A mosaic PIK3CA variant in a young adult with diffuse gastric cancer: case report.


Journal

European journal of human genetics : EJHG
ISSN: 1476-5438
Titre abrégé: Eur J Hum Genet
Pays: England
ID NLM: 9302235

Informations de publication

Date de publication:
09 2021
Historique:
received: 12 10 2020
accepted: 26 02 2021
revised: 16 02 2021
pubmed: 3 6 2021
medline: 24 3 2022
entrez: 2 6 2021
Statut: ppublish

Résumé

Hereditary diffuse gastric cancer (HDGC) is associated with germline deleterious variants in CDH1 and CTNNA1. The majority of HDGC-suspected patients are still genetically unresolved, raising the need for identification of novel HDGC predisposing genes. Under the collaborative environment of the SOLVE-RD consortium, re-analysis of whole-exome sequencing data from unresolved gastric cancer cases (n = 83) identified a mosaic missense variant in PIK3CA in a 25-year-old female with diffuse gastric cancer (DGC) without familial history for cancer. The variant, c.3140A>G p.(His1047Arg), a known cancer-related somatic hotspot, was present at a low variant allele frequency (18%) in leukocyte-derived DNA. Somatic variants in PIK3CA are usually associated with overgrowth, a phenotype that was not observed in this patient. This report highlights mosaicism as a potential, and understudied, mechanism in the etiology of DGC.

Identifiants

pubmed: 34075207
doi: 10.1038/s41431-021-00853-6
pii: 10.1038/s41431-021-00853-6
pmc: PMC8440670
doi:

Substances chimiques

Class I Phosphatidylinositol 3-Kinases EC 2.7.1.137
PIK3CA protein, human EC 2.7.1.137

Types de publication

Case Reports Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1354-1358

Investigateurs

Laura Valle (L)
Gabriel Capella (G)
Stefan Aretz (S)
Elke Holinski-Feder (E)
Verena Steinke-Lange (V)
Andreas Laner (A)
Evelin Schröck (E)
Andreas Rump (A)
Marjolijn Ligtenberg (M)
Alexander Hoischen (A)
Nicoline Geverink (N)
D Gareth Evans (DG)
Marc Tischkowitz (M)
Steven Laurie (S)

Informations de copyright

© 2021. The Author(s).

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Auteurs

Iris B A W Te Paske (IBAW)

Department of Human Genetics, Radboud University Medical Center, Radboud Institute for Molecular Life Sciences, Nijmegen, the Netherlands.

José Garcia-Pelaez (J)

i3S, Institute for Research and Innovation in Health of the University of Porto, Porto, Portugal.
Ipatimup, Institute of Molecular Pathology and Immunology of the University of Porto, Porto, Portugal.
FMUP, Faculty of Medicine of the University of Porto, Porto, Portugal.

Anna K Sommer (AK)

Institute of Human Genetics, University of Bonn, Bonn, Germany.

Leslie Matalonga (L)

CNAG-CRG, Centre for Genomic Regulation, Barcelona Institute of Science and Technology, Barcelona, Spain.

Teresa Starzynska (T)

Department of Gastroenterology, Pomeranian Medical University, Szczecin, Poland.

Anna Jakubowska (A)

Department of Genetics and Pathology, Pomeranian Medical University, Szczecin, Poland.
Independent Laboratory of Molecular Biology and Genetic Diagnostics, Pomeranian Medical University, Szczecin, Poland.

Rachel S van der Post (RS)

Department of Pathology, Radboud University Medical Center, Radboud Institute for Molecular Life Sciences, Nijmegen, the Netherlands.

Jan Lubinski (J)

Department of Genetics and Pathology, Pomeranian Medical University, Szczecin, Poland.

Carla Oliveira (C)

i3S, Institute for Research and Innovation in Health of the University of Porto, Porto, Portugal.
Ipatimup, Institute of Molecular Pathology and Immunology of the University of Porto, Porto, Portugal.
FMUP, Faculty of Medicine of the University of Porto, Porto, Portugal.

Nicoline Hoogerbrugge (N)

Department of Human Genetics, Radboud University Medical Center, Radboud Institute for Molecular Life Sciences, Nijmegen, the Netherlands.

Richarda M de Voer (RM)

Department of Human Genetics, Radboud University Medical Center, Radboud Institute for Molecular Life Sciences, Nijmegen, the Netherlands. Richarda.devoer@radboudumc.nl.

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