next generation sequencing

下一代测序
  • 文章类型: Journal Article
    辣椒是辣椒属(茄科)的成员。它们原产于中美洲和南美洲,由大约35种组成[1,2]。其中,五种(C.annuumL.,C.baccatumL.,C.中国的雅克。,C.frutescensL.,和C.pubescensRuiz&Pav。)已被驯化,主要种植用作蔬菜和香料。在驯化的辣椒中,C.annuum在全球范围内进行商业种植,C.frutescens和C.chinense主要在美国种植,亚洲人,非洲国家[3]。我们比较了农场栽培(FC)和家庭种植(HP)辣椒植物(辣椒)的各个隔室中微生物群的多样性。使用IlluminaNovaSeq6000平台对靶向的16SrRNA基因(V5-V6区)进行测序。变形杆菌,放线菌,酸杆菌,Gemmatimonadota,拟杆菌,FC和HP工厂的所有隔室中都存在Firmicutes。Proteobacteria(或Pseudomonadota)是HP和FC植物所有隔室中的主要门。而放线菌群(或放线菌群)是第二丰富的门。大多数植物隔室(叶子,果实和根)与土壤样品相比,变形杆菌的相对丰度更高。除了少数例外,土壤隔室(散装和根际土壤)显示出较高的门粘菌相对丰度,酸杆菌,Gemmatimonadota,拟杆菌,Nitrosirota,Verrucomicrobiota,和Firmicutes比植物隔间。多样性指数显示,辣椒植物中的细菌群落基于区室和栽培面积而聚集。
    Chillies are members of the genus Capsicum L. (family Solanaceae). They are native to Central and South America and consist of approximately 35 species [1,2]. Among these, five species (C. annuum L., C. baccatum L., C. chinense Jacq., C. frutescens L., and C. pubescens Ruiz & Pav.) have been domesticated and are mainly cultivated for consumption as vegetables and spices. Of the domesticated chillies, C. annuum is commercially cultivated worldwide, while C. frutescens and C. chinense are mainly cultivated in American, Asian, and African countries [3]. We compared the diversity of microbiota in various compartments of farm-cultivated (FC) and home-planted (HP) chilli plants (Capsicum frutescens). Targeted 16S rRNA gene (V5-V6 region) was sequenced using the Illumina NovaSeq 6000 platform. Proteobacteria, Actinobacteriota, Acidobacteriota, Gemmatimonadota, Bacteroidota, and Firmicutes were present in all compartments of both the FC and HP plants. Proteobacteria (or Pseudomonadota) was the predominant phylum in all the compartments of both HP and FC plants, while Actinobacteriota (or Actinomycetota) was the second most abundant phylum. Most plant compartments (leaves, fruits and roots) exhibited a higher relative abundance of Proteobacteria compared to the soil samples. With few exceptions, the soil compartments (bulk and rhizospheric soils) displayed a higher relative abundance of the phyla Myxococcota, Acidobacteriota, Gemmatimonadota, Bacteroidota, Nitrospirota, Verrucomicrobiota, and Firmicutes than the plant compartments. Diversity indices revealed that the bacterial community in chili plants clustered based on both compartment and cultivation area.
