基因表达变化的关联与乳头甲状腺癌中具有攻击性特征的基因表达变化的关联 携带低等位基因频率 BRAF V600E 突变
Alexandra Katz1, Coralie Lefebvre2, Saruchi Bandargal2
1Faculty of Medicine, Université de Montréal, QC, Canada.
概括
在低等位基因频率 (AF) 中的基因表达变化 (GEA) 与BRAF V600E突变乳头甲状腺癌 (PTCs) 相对应,具有攻击性特征. GEA阳性可能有助于这些瘤的术前风险分层.
科学领域:
- 在瘤学瘤学.
- 遗传学 是一个遗传学.
- 分子生物学分子生物学
背景情况:
- BRAF V600E突变在侵袭性乳头甲状腺癌 (PTC) 中很常见.
- 低等位基因频率 (AF) BRAF V600E突变通常被认为是惰性的,但也有例外.
- 基因表达变化 (GEA) 可能表明更具侵略性的分子表型.
研究的目的:
- 调查攻击性临床病理特征与低AF BRAF V600E突变PTC中的GEA阳性之间的关联.
- 为了确定GEA是否可以作为这个子组中侵袭性瘤生物学的分子标记.
主要方法:
- 对49名具有低AF BRAF V600E (≤25%) 突变的PTC患者进行了回顾性队列研究.
- ThyroSeq v3基因组分类器用于突变特征.
- 后勤回归评估了GEA的预测因素,包括瘤的攻击性和贝塞斯达分类.
主要成果:
- 61%的患者患有GEA阳性瘤,73%的患者表现出侵略性特征.
- 与GEA阴性瘤 (P=.0003) 相比,GEA阳性瘤的AF中位数显著更高 (16.5%).
- 贝塞斯达VI分类预测了AF>10% (P=.03) 的瘤中的GEA阳性.
结论:
- 低AF BRAF V600E突变PTC中的GEA阳性与高风险细胞学,高AF和侵略性瘤特征有关.
- 在低AF PTCs中,GEA可能起到攻击性瘤生物学的有价值的分子标记物的作用.
- 在PTC管理中,GEA具有作为手术前风险分层的辅助工具的潜力.
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