透明细胞肾细胞癌中人粘蛋白基因的变异及其潜在的预后和预测价值。

Q3 Medicine The gulf journal of oncology Pub Date : 2023-05-01
Jamal Zekri, Mohammed A Baghdadi, Abdelrazak Meliti, Turki M Sobahy, Saba Imtiaz
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引用次数: 0

摘要

背景:透明细胞肾细胞癌(cc-RCC)没有可靠的预后和预测性生物标志物。方法:对47例cc-RCC组织样本的DNA进行测序,采用下一代测序和包括19个粘蛋白基因在内的肿瘤驱动基因定制基因面板检测。结果:在所有样本中均存在12个粘蛋白基因的显著变异。这些基因分别是:MUC2、MUC3A、MUC4、MUC5AC、MUC5B、MUC6、MUC7、MUC12、MUC16、MUC17、MUC19和MUC22。对每个样本的显著和非显著变异数进行计数。变异的中位数是455。与低变异数(≤455)相比,高变异数(HVN)(>455)与较短的总生存期相关[中位50个月vs.未达到;P = 0.041)。在接受抗血管生成酪氨酸激酶抑制剂(TKIs)治疗的11例患者中,HVN与无进展生存期缩短的趋势相关。结论:黏素家族基因的改变在ccRCC中是常见的。HVN与较差的预后相关,并可能预示抗血管生成TKIs的获益降低。关键词:粘蛋白;变异;肾细胞癌;生物标志物;酪氨酸激酶抑制剂。
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Variants of Human Mucin Genes in Clear Cell Renal Cell Carcinoma and their Potential Prognostic and Predictive Values.

Background: There is no reliable prognostic and predictive biomarkers for clear cell renal cell carcinoma (cc-RCC).

Methods: DNA from 47 cc-RCC tissue samples were sequenced using next generation sequencing and a customized gene panel testing for tumor-driver genes including 19 Mucin genes.

Results: Distinctive variants in 12 Mucin genes were present in all samples. These genes are: MUC2, MUC3A, MUC4, MUC5AC, MUC5B, MUC6, MUC7, MUC12, MUC16, MUC17, MUC19, and MUC22. The numbers of distinctive and non-distinctive variants were counted for each sample. The median number of variants was 455. High variant number (HVN) (>455) was associated with shorter overall survival compared to low variant number (≤455) [Median 50 months vs. not reached; P=0.041]. In the 11 patients who received anti-angiogenic tyrosine kinase inhibitors (TKIs), HVN was associated with a trend of shorter progression free survival.

Conclusion: Alterations in Mucin family genes are common in ccRCC. HVN is associated with worse prognosis and may predict decreased benefit from anti-angiogenic TKIs.

Key words: Mucin; Variants; Renal cell carcinoma; Biomarker; Tyrosine kinase inhibitors.

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来源期刊
The gulf journal of oncology
The gulf journal of oncology Medicine-Medicine (all)
CiteScore
0.90
自引率
0.00%
发文量
37
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