Yıl: 2022 Cilt: 33 Sayı: 2 Sayfa Aralığı: 81 - 87 Metin Dili: İngilizce DOI: 10.5152/tjg.2021.201068 İndeks Tarihi: 24-06-2022

Mutation Spectrum of Familial Adenomatous Polyposis Patients in Turkish Population: Identification of 3 Novel APC Mutations

Öz:
Background: Familial adenomatous polyposis (OMIM #175100) and MUTYH-associated polyposis (OMIM #608456) are rare cancerprone disorders characterized by hundreds of adenomatous polyps in the colon and rectum, which have a high probability of malignant transformation. Attenuated familial adenomatous polyposis is a variant of familial adenomatous polyposis, which is a term used for the condition in which patients have less than 100 colorectal polyps. Germline heterozygous Adenomatous polyposis coli (APC) and biallelic MUTYH (mutY DNA glycosylase) pathogenic variations are responsible for familial adenomatous polyposis and MUTYH-associated polyposis respectively. The aim of this study is to discuss the clinical manifestations of patients having pathogenic APC and MUTYH variations. Methods: We included 27 probands who have more than 10 colonic polyps in this study. After evaluation of their clinical and family histories, the probands were screened for APC and MUTYH variations via next generation sequencing. The family members of the probands carrying pathogenic variations were screened via Sanger sequencing. Results: Among 27 probands, pathogenic APC and MUTYH variations were detected in 3 and 6 probands respectively. In the APC gene, 3 novel truncating variations (p.Leu360*, p.Leu1489Phefs*23, and p.Leu912*) were detected in 3 unrelated probands. In the MUTYH gene, only 2 distinct pathogenic variations were detected (p.Pro295Leu and p.Glu480del) in the homozygous or compound heterozygous state. Conclusion: In this study, molecular etiology was clarified in 9 familial polyposis patients. The p.Pro295Leu and p.Glu480del variations seem to be common in the Turkish population and may be considered as a first-step genetic test in Turkish familial polyposis patients showing autosomal recessive inheritance. However more studies are needed to reveal the exact frequency of these variations.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Galiatsatos P, Foulkes WD. Familial adenomatous polyposis. Am J Gastroenterol. 2006;101(2):385-398. [CrossRef]
  • 2. Fearnhead NS, Britton MP, Bodmer WF. The ABC of APC. Hum Mol Genet. 2001;10(7):721-733. [CrossRef]
  • 3. Bisgaard ML, Fenger K, Bülow S, Niebuhr E, Mohr J. Familial adenomatous polyposis (FAP): frequency, penetrance, and mutation rate. Hum Mutat. 1994;3(2):121-125. [CrossRef]
  • 4. Mazzei F, Viel A, Bignami M. Role of MUTYH in human cancer. Mutat Res. 2013;743-744:33-43. [CrossRef]
  • 5. Win AK, Jenkins MA, Dowty JG, et al. Prevalence and penetrance of major genes and polygenes for colorectal cancer. Cancer Epidemiol Biomarkers Prev. 2017;26(3):404-412. [CrossRef]
  • 6. Sutcliffe EG, Thompson AB, Stettner AR, et al. Multi-gene panel testing confirms phenotypic variability in MUTYH-associated polyposis. Fam Cancer. 2019;18(2):203-209. [CrossRef]
  • 7. Curia MC, Catalano T, Aceto GM. MUTYH: not just polyposis. World J Clin Oncol. 2020;11(7):428-449. [CrossRef]
  • 8. Richards S, Aziz N, Bale S, et al. Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology. Genet Med. 2015;17(5):405- 424. [CrossRef]
