POLE and POLD1 germline exonuclease domain pathogenic variants, a rare event in colorectal cancer from the Middle East

Abstract Background Colorectal cancer (CRC) is a major contributor to morbidity and mortality related to cancer. Only ~5% of all CRCs occur as a result of pathogenic variants in well‐defined CRC predisposing genes. The frequency and effect of exonuclease domain pathogenic variants of POLE and POLD1...

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Main Authors: Abdul K. Siraj, Rong Bu, Kaleem Iqbal, Sandeep K. Parvathareddy, Tariq Masoodi, Nabil Siraj, Maha Al‐Rasheed, Yan Kong, Saeeda O. Ahmed, Khadija A. S. Al‐Obaisi, Ingrid G. Victoria, Maham Arshad, Fouad Al‐Dayel, Alaa Abduljabbar, Luai H. Ashari, Khawla S. Al‐Kuraya
Format: Article
Language:English
Published: Wiley 2020-08-01
Series:Molecular Genetics & Genomic Medicine
Subjects:
Online Access:https://doi.org/10.1002/mgg3.1368
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author Abdul K. Siraj
Rong Bu
Kaleem Iqbal
Sandeep K. Parvathareddy
Tariq Masoodi
Nabil Siraj
Maha Al‐Rasheed
Yan Kong
Saeeda O. Ahmed
Khadija A. S. Al‐Obaisi
Ingrid G. Victoria
Maham Arshad
Fouad Al‐Dayel
Alaa Abduljabbar
Luai H. Ashari
Khawla S. Al‐Kuraya
author_facet Abdul K. Siraj
Rong Bu
Kaleem Iqbal
Sandeep K. Parvathareddy
Tariq Masoodi
Nabil Siraj
Maha Al‐Rasheed
Yan Kong
Saeeda O. Ahmed
Khadija A. S. Al‐Obaisi
Ingrid G. Victoria
Maham Arshad
Fouad Al‐Dayel
Alaa Abduljabbar
Luai H. Ashari
Khawla S. Al‐Kuraya
author_sort Abdul K. Siraj
collection DOAJ
description Abstract Background Colorectal cancer (CRC) is a major contributor to morbidity and mortality related to cancer. Only ~5% of all CRCs occur as a result of pathogenic variants in well‐defined CRC predisposing genes. The frequency and effect of exonuclease domain pathogenic variants of POLE and POLD1 genes in Middle Eastern CRCs is still unknown. Methods Targeted capture sequencing and Sanger sequencing technologies were employed to investigate the germline exonuclease domain pathogenic variants of POLE and POLD1 in Middle Eastern CRCs. Immunohistochemical analysis of POLE and POLD1 was performed to look for associations between protein expression and clinico‐pathological characteristics. Results Five damaging or possibly damaging variants (0.44%) were detected in 1,135 CRC cases, four in POLE gene (0.35%, 4/1,135) and one (0.1%, 1/1,135) in POLD1 gene. Furthermore, low POLE protein expression was identified in 38.9% (417/1071) cases and a significant association with lymph node involvement (p = .0184) and grade 3 tumors (p = .0139) was observed. Whereas, low POLD1 expression was observed in 51.9% (555/1069) of cases and was significantly associated with adenocarcinoma histology (p = .0164), larger tumor size (T3 and T4 tumors; p = .0012), and stage III tumors (p = .0341). Conclusion POLE and POLD1 exonuclease domain pathogenic variants frequency in CRC cases was very low and these exonuclease domain pathogenic variants might be rare causative events of CRC in the Middle East. POLE and POLD1 can be included in multi‐gene panels to screen CRC patients.
