DNA Glycosylases

DNA 糖基化酶
  • 文章类型: Journal Article
    可点击核苷,最常见的是5-乙炔基-2'-脱氧尿苷(EtU),广泛用于研究活细胞中的DNA复制和用于生物基因组学应用的DNA功能化。尽管可点击的dNTP很容易被DNA聚合酶整合到不断增长的链中,之后,它们可能成为DNA修复系统的靶标或干扰忠实的核苷酸插入。对这些合成后事件的可能性和机制知之甚少。这里,我们研究了EtU和两个较大的可点击嘧啶核苷的修复和(mis)编码特性,5-(八-1,7-二炔基)-U(C8-AlkU)和5-(八-1,7-二炔基)-C(C8-AlkC)。体外,EtU和C8-AlkU,但不是C8-AlkC,通过SMUG1和MBD4,两种DNA糖基化酶从碱基切除修复途径切除。然而,当放置在编码通过修复在人类细胞中失活的荧光报道分子的质粒中时,EtU和C8-AlkU的持续时间比尿嘧啶或其可修复性差的硫代磷酸酯侧翼衍生物长得多。来自四个不同结构家族的DNA聚合酶优先绕过EtU,C8-AlkU和C8-AlkC无差错,但也观察到了一定程度的错误合并,对于DNA聚合酶β尤其明显。总的来说,可点击的嘧啶核苷酸可以进行修复并成为突变的来源,但是细胞中此类事件的频率不太可能相当大。
    Clickable nucleosides, most often 5-ethynyl-2\'-deoxyuridine (EtU), are widely used in studies of DNA replication in living cells and in DNA functionalization for bionanotechology applications. Although clickable dNTPs are easily incorporated by DNA polymerases into the growing chain, afterwards they might become targets for DNA repair systems or interfere with faithful nucleotide insertion. Little is known about the possibility and mechanisms of these post-synthetic events. Here, we investigated the repair and (mis)coding properties of EtU and two bulkier clickable pyrimidine nucleosides, 5-(octa-1,7-diyn-1-yl)-U (C8-AlkU) and 5-(octa-1,7-diyn-1-yl)-C (C8-AlkC). In vitro, EtU and C8-AlkU, but not C8-AlkC, were excised by SMUG1 and MBD4, two DNA glycosylases from the base excision repair pathway. However, when placed into a plasmid encoding a fluorescent reporter inactivated by repair in human cells, EtU and C8-AlkU persisted for much longer than uracil or its poorly repairable phosphorothioate-flanked derivative. DNA polymerases from four different structural families preferentially bypassed EtU, C8-AlkU and C8-AlkC in an error-free manner, but a certain degree of misincorporation was also observed, especially evident for DNA polymerase β. Overall, clickable pyrimidine nucleotides could undergo repair and be a source of mutations, but the frequency of such events in the cell is unlikely to be considerable.
