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A pilot study of evaluation of a deep-learning-based homologous recombination deficiency assay in korean patients with ovarian high-grade serous carcinoma: Diagnostic performance and clinical implications 一项评估基于深度学习的同源重组缺陷测定在韩国卵巢高级别浆液性癌患者中的初步研究:诊断性能和临床意义
IF 2.1 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2025-09-04 DOI: 10.1016/j.cancergen.2025.09.003
Gui Young Kwon , Sanghoo Lee , Jeonghoon Hong , Yiseul Kim , Hee-Ji Choi , Jihye Yun , Jinhee Park , Jiyoon Jung , Joonsung Yoon , SaeYun Baik , Mi-Kyeong Lee , Kyoung-Ryul Lee , Jeong Won Kim

Background

Homologous recombination deficiency (HRD)-related genetic mutations in ovarian high-grade serous carcinoma (HGSC) are known to be ethnic specific. Here, we assessed the diagnostic performance of HRD and its clinical implication in Korean HGSC patients using the SOPHiA DDM HRD Solution.

Methods

Sixty-three ovarian cancer (OC) patients were enrolled, including 53 with HGSC and 10 with other subtypes. HRD status was determined by 28 homologous recombination repair (HRR) genetic sequencing and genomic scarring (GS) measurement. The GS was measured through low-pass whole-genome sequencing and quantified using the genomic integrity index (GII).

Results

HRD status was analyzed in 53 out of 63 OC patients (84.1 %). Among the 53 with HGSC, HRD results were available for 83.0 % (n = 44). Of these HGSC patients, 72.7 % (n = 32) were HRD-positive, including 15 with BRCA1/2 mutations (34.1 %) and 27 with GI-positive (61.4 %). In HGSC, HRD-positive status was associated with solid, pseudoendometrioid or transitional (SET) pattern (P = 0.015). Patients with positive HRD and high GII (>4.2) exhibited improved disease-free survival (DFS) and overall survival (OS) compared to those with negative HRD (P = 0.003 and 0.024, respectively) and low GII (P < 0.001 and P = 0.006, respectively). Multivariate analysis revealed a high GII as a better prognostic indicator for DFS and OS (P = 0.003 and 0.032, respectively).

