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Assessment of tyrosinase variants and skin cancer risk in a large cohort of French subjects.

机译:在一大批法国受试者中评估酪氨酸酶变体和皮肤癌风险。

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BACKGROUND: Tyrosinase (TYR) is a key pigmentation gene that is highly polymorphic and responsible for the most common form of autosomal recessive albinism, OCA1. OBJECTIVE: To assess the role of frequent and rare TYR variants in predisposition to skin cancer (SK) in the French population. METHODS: We genotyped a frequent TYR variant (p.R402Q) in 1273 patients {1047 cutaneous melanoma (CM) and 226 basal cell carcinoma (BCC)} and 925 controls, and the full coding region of TYR was sequenced in 287 patients suspected of genetic predisposition to SK (familial and/or multiple SK and/or onset before 40 years) and 187 controls. RESULTS: The homozygous p.R402Q variant was significantly associated with SK risk (P value=0.008; OR=1.57), and was mostly associated with multiple CM risk (P value=0.021; OR=2.50) and familial CM risk (P value=0.022; OR=2.16). In addition, 19 rare TYR variants, mainly albinism mutations, were identified in 15 patients and 8 controls. Among these, 3 clearly deleterious mutations (1 non-sense and 2 affecting mRNA splicing) were identified in 3 patients, one of which was homozygous. CONCLUSION: Our data confirmed the association of TYR p.R402Q with SK risk in the French population, and support that rare deleterious TYR variants may also play a role in multi-factorial genetic predisposition to SK. These results should be confirmed by replications studies.
机译:背景:酪氨酸酶(TYR)是高度多态的关键色素沉着基因,负责常染色体隐性白化病OCA1的最常见形式。目的:评估法国人群中常见的和罕见的TYR变体在皮肤癌(SK)易感性中的作用。方法:我们对1273例{1047皮肤黑素瘤(CM)和226例基底细胞癌(BCC)}和925例对照的TYR变异型(p.R402Q)进行了基因分型,并对287例疑似TYR的TYR的完整编码区进行了测序。对SK的遗传易感性(家族性和/或多种SK和/或40岁之前发作)和187个对照。结果:纯合p.R402Q变异与SK风险显着相关(P值= 0.008; OR = 1.57),并且主要与多CM风险(P值= 0.021; OR = 2.50)和家族性CM风险(P值)相关。 = 0.022; OR = 2.16)。此外,在15位患者和8位对照中鉴定出19种罕见的TYR变体,主要是白化病突变。其中,在3例患者中鉴定出3个明显有害的突变(1个无意义和2个影响mRNA剪接的突变),其中之一是纯合的。结论:我们的数据证实了法国人群中TYR p.R402Q与SK风险的相关性,并支持罕见的有害TYR变异体也可能在SK的多因素遗传易感性中起作用。这些结果应通过重复研究加以证实。

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