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  • 文章类型: Journal Article
    维持DNA的完整性对所有形式的生命都至关重要。与基因毒性化学物质反应产生的DNA损伤会导致有害突变,基因组不稳定,细胞死亡。病原菌在感染过程中会遇到几种遗传毒性剂。为了与此保持一致,DNA修复网络的丢失导致几种细菌的毒力减弱。链间DNA交联(ICL)是通过相对DNA链的共价连接形成的一种DNA损伤,并且特别有毒,因为它们干扰复制和转录。细菌已经进化出专门的DNA糖基化酶,可以解开ICL,从而开始修复。在这项研究中,我们描述AlkX,由多重耐药病原体鲍曼不动杆菌编码的DNA糖基化酶。AlkX表现出与其大肠杆菌同源物YcaQ相似的ICL脱钩活性。对AlkX的体内作用的询问表明,其损失会使细胞对DNA交联敏感,并在肺炎期间损害鲍曼不动杆菌在肺部的定植和向远端组织的传播。这些结果表明,AlkX参与鲍曼不动杆菌的发病机理,并保护细菌免受体内应激条件的影响。与此一致,我们发现酸性pH值,寄主定殖期间遇到的环境,导致鲍曼不动杆菌DNA损伤,并有助于,防御酸性条件。总的来说,这些研究揭示了最近描述的一类蛋白质在广泛的病原细菌物种中编码的功能。
    Maintenance of DNA integrity is essential to all forms of life. DNA damage generated by reaction with genotoxic chemicals results in deleterious mutations, genome instability, and cell death. Pathogenic bacteria encounter several genotoxic agents during infection. In keeping with this, the loss of DNA repair networks results in virulence attenuation in several bacterial species. Interstrand DNA crosslinks (ICLs) are a type of DNA lesion formed by covalent linkage of opposing DNA strands and are particularly toxic as they interfere with replication and transcription. Bacteria have evolved specialized DNA glycosylases that unhook ICLs, thereby initiating their repair. In this study, we describe AlkX, a DNA glycosylase encoded by the multidrug resistant pathogen Acinetobacter baumannii. AlkX exhibits ICL unhooking activity similar to that of its Escherichia coli homolog YcaQ. Interrogation of the in vivo role of AlkX revealed that its loss sensitizes cells to DNA crosslinking and impairs A. baumannii colonization of the lungs and dissemination to distal tissues during pneumonia. These results suggest that AlkX participates in A. baumannii pathogenesis and protects the bacterium from stress conditions encountered in vivo. Consistent with this, we found that acidic pH, an environment encountered during host colonization, results in A. baumannii DNA damage and that alkX is induced by, and contributes to, defense against acidic conditions. Collectively, these studies reveal functions for a recently described class of proteins encoded in a broad range of pathogenic bacterial species.
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  • 文章类型: Journal Article
    DNA结构单元2'-脱氧核苷酸是对映体,它们的天然β-D构型由糖部分决定。它们的合成β-L-对映体(βLdNs)可用于获得L-DNA,which,当完全替代时,对核酸酶具有抗性,并在许多生物传感和纳米技术应用中得到应用。然而,关于嵌入D-DNA中的单个βLdN的酶促识别和加工的知识很少。这里,我们研究了βLdN对几种DNA聚合酶的模板特性以及碱基切除修复酶从DNA中去除这些修饰的能力。Klenow片段被βLdNs完全阻断,而DNA聚合酶κ以无差错的方式绕过它们。噬菌体RB69DNA聚合酶和DNA聚合酶β将βLdN处理为非指导性,但后者的酶转向在有间隙的DNA底物上无错误地掺入。DNA糖基化酶和AP内切核酸酶不处理βLdN。对其同源病变相对的碱基敏感的DNA糖基化酶也不将βLdN识别为正确的配对伴侣。然而,当放置在报告质粒中时,嘧啶βLdNs对人类细胞的修复具有抗性,而嘌呤βLdNs似乎部分修复。总的来说,βLdN是独特的修饰,其大多是非指导性的,但在特殊情况下具有双重非指导性/指导性性质。
    The DNA building blocks 2\'-deoxynucleotides are enantiomeric, with their natural β-D-configuration dictated by the sugar moiety. Their synthetic β-L-enantiomers (βLdNs) can be used to obtain L-DNA, which, when fully substituted, is resistant to nucleases and is finding use in many biosensing and nanotechnology applications. However, much less is known about the enzymatic recognition and processing of individual βLdNs embedded in D-DNA. Here, we address the template properties of βLdNs for several DNA polymerases and the ability of base excision repair enzymes to remove these modifications from DNA. The Klenow fragment was fully blocked by βLdNs, whereas DNA polymerase κ bypassed them in an error-free manner. Phage RB69 DNA polymerase and DNA polymerase β treated βLdNs as non-instructive but the latter enzyme shifted towards error-free incorporation on a gapped DNA substrate. DNA glycosylases and AP endonucleases did not process βLdNs. DNA glycosylases sensitive to the base opposite their cognate lesions also did not recognize βLdNs as a correct pairing partner. Nevertheless, when placed in a reporter plasmid, pyrimidine βLdNs were resistant to repair in human cells, whereas purine βLdNs appear to be partly repaired. Overall, βLdNs are unique modifications that are mostly non-instructive but have dual non-instructive/instructive properties in special cases.