Conclusion

The HRD assay offers high diagnostic performance of HRD in Korean OC patients. Furthermore, the prognostic value of high GII and HRD, as well as an association with SET pattern and HRD was evident in HGSC.
背景:已知卵巢高级别浆液性癌(HGSC)中同源重组缺陷(HRD)相关基因突变具有种族特异性。在这里,我们使用SOPHiA DDM HRD溶液评估韩国HGSC患者HRD的诊断性能及其临床意义。方法纳入63例卵巢癌(OC)患者,其中HGSC 53例,其他亚型10例。通过28个同源重组修复(HRR)基因测序和基因组疤痕(GS)测量来确定HRD状态。GS通过低通全基因组测序测量,并使用基因组完整性指数(GII)进行量化。结果63例OC患者中有53例(84.1%)存在shrd状况。在53例HGSC患者中,HRD结果为83.0% (n = 44)。在这些HGSC患者中,72.7% (n = 32)为hdd阳性,包括15例BRCA1/2突变(34.1%)和27例gi阳性(61.4%)。在HGSC中,hrd阳性状态与实性、假子宫内膜样或移行性(SET)模式相关(P = 0.015)。与HRD阴性患者(P = 0.003和0.024)和低GII患者(P <; 0.001和P = 0.006)相比,HRD阳性和高GII患者(>4.2)表现出更好的无病生存(DFS)和总生存(OS)。多因素分析显示,高GII是DFS和OS更好的预后指标(P分别= 0.003和0.032)。结论HRD检测对韩国OC患者的HRD有较高的诊断价值。此外,高GII和HRD的预后价值,以及与SET模式和HRD的关联在HGSC中是明显的。
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引用次数: 0
Hi-C analysis of amplification of MYC, PVT1, and CCDC26 on marker chromosomes in the NB-4 cell line NB-4细胞系标记染色体上MYC、PVT1和CCDC26基因扩增的Hi-C分析
IF 2.1 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2025-09-03 DOI: 10.1016/j.cancergen.2025.09.004
Tetsuko Kobayashi , Satsuki Matsushima , Hiroaki Ohnishi
MYC proto-oncogene may be amplified ectopically in acute myeloid leukemia (AML) as extrachromosomal DNA (ecDNA) such as double minutes (dmins). However, the mechanism and location of MYC amplification have not been fully elucidated. To characterize the location of MYC and its surrounding structure in NB-4 cells, we conducted this study using in situ high-throughput chromosomal conformation capture (in situ Hi-C). Hi-C analysis was performed in NB-4 cell line. Whole genome sequencing (WGS) and fluorescence in situ hybridization (FISH) were used for confirmation. Hi-C revealed an inversion involving PVT1 and CCDC26 and amplified segments involving MYC, PVT1, and CCDC26 on 8q24.21 region. MYC, PVT1, and CCDC26 were found not only on chromosome 8, but also somewhere intranuclear, other than on chromosome 8. Karyotyping revealed only two normal chromosomes 8, and the others were missing or abnormal. FISH revealed the presence of MYC, PVT1, and CCDC26 on the two normal chromosomes 8 and multiple marker chromosomes. Our results suggest that the numerical and structural abnormalities of chromosome 8 precede MYC amplification and moving. MYC may have properties that move not only to dmins, but also to other chromosomes such as marker chromosomes for unknown but certain reasons. MYC ectopic amplification is not only a phenomenon in solid tumors, but also a recurrent phenomenon in AML. Furthermore, in a broader sense, ectopic amplification is a form of abnormal oncogenes. We propose Hi-C as a screening method for this phenomenon. We will further verify this phenomenon in various phases of multiple AML cell lines and patient samples.
MYC原癌基因可能在急性髓性白血病(AML)中异位扩增,表现为染色体外DNA (ecDNA),如双分钟(dmins)。然而,MYC扩增的机制和位置尚未完全阐明。为了表征NB-4细胞中MYC的位置及其周围结构,我们使用原位高通量染色体构象捕获(in situ Hi-C)进行了这项研究。NB-4细胞株进行Hi-C分析。采用全基因组测序(WGS)和荧光原位杂交(FISH)进行验证。Hi-C在8q24.21区域发现了涉及PVT1和CCDC26的倒置和涉及MYC、PVT1和CCDC26的扩增片段。MYC、PVT1和CCDC26不仅在8号染色体上发现,而且在核内的某些地方也发现,而不是在8号染色体上。核型分析显示只有两条正常染色体8,其他染色体缺失或异常。FISH发现MYC、PVT1和CCDC26存在于两条正常染色体8和多条标记染色体上。我们的研究结果表明,8号染色体的数量和结构异常先于MYC扩增和移动。MYC可能具有不仅移动到dmins的特性,而且由于未知但确定的原因也移动到其他染色体,如标记染色体。MYC异位扩增不仅是实体瘤的现象,也是AML的复发现象。此外,在更广泛的意义上,异位扩增是异常癌基因的一种形式。我们提出Hi-C作为这种现象的筛选方法。我们将在多个AML细胞系和患者样本的不同阶段进一步验证这一现象。
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引用次数: 0
Exploring replication stress and cellular senescence as key targets in novel cancer therapies 探索复制应激和细胞衰老作为新型癌症治疗的关键靶点
IF 2.1 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2025-09-02 DOI: 10.1016/j.cancergen.2025.09.002
Suman Kumar Ray, Sukhes Mukherjee
The hallmark features most commonly found in human cancers include sustained cell proliferation, evasion of apoptosis, and genetic instability. Replication stress, which contributes to genome instability and is characteristic of both pre-cancerous and cancerous cells, arises from conditions that cause significant DNA damage. DNA replication is a highly controlled process in each cell cycle, ensuring accurate duplication of DNA for distribution to daughter cells. Cellular senescence prevents damaged or aging cells from dividing by halting their progression through the cell cycle. Senescent cells undergo a variety of changes, such as metabolic shifts, chromatin alterations, and autophagy regulation. Senescence can be triggered by telomere shortening, leading to a limited number of cell divisions (replicative senescence), or by oncogene overexpression, which functions as a mechanism to protect against cancer. A number of activated oncogenes have been shown to induce replication stress, a crucial early step in the development of cancer. Investigating the mechanisms behind the replication stress response may open up new avenues for cancer therapies, including small-molecule inhibitors targeting pathways such as Chk1, TLK, WEE1, ATR, MELK, PARP, NAE, and others. This review examines the relationship between persistent replication stress and cellular senescence in carcinogenesis, aiming to provide insights into the early stages of oncogenesis and to inform the development of new cancer diagnostic and therapeutic strategies.
在人类癌症中最常见的标志特征包括持续的细胞增殖,逃避凋亡和遗传不稳定。复制压力导致基因组不稳定,是癌前细胞和癌细胞的特征,它产生于导致显著DNA损伤的条件。在每个细胞周期中,DNA复制是一个高度控制的过程,确保准确复制DNA以分配给子细胞。细胞衰老通过停止细胞周期的进程来防止受损或老化的细胞分裂。衰老细胞经历多种变化,如代谢变化、染色质改变和自噬调节。衰老可由端粒缩短引发,导致细胞分裂数量有限(复制性衰老),或由癌基因过度表达引发,这是一种预防癌症的机制。许多被激活的致癌基因已被证明可以诱导复制应激,这是癌症发展的关键早期步骤。研究复制应激反应背后的机制可能为癌症治疗开辟新的途径,包括靶向Chk1、TLK、WEE1、ATR、MELK、PARP、NAE等途径的小分子抑制剂。本文综述了肿瘤发生过程中持续复制应激与细胞衰老之间的关系,旨在为肿瘤发生的早期阶段提供见解,并为新的癌症诊断和治疗策略的发展提供信息。
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引用次数: 0
Ellagic acid inhibits EZH2: a potential epigenetic therapeutic molecule for cancer 鞣花酸抑制EZH2:一种潜在的癌症表观遗传治疗分子
IF 2.1 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2025-09-02 DOI: 10.1016/j.cancergen.2025.09.001
Kirankumar Nalla , Biji Chatterjee , Jagadeesha Poyya , Aishwarya Swain , Krishna Ghosh , Archana Pan , Chandrashekhar G Joshi , Bramanandam Manavathi , Santosh R Kanade

