癌症负担在癌症易感基因中单个或双重致病变异的个体中
Nihat B Agaoglu1, Brittany L Bychkovsky1,2,3,4, Carolyn Horton5
1Division of Cancer Genetics and Prevention, Dana-Farber Cancer Institute, Boston, MA.
像ATM和CHEK2这样的癌症基因中具有双重致病变体 (DPV) 的个体比具有单个变体的人更早被诊断出患有癌症. 这一发现有助于DPVs的遗传咨询和癌症风险管理.
科学领域:
- 遗传学 是一个遗传学.
- 在瘤学瘤学.
- 临床遗传学 临床遗传学
背景情况:
- 扩大面板测试可以识别更多具有癌症易感基因双重致病变体 (DPV) 的个体.
- 了解DPVs对癌症表型的影响对于遗传咨询和风险管理至关重要.
研究的目的:
- 描述癌症敏感性基因中DPVs个体的癌症表型.
- 为了比较DPVs个体的癌症病史与单个致病变体 (PVs) 的人.
主要方法:
- 在2012-2017年间发现的DPV的个体的回顾性研究.
- 计数DPV组合和频繁DPV (>10次) 的癌症史与基因匹配的单个PV对照进行比较.
主要成果:
- 在644名DPV患者中,ATM,BRCA1,BRCA2,CHEK2和PALB2组合最常见.
- 患有ATM+CHEK2DPV的个体比单个ATM (47) 或CHEK2 (47) PV载体更年轻 (中位数为43) 时被诊断出来.
- 患有两个CHEK2PV的个体比单个CHEK2PV携带者 (47) 诊断的年龄更小 (中位数为40岁).
结论:
- 在ATM+CHEK2中的DPV和两个CHEK2PV的个体与单基因PV相比,与更大的癌症负担有关.
- 这些发现对于为DPV患者提供遗传咨询,家庭风险评估和癌症查建议至关重要.
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