在前列腺癌患者的种族多样化的现实世界中的病原性生殖系变异
Taylor B Crawford1,2, Maliha Tayeb2,3, Emanuel Barrett2
1Corporal Michael Crescenz Veterans Affairs Medical Center, Philadelphia, PA.
medRxiv : the preprint server for health sciences
|August 20, 2025
概括
前列腺癌 (PCa) 患者的病原性生殖系变体 (PGV) 发生率低于之前报告的. 年龄和种族是PGV状况的预测因素,支持对侵袭性PCa的通用基因测试.
科学领域:
- 癌症学
- 遗传学
- 癌症研究
背景情况:
- 癌症风险基因中的致病性生殖系变异 (PGV) 率对于了解前列腺癌 (PCa) 风险至关重要.
- 对PCa患者的基因检测实践以PGV率及其与临床特征的关联为依据.
研究的目的:
- 在现实世界,多样化的PCa患者队列中确定PGV率.
- 在PCa患者中确定PGV载体状态的临床预测因素.
主要方法:
- 在4634名PCa患者中分析了12个PCa风险基因的遗传检测结果.
- 从医疗记录中抽象出临床,病理和家族史数据.
- 使用统计测试将PGV率与无癌症的男性队列进行了比较.
主要成果:
- 其中BRCA2,ATM,CHEK2,Lynch基因和BRCA1基因是最常见的.
- 白人 (6. 3%) 与黑人 (3. 7%) 的PCa患者的PGV率显著更高.
- 诊断时的年龄和自我识别的种族与PGV状态有显著的关联.
结论:
- 在PCa中实际的PGV率低于之前的学术群体.
- 除了ATM和CHEK2,大多数临床/病理组的PGV率都相似.
- 根据NCCN的指导方针,数据支持PCa患者的普遍基因检测.
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