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  • 文章类型: Journal Article
    目的:探讨hOGG1rs1052133多态性与鼻咽癌(NPC)发生的关系。方法:PubMed,WebofScience,Scopus,CNKI,Wanfangdata,和VIP用于搜索研究,NOS评估量表用于评估质量。所有研究都根据不同的基因型进行分组。采用Cochrane的Q检验和I2检验进行异质性评价。如果异质性很小,使用固定效应模型,反过来,采用随机效应模型。还检测到出版偏倚。所有结果的P<.05表明有统计学意义。结果:我们最终纳入了6项研究,研究组为2021例NPC患者,对照组为2375例健康人群。经过荟萃分析,发现“Ser/Cys(CG)vsSer/Ser(CC)”组的总OR值为1.00(95%CI:0.85-1.18),“Cys/Cys(GG)vsSer/Ser(CC)”组为1.06(95%CI:0.87-1.28)。这些结果无统计学意义(P>.05)。此外,在有或没有吸烟史的情况下,每组的综合总OR值均无统计学意义,即使在其他基因型模型中(等位基因,占主导地位,隐性,和添加剂)(P>.05)。结论:hOGG1rs1052133多态性与鼻咽癌的发生无明显相关性,即使有或没有吸烟史。
    Objectives: Exploring the relationship between the hOGG1 rs1052133 polymorphism and the occurrence of nasopharyngeal carcinoma (NPC). Methods: PubMed, Web of Science, Scopus, CNKI, Wanfangdata, and VIP were used to search for studies and the NOS evaluation scale was used to evaluate the quality. All studies were grouped according to different genotypes. The Cochrane\'s Q test and I2 test were used for heterogeneity evaluations. If heterogeneity was small, the fixed effects model was used, and conversely, the random effects model was used. Publication bias was also detected. P < .05 in all results indicated statistically significant. Results: We ultimately included 6 studies with 2021 NPC patients in the study group and 2375 healthy populations in the control group. After meta-analysis, it was found that the total OR value of the \"Ser/Cys (CG) vs Ser/Ser (CC)\" group was 1.00 (95% CI: 0.85-1.18) and the \"Cys/Cys (GG) vs Ser/Ser (CC)\" group was 1.06 (95% CI: 0.87-1.28). These results were not statistically significant (P > .05). Furthermore, the integrated total OR values of each group were not statistically significant with or without the smoking history, even in other genotype models (Allele, Dominant, Recessive, and Additive) (P > .05). Conclusion: There is no clear correlation between the hOGG1 rs1052133 polymorphism and the occurrence of NPC, even with or without the smoking history.
