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A novel exonic rearrangement affecting MLH1 and the contiguous LRRFIP2 is a founder mutation in Portuguese Lynch syndrome families

Title
A novel exonic rearrangement affecting MLH1 and the contiguous LRRFIP2 is a founder mutation in Portuguese Lynch syndrome families
Type
Article in International Scientific Journal
Year
2011
Authors
Pinheiro, M
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Pinto, C
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Peixoto, A
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Veiga, I
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Mesquita, B
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Baptista, M
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Fragoso, M
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Sousa, O
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Pereira, H
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Marinho, C
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Dias, LM
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Journal
Title: Genetics in MedicineImported from Authenticus Search for Journal Publications
Vol. 13
Pages: 895-902
ISSN: 1098-3600
Publisher: Springer Nature
Other information
Authenticus ID: P-002-M0D
Abstract (EN): Purpose: Although Lynch syndrome is characterized by marked genetic heterogeneity, some specific mutations are observed at high frequency in well-defined populations or ethnic groups due to founder effects. Methods: Genomic breakpoint identification, haplotype analysis, and mutation age determination were performed in 14 unrelated patients and 95 family members presenting the same MLH1 exonic rearrangement, among a series of 84 Lynch syndrome families with germline mutations in MLH1, MSH2, or MSH6. Results: All 14 probands harbored an identical deletion, comprising exons 17-19 of the MLH1 gene and exons 26-29 of the LRRFIP2 gene, corresponding to the MLH1 mutation c. 1896 + 280_oLRRFIP2: c. 1750-678del. This mutation represents 17% of all deleterious mismatch repair mutations in our series. Haplotype analysis showed a conserved region of approximately 1 Mb, and the mutation age was estimated to be 283 +/- 78 years. All 14 families are originated from the Porto district countryside. Conclusion: We have identified a novel MLH1 exonic rearrangement that is a common founder mutation in Lynch syndrome families, indicating that screening for this rearrangement as a first step may be cost-effective during genetic testing of Lynch syndrome suspects of Portuguese ancestry, especially those originating from the Porto district. Genet Med 2011:13(10):895-902.
Language: English
Type (Professor's evaluation): Scientific
No. of pages: 8
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