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Lynch Syndrome: An update of underlying molecular mechanisms, phenotypes and methods to classify variants of uncertain significance

dc.contributor.authorRodrigues, Paulo
dc.contributor.authorMatos, Paulo
dc.contributor.authorGonçalves, João
dc.contributor.authorJordan, Peter
dc.date.accessioned2026-07-02T14:45:36Z
dc.date.available2026-07-02T14:45:36Z
dc.date.issued2026-06-09
dc.description(This article belongs to the Special Issue Cancer Genetics: Bench-to-Bedside​ Advances)
dc.description.abstractIn 2022, colorectal cancer (CRC) was the third most common type of cancer worldwide and the second most common in Europe. CRC ranked as the second leading cause of cancer-related deaths both worldwide and in Europe, with 904,019 and 247,966 deaths, respectively. The majority of CRC cases are sporadic (60–75%); however, 10–35% of CRC are estimated to result from the interaction of heritable and environmental factors. Among these, 5–6% are caused by inherited variants in genes that predispose to the development of CRC. Among the known inherited causes, Lynch Syndrome (LS), formerly known as Hereditary Nonpolyposis Colorectal Cancer (HNPCC), is the most frequent and accounts for approximately 3% of all CRC. Here we review and update on multiple aspects of LS in the context of CRC, including its genetic and molecular basis, current guidelines for molecular screening and variant classification. Furthermore, we review functional assays that have been used to determine the biological impact of genetic variants of uncertain significance (VUS) and discuss future perspectives in the field.eng
dc.description.sponsorshipWork supported by UID/04046/2025-Biosystems and Integrative Sciences Institute Centre grant from FCT, Portugal (https://doi.org/10.54499/UID/04046/2025).
dc.identifier.citationBiomedicines. 2026 Jun 9;14(6):1312. doi: 10.3390/biomedicines14061312. Review
dc.identifier.doi10.3390/biomedicines14061312
dc.identifier.issn2227-9059
dc.identifier.pmid42351740
dc.identifier.urihttp://hdl.handle.net/10400.18/11332
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relationBiosystems & Integrative Sciences Institute
dc.relation.hasversionhttps://www.mdpi.com/2227-9059/14/6/1312
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectLynch Syndrome
dc.subjectFunctional Assays
dc.subjectHereditary Cancer
dc.subjectMismatch Repair
dc.subjectVariant of Uncertain Significance
dc.subjectDoenças Genéticas
dc.subjectGenómica Funcional e Estrutural
dc.subjectVias de Transdução de Sinal e Patologias Associadas
dc.titleLynch Syndrome: An update of underlying molecular mechanisms, phenotypes and methods to classify variants of uncertain significanceeng
dc.typejournal article
dcterms.referenceshttps://www.mdpi.com/2227-9059/14/6/1312/s1?version=1781024459
dspace.entity.typePublication
oaire.awardNumberUID/Multi/04046/2019
oaire.awardTitleBiosystems & Integrative Sciences Institute
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UID%2FMulti%2F04046%2F2019/PT
oaire.citation.issue6
oaire.citation.startPage1312
oaire.citation.titleBiomedicines
oaire.citation.volume14
oaire.fundingStream6817 - DCRRNI ID
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
relation.isProjectOfPublication35168786-8dfc-4a00-9759-dab3669fe1ae
relation.isProjectOfPublication.latestForDiscovery35168786-8dfc-4a00-9759-dab3669fe1ae

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