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  • 文章类型: Journal Article
    背景:8-氧鸟嘌呤DNA糖基化酶(OGG1),一种众所周知的DNA修复酶,已经被证明可以促进肺纤维化,而OGG1在肺纤维化过程中的具体调控机制尚不清楚。
    方法:建立博来霉素(BLM)诱导的小鼠肺纤维化模型,和TH5487(小分子OGG1抑制剂)和线粒体分裂抑制剂1(Mdivi-1)用于给药。评估肺组织的组织病理学损伤。使用市售试剂盒检查促纤维化因子和氧化应激相关因子。Westernblot用于检测蛋白表达,免疫荧光分析用于评估巨噬细胞极化和自噬。收获来自M2巨噬细胞的条件培养基并添加至HFL-1细胞用于培养以模拟肺纤维化期间成纤维细胞周围的免疫微环境。随后,进行了功能损失和获得实验,以进一步证实OGG1/PINK1的分子机制。
    结果:在BLM诱导的肺纤维化中,OGG1上调,而PINK1/Parkin下调。巨噬细胞被激活并极化为M2表型。TH5487给药有效缓解肺纤维化,M2巨噬细胞极化,PINK1/Parkin介导的线粒体自噬促进BLM诱导小鼠肺组织氧化应激和线粒体功能障碍,部分受到Mdivi-1的阻碍。PINK1过表达限制M2巨噬细胞诱导的氧化应激,肺成纤维细胞线粒体功能障碍和线粒体自噬失活,OGG1敲低可促进PINK1/Parkin表达,减轻M2巨噬细胞诱导的HFL-1细胞线粒体功能障碍。
    结论:OGG1抑制保护肺纤维化,部分是通过激活PINK1/Parkin介导的线粒体自噬和延缓M2巨噬细胞极化,为肺纤维化提供治疗靶点。
    BACKGROUND: 8-Oxoguanine DNA glycosylase (OGG1), a well-known DNA repair enzyme, has been demonstrated to promote lung fibrosis, while the specific regulatory mechanism of OGG1 during pulmonary fibrosis remains unclarified.
    METHODS: A bleomycin (BLM)-induced mouse pulmonary fibrosis model was established, and TH5487 (the small molecule OGG1 inhibitor) and Mitochondrial division inhibitor 1 (Mdivi-1) were used for administration. Histopathological injury of the lung tissues was assessed. The profibrotic factors and oxidative stress-related factors were examined using the commercial kits. Western blot was used to examine protein expression and immunofluorescence analysis was conducted to assess macrophages polarization and autophagy. The conditional medium from M2 macrophages was harvested and added to HFL-1 cells for culture to simulate the immune microenvironment around fibroblasts during pulmonary fibrosis. Subsequently, the loss- and gain-of function experiments were conducted to further confirm the molecular mechanism of OGG1/PINK1.
    RESULTS: In BLM-induced pulmonary fibrosis, OGG1 was upregulated while PINK1/Parkin was downregulated. Macrophages were activated and polarized to M2 phenotype. TH5487 administration effectively mitigated pulmonary fibrosis, M2 macrophage polarization, oxidative stress and mitochondrial dysfunction while promoted PINK1/Parkin-mediated mitophagy in lung tissues of BLM-induced mice, which was partly hindered by Mdivi-1. PINK1 overexpression restricted M2 macrophages-induced oxidative stress, mitochondrial dysfunction and mitophagy inactivation in lung fibroblast cells, and OGG1 knockdown could promote PINK1/Parkin expression and alleviate M2 macrophages-induced mitochondrial dysfunction in HFL-1 cells.
    CONCLUSIONS: OGG1 inhibition protects against pulmonary fibrosis, which is partly via activating PINK1/Parkin-mediated mitophagy and retarding M2 macrophage polarization, providing a therapeutic target for pulmonary fibrosis.
