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Kindler, O; Quehenberger, F; Benesch, M; Seidel, MG.
The Iceberg Map of germline mutations in childhood cancer: focus on primary immunodeficiencies.
Curr Opin Pediatr. 2018; 30(6):855-863 Doi: 10.1097/MOP.0000000000000680
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Führende Autor*innen der Med Uni Graz
Kindler Oliver
Seidel Markus
Co-Autor*innen der Med Uni Graz
Benesch Martin
Quehenberger Franz
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Abstract:
The risk of cancer is higher, and its outcome is worse in patients with primary immunodeficiency (PID) than in members of the general population. Thus, the inter-relationship of malignant diseases with PIDs requires more study. Large genetic screens identified a vast number of germline mutations in childhood cancer patient samples. Although TP53 was the most frequent single gene identified as mutated, many PID disorders like DNA repair defects are among the inborn causes of childhood cancer. We provide a comprehensive analysis of compiled data from seven recent studies that focused on germline genetic landscapes and preexisting conditions in pediatric oncology. As potentially causal germline variants were identified in ≈8% of malignancies in children and adolescents, we visualized this proportion as the 'tips of the icebergs'. The results of additional network analyses showed the shared patterns of germline mutations in various malignancies and yielded a spatial distribution of the 'icebergs'. The 'iceberg map of germline mutations in childhood cancers' was created to increase the awareness of the inborn genetic underpinnings of childhood malignancies and their relationships with immunodeficiencies. Needs and perspectives of clinical immunologists and pediatric oncologists to both improve patient care and guide research at this critical interface are discussed. VIDEO ABSTRACT.
Find related publications in this database (using NLM MeSH Indexing)
Causality -
Child -
DNA Mutational Analysis -
Disease Management -
Genetic Predisposition to Disease - genetics
Germ-Line Mutation - genetics
Humans -
Immunologic Deficiency Syndromes - genetics
Immunologic Deficiency Syndromes - immunology
Immunologic Deficiency Syndromes - physiopathology
Neoplasms - genetics
Neoplasms - immunology
Neoplasms - physiopathology
Pediatrics -
Phenotype -
Tumor Suppressor Protein p53 - genetics

Find related publications in this database (Keywords)
cancer predisposition syndrome
diseasome
germline mutation
network analysis
pediatric hematology-oncology
primary immunodeficiency
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