Background

Dysregulation of epigenetic processes, characterized by aberrant DNA methylation patterns and histone modifications, is a hallmark of cancer, driving its initiation, progression, and metastasis by silencing tumor suppressor genes or activating oncogenes. Perturbations in histone modifications such as H3K27me3 by EZH2 (Enhancer of Zeste homolog 2) play significant roles in these epigenetic alterations, disrupting normal gene expression and facilitating oncogene activation while suppressing tumor suppressor genes. Consequently, inhibitors targeting enzymes involved in DNA methylation, histone modification, or chromatin remodeling, such as PRC (Polycomb Repressive Complex) complexes, are promising anti-cancer agents, with several undergoing pre-clinical and clinical trials.

Study Design/ Methods

The molecular interaction of ellagic acid (EA) with EZH2 was determined by molecular docking using the Schrödinger suite. The binding of EA with EHZ2 was determined by Surface Plasmon Resonance and molecular dynamic simulation studies. In vitro methylation followed by ELISA confirmed the inhibitory potential. Effect of -EA- on the growth and proliferation of the cancer cell lines were determined using the MTT assay. The Ethidium Bromide & Acridine Orange (EB/AO) double staining, colony formation assay, cell cycle and apoptosis assays demonstrated the effect of EA. In vivo mouse xenografts revealed the anticancer potential of EA.

Results

Screening of a phytochemical library revealed EA as an effective inhibitor of EZH2. EA interacts strongly with the EZH2, binding to its active sites through π-cation interactions and hydrogen bonds. Molecular dynamic simulation and Surface Plasmon Resonance studies confirmed potent binding affinities of EA, with KD values of 3.28E-06. In-vitro assays validated inhibitory effects on EZH2 by reducing the H3K27me3 levels and induction of autophagy and apoptosis. In- vivo studies using mouse xenografts further demonstrated significant tumor size reductions upon oral administration of EA, with decreased expression of the proliferative marker Ki67 and histone repressive marks.

