Genotype-phenotype associations within the Li-Fraumeni spectrum: a report from the German Registry
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Genotype-phenotype associations within the Li-Fraumeni spectrum: a report from the German Registry. / Penkert, Judith; Strüwe, Farina J; Dutzmann, Christina M; Doergeloh, Beate B; Montellier, Emilie; Freycon, Claire; Keymling, Myriam; Schlemmer, Heinz-Peter; Sänger, Birte; Hoffmann, Beatrice; Gerasimov, Tanja; Blattmann, Claudia; Fetscher, Sebastian; Frühwald, Michael; Hettmer, Simone; Kordes, Uwe; Ridola, Vita; Kroiss Benninger, Sabine; Mastronuzzi, Angela; Schott, Sarah; Nees, Juliane; Prokop, Aram; Redlich, Antje; Seidel, Markus G; Zimmermann, Stefanie; Pajtler, Kristian W; Pfister, Stefan M; Hainaut, Pierre; Kratz, Christian P.
In: J HEMATOL ONCOL, Vol. 15, No. 1, 107, 16.08.2022.Research output: SCORING: Contribution to journal › Letter › Research
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TY - JOUR
T1 - Genotype-phenotype associations within the Li-Fraumeni spectrum: a report from the German Registry
AU - Penkert, Judith
AU - Strüwe, Farina J
AU - Dutzmann, Christina M
AU - Doergeloh, Beate B
AU - Montellier, Emilie
AU - Freycon, Claire
AU - Keymling, Myriam
AU - Schlemmer, Heinz-Peter
AU - Sänger, Birte
AU - Hoffmann, Beatrice
AU - Gerasimov, Tanja
AU - Blattmann, Claudia
AU - Fetscher, Sebastian
AU - Frühwald, Michael
AU - Hettmer, Simone
AU - Kordes, Uwe
AU - Ridola, Vita
AU - Kroiss Benninger, Sabine
AU - Mastronuzzi, Angela
AU - Schott, Sarah
AU - Nees, Juliane
AU - Prokop, Aram
AU - Redlich, Antje
AU - Seidel, Markus G
AU - Zimmermann, Stefanie
AU - Pajtler, Kristian W
AU - Pfister, Stefan M
AU - Hainaut, Pierre
AU - Kratz, Christian P
N1 - © 2022. The Author(s).
PY - 2022/8/16
Y1 - 2022/8/16
N2 - Li-Fraumeni syndrome (LFS) is a cancer predisposition syndrome caused by pathogenic TP53 variants. The condition represents one of the most relevant genetic causes of cancer in children and adults due to its frequency and high cancer risk. The term Li-Fraumeni spectrum reflects the evolving phenotypic variability of the condition. Within this spectrum, patients who meet specific LFS criteria are diagnosed with LFS, while patients who do not meet these criteria are diagnosed with attenuated LFS. To explore genotype-phenotype correlations we analyzed 141 individuals from 94 families with pathogenic TP53 variants registered in the German Cancer Predisposition Syndrome Registry. Twenty-one (22%) families had attenuated LFS and 73 (78%) families met the criteria of LFS. NULL variants occurred in 32 (44%) families with LFS and in two (9.5%) families with attenuated LFS (P value < 0.01). Kato partially functional variants were present in 10 out of 53 (19%) families without childhood cancer except adrenocortical carcinoma (ACC) versus 0 out of 41 families with childhood cancer other than ACC alone (P value < 0.01). Our study suggests genotype-phenotype correlations encouraging further analyses.
AB - Li-Fraumeni syndrome (LFS) is a cancer predisposition syndrome caused by pathogenic TP53 variants. The condition represents one of the most relevant genetic causes of cancer in children and adults due to its frequency and high cancer risk. The term Li-Fraumeni spectrum reflects the evolving phenotypic variability of the condition. Within this spectrum, patients who meet specific LFS criteria are diagnosed with LFS, while patients who do not meet these criteria are diagnosed with attenuated LFS. To explore genotype-phenotype correlations we analyzed 141 individuals from 94 families with pathogenic TP53 variants registered in the German Cancer Predisposition Syndrome Registry. Twenty-one (22%) families had attenuated LFS and 73 (78%) families met the criteria of LFS. NULL variants occurred in 32 (44%) families with LFS and in two (9.5%) families with attenuated LFS (P value < 0.01). Kato partially functional variants were present in 10 out of 53 (19%) families without childhood cancer except adrenocortical carcinoma (ACC) versus 0 out of 41 families with childhood cancer other than ACC alone (P value < 0.01). Our study suggests genotype-phenotype correlations encouraging further analyses.
KW - Adrenal Cortex Neoplasms/genetics
KW - Adrenocortical Carcinoma/genetics
KW - Genetic Association Studies
KW - Genetic Predisposition to Disease
KW - Germ-Line Mutation
KW - Humans
KW - Li-Fraumeni Syndrome/diagnosis
KW - Registries
KW - Tumor Suppressor Protein p53/genetics
U2 - 10.1186/s13045-022-01332-1
DO - 10.1186/s13045-022-01332-1
M3 - Letter
C2 - 35974385
VL - 15
JO - J HEMATOL ONCOL
JF - J HEMATOL ONCOL
SN - 1756-8722
IS - 1
M1 - 107
ER -