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spelling doaj.art-b914458beafd4f359c0dd5f329bbe6c52024-02-21T11:08:50ZengWileyMolecular Genetics & Genomic Medicine2324-92692020-08-0188n/an/a10.1002/mgg3.1368POLE and POLD1 germline exonuclease domain pathogenic variants, a rare event in colorectal cancer from the Middle EastAbdul K. Siraj0Rong Bu1Kaleem Iqbal2Sandeep K. Parvathareddy3Tariq Masoodi4Nabil Siraj5Maha Al‐Rasheed6Yan Kong7Saeeda O. Ahmed8Khadija A. S. Al‐Obaisi9Ingrid G. Victoria10Maham Arshad11Fouad Al‐Dayel12Alaa Abduljabbar13Luai H. Ashari14Khawla S. Al‐Kuraya15Human Cancer Genomic Research Research Center King Faisal Specialist Hospital and Research Center iyadh Saudi ArabiaHuman Cancer Genomic Research Research Center King Faisal Specialist Hospital and Research Center iyadh Saudi ArabiaHuman Cancer Genomic Research Research Center King Faisal Specialist Hospital and Research Center iyadh Saudi ArabiaHuman Cancer Genomic Research Research Center King Faisal Specialist Hospital and Research Center iyadh Saudi ArabiaHuman Cancer Genomic Research Research Center King Faisal Specialist Hospital and Research Center iyadh Saudi ArabiaHuman Cancer Genomic Research Research Center King Faisal Specialist Hospital and Research Center iyadh Saudi ArabiaHuman Cancer Genomic Research Research Center King Faisal Specialist Hospital and Research Center iyadh Saudi ArabiaHuman Cancer Genomic Research Research Center King Faisal Specialist Hospital and Research Center iyadh Saudi ArabiaHuman Cancer Genomic Research Research Center King Faisal Specialist Hospital and Research Center iyadh Saudi ArabiaHuman Cancer Genomic Research Research Center King Faisal Specialist Hospital and Research Center iyadh Saudi ArabiaHuman Cancer Genomic Research Research Center King Faisal Specialist Hospital and Research Center iyadh Saudi ArabiaHuman Cancer Genomic Research Research Center King Faisal Specialist Hospital and Research Center iyadh Saudi ArabiaDepartment of Pathology and Laboratory Medicine King Faisal Specialist Hospital and Research Center Riyadh Saudi ArabiaColorectal Section Department of Surgery King Faisal Specialist Hospital and Research Center Riyadh Saudi ArabiaColorectal Section Department of Surgery King Faisal Specialist Hospital and Research Center Riyadh Saudi ArabiaHuman Cancer Genomic Research Research Center King Faisal Specialist Hospital and Research Center iyadh Saudi ArabiaAbstract Background Colorectal cancer (CRC) is a major contributor to morbidity and mortality related to cancer. Only ~5% of all CRCs occur as a result of pathogenic variants in well‐defined CRC predisposing genes. The frequency and effect of exonuclease domain pathogenic variants of POLE and POLD1 genes in Middle Eastern CRCs is still unknown. Methods Targeted capture sequencing and Sanger sequencing technologies were employed to investigate the germline exonuclease domain pathogenic variants of POLE and POLD1 in Middle Eastern CRCs. Immunohistochemical analysis of POLE and POLD1 was performed to look for associations between protein expression and clinico‐pathological characteristics. Results Five damaging or possibly damaging variants (0.44%) were detected in 1,135 CRC cases, four in POLE gene (0.35%, 4/1,135) and one (0.1%, 1/1,135) in POLD1 gene. Furthermore, low POLE protein expression was identified in 38.9% (417/1071) cases and a significant association with lymph node involvement (p = .0184) and grade 3 tumors (p = .0139) was observed. Whereas, low POLD1 expression was observed in 51.9% (555/1069) of cases and was significantly associated with adenocarcinoma histology (p = .0164), larger tumor size (T3 and T4 tumors; p = .0012), and stage III tumors (p = .0341). Conclusion POLE and POLD1 exonuclease domain pathogenic variants frequency in CRC cases was very low and these exonuclease domain pathogenic variants might be rare causative events of CRC in the Middle East. POLE and POLD1 can be included in multi‐gene panels to screen CRC patients.https://doi.org/10.1002/mgg3.1368colorectal cancersMiddle EastPOLD1POLEvariant
spellingShingle Abdul K. Siraj
Rong Bu
Kaleem Iqbal
Sandeep K. Parvathareddy
Tariq Masoodi
Nabil Siraj
Maha Al‐Rasheed
Yan Kong
Saeeda O. Ahmed
Khadija A. S. Al‐Obaisi
Ingrid G. Victoria
Maham Arshad
Fouad Al‐Dayel
Alaa Abduljabbar
Luai H. Ashari
Khawla S. Al‐Kuraya
POLE and POLD1 germline exonuclease domain pathogenic variants, a rare event in colorectal cancer from the Middle East
Molecular Genetics & Genomic Medicine
colorectal cancers
Middle East
POLD1
POLE
variant
title POLE and POLD1 germline exonuclease domain pathogenic variants, a rare event in colorectal cancer from the Middle East
title_full POLE and POLD1 germline exonuclease domain pathogenic variants, a rare event in colorectal cancer from the Middle East
title_fullStr POLE and POLD1 germline exonuclease domain pathogenic variants, a rare event in colorectal cancer from the Middle East
title_full_unstemmed POLE and POLD1 germline exonuclease domain pathogenic variants, a rare event in colorectal cancer from the Middle East
title_short POLE and POLD1 germline exonuclease domain pathogenic variants, a rare event in colorectal cancer from the Middle East
title_sort pole and pold1 germline exonuclease domain pathogenic variants a rare event in colorectal cancer from the middle east
topic colorectal cancers
Middle East
POLD1
POLE
variant
url https://doi.org/10.1002/mgg3.1368
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