Molecular profiling of basal cell carcinomas in young patients.

Basal cell carcinoma NGS NMSC PTCH1 TP53

Journal

BMC medical genomics
ISSN: 1755-8794
Titre abrégé: BMC Med Genomics
Pays: England
ID NLM: 101319628

Informations de publication

Date de publication:
20 07 2021
Historique:
received: 21 08 2020
accepted: 05 07 2021
entrez: 21 7 2021
pubmed: 22 7 2021
medline: 20 1 2022
Statut: epublish

Résumé

Basal cell carcinoma (BCC) represents by far the most common non-melanoma skin cancer (NMSC) in the world with an increasing incidence of 3% to 10% per year, especially in patients under the age of 40. While variants in the sonic Hedgehog and cell cycle regulation pathways account for the majority of BCC cases in adults, the molecular etiology of BCC in young patients is unelucidated yet. This study aims to investigate the molecular profile of BCC in the young population. 28 tumors belonging to 25 Lebanese patients under the age of 40, presenting different stages of BCC and diagnosed at Hôtel Dieu de France-Saint Joseph University Medical Center were included in this study. A selected panel of 150 genes involved in cancer was analyzed by Next Generation Sequencing (NGS) in the 28 included tumors. Genetic variants detected in more than 5% of the reads, with a sequencing depth ≥ 50x, were selected. Two hundred and two genetic variants in 48 different genes were detected, with an overall average sequencing depth of 1069x. Among the 28 studied tumors, 18 (64.3%) show variations in the PTCH1 gene, 6 (21.4%) in TP53 and 3 (10.7%) in SMO. This is the first study reporting NGS-based analysis of BCC in a cohort of young patients. Our results highlight the involvement of the hedgehog and cell cycle regulation pathways in the genesis of BCC in the general population. The inclusion of a larger cohort of young patients is needed to confirm our findings.

Sections du résumé

BACKGROUND
Basal cell carcinoma (BCC) represents by far the most common non-melanoma skin cancer (NMSC) in the world with an increasing incidence of 3% to 10% per year, especially in patients under the age of 40. While variants in the sonic Hedgehog and cell cycle regulation pathways account for the majority of BCC cases in adults, the molecular etiology of BCC in young patients is unelucidated yet. This study aims to investigate the molecular profile of BCC in the young population.
METHODS
28 tumors belonging to 25 Lebanese patients under the age of 40, presenting different stages of BCC and diagnosed at Hôtel Dieu de France-Saint Joseph University Medical Center were included in this study. A selected panel of 150 genes involved in cancer was analyzed by Next Generation Sequencing (NGS) in the 28 included tumors.
RESULTS
Genetic variants detected in more than 5% of the reads, with a sequencing depth ≥ 50x, were selected. Two hundred and two genetic variants in 48 different genes were detected, with an overall average sequencing depth of 1069x. Among the 28 studied tumors, 18 (64.3%) show variations in the PTCH1 gene, 6 (21.4%) in TP53 and 3 (10.7%) in SMO.
CONCLUSIONS
This is the first study reporting NGS-based analysis of BCC in a cohort of young patients. Our results highlight the involvement of the hedgehog and cell cycle regulation pathways in the genesis of BCC in the general population. The inclusion of a larger cohort of young patients is needed to confirm our findings.

Identifiants

pubmed: 34284772
doi: 10.1186/s12920-021-01030-w
pii: 10.1186/s12920-021-01030-w
pmc: PMC8293576
doi:

Types de publication

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

Langues

eng

Sous-ensembles de citation

IM

Pagination

187

Informations de copyright

© 2021. The Author(s).

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Auteurs

Marc Abi Karam (M)

Faculty of Medicine, Saint Joseph University, Beirut, Lebanon.

Hampig Raphael Kourie (HR)

Medical Genetics Unit, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon. hampig.kourie@usj.edu.lb.
Hematology-Oncology Department, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon. hampig.kourie@usj.edu.lb.

Nadine Jalkh (N)

Medical Genetics Unit, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon.

Cybel Mehawej (C)

Medical Genetics Unit, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon.

Carole Kesrouani (C)

Medical Genetics Unit, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon.
Pathology Department, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon.

Fady Gh Haddad (FG)

Hematology-Oncology Department, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon.

Iman Feghaly (I)

Faculty of Medicine, Saint Joseph University, Beirut, Lebanon.

Eliane Chouery (E)

Medical Genetics Unit, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon.

Roland Tomb (R)

Dermatology Department, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon.

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Classifications MeSH