Familial testicular germ cell tumours

This article defines familial testicular germ cell tumours (FTGCTs) as testicular germ cell tumours (TGCTs) diagnosed in at least two blood relatives, a situation which occurs in 1–2% of all cases of TGCT. Brothers and fathers of TGCT patients have an 8–10- and 4–6-fold increased risk of TGCT, respe...

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Veröffentlicht in:Baillière's best practice & research. Clinical endocrinology & metabolism 2010-06, Vol.24 (3), p.503-513
Hauptverfasser: Kratz, Christian P., MD, Mai, Phuong L., MD, Greene, Mark H., MD
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Mai, Phuong L., MD
Greene, Mark H., MD
description This article defines familial testicular germ cell tumours (FTGCTs) as testicular germ cell tumours (TGCTs) diagnosed in at least two blood relatives, a situation which occurs in 1–2% of all cases of TGCT. Brothers and fathers of TGCT patients have an 8–10- and 4–6-fold increased risk of TGCT, respectively, and an even higher elevated risk of TGCT in twin brothers of men with TGCT has been observed, suggesting that genetic elements play an important role in these tumours. Nevertheless, previous linkage studies with multiple FTGCT families did not uncover any high-penetrance genes and it has been concluded that the combined effects of multiple common alleles, each conferring a modest risk, might underlie FTGCT. In agreement with this assumption, recent candidate gene-association analyses have identified the chromosome Y gr/gr deletion and mutations in the PDE11A gene as genetic modifiers of FTGCT risk. Moreover, two genome-wide association studies of predominantly sporadic but also familial cases of TGCT have identified three additional susceptibility loci, KITLG , SPRY4 and BAK1 . Notably, all five loci are involved in the biology of primordial germ cells, representing the cell of origin of TGCT, suggesting that the tumours arise as a result of disturbed testicular development.
doi_str_mv 10.1016/j.beem.2010.01.005
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Brothers and fathers of TGCT patients have an 8–10- and 4–6-fold increased risk of TGCT, respectively, and an even higher elevated risk of TGCT in twin brothers of men with TGCT has been observed, suggesting that genetic elements play an important role in these tumours. Nevertheless, previous linkage studies with multiple FTGCT families did not uncover any high-penetrance genes and it has been concluded that the combined effects of multiple common alleles, each conferring a modest risk, might underlie FTGCT. In agreement with this assumption, recent candidate gene-association analyses have identified the chromosome Y gr/gr deletion and mutations in the PDE11A gene as genetic modifiers of FTGCT risk. Moreover, two genome-wide association studies of predominantly sporadic but also familial cases of TGCT have identified three additional susceptibility loci, KITLG , SPRY4 and BAK1 . 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Clinical endocrinology &amp; metabolism</title><addtitle>Best Pract Res Clin Endocrinol Metab</addtitle><description>This article defines familial testicular germ cell tumours (FTGCTs) as testicular germ cell tumours (TGCTs) diagnosed in at least two blood relatives, a situation which occurs in 1–2% of all cases of TGCT. Brothers and fathers of TGCT patients have an 8–10- and 4–6-fold increased risk of TGCT, respectively, and an even higher elevated risk of TGCT in twin brothers of men with TGCT has been observed, suggesting that genetic elements play an important role in these tumours. Nevertheless, previous linkage studies with multiple FTGCT families did not uncover any high-penetrance genes and it has been concluded that the combined effects of multiple common alleles, each conferring a modest risk, might underlie FTGCT. In agreement with this assumption, recent candidate gene-association analyses have identified the chromosome Y gr/gr deletion and mutations in the PDE11A gene as genetic modifiers of FTGCT risk. Moreover, two genome-wide association studies of predominantly sporadic but also familial cases of TGCT have identified three additional susceptibility loci, KITLG , SPRY4 and BAK1 . 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Clinical endocrinology &amp; metabolism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kratz, Christian P., MD</au><au>Mai, Phuong L., MD</au><au>Greene, Mark H., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Familial testicular germ cell tumours</atitle><jtitle>Baillière's best practice &amp; research. Clinical endocrinology &amp; metabolism</jtitle><addtitle>Best Pract Res Clin Endocrinol Metab</addtitle><date>2010-06-01</date><risdate>2010</risdate><volume>24</volume><issue>3</issue><spage>503</spage><epage>513</epage><pages>503-513</pages><issn>1521-690X</issn><eissn>1878-1594</eissn><eissn>1532-1908</eissn><abstract>This article defines familial testicular germ cell tumours (FTGCTs) as testicular germ cell tumours (TGCTs) diagnosed in at least two blood relatives, a situation which occurs in 1–2% of all cases of TGCT. 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ispartof Baillière's best practice & research. Clinical endocrinology & metabolism, 2010-06, Vol.24 (3), p.503-513
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Animals
bcl-2 Homologous Antagonist-Killer Protein - genetics
Chromosome Deletion
Chromosome Mapping
Chromosomes, Human, Y
Endocrinology & Metabolism
familial testicular cancer germ cell tumours
genetic susceptibility
Genetic Variation - genetics
Genome-Wide Association Study
Humans
Intracellular Signaling Peptides and Proteins - genetics
KITLG-KIT signalling
Male
Neoplasms, Germ Cell and Embryonal - genetics
Neoplasms, Germ Cell and Embryonal - pathology
Nerve Tissue Proteins - genetics
Phosphoric Diester Hydrolases - genetics
Testicular Neoplasms - genetics
Testicular Neoplasms - pathology
title Familial testicular germ cell tumours
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