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  • 文章类型: Journal Article
    这里,我们呈现,第一次,IonTorrent®下一代测序(NGS)数据为五种鲨鱼(Chondrichthyes:Triakidae),其中包括Galeohinusgaleus(碱基对数(bp)17,487;GenBank登录号ON652874),Mustelusasterias(16,708;ON652873),Mustelusmosis(16,755;ON075077),Musteluspalumbes(16,708;ON075076),和巨翅三重奏(16,746;ON075075)。所有组装的有丝分裂基因组编码13个蛋白质编码基因(PCGs),两个核糖体(r)RNA基因,和22个转移(t)RNA基因(tRNALeu和tRNASer是重复的),除了G.galeus,它包含23个tRNA基因,其中tRNAThr是重复的。本文提供的数据可以帮助其他研究人员进一步阐明triakid物种的多样性以及有丝分裂基因组在公共存储库中积累时Carcharhiniformes(地鲨)内部的系统发育关系。
    Here, we present, for the first time, the Ion TorrentⓇ next-generation sequencing (NGS) data for five houndsharks (Chondrichthyes: Triakidae), which include Galeorhinus galeus (number of bases pairs (bp) 17,487; GenBank accession number ON652874), Mustelus asterias (16,708; ON652873), Mustelus mosis (16,755; ON075077), Mustelus palumbes (16,708; ON075076), and Triakis megalopterus (16,746; ON075075). All assembled mitogenomes encode 13 protein-coding genes (PCGs), two ribosomal (r)RNA genes, and 22 transfer (t)RNA genes (tRNALeu and tRNASer are duplicated), except for G. galeus which contains 23 tRNA genes where tRNAThr is duplicated. The data presented in this paper can assist other researchers in further elucidating the diversification of triakid species and the phylogenetic relationships within Carcharhiniformes (groundsharks) as mitogenomes accumulate in public repositories.
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  • 文章类型: Journal Article
    先天性免疫错误(IEI)的分子诊断在确定患者的长期预后中起着至关重要的作用,治疗方案,和遗传咨询。在过去的十年里,下一代测序(NGS)技术在研究和临床环境中的广泛使用促进了对相当比例的患者进行与IEI相关的基因变异的评估.除了它在诊断已知基因缺陷中的作用,高通量技术的应用,如针对性的,exome,基因组测序导致了新的致病基因的鉴定。然而,从这些不同方法获得的结果可能因疾病表型或患者特征而异.在这项研究中,我们在相当大的IEI患者队列中进行了全外显子组测序(WES),由来自Türkiye21个不同临床免疫学中心的303名个体组成。我们的分析得出了41.1%的患者(297人中有122人)的可能遗传诊断,在6名患者中揭示52种新变异并发现潜在的新IEI基因。理解各种IEI队列结果的重要性不可低估,我们相信我们的发现将对现有文献做出有价值的贡献,并促进临床医生和基础科学研究人员之间的合作研究。
    Molecular diagnosis of inborn errors of immunity (IEI) plays a critical role in determining patients\' long-term prognosis, treatment options, and genetic counseling. Over the past decade, the broader utilization of next-generation sequencing (NGS) techniques in both research and clinical settings has facilitated the evaluation of a significant proportion of patients for gene variants associated with IEI. In addition to its role in diagnosing known gene defects, the application of high-throughput techniques such as targeted, exome, and genome sequencing has led to the identification of novel disease-causing genes. However, the results obtained from these different methods can vary depending on disease phenotypes or patient characteristics. In this study, we conducted whole-exome sequencing (WES) in a sizable cohort of IEI patients, consisting of 303 individuals from 21 different clinical immunology centers in Türkiye. Our analysis resulted in likely genetic diagnoses for 41.1% of the patients (122 out of 297), revealing 52 novel variants and uncovering potential new IEI genes in six patients. The significance of understanding outcomes across various IEI cohorts cannot be overstated, and we believe that our findings will make a valuable contribution to the existing literature and foster collaborative research between clinicians and basic science researchers.