  • 9. Gayther SA, Wells D, SenGupta SB, et al. Regionally clustered APC mutations are associated with a severe phenotype and occur at a high frequency in new mutation cases of adenomatous polyposis coli. Hum Mol Genet. 1994;3(1):53-56. [CrossRef]
  • 10. de Marchis ML, Tonelli F, Quaresmini D, et al. Desmoid tumors in familial adenomatous polyposis. Anticancer Res. 2017;37(7):3357- 3366. [CrossRef]
  • 11. Spirio L, Olschwang S, Groden J, et al. Alleles of the APC gene: an attenuated form of familial polyposis. Cell. 1993;75(5):951-957. [CrossRef]
  • 12. Jones S, Emmerson P, Maynard J, et al. Biallelic germline mutations in MYH predispose to multiple colorectal adenoma and somatic G:C-->T:A mutations. Hum Mol Genet. 2002;11(23):2961-2967. [CrossRef]
  • 13. Aretz S, Uhlhaas S, Goergens H, et al. MUTYH-associated polyposis: 70 of 71 patients with biallelic mutations present with an attenuated or atypical phenotype. Int J Cancer. 2006;119(4):807- 814. [CrossRef]
  • 14. Lejeune S, Guillemot F, Triboulet JP, et al. Low frequency of AXIN2 mutations and high frequency of MUTYH mutations in patients with multiple polyposis. Hum Mutat. 2006;27(10):1064. [CrossRef]
  • 15. Colas C, Bonadona V, Baert-Desurmont S, et al. MUTYH-associated polyposis: review and update of the French recommendations established in 2012 under the auspices of the National Cancer Institute (INCa). Eur J Med Genet. 2020;63(12):104078. [CrossRef]
  • 16. Peterlongo P, Mitra N, de Abajo AS, et al. Increased frequency of disease-causing MYH mutations in colon cancer families. Carcinogenesis. 2006;27(11):2243-2249. [CrossRef]
  • 17. Gu Y, Parker A, Wilson TM, Bai H, Chang DY, Lu AL. Human MutY homolog, a DNA glycosylase involved in base excision repair, physically and functionally interacts with mismatch repair proteins human MutS homolog 2/human MutS homolog 6. J Biol Chem. 2002;277(13):11135-11142. [CrossRef]
  • 18. Webb EL, Rudd MF, Houlston RS. Colorectal cancer risk in monoallelic carriers of MYH variants. Am J Hum Genet. 2006;79(4):768- 771; author reply 771. [CrossRef]
  • 19. Ateş EA, Türkyilmaz A, Yıldırım Ö, et al. Secondary findings in 622 Turkish clinical exome sequencing data. J Hum Genet. 2021;66(11):1113-1119. [CrossRef]
  • 20. Rohlin A, Engwall Y, Fritzell K, et al. Inactivation of promoter 1B of APC causes partial gene silencing: evidence for a significant role of the promoter in regulation and causative of familial adenomatous polyposis. Oncogene. 2011;30(50):4977-4989. [CrossRef]
  • 21. Nielsen M, Hes FJ, Nagengast FM, et al. Germline mutations in APC and MUTYH are responsible for the majority of families with attenuated familial adenomatous polyposis. Clin Genet. 2007;71(5):427-433. [CrossRef]
  • 22. Ricci MT, Miccoli S, Turchetti D, et al. Type and frequency of MUTYH variants in Italian patients with suspected MAP: a retrospective multicenter study. J Hum Genet. 2017;62(2):309-315. [CrossRef]
  • 23. Rouleau E, Zattara H, Lefol C, et al. First large rearrangement in the MUTYH gene and attenuated familial adenomatous polyposis syndrome. Clin Genet. 2011;80(3):301-303. [CrossRef]
APA Arslan Ates E, Alavanda C, DEMİR S, Keklikkiran C, Attaallah W, Özdoğan O, Güney A (2022). Mutation Spectrum of Familial Adenomatous Polyposis Patients in Turkish Population: Identification of 3 Novel APC Mutations. , 81 - 87. 10.5152/tjg.2021.201068
Chicago Arslan Ates Esra,Alavanda Ceren,DEMİR SENOL,Keklikkiran Caglayan,Attaallah Wafi,Özdoğan Osman,Güney Ahmet İlter Mutation Spectrum of Familial Adenomatous Polyposis Patients in Turkish Population: Identification of 3 Novel APC Mutations. (2022): 81 - 87. 10.5152/tjg.2021.201068
