Diagnosis of Li-Fraumeni Syndrome
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Diagnosis of Li-Fraumeni Syndrome : Differentiating TP53 germline mutations from clonal hematopoiesis: Results of the observational AGO-TR1 trial. / Weber-Lassalle, Konstantin; Harter, Philipp; Hauke, Jan; Ernst, Corinna; Kommoss, Stefan; Marmé, Frederik; Weber-Lassalle, Nana; Prieske, Katharina; Dietrich, Dimo; Borde, Julika; Pohl-Rescigno, Esther; Reuss, Alexander; Ataseven, Beyhan; Engel, Christoph; Stingl, Julia C; Schmutzler, Rita K; Hahnen, Eric.
In: HUM MUTAT, Vol. 39, No. 12, 12.2018, p. 2040-2046.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Diagnosis of Li-Fraumeni Syndrome
T2 - Differentiating TP53 germline mutations from clonal hematopoiesis: Results of the observational AGO-TR1 trial
AU - Weber-Lassalle, Konstantin
AU - Harter, Philipp
AU - Hauke, Jan
AU - Ernst, Corinna
AU - Kommoss, Stefan
AU - Marmé, Frederik
AU - Weber-Lassalle, Nana
AU - Prieske, Katharina
AU - Dietrich, Dimo
AU - Borde, Julika
AU - Pohl-Rescigno, Esther
AU - Reuss, Alexander
AU - Ataseven, Beyhan
AU - Engel, Christoph
AU - Stingl, Julia C
AU - Schmutzler, Rita K
AU - Hahnen, Eric
N1 - © 2018 Wiley Periodicals, Inc.
PY - 2018/12
Y1 - 2018/12
N2 - The Li-Fraumeni cancer predisposition syndrome (LFS1) presents with a variety of tumor types and the TP53 gene is covered by most diagnostic cancer gene panels. We demonstrate that deleterious TP53 variants identified in blood-derived DNA of 523 patients with ovarian cancer (AGO-TR1 trial) were not causal for the patients' ovarian cancer in three out of six TP53-positive cases. In three out of six patients, deleterious TP53 mutations were identified with low variant fractions in blood-derived DNA but not in the tumor of the patient seeking advice. The analysis of the TP53 and PPM1D genes, both intimately involved in chemotherapy-induced and/or age-related clonal hematopoiesis (CH), in 523 patients and 1,053 age-matched female control individuals revealed that CH represents a frequent event following chemotherapy, affecting 26 of the 523 patients enrolled (5.0%). Considering that TP53 mutations may arise from chemotherapy-induced CH, our findings help to avoid false-positive genetic diagnoses of LFS1.
AB - The Li-Fraumeni cancer predisposition syndrome (LFS1) presents with a variety of tumor types and the TP53 gene is covered by most diagnostic cancer gene panels. We demonstrate that deleterious TP53 variants identified in blood-derived DNA of 523 patients with ovarian cancer (AGO-TR1 trial) were not causal for the patients' ovarian cancer in three out of six TP53-positive cases. In three out of six patients, deleterious TP53 mutations were identified with low variant fractions in blood-derived DNA but not in the tumor of the patient seeking advice. The analysis of the TP53 and PPM1D genes, both intimately involved in chemotherapy-induced and/or age-related clonal hematopoiesis (CH), in 523 patients and 1,053 age-matched female control individuals revealed that CH represents a frequent event following chemotherapy, affecting 26 of the 523 patients enrolled (5.0%). Considering that TP53 mutations may arise from chemotherapy-induced CH, our findings help to avoid false-positive genetic diagnoses of LFS1.
KW - Adult
KW - Aged
KW - Case-Control Studies
KW - DNA, Neoplasm/blood
KW - Early Detection of Cancer
KW - Female
KW - Genetic Predisposition to Disease
KW - Germ-Line Mutation
KW - Hematopoiesis
KW - Humans
KW - Li-Fraumeni Syndrome/diagnosis
KW - Middle Aged
KW - Tumor Suppressor Protein p53/blood
U2 - 10.1002/humu.23653
DO - 10.1002/humu.23653
M3 - SCORING: Journal article
C2 - 30216591
VL - 39
SP - 2040
EP - 2046
JO - HUM MUTAT
JF - HUM MUTAT
SN - 1059-7794
IS - 12
ER -