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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Autores principales: Jelsig AM, Byrjalsen A, Busk Madsen M, Kuhlmann TP, van Overeem Hansen T, Wadt KAW, Karstensen JG
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Publicado: Dove Medical Press 2021
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Acceso en línea:https://doaj.org/article/541d824162694bf7bc61e338250c3420
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic polyposis
hereditary
familial adenomatous polyposis
cancer management
Medicine (General)
R5-920
Genetics
QH426-470
spellingShingle 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
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