7. Clinical characteristics and mutations of RB1 gene in unilateral retinoblastoma patients

Dao Nguyen Ha Linh, Nguyen Van Huy, Pham Trong Van, Tran Van Khanh

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Abstract

Retinoblastoma (RB), an intraocular malignancy commonly diagnosed in children, is largely due to inactivating mutations of both alleles of the RB1 gene. Diagnosis of UNBVM is mainly based on clinical and subclinical conditions. This is a tumor that cannot be biopsied before enucleation due to the risk of spreading malignant cells, so imaging and genetic testing are important. In the rearch, 16 patients with unilateral retinoblastoma, the mean age of diagnosis was 26.3 ± 18 months. The most common first symptom was leukocoria (81.3%). The majority of patients had stage E disease (93.7%) and only 1 patient had a family history (6.3%). 56,3% patients with retinal detachment. 12/16 patients have mutations on the RB1 gene (75%), with a total of 14 different mutations, including mutations on exon (11/14) and splice site mutations (3/14). In 11 exon mutations, there are 10 point mutations (2 frameshift mutations, 7 nonsense mutations and 1 missense mutation), 1 deleted mutation with 01 novel mutation that has not been reported before.

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References

1. American cancer society. Tests for Retinoblastoma. In: Retinoblastoma Early Detection, Diagnosis, and Staging. Published 2018. https://www.cancer.org/content/dam/CRC/PDF/Public/8800.00.pdf.
2. Berry JL, Polski A, Cavenee WK, Dryja TP, Murphree AL, Gallie BL. The RB1 story: Characterization and cloning of the first tumor suppressor gene. Genes. 2019;10(11):879. doi: 10.3390/genes10110879.
3. Dimaras H, Corson TW. Retinoblastoma, the visible CNS tumor: A review. J Neurosci Res. 2019;97(1):29-44. doi: 10.1002/jnr.24213.
4. Davies HR, Broad KD, Onadim Z, et al. Whole-genome sequencing of retinoblastoma reveals the diversity of rearrangements disrupting RB1 and uncovers a treatment-related mutational signature. Cancers. 2021;13(4):754. doi: 10.3390/cancers13040754.
5. Tomar S, Sethi R, Sundar G, Quah TC, Quah BL, Lai PS. Mutation spectrum of RB1 mutations in retinoblastoma cases from Singapore with implications for genetic management and counselling. PloS One. 2017;12(6):e0178776. doi: 10.1371/journal.pone.0178776.
6. Nguyễn Ngọc Chung. Nghiên cứu đột biến gen RB1 và mối liên quan đến đặc điểm lâm sàng trên bệnh nhân u nguyên bào võng mạc. Trường Đại học Y Hà Nội; 2018.
7. Kaliki S, Srinivasan V, Gupta A, Mishra DK, Naik MN. Clinical features predictive of high-risk retinoblastoma in 403 Asian Indian patients: A case-control study. Ophthalmology. 2015;122(6):1165-1172. doi: 10.1016/j.ophtha.2015.01.018.
8. Kaliki S, Patel A, Iram S, Palkonda VAR, Mohamed A, Ramappa G. Retinoblastoma in India: Clinical presentation and outcome in 1457 patients (2074 eyes). Invest Ophthalmol Vis Sci. 2017;58(8):3341.
9. Kalsoom S, Wasim M, Afzal S, et al. Alterations in the RB1 gene in Pakistani patients with retinoblastoma using direct sequencing analysis. Mol Vis. 2015;21:1085.
10. ClinVar Miner. List of variants in gene RB1 reported as likely pathogenic. Accessed November 15, 2022. https://clinvarminer.genetics.utah.edu/variants-by-gene/RB1/significance/likely%20pathogenic.
11. Valverde JR, Alonso J, Palacios I, Pestaña A. RB1 gene mutation up-date, a meta-analysis based on 932 reported mutations available in a searchable database. BMC Genet. 2005;6:53. doi: 10.1186/1471-2156-6-53.
12. Whitaker LL, Su H, Baskaran R, Knudsen ES, Wang JYJ. Growth Suppression by an E2F-Binding-Defective Retinoblastoma Protein (RB): Contribution from the RB C Pocket. Mol Cell Biol. 1998;18(7):4032-4042.