Novel Genetic Causes of Gastrointestinal Polyposis Syndromes
Anne Marie Jelsig,1 Anna Byrjalsen,1 Majbritt Busk Madsen,2 Tine Plato Kuhlmann,3 Thomas van Overeem Hansen,1 Karin AW Wadt,1,4 John Gásdal Karstensen4,5 1Department of Clinical Genetics, University Hospital of Copenhagen, Copenhagen, Denmark; 2Center for Genomic Medicine, University Hospital of Cop...
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Dove Medical Press
2021
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oai:doaj.org-article:541d824162694bf7bc61e338250c34202021-11-28T19:13:10ZNovel Genetic Causes of Gastrointestinal Polyposis Syndromes1178-704Xhttps://doaj.org/article/541d824162694bf7bc61e338250c34202021-11-01T00:00:00Zhttps://www.dovepress.com/novel-genetic-causes-of-gastrointestinal-polyposis-syndromes-peer-reviewed-fulltext-article-TACGhttps://doaj.org/toc/1178-704XAnne Marie Jelsig,1 Anna Byrjalsen,1 Majbritt Busk Madsen,2 Tine Plato Kuhlmann,3 Thomas van Overeem Hansen,1 Karin AW Wadt,1,4 John Gásdal Karstensen4,5 1Department of Clinical Genetics, University Hospital of Copenhagen, Copenhagen, Denmark; 2Center for Genomic Medicine, University Hospital of Copenhagen, Copenhagen, Denmark; 3Department of Pathology, University Hospital of Copenhagen, Herlev Hospital, Herlev, Denmark; 4Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark; 5Danish Polyposis Registry, Gastro Unit, Copenhagen University Hospital – Amager and Hvidovre, Copenhagen, DenmarkCorrespondence: Anne Marie JelsigDepartment of Clinical Genetics, University Hospital of Copenhagen, Rigshospitalet, Blegdamsvej 9, Copenhagen, 2100, DenmarkTel +45 20 36 18 85Email anne.marie.jelsig@regionh.dkAbstract: Hereditary polyposis syndromes are characterized by a large number and/or histopathologically specific polyps in the gastrointestinal tract and a high risk of both colorectal cancer and extracolonic cancer at an early age. While the genes responsible for some of the syndromes, eg, APC in familial adenomatous polyposis and STK11 in Peutz-Jeghers syndrome, have been known for decades, novel genetic causes have recently been detected that have shed light on the broader clinical spectrum of syndromes. Genetic diagnoses are important because they can facilitate a personalized surveillance program. Furthermore, at-risk members of the patient’s family can be tested and enrolled in surveillance as needed. In some cases, prenatal diagnostics should be offered. In this paper, we describe the development in germline genetics of the hereditary polyposis syndromes over the last 10– 12 years, their clinical characteristics, as well as how to implement genetic analyses in the diagnostic pipeline.Keywords: polyposis, hereditary, familial adenomatous polyposis, cancer, managementJelsig AMByrjalsen ABusk Madsen MKuhlmann TPvan Overeem Hansen TWadt KAWKarstensen JGDove Medical Pressarticlepolyposishereditaryfamilial adenomatous polyposiscancer managementMedicine (General)R5-920GeneticsQH426-470ENThe Application of Clinical Genetics, Vol Volume 14, Pp 455-466 (2021) |
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polyposis hereditary familial adenomatous polyposis cancer management Medicine (General) R5-920 Genetics QH426-470 |
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polyposis hereditary familial adenomatous polyposis cancer management Medicine (General) R5-920 Genetics QH426-470 Jelsig AM Byrjalsen A Busk Madsen M Kuhlmann TP van Overeem Hansen T Wadt KAW Karstensen JG Novel Genetic Causes of Gastrointestinal Polyposis Syndromes |
description |
Anne Marie Jelsig,1 Anna Byrjalsen,1 Majbritt Busk Madsen,2 Tine Plato Kuhlmann,3 Thomas van Overeem Hansen,1 Karin AW Wadt,1,4 John Gásdal Karstensen4,5 1Department of Clinical Genetics, University Hospital of Copenhagen, Copenhagen, Denmark; 2Center for Genomic Medicine, University Hospital of Copenhagen, Copenhagen, Denmark; 3Department of Pathology, University Hospital of Copenhagen, Herlev Hospital, Herlev, Denmark; 4Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark; 5Danish Polyposis Registry, Gastro Unit, Copenhagen University Hospital – Amager and Hvidovre, Copenhagen, DenmarkCorrespondence: Anne Marie JelsigDepartment of Clinical Genetics, University Hospital of Copenhagen, Rigshospitalet, Blegdamsvej 9, Copenhagen, 2100, DenmarkTel +45 20 36 18 85Email anne.marie.jelsig@regionh.dkAbstract: Hereditary polyposis syndromes are characterized by a large number and/or histopathologically specific polyps in the gastrointestinal tract and a high risk of both colorectal cancer and extracolonic cancer at an early age. While the genes responsible for some of the syndromes, eg, APC in familial adenomatous polyposis and STK11 in Peutz-Jeghers syndrome, have been known for decades, novel genetic causes have recently been detected that have shed light on the broader clinical spectrum of syndromes. Genetic diagnoses are important because they can facilitate a personalized surveillance program. Furthermore, at-risk members of the patient’s family can be tested and enrolled in surveillance as needed. In some cases, prenatal diagnostics should be offered. In this paper, we describe the development in germline genetics of the hereditary polyposis syndromes over the last 10– 12 years, their clinical characteristics, as well as how to implement genetic analyses in the diagnostic pipeline.Keywords: polyposis, hereditary, familial adenomatous polyposis, cancer, management |
format |
article |
author |
Jelsig AM Byrjalsen A Busk Madsen M Kuhlmann TP van Overeem Hansen T Wadt KAW Karstensen JG |
author_facet |
Jelsig AM Byrjalsen A Busk Madsen M Kuhlmann TP van Overeem Hansen T Wadt KAW Karstensen JG |
author_sort |
Jelsig AM |
title |
Novel Genetic Causes of Gastrointestinal Polyposis Syndromes |
title_short |
Novel Genetic Causes of Gastrointestinal Polyposis Syndromes |
title_full |
Novel Genetic Causes of Gastrointestinal Polyposis Syndromes |
title_fullStr |
Novel Genetic Causes of Gastrointestinal Polyposis Syndromes |
title_full_unstemmed |
Novel Genetic Causes of Gastrointestinal Polyposis Syndromes |
title_sort |
novel genetic causes of gastrointestinal polyposis syndromes |
publisher |
Dove Medical Press |
publishDate |
2021 |
url |
https://doaj.org/article/541d824162694bf7bc61e338250c3420 |
work_keys_str_mv |
AT jelsigam novelgeneticcausesofgastrointestinalpolyposissyndromes AT byrjalsena novelgeneticcausesofgastrointestinalpolyposissyndromes AT buskmadsenm novelgeneticcausesofgastrointestinalpolyposissyndromes AT kuhlmanntp novelgeneticcausesofgastrointestinalpolyposissyndromes AT vanovereemhansent novelgeneticcausesofgastrointestinalpolyposissyndromes AT wadtkaw novelgeneticcausesofgastrointestinalpolyposissyndromes AT karstensenjg novelgeneticcausesofgastrointestinalpolyposissyndromes |
_version_ |
1718407768765890560 |