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A Pathogenic Variant Reclassified to the Pseudogene <i>PMS2P1</i> in a Patient with Suspected Hereditary Cancer
oleh: Veronica Fragoso-Ontiveros, Marcela Angelica De la Fuente-Hernandez, Vincent Gonzalez-Osnaya, Mario Gamez-Rosales, Maria Delia Perez-Montiel, David Isla-Ortiz, David Francisco Cantu-De Leon, Rosa Maria Alvarez-Gomez
| Format: | Article |
|---|---|
| Diterbitkan: | MDPI AG 2023-01-01 |
Deskripsi
The <i>PMS2</i> gene is involved in DNA repair by the mismatch repair pathway. Deficiencies in this mechanism have been associated with Lynch Syndrome (LS), which is characterized by a high risk for colorectal, endometrial, ovarian, breast, and other cancers. Germinal pathogenic variants of <i>PMS2</i> are associated with up to 5% of all cases of LS. The prevalence is overestimated for the existence of multiple homologous pseudogenes. We report the case of a 44-year-old woman diagnosed with breast cancer at 34 years without a relevant cancer family history. The presence of pathogenic variant NM_000535.7:c.1A > T, (p.Met1Leu) in <i>PMS2</i> was determined by next-generation sequencing analysis with a panel of 322 cancer-associated genes and confirmed by capillary sequencing in the patient. The variant was determined in six family members (brothers, sisters, and a son) and seven non-cancerous unrelated individuals. Analysis of the amplified region showed high homology of <i>PMS2</i> with five of its pseudogenes. We determined that the variant is associated with the <i>PMS2P1</i> pseudogene following sequence alignment analysis. We propose considering the variant c.1A > T, (p.Met1Leu) in <i>PMS2</i> for reclassification as not hereditary cancer-related, given the impact on the diagnosis and treatment of cancer patients and families carrying this variant.