Conclusion

Taken together we showed that inhibition of EZH2 by EA could be used to develop breast cancer therapeutic drug.
表观遗传过程的失调,以异常的DNA甲基化模式和组蛋白修饰为特征,是癌症的一个标志,通过沉默肿瘤抑制基因或激活癌基因来驱动其发生、进展和转移。EZH2(增强子Zeste同源物2)对组蛋白修饰如H3K27me3的扰动在这些表观遗传改变中发挥重要作用,破坏正常基因表达,促进癌基因激活,同时抑制肿瘤抑制基因。因此,靶向参与DNA甲基化、组蛋白修饰或染色质重塑的酶的抑制剂,如PRC (Polycomb suppressupprescomplex)复合物,是很有前途的抗癌药物,其中一些正在进行临床前和临床试验。研究设计/方法采用Schrödinger软件对鞣花酸(EA)与EZH2的分子相互作用进行分子对接。通过表面等离子体共振和分子动力学模拟研究确定了EA与EHZ2的结合。体外甲基化和酶联免疫吸附测定证实了其抑制潜能。采用MTT法测定- ea -对肿瘤细胞株生长和增殖的影响。溴化乙啶和吖啶橙(EB/AO)双染色、菌落形成实验、细胞周期和细胞凋亡实验均证实了EA的作用,并在小鼠体内异种移植实验中显示了EA的抗癌潜力。EA与EZH2相互作用强烈,通过π-阳离子相互作用和氢键结合到EZH2的活性位点。分子动力学模拟和表面等离子体共振研究证实了EA的强结合亲和力,KD值为3.28E-06。体外实验通过降低H3K27me3水平,诱导自噬和凋亡,证实了对EZH2的抑制作用。使用小鼠异种移植物的体内研究进一步表明,口服EA后肿瘤大小明显减小,增殖标记Ki67和组蛋白抑制标记的表达降低。结论EA对EZH2的抑制作用可用于开发乳腺癌治疗药物。
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引用次数: 0
Genetic silencing of CDC6 via AAV2-Delivered shRNA as a novel cancer genetics-based therapy for cervical carcinoma. 通过aav2递送的shRNA基因沉默CDC6作为宫颈癌的一种新的癌症遗传学治疗方法。
IF 2.1 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2025-09-01 Epub Date: 2025-08-05 DOI: 10.1016/j.cancergen.2025.08.001
Yajie Wang, Xiaofeng Li, Xiaoying Lian, Baihai Huang, Jing Jia, Changjun Zhu

Background: Cell division cycle 6 (Cdc6) is an oncogenic driver in cervical cancer, whose dysregulation accelerates S-phase entry and promotes genomic instability. As a key replication licensing factor, its overexpression creates a cancer-specific vulnerability, making it a promising therapeutic target.

Objective: To evaluate whether silencing Cdc6 via an adeno-associated virus serotype 2 (AAV2)-delivered shRNA can selectively inhibit cervical cancer growth while sparing normal cells.

Methods: We constructed an AAV2 vector encoding short hairpin RNA (shRNA) targeting Cdc6 and validated its efficacy in vitro using multiple cervical cancer cell lines and an immortalized epithelial cell line (HaCaT). Functional assays assessed cell cycle progression, apoptosis, and DNA damage. Antitumor efficacy was further assessed in xenograft mouse models.

Results: AAV2-shCdc6 transduction efficiently silenced Cdc6 expression, leading to G2/M phase arrest, increased γ-H2AX expression, and significant apoptosis in cervical cancer cells. In contrast, normal HaCaT cells exhibited only S-phase arrest without apoptosis. In vivo, AAV2-shCdc6 treatment significantly inhibited tumor growth in xenograft models without observable systemic toxicity.

Conclusion: AAV2-mediated Cdc6 knockdown selectively targets cervical cancer by exploiting a defined genetic vulnerability. This cancer genetics-based strategy offers a precise and well-tolerated approach for cervical cancer therapy.

