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Base excision repair deficiency signatures implicate germline and somatic MUTYH aberrations in pancreatic ductal adenocarcinoma and breast cancer oncogenesis
Ist Teil von
Cold Spring Harbor molecular case studies, 2019-04, Vol.5 (2), p.a003681
Ort / Verlag
United States: Cold Spring Harbor Laboratory Press
Erscheinungsjahr
2019
Quelle
MEDLINE
Beschreibungen/Notizen
We report a case of early-onset pancreatic ductal adenocarcinoma in a patient harboring biallelic
germline mutations, whose tumor featured somatic mutational signatures consistent with defective
-mediated base excision repair and the associated driver
transversion mutation p.Gly12Cys. Analysis of an additional 730 advanced cancer cases (
= 731) was undertaken to determine whether the mutational signatures were also present in tumors from germline
heterozygote carriers or if instead the signatures were only seen in those with biallelic loss of function. We identified two patients with breast cancer each carrying a pathogenic germline
variant with a somatic
copy loss leading to the germline variant being homozygous in the tumor and demonstrating the same somatic signatures. Our results suggest that monoallelic inactivation of
is not sufficient for C:G>A:T transversion signatures previously linked to
deficiency to arise (
= 9), but that biallelic complete loss of
function can cause such signatures to arise even in tumors not classically seen in
-associated polyposis (
= 3). Although defective
is not the only determinant of these signatures,
germline variants may be present in a subset of patients with tumors demonstrating elevated somatic signatures possibly suggestive of
deficiency (e.g., COSMIC Signature 18, SigProfiler SBS18/SBS36, SignatureAnalyzer SBS18/SBS36).