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  • 文章类型: Case Reports
    原发性颅神经淋巴瘤病(PCNL)是原发性CNS淋巴瘤(PCNSL)的一种罕见亚型,其中浸润性淋巴瘤受累仅限于颅神经。这里,我们报告了一例成功进行基因组分析的PCNL病例.一名57岁的男性经历了大约30个月的漫长的诊断前阶段,以由类固醇管理的多次颅神经病发作为特征。在诊断的时候,患者患有右侧颅神经病变,涉及颅神经(CN)V,VI,和七。右侧海绵状病变活检病理结果与大B细胞淋巴瘤浸润神经纤维一致。临床过程是积极的和难治性的,其特征是随着颈脊髓神经淋巴瘤病的发展而不断发展,脑脊液受累,室管膜和脑实质内受累,尽管有多种治疗方法,包括化学免疫疗法,布鲁顿酪氨酸激酶抑制剂,辐射,自体干细胞移植,嵌合抗原受体T细胞疗法(CAR-T),和全脑辐射。患者从最初诊断时和第一次颅神经病变发作后52个月存活了22个月。下一代测序确定的突变(MYD88,CD79b,和PIM1)在PCNSL中经常观察到。不寻常的发现包括涉及PIM1的总共22个突变,表明高度活跃的异常体细胞超突变和两个错义CXCR4突变。CXCR4突变从未在PCNSL中描述过,可能对疾病生物学和治疗干预有影响。我们提供了文献综述以进一步阐明PCNL。
    Primary cranial neurolymphomatosis (PCNL) is a rare subtype of primary CNS lymphoma (PCNSL) in which infiltrative lymphomatous involvement is confined to cranial nerves. Here, we report a case of PCNL with successful genomic profiling. A 57-year-old male had a lengthy prediagnostic phase spanning approximately 30 months, characterized by multiple episodes of cranial neuropathies managed by steroids. At the time of diagnosis, the patient had right-sided cranial neuropathies involving cranial nerves (CN) V, VI, and VII. Pathological findings of the right cavernous lesion biopsy were consistent with large B-cell lymphoma-infiltrating nerve fibers. The clinical course was aggressive and refractory, characterized by relentless progression with the development of cervical spinal neurolymphomatosis, cerebrospinal fluid involvement, and ependymal and intraparenchymal cerebral involvement, despite multiple lines of therapy, including chemoimmunotherapy, Bruton\'s tyrosine kinase inhibitor, radiation, autologous stem cell transplant, chimeric antigen receptor T-cell therapy (CAR-T), and whole-brain radiation. The patient survived for 22 months from the time of the initial diagnosis and 52 months after the first episode of cranial neuropathy. Next-generation sequencing identified mutations (MYD88, CD79b, and PIM1) that are frequently observed in PCNSL. The unusual findings included a total of 22 mutations involving PIM1, indicating a highly active aberrant somatic hypermutation and two missense CXCR4 mutations. CXCR4 mutations have never been described in PCNSL and may have implications for disease biology and therapeutic interventions. We provide a literature review to further elucidate PCNL.
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  • 文章类型: Journal Article
    背景:在全球范围内,SARS-CoV-2病毒在很长一段时间内没有保持其初始基因型,2020年底首次发布全球关注变种(VOCs)报告。随后,基因组测序已成为表征正在进行的大流行的不可或缺的工具,特别是用于从患者或环境监测中获得的SARS-CoV-2样本的分型。对于这种SARS-CoV-2分型,存在各种体外和计算机工作流程,到目前为止,没有系统的跨平台验证报告.
    结果:在这项工作中,我们提出了第一个全面的跨平台评估和验证silicoSARS-CoV-2分型工作流程。评估依赖于在所有相关的现有技术测序平台上用几种不同的体外方法测序的54个患者来源的样品的数据集。此外,我们介绍UnCoVar,一个健壮的,生产级可重复的SARS-CoV-2分型工作流程,在精确度和召回率方面优于所有其他测试方法。
    结论:在许多方面,SARS-CoV-2大流行加速了技术和分析方法的发展。我们认为,这可以作为应对未来流行病的蓝图。因此,UnCoVar很容易推广到其他病毒病原体和未来的大流行。全自动工作流程从患者样本中组装病毒基因组,识别现有的血统,并提供对个体突变的高分辨率见解。UnCoVar包括广泛的质量控制,并自动生成交互式可视化报告。UnCoVar作为Snakemake工作流实现。开源代码可在github.com/IKIM-Essen/uncovar上获得BSD2条款许可。
    BACKGROUND: At a global scale, the SARS-CoV-2 virus did not remain in its initial genotype for a long period of time, with the first global reports of variants of concern (VOCs) in late 2020. Subsequently, genome sequencing has become an indispensable tool for characterizing the ongoing pandemic, particularly for typing SARS-CoV-2 samples obtained from patients or environmental surveillance. For such SARS-CoV-2 typing, various in vitro and in silico workflows exist, yet to date, no systematic cross-platform validation has been reported.
