Role of Molecular Genetic Factors in Formation of the Clinical Type of Neurofibromatosis Type 2

IF 0.5 4区 生物学 Q4 GENETICS & HEREDITY Russian Journal of Genetics Pub Date : 2024-03-11 DOI:10.1134/s1022795424020054
K. O. Karandasheva, E. S. Makashova, F. A. Ageeva, K. I. Anoshkin, P. A. Sparber, A. O. Borovikov, P. A. Vasiluev, M. S. Pashchenko, A. S. Tanas, V. V. Strelnikov
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Abstract

Neurofibromatosis type 2 is a hereditary disease with predisposition to the development of multiple tumors of the central and peripheral nervous system. The disease is characterized by significant variability in the clinical picture; the number of neoplasms, their location, and growth rate largely determine the severity of the course. However, assessing the rate of tumor growth requires the availability of a consistent series of instrumental studies conducted within a certain time range, which is not always available at the time of initial treatment. In this study, on the basis of quantitative (age of onset, age of examination) and qualitative (large number of intracranial tumors, large number of spinal tumors, severity of neurological symptoms, mosaic status of the genetic variant) characteristics, an alternative classification of clinical subtypes of neurofibromatosis type 2 was developed. We have revealed statistically significant differences (p-value = 0.037) in the representation of Halliday prognostic classes between the groups identified using the proposed classification, which allows us to suggest the possibility of integrating this approach into clinical practice.

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分子遗传因素在形成神经纤维瘤病 2 型临床类型中的作用
摘要 神经纤维瘤病 2 型是一种易患中枢和周围神经系统多发性肿瘤的遗传性疾病。该病的临床表现具有显著的变异性;肿瘤的数量、位置和生长速度在很大程度上决定了病程的严重程度。然而,评估肿瘤生长速度需要在一定时间范围内进行一系列连贯的器质性研究,而在最初治疗时并不总能获得这些研究结果。本研究根据定量(发病年龄、检查年龄)和定性(颅内肿瘤数量多、脊柱肿瘤数量多、神经系统症状严重程度、基因变异的镶嵌状态)特征,对神经纤维瘤病 2 型的临床亚型进行了另一种分类。我们发现,在使用拟议分类法确定的组别之间,Halliday 预后分级的代表性存在显著的统计学差异(p 值 = 0.037),这使我们能够提出将这种方法纳入临床实践的可能性。
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来源期刊
Russian Journal of Genetics
Russian Journal of Genetics 生物-遗传学
CiteScore
1.00
自引率
33.30%
发文量
126
审稿时长
1 months
期刊介绍: Russian Journal of Genetics is a journal intended to make significant contribution to the development of genetics. The journal publishes reviews and experimental papers in the areas of theoretical and applied genetics. It presents fundamental research on genetic processes at molecular, cell, organism, and population levels, including problems of the conservation and rational management of genetic resources and the functional genomics, evolutionary genomics and medical genetics.
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