背景:细胞分裂周期6 (Cdc6)是宫颈癌的致癌驱动因子,其失调加速s期进入并促进基因组不稳定。作为一个关键的复制许可因子,它的过度表达产生了一种癌症特异性的脆弱性,使其成为一个有希望的治疗靶点。目的:评价通过腺相关病毒血清2型(AAV2)递送的shRNA沉默Cdc6是否能选择性地抑制宫颈癌的生长,同时保留正常细胞。方法:构建靶向Cdc6的短发夹RNA (short hairpin RNA, shRNA) AAV2载体,并利用多种宫颈癌细胞系和永生化上皮细胞系(HaCaT)体外验证其有效性。功能分析评估细胞周期进展、细胞凋亡和DNA损伤。在异种移植小鼠模型中进一步评估抗肿瘤效果。结果:AAV2-shCdc6转导能有效抑制Cdc6的表达,导致宫颈癌细胞G2/M期阻滞,γ-H2AX表达增加,凋亡显著。相比之下,正常HaCaT细胞仅表现为s期阻滞,无凋亡。在体内,AAV2-shCdc6治疗显著抑制异种移植模型的肿瘤生长,无明显的全身毒性。结论:aav2介导的Cdc6基因敲低通过利用一种明确的遗传易感性选择性靶向宫颈癌。这种基于癌症遗传学的策略为宫颈癌治疗提供了一种精确且耐受性良好的方法。
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引用次数: 0
Comprehensive analysis of oncogenic determinants across tumor types via multi-omics integration 通过多组学整合对不同肿瘤类型的致癌决定因素进行综合分析
IF 2.1 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2025-08-29 DOI: 10.1016/j.cancergen.2025.08.010
Saba Ubaid , Rashmi Kushwaha , Mohammad Kashif , Vivek Singh
Cancer is a complex and heterogeneous disease characterized by the accumulation of genetic and epigenetic alterations that drive uncontrolled cellular proliferation and survival. This review provides a comprehensive overview of key cancer driver genes, including oncogenes such as KRAS and PIK3CA, as well as tumor suppressor genes like TP53, PTEN, and CDKN2A, highlighting their molecular mechanisms and roles across various types of cancer. Leveraging insights from large-scale cancer genome initiatives and whole-genome sequencing, we examine the landscape of somatic mutations and their association with hallmark cancer pathways, including cell cycle regulation, apoptosis, metabolic reprogramming, and immune evasion. Multi-omics integration—encompassing genomic, transcriptomic, proteomic, and epigenomic data has enabled the identification of novel driver mutations, functional interactions, and tumor-specific vulnerabilities. We explore bioinformatics platforms, such as IntOGen, that facilitate the detection and prioritization of driver genes and discuss emerging concepts, including synthetic lethality, chromatin remodeling defects, and epigenetic dysregulation, involving genes like ARID1A, KMT2D, and RB1. Furthermore, we review therapeutic strategies targeting these molecular aberrations, including small-molecule inhibitors, pathway-based therapies, and precision oncology approaches guided by biomarkers. This synthesis underscores the importance of integrating multidimensional data to enhance our understanding of cancer biology and refine personalized treatment strategies for improved patient outcomes.
癌症是一种复杂的异质性疾病,其特征是遗传和表观遗传改变的积累,这些改变驱动不受控制的细胞增殖和生存。本文综述了主要的癌症驱动基因,包括癌基因如KRAS和PIK3CA,以及肿瘤抑制基因如TP53、PTEN和CDKN2A,重点介绍了它们在不同类型癌症中的分子机制和作用。利用大规模癌症基因组计划和全基因组测序的见解,我们研究了体细胞突变的景观及其与标志性癌症途径的关联,包括细胞周期调节、细胞凋亡、代谢重编程和免疫逃避。包括基因组、转录组、蛋白质组和表观基因组数据在内的多组学整合能够识别新的驱动突变、功能相互作用和肿瘤特异性脆弱性。我们探索生物信息学平台,如IntOGen,促进驱动基因的检测和优先排序,并讨论新兴概念,包括合成致死率,染色质重塑缺陷和表观遗传失调,涉及基因如ARID1A, KMT2D和RB1。此外,我们回顾了针对这些分子畸变的治疗策略,包括小分子抑制剂,基于途径的治疗,以及由生物标志物指导的精确肿瘤学方法。这种综合强调了整合多维数据的重要性,以增强我们对癌症生物学的理解,并改进个性化治疗策略,以改善患者的预后。
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引用次数: 0
The role of miR-10b-5p in prostate cancer and its exosome-mediated angiogenesis effect miR-10b-5p在前列腺癌中的作用及其外泌体介导的血管生成作用
IF 2.1 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2025-08-27 DOI: 10.1016/j.cancergen.2025.08.009
Jia Wang , Chuan Zhou , Qi-dong Wang , Wen-bo Zhang , Chao Wang , Yun-Feng Zhang , Hao-Xuan Lv , Feng-Hai Zhou

Objective

Prostate cancer (PCa) continues to be a major cause of cancer-related mortality globally, underscoring the critical need for novel therapeutic strategies. This study investigates the oncogenic function of miR-10b-5p in PCa progression and evaluates its potential as both a diagnostic marker and therapeutic target.

