Frequent hSNF5/INI1 germline mutations in patients with rhabdoid tumor
- PMID: 21208904
- DOI: 10.1158/1078-0432.CCR-10-1795
Frequent hSNF5/INI1 germline mutations in patients with rhabdoid tumor
Abstract
Purpose: Germline hSNF5/INI1 mutations are responsible for hereditary cases of rhabdoid tumors (RT) that constitute the rhabdoid predisposition syndrome (RPS). Our study provides the first precise overview of the prevalence of RPS within a large cohort of RT.
Experimental design: hSNF5/INI1 coding exons were investigated by sequencing and by multiplex ligation-dependent probe amplification.
Results: Seventy-four constitutional DNAs from 115 apparently sporadic RT were analyzed from 1999 to 2009. Germline mutations were found in 26 patients (35%). Data from 9 individuals from 5 RPS families (siblings) were also studied. The median age at diagnosis was much lower (6 months) in patients with germline mutation (P < 0.01) than in patients without (18 months). Nevertheless, 7 of 35 patients with germline mutation (20%) developed the disease after 2 years of age. The mutation could be detected in only 1 parent whereas germline blood DNA was wild type in the 20 other parent pairs, therefore indicating the very high proportion of germ-cell mosaicism or of de novo mutations in RPS. The former hypothesis could be clearly documented in 1 case in which prenatal diagnosis was positive in a new pregnancy. Finally, the 2 years' overall survival was 7% in mutated and 29% in wild-type patients, mainly due to the worse outcome of RT in younger patients.
Conclusions: Our results show a high proportion of germline mutations in patients with RT that can be found at any age and up to 60% in the youngest patients. Genetic counseling is recommended given the low but actual risk of familial recurrence.
©2011 AACR.
Similar articles
-
Rhabdoid tumor predisposition syndrome.Pediatr Dev Pathol. 2015 Jan-Feb;18(1):49-58. doi: 10.2350/14-07-1531-MISC.1. Epub 2014 Dec 10. Pediatr Dev Pathol. 2015. PMID: 25494491
-
Spectrum of SMARCB1/INI1 mutations in familial and sporadic rhabdoid tumors.Pediatr Blood Cancer. 2011 Jan;56(1):7-15. doi: 10.1002/pbc.22831. Pediatr Blood Cancer. 2011. PMID: 21108436 Free PMC article.
-
Molecular analysis of the rhabdoid predisposition syndrome in a child: a novel germline hSNF5/INI1 mutation and absence of c-myc amplification.J Neurooncol. 2003 Jul;63(3):257-62. doi: 10.1023/a:1024345221792. J Neurooncol. 2003. PMID: 12892231
-
Rhabdoid tumors: clinical approaches and molecular targets for innovative therapy.Pediatr Hematol Oncol. 2013 Oct;30(7):587-604. doi: 10.3109/08880018.2013.791737. Epub 2013 Jul 12. Pediatr Hematol Oncol. 2013. PMID: 23848359 Review.
-
Atypical teratoid/rhabdoid tumor: short clinical description and insight into possible mechanism of the disease.Eur J Neurol. 2011 Jun;18(6):813-8. doi: 10.1111/j.1468-1331.2010.03277.x. Epub 2010 Dec 16. Eur J Neurol. 2011. PMID: 21159066 Review.
Cited by
-
Improved 6-year overall survival in AT/RT - results of the registry study Rhabdoid 2007.Cancer Med. 2016 Aug;5(8):1765-75. doi: 10.1002/cam4.741. Epub 2016 May 26. Cancer Med. 2016. PMID: 27228363 Free PMC article.
-
Atypical Teratoid Rhabdoid Tumour : From Tumours to Therapies.J Korean Neurosurg Soc. 2018 May;61(3):302-311. doi: 10.3340/jkns.2018.0061. Epub 2018 May 1. J Korean Neurosurg Soc. 2018. PMID: 29742888 Free PMC article. Review.
-
Biology and Treatment of Rhabdoid Tumor.Crit Rev Oncog. 2015;20(3-4):199-216. doi: 10.1615/critrevoncog.2015013566. Crit Rev Oncog. 2015. PMID: 26349416 Free PMC article. Review.
-
Identification of germline cancer predisposition variants in pediatric sarcoma patients from somatic tumor testing.Sci Rep. 2023 Feb 20;13(1):2959. doi: 10.1038/s41598-023-29982-2. Sci Rep. 2023. PMID: 36805510 Free PMC article.
-
Case-based review: atypical teratoid/rhabdoid tumor.Neurooncol Pract. 2019 May;6(3):163-178. doi: 10.1093/nop/npy037. Epub 2018 Oct 5. Neurooncol Pract. 2019. PMID: 31386032 Free PMC article. Review.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources