症进行进一步监测.
科学领域:
- 遗传学和基因组学 在
- 发展生物学 发展生物学
- 在瘤学瘤学.
背景情况:
- 棺材-西里斯综合征 (CSS) 是一种罕见的神经发育障碍,由BAF复合基因中的病原变异引起.
- BAF复合体基因的瘤抑制功能引发了关于CSS患者癌症风险的问题.
- 现有的关于CSS癌症发病率的数据有限,需要进一步调查.
研究的目的:
- 为了研究被诊断患有棺材-西里斯综合征的患者的癌症风险.
- 在CSS患者中确定特定恶性瘤的患病率,特别是肝细胞母细胞瘤.
- 评估CSS中特定基因变异 (例如ARID1A) 和癌症发展之间的关联.
主要方法:
- 对癌症测序数据集的分析.
- 对患有恶性瘤的CSS患者进行了全面的文献综述.
- 来自CSS注册表的376名患者队列的检查.
主要成果:
- 文献审查在CSS患者中发现了恶性瘤,ARID1A变异最常与肝细胞瘤 (3例) 相关.
- 在CSS注册队列中没有报告恶性瘤,尽管ARID1A-CSS亚组很小 (26名患者).
- 综合数据估计,ARID1A-CSS中的肝母细胞瘤患病率为3.6%,超过1%的风险值.
结论:
- 患有ARID1A相关的Coffin-Siris综合征的患者可能患有肝细胞瘤的风险较高,需要进行监测.
- 目前的证据不支持CSS中其他基因与癌症的关联.
- 进一步的系统性研究对于阐明棺材-西里斯综合征中基因与癌症的联系至关重要.
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