    RESULTS: In this work, we present the first comprehensive cross-platform evaluation and validation of in silico SARS-CoV-2 typing workflows. The evaluation relies on a dataset of 54 patient-derived samples sequenced with several different in vitro approaches on all relevant state-of-the-art sequencing platforms. Moreover, we present UnCoVar, a robust, production-grade reproducible SARS-CoV-2 typing workflow that outperforms all other tested approaches in terms of precision and recall.
    CONCLUSIONS: In many ways, the SARS-CoV-2 pandemic has accelerated the development of techniques and analytical approaches. We believe that this can serve as a blueprint for dealing with future pandemics. Accordingly, UnCoVar is easily generalizable towards other viral pathogens and future pandemics. The fully automated workflow assembles virus genomes from patient samples, identifies existing lineages, and provides high-resolution insights into individual mutations. UnCoVar includes extensive quality control and automatically generates interactive visual reports. UnCoVar is implemented as a Snakemake workflow. The open-source code is available under a BSD 2-clause license at github.com/IKIM-Essen/uncovar.
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  • 文章类型: Journal Article
    原发性透明细胞肾细胞癌(ccRCC)的肾切除术后复发的风险仅根据临床标准在日常实践中进行估计。这项研究的目的是评估常见体细胞突变与明确治疗后ccRCC患者的肿瘤侵袭性和预后的相关性。
    使用15基因靶向下一代测序(NGS)小组分析了37例接受根治性肾切除术的ccRCC患者的原发性肿瘤是否存在体细胞突变。在研究队列(n=37)中调查了与组织病理学特征和结果的关联,并在癌症基因组图谱(TCGA)ccRCC队列(n=451)中进行了验证。
    VHL是最常见的突变基因(51%),其次是PBRM1(27%),BAP1(13%),SETD2(13%),KDM5C(5%),ATM(5%),MTOR(5%),和PTEN(3%)。三分之一的患者在15个基因组中没有任何体细胞突变。绝大多数完全没有突变或VHL突变(51%)的肿瘤更常见的是较小的大小(pT1-2)和早期(I/II),而有或没有VHL的各种组合中任何其他基因突变的存在在较大(pT3)和较高分期(III)的肿瘤中富集(p=0.02).在具有未突变的肿瘤或仅VHL突变的患者中没有发现复发,而在具有非VHL体细胞突变的患者中没有发现3次复发(p=0.06)。PBRM1,BAP1,SETD2,KDM5C中存在体细胞突变,ATM,MTOR,451名TCGAccRCC患者中的PTEN基因与肿瘤未改变的患者相比,无病生存期(DFS)显着缩短(q=0.01)。
    这项正在进行的研究的初步发现支持非VHL突变的预后价值,包括PBRM1,BAP1,SETD2,KDM5C,ATM,MTOR,和PTEN在原发性ccRCC肿瘤中作为早期复发的替代和辅助免疫检查点抑制的潜在选择。
    UNASSIGNED: The risk of recurrence after nephrectomy for primary clear cell renal cell carcinoma (ccRCC) is estimated in daily practice solely based on clinical criteria. The aim of this study was to assess the prognostic relevance of common somatic mutations with respect to tumor aggressiveness and outcomes of ccRCC patients after definitive treatment.
    UNASSIGNED: Primary tumors from 37 patients with ccRCC who underwent radical nephrectomy were analyzed for presence of somatic mutations using a 15-gene targeted next-generation sequencing (NGS) panel. Associations to histopathologic characteristics and outcomes were investigated in the study cohort (n=37) and validated in The Cancer Genome Atlas (TCGA) ccRCC cohort (n=451).
