生殖系病原性变异影响儿科中枢神经系统瘤的体质变化和患者结果
Ryan J Corbett1,2,3,4, Rebecca S Kaufman3,5, Shelly W McQuaid6,7
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23%的患者携带这些突变. 许多病例没有报告的综合征,影响瘤发育和患者的结果.
科学领域:
- 遗传学 遗传学 是一个
- 在瘤学瘤学.
- 儿科医学 儿科医学
背景情况:
- 癌症倾向基因的生殖系变异与各种癌症有关.
- 它们在儿童中枢神经系统 (CNS) 瘤中的作用尚未完全理解.
- 了解这些变异对于诊断和治疗至关重要.
研究的目的:
- 在儿童中枢神经系统瘤患者中调查生殖线致病性/可能致病性 (P/LP) 变异的流行率和意义.
- 分析生殖系变异,体质变化和患者存活率之间的关联.
- 在受影响的儿童中识别潜在的遗传瘤综合征.
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.
- 生殖线发现与体质瘤变化和临床数据的相关性,包括生存结果.
主要成果:
- 在儿童中枢神经系统瘤队列中的23.3% (193/830) 发现了生殖系P/LP变体.
- 显著比例 (69.9%,137/193) 的P/LP变体携带者没有临床报告的遗传瘤综合征.
- 大约34.6%的P/LP载体表现出假定体质的第二次命中或功能丧失的改变,这表明双基失活.
结论:
- 生殖系P/LP变体是儿科中枢神经系统瘤中常见的发现,并且对瘤发生有显著的贡献.
- 在许多携带者中没有报告的遗传瘤综合征,这突显了临床识别的差距.
- 生殖线变异影响瘤发育,体征事件和患者存活率,强调需要在儿科中枢神经系统瘤中进行全面的生殖线遗传测试.
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