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  • 文章类型: Journal Article
    碱基切除修复(BER)途径是由DNA糖基化酶启动的精确且通用的DNA修复机制。核酸内切酶VIII样1(NEIL1)是一种双功能糖基化酶/无碱基位点(AP)裂解酶,可切除受损的碱基并随后裂解磷酸二酯骨架。NEIL1能够识别和水解广泛的氧化诱导的碱基损伤和取代的环状片段化鸟嘌呤,包括黄曲霉毒素诱导的8,9-二氢-8-(2,6-二氨基-4-氧代-3,4-二氢嘧啶-5-基-甲酰氨基)-9-羟基黄曲霉毒素B1(AFB1-FapyGua)。由于NEIL1对这些和其他促诱变病变的保护作用,据推测,天然存在的NEIL1单核苷酸多态性(SNP)变异体可增加人类患黄曲霉毒素诱导的肝细胞癌(HCC)的风险.鉴于南亚人群的饮食黄曲霉毒素暴露和乙型肝炎病毒感染导致氧化应激的高水平,对该区域发生的NEIL1SNP变异的研究可能具有临床意义.在这项研究中,表达了NEIL1的最常见的南亚变体,纯化,功能特征。所有测试的变体在含有一系列氧化诱导的碱基损伤的高分子量DNA上表现出与野生型(wt)-NEIL1相似的活性和底物特异性。在含有位点特异性嘌呤/嘧啶(AP)位点的短寡脱氧核苷酸(17-mer)上,胸腺嘧啶乙二醇(ThyGly),或者AFB1-FapyGua,P206L-NEIL1在催化上与wt-NEIL1相当,而NEIL1变体Q67K和T278I在这些底物上的活性降低了约2倍。变体T103A与17聚体DNA的结合能力大大降低,限制随后的糖基化酶和裂解酶反应。与这一观察一致,无法测量T103A对含有ThyGly或AFB1-FapyGua的17聚体寡脱氧核苷酸的切除率。然而,T103A切除ThyGly的能力在较长的寡脱氧核苷酸(51-mer)上得到改善,与wt-NEIL1相比,活性降低约7倍。我们的研究表明,NEIL1变体T103A可能呈现一种在损伤识别方面受到限制的致病表型,潜在增加人类肝癌的风险。
    The base excision repair (BER) pathway is a precise and versatile mechanism of DNA repair that is initiated by DNA glycosylases. Endonuclease VIII-like 1 (NEIL1) is a bifunctional glycosylase/abasic site (AP) lyase that excises a damaged base and subsequently cleaves the phosphodiester backbone. NEIL1 is able to recognize and hydrolyze a broad range of oxidatively-induced base lesions and substituted ring-fragmented guanines, including aflatoxin-induced 8,9-dihydro-8-(2,6-diamino-4-oxo-3,4-dihydropyrimid-5-yl-formamido)-9-hydroxyaflatoxin B1 (AFB1-FapyGua). Due to NEIL1\'s protective role against these and other pro-mutagenic lesions, it was hypothesized that naturally occurring single nucleotide polymorphic (SNP) variants of NEIL1 could increase human risk for aflatoxin-induced hepatocellular carcinoma (HCC). Given that populations in South Asia experience high levels of dietary aflatoxin exposures and hepatitis B viral infections that induce oxidative stress, investigations on SNP variants of NEIL1 that occur in this region may have clinical implications. In this study, the most common South Asian variants of NEIL1 were expressed, purified, and functionally characterized. All tested variants exhibited activities and substrate specificities similar to wild type (wt)-NEIL1 on high-molecular weight DNA containing an array of oxidatively-induced base lesions. On short oligodeoxynucleotides (17-mers) containing either a site-specific apurinic/apyrimidinic (AP) site, thymine glycol (ThyGly), or AFB1-FapyGua, P206L-NEIL1 was catalytically comparable to wt-NEIL1, while the activities of NEIL1 variants Q67K and T278I on these substrates were ≈2-fold reduced. Variant T103A had a greatly diminished ability to bind to 17-mer DNAs, limiting the subsequent glycosylase and lyase reactions. Consistent with this observation, the rate of excision by T103A on 17-mer oligodeoxynucleotides containing ThyGly or AFB1-FapyGua could not be measured. However, the ability of T103A to excise ThyGly was improved on longer oligodeoxynucleotides (51-mers), with ≈7-fold reduced activity compared to wt-NEIL1. Our studies suggest that NEIL1 variant T103A may present a pathogenic phenotype that is limited in damage recognition, potentially increasing human risk for HCC.
