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[PMID]: | 28678401 |
[Au] Autor: | Chandrasekharappa SC; Chinn SB; Donovan FX; Chowdhury NI; Kamat A; Adeyemo AA; Thomas JW; Vemulapalli M; Hussey CS; Reid HH; Mullikin JC; Wei Q; Sturgis EM |
[Ad] Endereço: | Cancer Genetics and Comparative Genomics Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland. |
[Ti] Título: | Assessing the spectrum of germline variation in Fanconi anemia genes among patients with head and neck carcinoma before age 50. |
[So] Source: | Cancer;123(20):3943-3954, 2017 Oct 15. | [Is] ISSN: | 1097-0142 |
[Cp] País de publicação: | United States |
[La] Idioma: | eng |
[Ab] Resumo: | BACKGROUND: Patients with Fanconi anemia (FA) have an increased risk for head and neck squamous cell carcinoma (HNSCC). The authors sought to determine the prevalence of undiagnosed FA and FA carriers among patients with HNSCC as well as an age cutoff for FA genetic screening. METHODS: Germline DNA samples from 417 patients with HNSCC aged <50 years were screened for sequence variants by targeted next-generation sequencing of the entire length of 16 FA genes. RESULTS: The sequence revealed 194 FA gene variants in 185 patients (44%). The variant spectrum was comprised of 183 nonsynonymous point mutations, 9 indels, 1 large deletion, and 1 synonymous variant that was predicted to effect splicing. One hundred eight patients (26%) had at least 1 rare variant that was predicted to be damaging, and 57 (14%) had at least 1 rare variant that was predicted to be damaging and had been previously reported. Fifteen patients carried 2 rare variants or an X-linked variant in an FA gene. Overall, an age cutoff for FA screening was not identified among young patients with HNSCC, because there were no significant differences in mutation rates when patients were stratified by age, tumor site, ethnicity, smoking status, or human papillomavirus status. However, an increased burden, or mutation load, of FA gene variants was observed in carriers of the genes FA complementation group D2 (FANCD2), FANCE, and FANCL in the HNSCC patient cohort relative to the 1000 Genomes population. CONCLUSIONS: FA germline functional variants offer a novel area of study in HNSCC tumorigenesis. FANCE and FANCL, which are components of the core complex, are known to be responsible for the recruitment and ubiquitination, respectively, of FANCD2, a critical step in the FA DNA repair pathway. In the current cohort, the increased mutation load of FANCD2, FANCE, and FANCL variants among younger patients with HNSCC indicates the importance of the FA pathway in HNSCC. Cancer 2017;123:3943-54. © 2017 American Cancer Society. |
[Mh] Termos MeSH primário: |
Carcinoma de Células Escamosas/genética Anemia de Fanconi/genética Neoplasias de Cabeça e Pescoço/genética
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[Mh] Termos MeSH secundário: |
Adulto Idade de Início Proteína BRCA2/genética Análise Mutacional de DNA Proteína do Grupo de Complementação D2 da Anemia de Fanconi/genética Proteína do Grupo de Complementação E da Anemia de Fanconi/genética Proteína do Grupo de Complementação L da Anemia de Fanconi/genética Proteínas de Grupos de Complementação da Anemia de Fanconi/genética Feminino Mutação em Linhagem Germinativa Heterozigoto Sequenciamento de Nucleotídeos em Larga Escala Seres Humanos Masculino Meia-Idade Polimorfismo de Nucleotídeo Único Recombinases/genética Análise de Sequência de DNA
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[Pt] Tipo de publicação: | JOURNAL ARTICLE |
[Nm] Nome de substância:
| 0 (BRCA2 Protein); 0 (BRCA2 protein, human); 0 (FANCD2 protein, human); 0 (FANCE protein, human); 0 (FANCI protein, human); 0 (Fanconi Anemia Complementation Group D2 Protein); 0 (Fanconi Anemia Complementation Group E Protein); 0 (Fanconi Anemia Complementation Group Proteins); 0 (Recombinases); EC 2.3.2.27 (FANCL protein, human); EC 2.3.2.27 (Fanconi Anemia Complementation Group L Protein); EC 3.1.- (SLX4 protein, human) |
[Em] Mês de entrada: | 1710 |
[Cu] Atualização por classe: | 171011 |
[Lr] Data última revisão:
| 171011 |
[Sb] Subgrupo de revista: | AIM; IM |
[Da] Data de entrada para processamento: | 170706 |
[St] Status: | MEDLINE |
[do] DOI: | 10.1002/cncr.30802 |
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