    UNASSIGNED: VHL was the most frequently mutated gene (51%), followed by PBRM1 (27%), BAP1 (13%), SETD2 (13%), KDM5C (5%), ATM (5%), MTOR (5%), and PTEN (3%). One-third of patients did not have any somatic mutations within the 15-gene panel. The vast majority of tumors harboring no mutations at all or VHL-only mutations (51%) were more frequently of smaller size (pT1-2) and earlier stage (I/II), whereas presence of any other gene mutations in various combinations with or without VHL was enriched in larger (pT3) and higher stage tumors (III) (p=0.02). No recurrences were noted in patients with unmutated tumors or VHL-only mutations as opposed to three relapses in patients with non- VHL somatic mutations (p=0.06). Presence of somatic mutations in PBRM1, BAP1, SETD2, KDM5C, ATM, MTOR, or PTEN genes in 451 TCGA ccRCC patients was associated with a significantly shorter disease-free survival (DFS) compared to those with unaltered tumors (q=0.01).
    UNASSIGNED: Preliminary findings from this ongoing study support the prognostic value of non- VHL mutations including PBRM1, BAP1, SETD2, KDM5C, ATM, MTOR, and PTEN in primary ccRCC tumors as surrogates of earlier recurrence and potential selection for adjuvant immune checkpoint inhibition.
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  • 文章类型: Journal Article
    在晚期非小细胞肺癌(aNSCLC)中鉴定ALK融合是靶向治疗的必要条件。当前的诊断方法采用使用ALK免疫组织化学(IHC)筛查的算法,然后通过ALKFISH和/或下一代测序(NGS)进行确认。由于ALK融合的频率不高(占aNSCLC的3-7%),ALKIHC和ALKFISH的次优特异性,以及对小组织样本日益增长的分子需求,导致解释性,组织可用性,和时间相关的问题。这项研究调查了RNANGS作为识别NSCLC中ALK融合体的反射测试的有效性。目标是在系统筛查过程中取代ALKIHC。评估包括1246例NSCLC病例,使用配对技术:ALKIHC,ALK鱼,和ALKNGS。ALKIHC鉴定出51例阳性(4%),而RNANGS在59例(4.8%)中检测到ALK改变。在通过NGS确定的59例ALK阳性病例中,53(89.8%)被证实为阳性。这包括通过FISH和IHC检测到的51例病例,仅通过FISH检测到2例,因为根据IHC,它们是完全阴性的。ALKIHC和ALKFISH的合并报告时间平均为13天,而ALKIHC和RNANGS报告平均在4天内获得。这些结果强调了用RNANGS反射测试代替系统性ALKIHC筛查的优势,可以更全面和准确地评估ALK状态。
    The identification of ALK fusions in advanced non-small-cell lung carcinoma (aNSCLC) is mandatory for targeted therapy. The current diagnostic approach employs an algorithm using ALK immunohistochemistry (IHC) screening, followed by confirmation through ALK FISH and/or next-generation sequencing (NGS). Challenges arise due to the infrequency of ALK fusions (3-7% of aNSCLC), the suboptimal specificity of ALK IHC and ALK FISH, and the growing molecular demands placed on small tissue samples, leading to interpretative, tissue availability, and time-related issues. This study investigates the effectiveness of RNA NGS as a reflex test for identifying ALK fusions in NSCLC, with the goal of replacing ALK IHC in the systematic screening process. The evaluation included 1246 NSCLC cases using paired techniques: ALK IHC, ALK FISH, and ALK NGS. ALK IHC identified 51 positive cases (4%), while RNA NGS detected ALK alterations in 59 cases (4.8%). Of the 59 ALK-positive cases identified via NGS, 53 (89.8%) were confirmed to be positive. This included 51 cases detected via both FISH and IHC, and 2 cases detected only via FISH, as they were completely negative according to IHC. The combined reporting time for ALK IHC and ALK FISH averaged 13 days, whereas ALK IHC and RNA NGS reports were obtained in an average of 4 days. These results emphasize the advantage of replacing systematic ALK IHC screening with RNA NGS reflex testing for a more comprehensive and accurate assessment of ALK status.