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  • 文章类型: Journal Article
    背景:已在许多患有乳腺癌/卵巢癌或子宫内膜癌的患者中检测到MUTYH种系单等位基因变异,暗示了潜在的易感性,尽管它们的意义仍然难以捉摸,因为疾病机制通常是隐性的。因此,这项研究的目的是探索在肿瘤组织的另一个等位基因中可能出现第二次命中的假设。
    方法:我们使用Sanger测序和免疫组织化学在肿瘤DNA中搜索第二个MUTYH变异体并评估蛋白质表达,分别。
    结果:我们检测到一个未知意义的变异,一个变异与致病性的解释矛盾,三个良性/可能的良性变异;在一半患者的肿瘤组织中未检测到MUTYH蛋白,而在其他方面,它的表达减少了。
    结论:我们的结果未能证明生发单等位基因MUTYH变体通过体细胞组织中的LOH(杂合性丧失)机制增加癌症风险;然而,在许多肿瘤中MUTYH蛋白的缺失或部分缺失提示其失调,与MUTYH基因状态无关。
    MUTYH germline monoallelic variants have been detected in a number of patients affected by breast/ovarian cancer or endometrial cancer, suggesting a potential susceptibility role, though their significance remains elusive since the disease mechanism is normally recessive. Hence, the aim of this research was to explore the hypothesis that a second hit could have arisen in the other allele in the tumor tissue.
    we used Sanger sequencing and immunohistochemistry to search for a second MUTYH variant in the tumoral DNA and to assess protein expression, respectively.
    we detected one variant of unknown significance, one variant with conflicting interpretation of pathogenicity and three benign/likely benign variants; the MUTYH protein was not detected in the tumor tissue of half of the patients, and in others, its expression was reduced.
    our results fail to demonstrate that germinal monoallelic MUTYH variants increase cancer risk through a LOH (loss of heterozygosity) mechanism in the somatic tissue; however, the absence or partial loss of the MUTYH protein in many tumors suggests its dysregulation regardless of MUTYH genetic status.
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  • 文章类型: Journal Article
    先前的证据表明氧化诱导的DNA损伤水平升高,特别是8-羟基-2'-脱氧鸟苷(8-OH-dG),双相情感障碍(BD)的碱基切除修复(BER)修复8-OH-dG的异常。然而,这些异常的遗传倾向仍然未知。在这项研究中,我们的目的是研究氧化诱导的DNA损伤水平和BER机制在个体与BD和他们的兄弟姐妹,与健康对照(HCs)相比。46名患有BD的人,41个患有BD的兄弟姐妹,51项HCs纳入研究。采用液相色谱-串联质谱法评估尿液中8-OH-dG的水平,然后根据尿肌酐水平进行归一化。实时聚合酶链反应用于测量8-氧鸟嘌呤DNA糖基化酶1(OGG1)的表达水平,无嘌呤/无嘧啶核酸内切酶1(APE1),聚ADP-核糖聚合酶1(PARP1),和DNA聚合酶β(POLβ)。与HC相比,BD患者及其兄弟姐妹的8-OH-dG水平均升高。OGG1和APE1表达下调,而POLβ的表达在患者和同胞组均上调,与HC相比。年龄,吸烟状况,抑郁发作次数对患者组的APE1表达水平有影响,而体重指数,吸烟状况,和既往精神病史对兄弟姐妹的8-OH-dG水平有影响.患有BD的个体和未受影响的兄弟姐妹在氧化诱导的DNA损伤和BER方面表现出相似的异常,提示DNA损伤/BER机制异常与BD家族易感性之间存在联系。我们的发现表明,针对氧化诱导的DNA损伤和BER途径可以提供有希望的治疗策略,以降低具有BD遗传易感性的个体的年龄相关疾病和合并症的风险。
    Previous evidence suggests elevated levels of oxidatively-induced DNA damage, particularly 8-hydroxy-2\'-deoxyguanosine (8-OH-dG), and abnormalities in the repair of 8-OH-dG by the base excision repair (BER) in bipolar disorder (BD). However, the genetic disposition of these abnormalities remains unknown. In this study, we aimed to investigate the levels of oxidatively-induced DNA damage and BER mechanisms in individuals with BD and their siblings, as compared to healthy controls (HCs). 