Retinoblastoma (RB) is a childhood cancer developing in the retina due to RB1 pathologic variant. Herein we are evaluating the oncogenic mutations in the RB1 gene and the inheritance patterns of RB in the Jordanian patients. In this prospective study, the peripheral blood of 50 retinoblastoma patients was collected, genomic DNA was extracted, mutations were identified using Quantitative multiplex PCR (QM-PCR), Allele-specific PCR, Next Generation Sequencing analysis, and Sanger sequencing. In this cohort of 50 patients, 20(40%) patients had unilateral RB and 30(60%) were males. Overall, 36(72%) patients had germline disease, 17(47%) of whom had the same RB1 pathologic variant detected in one of the parents (inherited disease). In the bilateral group, all (100%) patients had germline disease; 13(43%) of them had inherited mutation. In the unilateral group, 6(30%) had germline disease, 4(20%) of them had inherited mutation. Nonsense mutation generating a stop codon and producing a truncated non-functional protein was the most frequent detected type of mutations (n = 15/36, 42%). Only one (2%) of the patients had mosaic mutation, and of the 17 inherited cases, 16(94%) had an unaffected carrier parent. In conclusion, in addition to all bilateral RB patients in our cohort, 30% of unilateral cases showed germline mutation. Almost half (47%) of germline cases had inherited disease from affected (6%) parent or unaffected carrier (94%). Therefore molecular screening is critical for the genetic counseling regarding the risk for inherited RB in both unilateral and bilateral cases including those with no family history.

译文

:视网膜母细胞瘤(RB)是由于RB1病理变异而在视网膜中发展的儿童期癌症。在这里,我们正在评估约旦患者中RB1基因的致癌突变和RB的遗传模式。在这项前瞻性研究中,收集了50例视网膜母细胞瘤患者的外周血,提取了基因组DNA,并使用定量多重PCR(QM-PCR),等位基因特异性PCR,下一代测序分析和Sanger测序鉴定了突变。在这50名患者中,单侧RB的患者为20(40%),男性为30(60%)。总体而言,有36名(72%)患者患有种系疾病,其中17名(47%)的父母之一(遗传病)患有相同的RB1病理变异。在双侧组中,所有(100%)患者都患有种系疾病。其中13(43%)人具有遗传突变。在单侧组中,有6个(30%)患有种系疾病,其中4个(20%)具有遗传突变。产生终止密码子并产生截短的非功能蛋白的无义突变是检测到的最常见突变类型(n = 15/36,42%)。只有一名(2%)患者患有花叶病突变,在17例遗传病例中,有16名(94%)患者的父母携带者未受影响。总之,除了我们队列中的所有双侧RB患者外,还有30%的单侧病例显示出种系突变。几乎一半(47%)的种系病例已从受影响的父母(6%)或未受影响的携带者(94%)遗传了疾病。因此,分子筛查对于单侧和双侧病例(包括无家族史的病例)中遗传性RB风险的遗传咨询至关重要。

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录