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  • 文章类型: Case Reports
    慢性胰腺炎通常继发于酗酒,但是没有其他病因的胰腺炎通常与编码与酶原颗粒激活相关的蛋白质的基因变异有关。我们的目标是通过分析与胰蛋白酶途径的胰腺内激活相关的一组扩展基因来鉴定患者的基因组变异。一名23岁的妇女因病因不明的慢性胰腺炎而在我们的机构接受了治疗,她从四岁开始就反复发作。进行下一代测序以分析一组与胰腺炎相关的9个基因(CaSR,CFTR,CPA1、CTRC、CTSB,KRT8、PRSS1、PRSS2和SPINK1)。发现了三个错觉变体:p.Leu997Phe,母系遗传,在CFTR基因中;p.Ile73Phe,父系遗传,在SPINK1基因中;和p.Phe790Ser,从头变体,在CaSR基因中.他们是机密,分别可能是良性的,一种不确定意义的变体,最后一个,这在文献中从未描述过,根据美国医学遗传学和基因组学学院的标准指南,可能是致病的。胰酶途径基因测序的广泛胰腺内激活检测到其他基因筛选中未发现的罕见变异,并表明不同基因的变异可能相互作用,有助于胰腺炎表型的发作。
    Chronic pancreatitis is often secondary to alcohol abuse, but pancreatitis with no other aetiology is frequently associated with variants in genes encoding proteins related to zymogen granule activation. Our goal was to identify genomic variants in a patient by analyzing an extended panel of genes associated with the intra-pancreatic activation of the trypsin pathway. A 23-year-old woman was addressed at our institution because of chronic pancreatitis of unknown aetiology presenting recurrent episodes since she was the age of four. Next Generation Sequencing was performed to analyze a panel of nine genes associated with pancreatitis (CaSR, CFTR, CPA1, CTRC, CTSB, KRT8, PRSS1, PRSS2, and SPINK1). Three missense variants were found: p.Leu997Phe, maternally inherited, in the CFTR gene; p.Ile73Phe, paternally inherited, in the SPINK1 gene; and p.Phe790Ser, a de novo variant, in the CaSR gene. They were classified, respectively as probably benign, a Variant of Uncertain Significance, and the last one, which has never been described in the literature, as likely being pathogenic following American College of Medical Genetics and Genomics standard guidelines. Extensive intra-pancreatic activation of trypsin pathway gene sequencing detected rare variants that were not found with other gene screening and showed that variants in different genes may interact in contributing to the onset of the pancreatitis phenotype.
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  • 文章类型: Journal Article
    目的:我们研究的目的是寻找一种更好的方法来识别一组具有更积极行为的甲状腺乳头状癌(PTC),并提供淋巴结转移的预测模型,以帮助临床实践。
    方法:DNA/RNA的靶向测序用于检测遗传改变。通过实时定量PCR检测基因表达水平,蛋白质印迹或免疫组织化学。使用CCK8,transwell测定和流式细胞术研究PTC中伴随基因改变的影响。采用LASSO-logistics回归算法构建了一个整合放射学特征的列线图模型,突变基因和临床特征。
    结果:共检测到172种高危变异和7种融合类型。BRAF中的突变频率,TERT,RET,ATM和GGT1在癌组织中明显高于良性结节。在16个样品中检测到基因融合(DNA水平2个,RNA水平14个)。ATM突变(ATMMUT)经常伴有BRAFMUT,TERTMUT或基因融合。单独ATMMUT或ATM共突变与淋巴结转移呈显著正相关。因此,带有BRAFV600E的ATM击倒PTC电池,KRASG12R或CCDC6-RET在体外比没有ATM敲低的细胞具有更高的增殖能力和更积极的效力。此外,结合基因改变和临床特征显着提高了放射学特征对淋巴结转移的预测功效,从71.5到87.0%。
    结论:PTC综合基因改变的靶向测序具有较高的预后价值。这些改动,结合临床和影像学特征,可以帮助以更高的准确性预测侵入性PTC。
    OBJECTIVE: The aim of our study is to find a better way to identify a group of papillary thyroid carcinoma (PTC) with more aggressive behaviors and to provide a prediction model for lymph node metastasis to assist in clinic practice.
