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Distinct spectrum of apc germline mutations in familial adenomatous polyposis at the center-south of portugal: identification of a mutational hotspot and suggestion of a founder effect

dc.contributor.authorFilipe, B.
dc.contributor.authorClaro, I.
dc.contributor.authorLage, P.
dc.contributor.authorFerreira, S.
dc.contributor.authorRosa, I.
dc.contributor.authorRodrigues, P.
dc.contributor.authorSpier, I.
dc.contributor.authorTheisen, Patrícia
dc.contributor.authorPereira-Caetano, Iris
dc.contributor.authorIsidro, Glória
dc.contributor.authorGonçalves, João
dc.contributor.authorAretz, S.
dc.contributor.authorDias Pereira, A.
dc.contributor.authorAlbuquerque, C.
dc.date.accessioned2015-01-28T14:42:52Z
dc.date.available2015-01-28T14:42:52Z
dc.date.issued2014
dc.description.abstractIntroduction: Familial adenomatous polyposis (FAP) is caused by APC germline mutations. These have been reported in classic and attenuated FAP (AFAP) but only two hotspots were described (codons 1309 and 1061-range:0-15%). We aimed to characterize the APC mutation spectrum in a FAP/AFAP population from the familial polyposis registry of the Portuguese Oncology Institute in Lisbon. Methods: We performed mutation analysis in 95 index patients from our FAP/AFAP cohort (61 FAP; 34 AFAP) using PTT, DGGE, sequencing and MLPA. Haplotype analysis was performed using 3 microsatellite markers flanking APC and 2 intragenic SNPs in 12 families with an intron 9 mutation (6 from our registry, 2 from INSA and 4 from IHG), occasionally detected in the literature, in order to evaluate a possible founder effect. All samples were anonymized. Statistics: Fisher’s exact and Χ2. Results: APC mutations were found in 47/61(77%) FAP and in 12/34(35%) AFAP families. The 1309del and 1061del contributed for 6/59(10%) and 2/59(4%) of the families, respectively. Exon 15 mutations were more frequent in FAP than in AFAP [30/47(64%) vs 1/12(8%),P<0.001]. A high mutation frequency was also found in exon 9 and flanking regions (9/59;15%), contributing for the majority of AFAP with APC mutation (8/12;67%). An intron 9 mutation (c.1312+3A>G) was highly represented (6/59,10%), exclusively in AFAP (6/12;50%). Segregating with this mutation, we detected a common haplotype apparently shared by 6 families. For D5S346, the common allele segregating with this haplotype was more frequent in the index patients (11/20;46%) than in a control population (20/90;22%). Discussion: We identified a specific distribution of APC mutations and a mutational hotspot in our population. The higher frequency of the c.1312+3A>G mutation in Center-South Portugal suggest a non-uniform distribution which may be explained by a founder effect. Further studies using SNPs flanking intron 9 and the analysis of more families/relatives are needed.por
dc.identifier.urihttp://hdl.handle.net/10400.18/2699
dc.language.isoengpor
dc.peerreviewednopor
dc.subjectDoenças Genéticaspor
dc.subjectAPCpor
dc.subjectPoliposepor
dc.subjectFAPpor
dc.titleDistinct spectrum of apc germline mutations in familial adenomatous polyposis at the center-south of portugal: identification of a mutational hotspot and suggestion of a founder effectpor
dc.typeconference object
dspace.entity.typePublication
oaire.citation.conferencePlaceLisboa, Portugalpor
oaire.citation.title18ª Reunião Anual da Sociedade Portuguesa de Genética Humana, 19-21 novembro 2014por
rcaap.rightsopenAccesspor
rcaap.typeconferenceObjectpor

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