Síndrome de Lynch: selección de pacientes para el estudio genético mediante análisis de inestabilidad microsatelital e inmunohistoquímica / Lynch syndrome: selection of families by microsatellite instability and immunohistochemistry
Rev. méd. Chile
; 140(9): 1132-1139, set. 2012. ilus
Article
en Es
| LILACS
| ID: lil-660070
Biblioteca responsable:
CL1.1
ABSTRACT
Background:
Selection of patients with Lynch Syndrome (LS) for a genetic study involves the application of clinical criteria. To increase the rate of identification of mutations, the use of molecular studies as Microsatellite Instability (MSI) and Im-munohistochemistry (IHC) in the tumor has been proposed.Aim:
To demonstrate the usefulness of MSI and IHC in the detection of mutations in patients with LS. Material andMethods:
From our Familial Colorectal Cancer Registry, families suspected of LS were selected according to Amsterdam or Bethesda clinical criteria. Screening of germline mutations of MLH1, MSH2 and MSH6 genes was performed. In addition, analysis of MSI and IHC were performed in colorectal tumors.Results:
A total of 35 families were studied (19 met Amsterdam and 16 met Bethesda criteria). Twenty one families harbored a germline alteration in MLH1, MSH2 or MSH6 (18 Amsterdam and 3 Bethesda). In these families, eighteen different alterations were found, 15 of which were mutations and 3 corresponded to variants of uncertain pathogenicity. On the other hand, 80% of the tumors showed positive microsatellite instability (27 MSI-high and 1 MSI-low), and immunohistochemical testing showed that 77% of tumors had the loss of a protein. Correlation between results of tumor molecular studies and the finding of germline nucleotide change showed that IHC and MSI predicted mutations in 81 and 100% of patients, respectively.Conclusions:
MSI and IHC can efficiently select patients with a high probability of carrying a mutation in DNA repair genes.Palabras clave
Texto completo:
1
Banco de datos:
LILACS
Asunto principal:
Neoplasias Colorrectales Hereditarias sin Poliposis
/
Mutación de Línea Germinal
/
Inestabilidad de Microsatélites
Tipo de estudio:
Prognostic_studies
Límite:
Humans
Idioma:
Es
Revista:
Rev. méd. Chile
Asunto de la revista:
MEDICINA
Año:
2012
Tipo del documento:
Article
/
Project document
País de afiliación:
Chile