Methods

miR-10b-5p was initially identified as a candidate oncogene through bioinformatic analysis of The Cancer Genome Atlas (TCGA) PCa data, followed by validation of its expression levels in clinical PCa specimens via fluorescence in situ hybridization (FISH). Functional assays (proliferation, migration, invasion) were performed to assess the impact of miR-10b-5p on PCa cell behavior. The tumor suppressor ZMYND11 was confirmed as a direct target of miR-10b-5p using dual-luciferase reporter assays. The pro-angiogenic capacity of PCa-derived exosomes harboring miR-10b-5p was evaluated using in vitro endothelial tube formation assays and in vivo mouse models.

Results

miR-10b-5p expression was significantly elevated in PCa tissues and cell lines, and its levels correlated with aggressive tumor features. Mechanistically, miR-10b-5p directly suppressed ZMYND11 expression, thereby promoting PCa cell proliferation, migration, and invasion. Crucially, exosomes derived from miR-10b-5p-expressing PCa cells exhibited potent pro-angiogenic activity, significantly enhancing endothelial tube formation in vitro and stimulating tumor neovascularization in vivo.

Conclusion

This study demonstrates that miR-10b-5p promotes prostate cancer progression by targeting ZMYND11, while its exosomes additionally exhibit pro-angiogenic effects, providing a novel therapeutic target for clinical intervention.
前列腺癌(PCa)仍然是全球癌症相关死亡的主要原因,强调了对新型治疗策略的迫切需要。本研究探讨了miR-10b-5p在前列腺癌进展中的致癌功能,并评估了其作为诊断标志物和治疗靶点的潜力。方法通过对癌症基因组图谱(TCGA) PCa数据的生物信息学分析,初步确定smir -10b-5p为候选癌基因,随后通过荧光原位杂交(FISH)验证其在临床PCa标本中的表达水平。通过功能分析(增殖、迁移、侵袭)评估miR-10b-5p对PCa细胞行为的影响。通过双荧光素酶报告基因检测,肿瘤抑制因子ZMYND11被证实是miR-10b-5p的直接靶点。通过体外内皮管形成实验和体内小鼠模型评估含有miR-10b-5p的pca衍生外泌体的促血管生成能力。结果smir -10b-5p在前列腺癌组织和细胞系中表达显著升高,其表达水平与肿瘤侵袭性特征相关。在机制上,miR-10b-5p直接抑制ZMYND11的表达,从而促进PCa细胞的增殖、迁移和侵袭。至关重要的是,来自表达mir -10b-5p的PCa细胞的外泌体表现出强大的促血管生成活性,在体外显著增强内皮管的形成,并在体内刺激肿瘤新生血管。结论本研究表明miR-10b-5p通过靶向ZMYND11促进前列腺癌进展,同时其外泌体还具有促血管生成作用,为临床干预提供了新的治疗靶点。
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引用次数: 0
Dramatic multifocal osteosarcoma treatment response in the setting of POT1 tumor predisposition syndrome POT1肿瘤易感综合征背景下多灶性骨肉瘤的戏剧性治疗反应
IF 2.1 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2025-08-25 DOI: 10.1016/j.cancergen.2025.08.008
Stephen Gilene , Kristen D'Aquila , Brittany Cooper , Sara Szabo , Joseph G. Pressey
INTRODUCTION: POT1 tumor predisposition (POT1-TPD) is associated with a spectrum of malignancies due to loss of function mutations in POT1 leading to telomere elongation and genomic instability. Osteosarcoma is the most common primary malignant bone tumor and has a poor prognosis when multifocal. CASE PRESENTATION: A 15-year-old male was found to have a primary right distal femur osteosarcoma with multiple additional bony sites of disease. A POT1 splice site variant (c.949+1G>C) was identified both somatically and in the germline consistent with POT1-TPD. Despite extensive multifocality, the tumor displayed marked chemosensitivity to standard of care therapy and long-term remission was achieved. DISCUSSION: Evidence suggests that hereditable alterations in telomeric function including POT1 are enriched in sarcoma susceptibility. Furthermore, hereditary tumor predisposition syndromes often increase osteosarcoma risk including a recent report of five patients with POT1-TPD. Multifocal osteosarcoma is rare, but a few retrospective cohorts suggest dismal prognosis. This report details an adolescent male with presumed POT1-TPD who developed synchronous multifocal osteosarcoma exquisitely sensitive to chemotherapy which may represent a unique phenotype for the syndrome.
