Li-Fraumeni Syndrome | li-fraumeni syndrome

SkiptoContentSearchMenuYouarehereHome>TypesofCancer>Li-FraumeniSyndromeRequestPermissionsLi-FraumeniSyndromeApprovedbytheCancer.NetEditorialBoard,01/2020WhatisLi-FraumeniSyndrome?TheLi-FraumeniSyndrome(LFS)isahereditarycancerpredispositionsyndromefirstreportedin1969byDrs.FrederickLiandJosephFraumenifromtheNationalCancerInstitute.Whatcaughttheirattentionwasthewiderangeofcancersfoundinaffectedfamilies,theinheritedhigherriskofdevelopingcanceracrossseveralgenerations,andtherelativelyearlyageofthecancerdiagnosiswithnearlyhalfofaffectedindividualshavingacancerdiagnosisbeforeage30.ThemostcommontypesofcancerfoundinfamilieswithLFSincludeosteosarcoma(bonecancer),softtissuesarcoma,acuteleukemia,breastcancer,braincancer,andadrenalcorticaltumors,whichinvolvesanorganonthetopofthekidney.Anincreasedriskformelanoma,Wilms'tumor,whichisatypeofkidneycancer,andcancersofthestomach,colon,pancreas,esophagus,lung,andgonadalgermcells(sexorgans)havealsobeenreported.WhatcausesLFS?LFSisahereditarygeneticcondition.Thismeansthatthecancerriskcanbepassedfromgenerationtogenerationinafamily.Thisconditionismostcommonlycausedbyamutation(alteration)inagenecalledTP53,whichisthegeneticblueprintforaproteincalledp53.Themutationtakesawaythegene’sabilitytofunctioncorrectly.Approximately70%offamilieswithLFSwillhaveamutationintheTP53gene.MutationsintheTP53genearealsofoundin22%offamilieswhohaveLi-Fraumeni-likeSyndrome(LFL)byDefinition1andin8%offamilieswhohaveLFLbyDefinition2(seefulldefinitions,below).Mutationsinanothergene,calledCHEK2,havebeenfoundinsomefamilieswithLFS.ItisnotknownwhetherthecancerrisksarethesameinfamiliesthathaveTP53mutationsandCHEK2mutations.However,withtheincreaseinmultiple-genepaneltesting,manycarriersofCHEK2mutationsarebeingidentified,mostwithfarlessincidenceofcancerintheirfamilyhistoriesthanwithLFS.ResearchisongoingtoidentifyothergenesassociatedwithLFSandLFL.HowisLFSinherited?Normally,everycellhas2copiesofeachgene:1inheritedfromthemotherand1inheritedfromthefather.LFSfollowsanautosomaldomina


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