Danishevich Anastasiia, Bilyalov Airat, Nikolaev Sergey, Khalikov Nodirbec, Isaeva Daria, Levina Yuliya, Makarova Maria, Nemtsova Marina, Chernevskiy Denis, Sagaydak Olesya, Baranova Elena, Vorontsova Maria, Byakhova Mariya, Semenova Anna, Galkin Vsevolod, Khatkov Igor, Gadzhieva Saida, Bodunova Natalia
SBHI Moscow Clinical Scientific Center Named after Loginov MHD, 111123 Moscow, Russia.
Institute of Fundamental Medicine and Biology, Kazan Federal University, 420008 Kazan, Russia.
Biomedicines. 2023 Dec 18;11(12):3343. doi: 10.3390/biomedicines11123343.
Malignant neoplasms, including pancreatic cancer and melanoma, are major global health challenges. This study investigates melanoma pancreatic syndrome, a rare hereditary tumor syndrome associated with gene mutations. mutations contribute to a lifetime risk of melanoma ranging from 28% to 67%. This study reports the clinical features of six individuals with mutations and identifies recurrent alterations such as c.307_308del, c.159G>C and c.71G>C. It highlights the need for mutation testing in suspected cases of familial atypical multiple mole melanoma. Clinically significant variants show associations with melanoma and pancreatic cancer. The challenges of treating individuals with mutations are discussed, and the lack of specific targeted therapies is highlighted. Preclinical studies suggest a potential benefit of CDK4/6 inhibitors, although clinical trials show mixed results. This study underscores the importance of continued research into improved diagnostic and therapeutic strategies to address the complexities of hereditary cancer syndromes.
恶性肿瘤,包括胰腺癌和黑色素瘤,是全球主要的健康挑战。本研究调查黑色素瘤胰腺综合征,这是一种与基因突变相关的罕见遗传性肿瘤综合征。这些突变导致黑色素瘤的终生风险在28%至67%之间。本研究报告了6名携带这些突变个体的临床特征,并确定了如c.307_308del、c.159G>C和c.71G>C等反复出现的改变。它强调了在疑似家族性非典型多发性痣黑色素瘤病例中进行这些突变检测的必要性。具有临床意义的变异与黑色素瘤和胰腺癌有关。讨论了治疗携带这些突变个体的挑战,并强调了缺乏特异性靶向治疗方法的问题。临床前研究表明CDK4/6抑制剂具有潜在益处,尽管临床试验结果不一。本研究强调了持续研究改进诊断和治疗策略以应对遗传性癌症综合征复杂性的重要性。