POT1肿瘤易感性(POT1- tpd)与一系列恶性肿瘤相关,这是由于POT1的功能突变丧失导致端粒延长和基因组不稳定。骨肉瘤是最常见的原发性骨恶性肿瘤,多灶性骨肉瘤预后较差。病例介绍:一名15岁的男性被发现患有原发性右股骨远端骨肉瘤,并伴有多处其他骨部位的疾病。在体细胞和种系中均鉴定出与POT1- tpd一致的POT1剪接位点变异(C .949+1G>;C)。尽管有广泛的多灶性,但肿瘤对标准护理治疗显示出明显的化疗敏感性,并实现了长期缓解。讨论:有证据表明,端粒功能的可遗传改变,包括POT1,在肉瘤易感性中富集。此外,遗传性肿瘤易感性综合征经常增加骨肉瘤的风险,包括最近报道的5例POT1-TPD患者。多灶性骨肉瘤是罕见的,但一些回顾性队列提示预后不佳。本报告详细介绍了一例假定为POT1-TPD的青少年男性,他发展为同步多灶性骨肉瘤,对化疗非常敏感,这可能代表了该综合征的独特表型。
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引用次数: 0
Unraveling complex karyotype clonal architecture: co-existing double TP53 mutations alongside DNMT3A, TET2, and NF1 mutations – a case study 解开复杂核型克隆结构:双TP53突变与DNMT3A, TET2和NF1突变共存-一个案例研究
IF 2.1 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2025-08-22 DOI: 10.1016/j.cancergen.2025.08.007
Suhaib Mohammad Ali Abunaser , Anurita Pais , Manu Venkatesan , Uzma Zaidi , Cigdem Pala Ozturk
Complex chromosomal changes in Acute Myeloid Leukemia (AML) are highly heterogeneous, with disease progression shaped by both the number and nature of abnormalities. Rarely do, multiple unrelated clones with independent chromosomal changes coexist at diagnosis.
Present study showcases a comprehensive characterization of two cytogenetically distinct complex clones in AML, driven by non-cyclic and chromoplexy mechanisms, highlighting their co-existence with key molecular alterations (TP53, NF1, DNMT3A, TET2) along with their potential contribution to clonal evolution.
In the present study a refined assessment of clonal chromosomal complexity is provided, with each clone exhibiting distinct alterations involving chromosomes 5, 14, and 17 along with variant structural formation of chromosomes ie. isochromosome 5p, partial monosomy 7 and derivative 17, defining the heterogeneity of clonal architecture.
Additionally, we propose a probable association between mutational burden and chromosomal complexity, as evidenced by the coexistence of distinct clones with varying mutation loads and cytogenetic profiles, reflecting parallel clonal evolution.
Our integrated approach combining karyotyping and fluorescence in situ hybridization (FISH) was essential in unraveling the clonal architecture, providing valuable insights into the personalized chromosomal alterations and pathogenetic mechanisms that would be helpful for refining prognosis and guiding AML management.
急性髓性白血病(AML)的复杂染色体变化是高度异质性的,疾病进展由异常的数量和性质决定。在诊断时,具有独立染色体变化的多个不相关克隆共存的情况非常罕见。本研究展示了AML中两个细胞遗传学上不同的复杂克隆的全面特征,由非循环和色plexy机制驱动,突出了它们与关键分子改变(TP53, NF1, DNMT3A, TET2)的共存以及它们对克隆进化的潜在贡献。在目前的研究中,提供了克隆染色体复杂性的精细评估,每个克隆都表现出涉及染色体5、14和17的不同改变,以及染色体的不同结构形成。同染色体5p,部分单体7和衍生物17,定义克隆结构的异质性。此外,我们提出突变负担与染色体复杂性之间可能存在关联,这可以通过具有不同突变负荷和细胞遗传学谱的不同克隆共存来证明,这反映了平行克隆进化。我们结合核型和荧光原位杂交(FISH)的综合方法对于揭示克隆结构至关重要,为个性化染色体改变和发病机制提供了有价值的见解,有助于改善预后和指导AML管理。
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引用次数: 0
A novel fumarate hydratase frameshift mutation in lung adenocarcinoma: A case report 肺腺癌中一种新的富马酸水合酶移码突变:1例报告
IF 2.1 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2025-08-16 DOI: 10.1016/j.cancergen.2025.08.006
