Difference between revisions of "Li-Fraumeni syndrome"

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'''Li-Fraumeni syndrome''' is due to germline mutations in the gene TP53 (p53),<ref name=omim191170>{{OMIM|191170}}</ref> an important regulator of [[apoptosis]] and the cell cycle, i.e. cell division.  It is implicated in a very large number of sporadic cancer.
'''Li-Fraumeni syndrome''', also known as '''SBLA syndrome''', is due to germline mutations in the gene TP53 (p53),<ref name=omim191170>{{OMIM|191170}}</ref> an important regulator of [[apoptosis]] and the cell cycle, i.e. cell division.  It is implicated in a very large number of sporadic cancer.


Individuals with Li-Fraumeni syndrome are predisposed to cancer.  TP53 is considered to be a tumour suppressor and like most tumour suppressors, inheritance is autosomal dominant.
Individuals with Li-Fraumeni syndrome are predisposed to cancer.  TP53 is considered to be a tumour suppressor and like most tumour suppressors, inheritance is autosomal dominant.
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*Acute [[leukemia]].<ref name=emed987356ov/>
*Acute [[leukemia]].<ref name=emed987356ov/>
*[[Soft tissue lesions|Soft tissue sarcomas]].<ref name=emed987356ov/>  
*[[Soft tissue lesions|Soft tissue sarcomas]].<ref name=emed987356ov/>  
The alternate name '''SBLA syndrome''' is a ''mnemonic'':<ref name=omim151623>{{OMIM|151623}}</ref>
*[[Sarcoma|'''S'''arcomas]].
*[[Invasive breast cancer|'''B'''rest cancer]].
*[[brain tumours|'''B'''rain tumours]].
*[[leukemia|'''L'''eukemia]].
*'''L'''aryngeal carcinoma.
*[[Lung cancer|'''L'''ung cancer]].
*[[Adrenal cortical carcinoma|'''A'''drenal cortical carcinoma]].


==Li-Fraumeni variant==
==Li-Fraumeni variant==
A germline mutation in CHEK2<ref name=omim604373>{{OMIM|604373}}</ref> is considered to be a '''Li-Fraumeni variant''', as it interacts with TP53 and BRCA1.
A germline mutation in CHEK2<ref name=omim604373>{{OMIM|604373}}</ref> is considered to be a '''Li-Fraumeni variant''', as it interacts with TP53 and BRCA1.


CHEK2 mutations are most strongly associated with [[breast cancer]] and [[colon cancer]]; thus, it is also known as ''hereditary breast & colorectal cancer'' (HBCC).<ref name=omim604373/>  In addition to breast and colon cancers, it has also been associated with prostate, kidney and thyroid cancer.<ref>{{Ref PCPBoD8|545}}</ref>
CHEK2 mutations are most strongly associated with [[breast cancer]] and [[colon cancer]]; thus, it is also known as ''hereditary breast & colorectal cancer'' (HBCC).<ref name=omim604373/>  In addition to breast and colon cancers, it has also been associated with prostate, kidney and thyroid cancer.<ref name=Ref_PCPBoD8_545>{{Ref PCPBoD8|545}}</ref>


''CHEK2'' associated cancers in a list:
''CHEK2'' associated cancers in a list:
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