Cancer in pathologically confirmed multiple system atrophy.


Journal

Clinical autonomic research : official journal of the Clinical Autonomic Research Society
ISSN: 1619-1560
Titre abrégé: Clin Auton Res
Pays: Germany
ID NLM: 9106549

Informations de publication

Date de publication:
08 2023
Historique:
received: 09 03 2023
accepted: 12 04 2023
medline: 21 8 2023
pubmed: 14 5 2023
entrez: 13 5 2023
Statut: ppublish

Résumé

The aim of this study was to assess whether cancer occurs with increased frequency in multiple system atrophy (MSA). The pathological hallmark of MSA is glial cytoplasmic inclusions containing aggregated α-synuclein, and the related protein γ-synuclein correlates with invasive cancer. We investigated whether these two disorders are associated clinically. Medical records of 320 patients with pathologically confirmed MSA seen between 1998 and 2022 were reviewed. After excluding those with insufficient medical histories, the remaining 269 and an equal number of controls matched for age and sex were queried for personal and family histories of cancer recorded on standardized questionnaires and in clinical histories. Additionally, age-adjusted rates of breast cancer were compared with US population incidence data. Of 269 cases in each group, 37 with MSA versus 45 of controls had a personal history of cancer. Reported cases of cancer in parents were 97 versus 104 and in siblings 31 versus 44 for MSA and controls, respectively. Of 134 female cases in each group, 14 MSA versus 10 controls had a personal history of breast cancer. The age-adjusted rate of breast cancer in MSA was 0.83%, as compared with 0.67% in controls and 2.0% in the US population. All comparisons were nonsignificant. The evidence from this retrospective cohort found no significant clinical association of MSA with breast cancer or other cancers. These results do not exclude the possibility that knowledge about synuclein pathology at the molecular level in cancer may lead to future discoveries and potential therapeutic targets for MSA.

Identifiants

pubmed: 37178348
doi: 10.1007/s10286-023-00946-w
pii: 10.1007/s10286-023-00946-w
pmc: PMC10529111
mid: NIHMS1915549
doi:

Substances chimiques

alpha-Synuclein 0

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

451-458

Subventions

Organisme : NINDS NIH HHS
ID : R01 NS089757
Pays : United States

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.

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Auteurs

William P Cheshire (WP)

Division of Autonomic Disorders, Department of Neurology, Mayo Clinic, 4500 San Pablo Rd., Jacksonville, FL, 32224, USA. cheshire@mayo.edu.

Shunsuke Koga (S)

Department of Neuroscience, Mayo Clinic, Jacksonville, FL, USA.

Philip W Tipton (PW)

Division of Movement Disorders, Department of Neurology, Mayo Clinic, Jacksonville, FL, USA.

Hiroaki Sekiya (H)

Department of Neuroscience, Mayo Clinic, Jacksonville, FL, USA.

Owen A Ross (OA)

Department of Neuroscience, Mayo Clinic, Jacksonville, FL, USA.

Ryan J Uitti (RJ)

Division of Movement Disorders, Department of Neurology, Mayo Clinic, Jacksonville, FL, USA.

Keith A Josephs (KA)

Division of Movement Disorders, Department of Neurology, Mayo Clinic, Rochester, MN, USA.

Dennis W Dickson (DW)

Department of Neuroscience, Mayo Clinic, Jacksonville, FL, USA.

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