MLH1 c.27G>A (p.Arg9=) 是一个同义可能/致病变体,是林奇综合征中可变的马赛克构成MLH1甲基化的基础
Rocio Alvarez1, Paula Climent-Cantó2, GiWon Shin3,4
1Department of Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, 90048, USA.
Familial cancer
|July 27, 2025
概括
以前不确定的MLH1c.27G>A变种现在被归类为可能致病的. 这是由于在林奇综合征家族中,特别是非欧洲人群中,有着马赛克MLH1表皮图的证据.
科学领域:
- 遗传学 是一个遗传学.
- 在瘤学瘤学.
- 分子生物学分子生物学
背景情况:
- 同名MLH1变种c.27G>A (p.Arg9=) 的致病性分类不确定.
- 之前的报道缺乏实质性的临床和功能证据证明它在林奇综合征中的作用.
研究的目的:
- 重新评估MLH1c.27G>A变种的致病性.
- 调查林奇综合征中这种变异的功能机制和临床意义.
主要方法:
- 对来自欧洲和蒙古家庭的林奇综合征三例新指数病例的分析.
- 基于血液的宪法MLH1甲基化测试和分离分析.
- 对存档的瘤样本进行MLH1表达,甲基化和异性丧失的分析.
- 纳米孔测序用于变体确认和祖先分析.
主要成果:
- 三个新的MLH1c.27G>A变体家族,包括第一个非欧洲病例,显示出强烈的林奇综合征指标.
- 观察到可变的马赛克构成MLH1甲基化,与c.27A等位基因结合.
- 瘤分析显示MLH1损失,高甲基化和野生类型等位基损失,支持一种致病机制.
- 在欧洲家族中没有发现重要的共同祖先或其他候选变体.
结论:
- 现在MLH1 c.27G>A变种被归类为可能致病的.
- 一种可变的马赛克二级宪法MLH1表位的机制解释了它的致病性.
- 这一发现对林奇综合征诊断和遗传咨询有意义,特别是在多样化的群体中.
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