Haruko Nakagawa , Satoru Aoyama , Junko Yokobori , Haruhiko Furusawa , Takahiro Mitsumura , Akira Takemoto , Ken Yamagiwa , Masaaki Kawanishi , Yasunari Miyazaki , Sadakatsu Ikeda
Fumarate hydratase (FH) is a tumor suppressor gene implicated in the tumorigenesis of several cancers, including renal cell carcinoma. However, FH mutations are uncommon in lung adenocarcinoma, and frameshift deletions are exceedingly rare. Here, we report a novel FH frameshift mutation (G97fs*3) in a 67-year-old woman with lung adenocarcinoma. The mutation was detected through comprehensive genomic profiling. It occurs within the catalytic domain of FH and has not been previously reported in this cancer type. A literature review revealed that FH mutations are oncogenic in hereditary leiomyomatosis and renal cell cancer, suggesting that the frameshift mutation could also serve as a driver mutation in this case. This report highlights the utility of comprehensive genomic profiling in identifying clinically relevant mutations and demonstrates the potential of leveraging such insights for precision oncology. FH alterations, such as the one described, could represent potential therapeutic targets from molecular perspectives.
富马酸水合酶(FH)是一种肿瘤抑制基因,与包括肾细胞癌在内的几种癌症的肿瘤发生有关。然而,FH突变在肺腺癌中并不常见,移码缺失也极为罕见。在这里,我们报告了一个新的FH移码突变(G97fs*3)在一个67岁的女性肺腺癌。该突变是通过全面的基因组分析检测到的。它发生在FH的催化区域内,以前没有在这种癌症类型中报道过。文献综述显示,FH突变在遗传性平滑肌瘤病和肾细胞癌中具有致癌作用,提示移码突变也可能是这种情况下的驱动突变。本报告强调了综合基因组图谱在确定临床相关突变方面的效用,并展示了利用这种见解进行精确肿瘤学的潜力。从分子的角度来看,FH的改变,如所描述的,可能代表潜在的治疗靶点。
{"title":"A novel fumarate hydratase frameshift mutation in lung adenocarcinoma: A case report","authors":"Haruko Nakagawa ,&nbsp;Satoru Aoyama ,&nbsp;Junko Yokobori ,&nbsp;Haruhiko Furusawa ,&nbsp;Takahiro Mitsumura ,&nbsp;Akira Takemoto ,&nbsp;Ken Yamagiwa ,&nbsp;Masaaki Kawanishi ,&nbsp;Yasunari Miyazaki ,&nbsp;Sadakatsu Ikeda","doi":"10.1016/j.cancergen.2025.08.006","DOIUrl":"10.1016/j.cancergen.2025.08.006","url":null,"abstract":"<div><div>Fumarate hydratase (<em>FH</em>) is a tumor suppressor gene implicated in the tumorigenesis of several cancers, including renal cell carcinoma. However, <em>FH</em> mutations are uncommon in lung adenocarcinoma, and frameshift deletions are exceedingly rare. Here, we report a novel <em>FH</em> frameshift mutation (G97fs*3) in a 67-year-old woman with lung adenocarcinoma. The mutation was detected through comprehensive genomic profiling. It occurs within the catalytic domain of FH and has not been previously reported in this cancer type. A literature review revealed that <em>FH</em> mutations are oncogenic in hereditary leiomyomatosis and renal cell cancer, suggesting that the frameshift mutation could also serve as a driver mutation in this case. This report highlights the utility of comprehensive genomic profiling in identifying clinically relevant mutations and demonstrates the potential of leveraging such insights for precision oncology. <em>FH</em> alterations, such as the one described, could represent potential therapeutic targets from molecular perspectives.</div></div>","PeriodicalId":49225,"journal":{"name":"Cancer Genetics","volume":"298 ","pages":"Pages 16-19"},"PeriodicalIF":2.1,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Cancer Genetics
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