MLA Arslan Ates Esra,Alavanda Ceren,DEMİR SENOL,Keklikkiran Caglayan,Attaallah Wafi,Özdoğan Osman,Güney Ahmet İlter Mutation Spectrum of Familial Adenomatous Polyposis Patients in Turkish Population: Identification of 3 Novel APC Mutations. , 2022, ss.81 - 87. 10.5152/tjg.2021.201068
AMA Arslan Ates E,Alavanda C,DEMİR S,Keklikkiran C,Attaallah W,Özdoğan O,Güney A Mutation Spectrum of Familial Adenomatous Polyposis Patients in Turkish Population: Identification of 3 Novel APC Mutations. . 2022; 81 - 87. 10.5152/tjg.2021.201068
Vancouver Arslan Ates E,Alavanda C,DEMİR S,Keklikkiran C,Attaallah W,Özdoğan O,Güney A Mutation Spectrum of Familial Adenomatous Polyposis Patients in Turkish Population: Identification of 3 Novel APC Mutations. . 2022; 81 - 87. 10.5152/tjg.2021.201068
IEEE Arslan Ates E,Alavanda C,DEMİR S,Keklikkiran C,Attaallah W,Özdoğan O,Güney A "Mutation Spectrum of Familial Adenomatous Polyposis Patients in Turkish Population: Identification of 3 Novel APC Mutations." , ss.81 - 87, 2022. 10.5152/tjg.2021.201068
ISNAD Arslan Ates, Esra vd. "Mutation Spectrum of Familial Adenomatous Polyposis Patients in Turkish Population: Identification of 3 Novel APC Mutations". (2022), 81-87. https://doi.org/10.5152/tjg.2021.201068
APA Arslan Ates E, Alavanda C, DEMİR S, Keklikkiran C, Attaallah W, Özdoğan O, Güney A (2022). Mutation Spectrum of Familial Adenomatous Polyposis Patients in Turkish Population: Identification of 3 Novel APC Mutations. Turkish Journal of Gastroenterology, 33(2), 81 - 87. 10.5152/tjg.2021.201068
Chicago Arslan Ates Esra,Alavanda Ceren,DEMİR SENOL,Keklikkiran Caglayan,Attaallah Wafi,Özdoğan Osman,Güney Ahmet İlter Mutation Spectrum of Familial Adenomatous Polyposis Patients in Turkish Population: Identification of 3 Novel APC Mutations. Turkish Journal of Gastroenterology 33, no.2 (2022): 81 - 87. 10.5152/tjg.2021.201068
MLA Arslan Ates Esra,Alavanda Ceren,DEMİR SENOL,Keklikkiran Caglayan,Attaallah Wafi,Özdoğan Osman,Güney Ahmet İlter Mutation Spectrum of Familial Adenomatous Polyposis Patients in Turkish Population: Identification of 3 Novel APC Mutations. Turkish Journal of Gastroenterology, vol.33, no.2, 2022, ss.81 - 87. 10.5152/tjg.2021.201068
AMA Arslan Ates E,Alavanda C,DEMİR S,Keklikkiran C,Attaallah W,Özdoğan O,Güney A Mutation Spectrum of Familial Adenomatous Polyposis Patients in Turkish Population: Identification of 3 Novel APC Mutations. Turkish Journal of Gastroenterology. 2022; 33(2): 81 - 87. 10.5152/tjg.2021.201068
Vancouver Arslan Ates E,Alavanda C,DEMİR S,Keklikkiran C,Attaallah W,Özdoğan O,Güney A Mutation Spectrum of Familial Adenomatous Polyposis Patients in Turkish Population: Identification of 3 Novel APC Mutations. Turkish Journal of Gastroenterology. 2022; 33(2): 81 - 87. 10.5152/tjg.2021.201068
IEEE Arslan Ates E,Alavanda C,DEMİR S,Keklikkiran C,Attaallah W,Özdoğan O,Güney A "Mutation Spectrum of Familial Adenomatous Polyposis Patients in Turkish Population: Identification of 3 Novel APC Mutations." Turkish Journal of Gastroenterology, 33, ss.81 - 87, 2022. 10.5152/tjg.2021.201068
ISNAD Arslan Ates, Esra vd. "Mutation Spectrum of Familial Adenomatous Polyposis Patients in Turkish Population: Identification of 3 Novel APC Mutations". Turkish Journal of Gastroenterology 33/2 (2022), 81-87. https://doi.org/10.5152/tjg.2021.201068