Identification of a novel MSH6 germline variant in a family with multiple gastro-intestinal malignancies by next generation sequencing
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  • 作者:Ashton A. Connor (1) (2) (3) (4)
    Hagit Katzov-Eckert (1)
    Thomas Whelan (1)
    Melyssa Aronson (1) (5)
    Lynette Lau (6)
    Christian Marshall (6) (7)
    George S. Charames (8) (9)
    Aaron Pollett (8) (9)
    Steven Gallinger (1) (2) (3) (4) (5)
    Jordan Lerner-Ellis (4) (8) (9)

    1. Lunenfeld-Tanenbaum Research Institute
    ; Mount Sinai Hospital ; Toronto ; ON ; Canada
    2. Institute of Medical Science
    ; University of Toronto ; Toronto ; ON ; Canada
    3. Division of General Surgery
    ; Department of Surgery ; University of Toronto ; Toronto ; ON ; Canada
    4. Ontario Institute for Cancer Research
    ; Toronto ; ON ; Canada
    5. Zane Cohen Centre for Digestive Diseases
    ; Mount Sinai Hospital ; Toronto ; ON ; Canada
    6. The Centre for Applied Genomics
    ; The Hospital for Sick Children ; Peter Gilgan Centre for Research and Learning ; Toronto ; ON ; Canada
    7. The McLaughlin Centre
    ; University of Toronto ; Toronto ; ON ; Canada
    8. Department of Laboratory Medicine and Pathobiology
    ; University of Toronto ; Toronto ; ON ; Canada
    9. Department of Pathology and Laboratory Medicine
    ; Mount Sinai Hospital ; Toronto ; ON ; Canada
  • 关键词:Gastrointestinal cancer ; DNA mismatch repair ; MSH6 ; Next generation sequencing ; Clinical genomics
  • 刊名:Familial Cancer
  • 出版年:2015
  • 出版时间:March 2015
  • 年:2015
  • 卷:14
  • 期:1
  • 页码:69-75
  • 全文大小:614 KB
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  • 刊物类别:Medicine
  • 刊物主题:Medicine & Public Health
    Oncology
    Human Genetics
    Epidemiology
  • 出版者:Springer Netherlands
  • ISSN:1573-7292
文摘
The identification of germline variants that predispose to cancer is important to further our understanding of tumorigenesis, guide patient management, prevent disease in unaffected relatives, and inform best practice for health care. We describe a kindred with multiple gastrointestinal malignancies where a novel MSH6 germline susceptibility variant was identified by exome sequencing after eluding serial routine testing in multiple affected members. This case fosters discussion of our current understanding of DNA mismatch repair deficiency, the management of Lynch Syndrome, and the emerging role of next generation sequencing in laboratory medicine to identify rare pathogenic germline variants in a comprehensive, unbiased fashion.
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