生殖系病原性变异对儿科中枢神经系统瘤的体质变化和患者结果产生影响
Ryan J Corbett1,2,3, Rebecca S Kaufman3,4, Shelly W McQuaid5,6
1Center for Data-Driven Discovery in Biomedicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
罕见的遗传变异对儿科大脑瘤有显著的贡献,超过24%的患者携带它们. 许多病例缺乏遗传瘤综合征的诊断,影响患者的治疗结果.
科学领域:
- 遗传学 遗传学 是一个
- 儿科瘤学 儿科瘤学
- 神经瘤学神经瘤学
背景情况:
- 在儿科中枢神经系统 (CNS) 瘤中,罕见的生殖系变异的作用尚不清楚.
- 识别这些变异对于理解瘤发育和患者预后至关重要.
研究的目的:
- 确定儿科中枢神经系统瘤患者罕见病原性/可能病原性 (P/LP) 生殖系变异的患病率和临床意义.
- 为了研究生殖系变异,体质变化和患者存活率之间的关联.
主要方法:
- 从830名儿童中枢神经系统瘤患者的生殖线DNA分析在儿童脑瘤图谱 (PBTA) 中.
- 在癌症倾向基因中发现和描述致病/可能致病 (P/LP) 变异.
- 生殖线发现与临床数据,体质变化和生存结果的相关性.
主要成果:
- 在24.2%的患者 (201/830) 中发现了生殖系P/LP变体.
- 大多数P/LP携带者 (154/201) 没有报告遗传瘤综合征.
- 30.7%的P/LP携带者表现出体质的第二次击中或功能丧失瘤变化.
结论:
- 罕见的生殖系变异在儿科中枢神经系统瘤中普遍存在,并且往往未被诊断出来.
- 生殖线变异通过与体质事件的相互作用影响瘤发生.
- 了解生殖系贡献对于改善儿科脑瘤的诊断和患者结果至关重要.
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