Detection and analysis of common pathogenic germline mutations in Peutz-Jeghers syndrome

• Published in: World journal of gastroenterology : WJG Vol. 27; no. 39; pp. 6631 - 6646
• Main Authors: Gu, Guo-Li, Zhang, Zhi, Zhang, Yu-Hui, Yu, Peng-Fei, Dong, Zhi-Wei, Yang, Hai-Rui, Yuan, Ying
• Format: Journal Article
• Language: English
• Published: United States Baishideng Publishing Group Inc 21.10.2021
• Subjects: AMP-Activated Protein Kinase Kinases; Basic Study; Exons; Germ-Line Mutation; Humans; Mutation; Peutz-Jeghers Syndrome - genetics; Phenotype; Protein Serine-Threonine Kinases - genetics; Recombinases - genetics; Genotype; Phenotype; STK11; Mutation; Peutz-Jeghers syndrome
• ISSN: 1007-9327; 2219-2840
• DOI: 10.3748/wjg.v27.i39.6631

Different types of pathogenic mutations may produce different clinical phenotypes, but a correlation between Peutz-Jeghers syndrome (PJS) genotype and clinical phenotype has not been found. Not all patients with PJS have detectable mutations of the gene, what is the genetic basis of clinical phenotypic heterogeneity of PJS? Do PJS cases without mutations have other pathogenic genes? Those are clinical problems that perplex doctors. The aim was to investigate the specific gene mutation of PJS, and the correlation between the genotype and clinical phenotype of PJS. A total of 24 patients with PJS admitted to the Air Force Medical Center, PLA (formerly the Air Force General Hospital, PLA) from November 1994 to January 2020 were randomly selected for inclusion in the study. One hundred thirty-nine common hereditary tumor-related genes including were screened and analyzed for pathogenic germline mutations by high-throughput next-generation sequencing (NGS). The mutation status of the genes and their relationship with clinical phenotypes of PJS were explored. Twenty of the 24 PJS patients in this group (83.3%) had gene mutations, 90% of which were pathogenic mutations, and ten had new mutation sites. Pathogenic mutations in exon 7 of gene were significantly lower than in other exons. Truncation mutations are more common in exons 1 and 4 of , and their pathogenicity was significantly higher than that of missense mutations. We also found gene mutations in PJS patients. PJS has a relatively complicated genetic background. Changes in the sites responsible for coding functional proteins in exon 1 and exon 4 of may be one of the main causes of PJS. Mutation of the gene may be a cause of genetic heterogeneity in PJS.