    METHODS: Targeted sequencing of DNA/RNA was used to detect genetic alterations. Gene expression level was measured by quantitative real-time PCR, western blotting or immunohistochemistry. CCK8, transwell assay and flow cytometry were used to investigate the effects of concomitant gene alterations in PTC. LASSO-logistics regression algorithm was used to construct a nomogram model integrating radiomic features, mutated genes and clinical characteristics.
    RESULTS: 172 high-risk variants and 7 fusion types were detected. The mutation frequencies in BRAF, TERT, RET, ATM and GGT1 were significantly higher in cancer tissues than benign nodules. Gene fusions were detected in 16 samples (2 at the DNA level and 14 at the RNA level). ATM mutation (ATMMUT) was frequently accompanied by BRAFMUT, TERTMUT or gene fusions. ATMMUT alone or ATM co-mutations were significantly positively correlated with lymph node metastasis. Accordingly, ATM knock-down PTC cells bearing BRAFV600E, KRASG12R or CCDC6-RET had higher proliferative ability and more aggressive potency than cells without ATM knock-down in vitro. Furthermore, combining gene alterations and clinical features significantly improved the predictive efficacy for lymph node metastasis of radiomic features, from 71.5 to 87.0%.
    CONCLUSIONS: Targeted sequencing of comprehensive genetic alterations in PTC has high prognostic value. These alterations, in combination with clinical and radiomic features, may aid in predicting invasive PTC with higher accuracy.
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  • 文章类型: Case Reports
    共济失调-毛细血管扩张症(A-T)是一种常染色体隐性遗传原发性免疫缺陷病(PID),由丝氨酸/苏氨酸蛋白激酶(ATM)基因中发生的双等位基因突变引起。核ATM的主要作用是协调细胞信号通路响应DNA双链断裂,氧化应激,和细胞周期检查点。ATM功能缺陷导致具有表型异质性的A-T综合征。我们的研究报告了一个突尼斯女孩患有A-T综合征,携带复合杂合突变c。[3894dupT];p。(Ala1299Cysfs3;rs587781823),在通过下一代测序(NGS)鉴定的ATM基因中具有剪接受体变体:c.[5763-2A>C;rs876659489]。对该家族的进一步遗传分析表明,母亲携带c。[5763-2A>C]剪接受体变体,而父亲在杂合状态下拥有c。[3894dupT]变体。分子分析为慢性进行性疾病的A-T患者提供了准确诊断和及时治疗的机会,尤其是感染和恶性肿瘤的风险。这项研究首次描述了NGS在突尼斯A-T患者中鉴定复合杂合ATM致病变体的特征。我们的研究概述了分子基因检测对A-T患者的重要性,这是早期检测和减轻未来疾病负担所必需的,利用病人的家属。
    Ataxia-telangiectasia (A-T) is an autosomal recessive primary immunodeficiency disorder (PID) caused by biallelic mutations occurring in the serine/threonine protein kinase (ATM) gene. The major role of nuclear ATM is the coordination of cell signaling pathways in response to DNA double-strand breaks, oxidative stress, and cell cycle checkpoints. Defects in ATM functions lead to A-T syndrome with phenotypic heterogeneity. Our study reports the case of a Tunisian girl with A-T syndrome carrying a compound heterozygous mutation c.[3894dupT]; p.(Ala1299Cysfs3;rs587781823), with a splice acceptor variant: c.[5763-2A>C;rs876659489] in the ATM gene that was identified by next-generation sequencing (NGS). Further genetic analysis of the family showed that the mother carried the c.[5763-2A>C] splice acceptor variant, while the father harbored the c.[3894dupT] variant in the heterozygous state. Molecular analysis provides the opportunity for accurate diagnosis and timely management in A-T patients with chronic progressive disease, especially infections and the risk of malignancies. This study characterizes for the first time the identification of compound heterozygous ATM pathogenic variants by NGS in a Tunisian A-T patient. Our study outlines the importance of molecular genetic testing for A-T patients, which is required for earlier detection and reducing the burden of disease in the future, using the patients\' families.
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