46 individuals with BD, 41 siblings of individuals with BD, and 51 HCs were included in the study. Liquid chromatography-tandem mass spectrometry was employed to evaluate the levels of 8-OH-dG in urine, which were then normalized based on urine creatinine levels. The real-time-polymerase chain reaction was used to measure the expression levels of 8-oxoguanine DNA glycosylase 1 (OGG1), apurinic/apyrimidinic endonuclease 1 (APE1), poly ADP-ribose polymerase 1 (PARP1), and DNA polymerase beta (POLβ). The levels of 8-OH-dG were found to be elevated in both individuals with BD and their siblings when compared to the HCs. The OGG1 and APE1 expressions were downregulated, while POLβ expressions were upregulated in both the patient and sibling groups compared to the HCs. Age, smoking status, and the number of depressive episodes had an impact on APE1 expression levels in the patient group while body mass index, smoking status, and past psychiatric history had an impact on 8-OH-dG levels in siblings. Both individuals with BD and unaffected siblings presented similar abnormalities regarding oxidatively-induced DNA damage and BER, suggesting a link between abnormalities in DNA damage/BER mechanisms and familial susceptibility to BD. Our findings suggest that targeting the oxidatively-induced DNA damage and BER pathway could offer promising therapeutic strategies for reducing the risk of age-related diseases and comorbidities in individuals with a genetic predisposition to BD.
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  • 文章类型: Journal Article
    背景:遗传性腺瘤性息肉病综合征,包括家族性腺瘤性息肉病和其他罕见的腺瘤性息肉病综合征,增加结直肠癌和其他癌症的终生风险。
    方法:一个由38名专家组成的小组召集,以更新2008年欧洲关于腺瘤性息肉病综合征患者临床管理的建议。此外,回顾并补充了其他罕见的单基因腺瘤性息肉病综合征。在对现有文献进行系统回顾并根据建议分级对证据进行分级后,回答了89个临床相关问题,评估,发展,和评价方法。确定了两个共识级别:共识阈值(≥67%的投票指南委员会成员在Delphi回合中投票“强烈同意”或“同意”)和高阈值(共识≥80%)。
    结果:关于遗传性腺瘤性息肉综合征的治疗,一百四十份声明达成了高度共识。
    结论:这些更新的指南提供了当前的,全面,以及对家族性腺瘤性息肉病患者的监测和治疗管理的循证实践建议,还包括与MUTYH相关的息肉病,胃腺癌和胃的近端息肉病以及其他最近发现的基于APC或MUTYH以外的其他基因的致病变异的息肉病综合征。由于这些疾病的罕见,病人应在专门中心管理。
    BACKGROUND: Hereditary adenomatous polyposis syndromes, including familial adenomatous polyposis and other rare adenomatous polyposis syndromes, increase the lifetime risk of colorectal and other cancers.
    METHODS: A team of 38 experts convened to update the 2008 European recommendations for the clinical management of patients with adenomatous polyposis syndromes. Additionally, other rare monogenic adenomatous polyposis syndromes were reviewed and added. Eighty-nine clinically relevant questions were answered after a systematic review of the existing literature with grading of the evidence according to Grading of Recommendations, Assessment, Development, and Evaluation methodology. Two levels of consensus were identified: consensus threshold (≥67% of voting guideline committee members voting either \'Strongly agree\' or \'Agree\' during the Delphi rounds) and high threshold (consensus ≥ 80%).
    RESULTS: One hundred and forty statements reached a high level of consensus concerning the management of hereditary adenomatous polyposis syndromes.
    CONCLUSIONS: These updated guidelines provide current, comprehensive, and evidence-based practical recommendations for the management of surveillance and treatment of familial adenomatous polyposis patients, encompassing additionally MUTYH-associated polyposis, gastric adenocarcinoma and proximal polyposis of the stomach and other recently identified polyposis syndromes based on pathogenic variants in other genes than APC or MUTYH. Due to the rarity of these diseases, patients should be managed at specialized centres.
