2019
DOI: 10.1007/s10689-019-00128-6
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Implication of DNA repair genes in Lynch-like syndrome

Abstract: Many colorectal cancers (CRCs) that exhibit microsatellite instability (MSI) are not explained by MLH1 promoter methylation or germline mutations in mismatch repair (MMR) genes, which cause Lynch syndrome (LS). Instead, these Lynch-like syndrome (LLS) patients have somatic mutations in MMR genes. However, many of these patients are young and have relatives with cancer, suggesting a hereditary entity. We performed germline sequence analysis in LLS patients

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Cited by 29 publications
(31 citation statements)
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“…By performing MCM8 gene editing in a cellular model and ectopic reintroduction of the identified genetic variants, we were able to demonstrate its plausible effect on DNA repair efficiency. Besides, although several genes implicated in DNA repair are spotlighted as probable causes of the underlying mechanisms of LLS CRC ( 24 ), this study differs from previous reports in the fact of performing a thorough functional characterization of the proposed candidate gene. Additionally, although HR and MMR systems are inextricably linked ( 25 ), we were capable of suggesting that both systems could be impaired by biallelic pathogenic variants in MCM8 .…”
Section: Discussionmentioning
confidence: 73%
“…By performing MCM8 gene editing in a cellular model and ectopic reintroduction of the identified genetic variants, we were able to demonstrate its plausible effect on DNA repair efficiency. Besides, although several genes implicated in DNA repair are spotlighted as probable causes of the underlying mechanisms of LLS CRC ( 24 ), this study differs from previous reports in the fact of performing a thorough functional characterization of the proposed candidate gene. Additionally, although HR and MMR systems are inextricably linked ( 25 ), we were capable of suggesting that both systems could be impaired by biallelic pathogenic variants in MCM8 .…”
Section: Discussionmentioning
confidence: 73%
“…Other candidate genes with potentially pathogenic germline variants reported in patients with MSI/dMMR tumors (without germline MMR gene mutations) include MSH3 , EXO1, FAN1 , MLH3 , POLD1 , RFC1 , RPA1, SETD2 , BUB1 , BARD1 , WRN , MCPH1 , and REV3L [ 214 , 215 , 216 , 217 , 218 ]. MSH3 biallelic variants leading to MSH3 deficiency are associated with the microsatellite instability of di- and tetranucleotides (EMAST, Elevated Microsatellite instability at Selected Tetranucleotide Repeats) [ 214 ] but the stability of mononucleotide repeats.…”
Section: Diagnosis Of Lynch Syndromementioning
confidence: 99%
“…The defects are often caused by mutations in the coding regions of MMR genes or by the promoter methylation of these genes. However, in many cases, despite the presence of a hypermutable phenotype in a patient, no mutations/hypermethylation of MMR genes can be detected [14,15].…”
Section: Of 10mentioning
confidence: 99%