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  • 文章类型: Journal Article
    目的:已发现DNA修复基因及其变体可改变口腔癌的风险。
    方法:20例口腔癌中XRCC3、NBS1和OGG1基因的表达水平,6口腔癌前,50例健康对照者进行RT-PCR检测。所有受试者的基因分型为XRCC3rs861539C>T,NBS1rs1805794C>G,通过PCR-RFLP方法,OGG1rs1052133C>G多态性;它们的基因型与其表达水平相关。Further,使用RNAfold对所研究的SNP周围的mRNA序列进行局部折叠结构分析.
    结果:结果显示XRCC3,NBS1和OGG1转录本在口腔癌中的表达增加(4.49倍,3.45折,和3.27倍)以及口腔癌前(3.04倍,5.32折,和1.74倍),与对照组相比。发现OGG1的转录水平显着增加(6.68倍,与CC基因型相比,GG基因型的p值0.009)。XRCC3的C>T多态性和OGG1的C>G多态性导致其mRNA二级结构的明显变化。XRCC3C>T多态性的C等位基因折叠能量低于T等位基因(MFECvsT:-50.20kcal/molvs-48.70kcal/mol)。在OGG1C>G多态性的情况下,C等位基因的MFE(-23.30kcal/mol)高于G等位基因(-24.80kcal/mol)。
    结论:我们的结果显示XRCC3、NBS1和OGG1水平在口腔癌和口腔癌前疾病中均升高,这表明它们作为口腔癌和癌前病变的前瞻性生物标志物的作用。这些基因中的SNP改变了它们的表达水平,可能是通过改变转录本的二级结构。然而,由于样本量较小,我们的研究只能提供一个提示性的结论,并警告未来的研究用大样本量来验证我们的发现。
    OBJECTIVE: DNA repair genes and their variants have been found to alter the risk of oral cancer.
    METHODS: The level of expression of XRCC3, NBS1, and OGG1 genes among 20 cases of oral cancer, 6 pre-oral cancer, and 50 healthy control subjects was measured with RT-PCR. All the subjects were also genotyped for XRCC3 rs861539 C>T, NBS1 rs1805794 C>G, and OGG1 rs1052133 C>G polymorphisms by the PCR-RFLP method; their genotypes were correlated with their level of expression. Further, a localized fold structure analysis of the mRNA sequence surrounding the studied SNPs was performed with RNAfold.
    RESULTS: Results showed increased expression of XRCC3, NBS1, and OGG1 transcripts among oral cancer (4.49 fold, 3.45 fold, and 3.27 fold) as well as pre-oral cancer (3.04 fold, 5.32 fold, and 1.74 fold) as compared to control subjects. The transcript level of OGG1 was found to be significantly increased (6.68 fold, p-value 0.009) with the GG genotype compared to the CC genotype. The C>T polymorphism of XRCC3 and the C>G polymorphism of OGG1 result in an apparent change in its mRNA secondary structure. Folding energy with the C allele for XRCC3 C>T polymorphism was lower than that of the T allele (MFE C vs T: -50.20 kcal/mol vs -48.70 kcal/mol). In the case of OGG1 C>G polymorphism MFE for the C allele was higher (-23.30 kcal/mole) than with the G allele (-24.80 kcal/mol).
    CONCLUSIONS: Our results showed elevated levels of XRCC3, NBS1, and OGG1 both in oral cancer and pre-oral cancer conditions, which indicates their role as prospective biomarkers of oral cancer and pre-cancerous lesions. SNPs in these genes alter their level of expression, possibly by altering the secondary structure of their transcript. However, due to the small sample size our study can only provide a suggestive conclusion and warned future study with large sample size to verify our findings.
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