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Recommended guidelines for validation, quality control, and reporting of TP53 variants in clinical practice

  • Bernard Leroy
  • , Mandy L. Ballinger
  • , Fanny Baran-Marszak
  • , Gareth L. Bond
  • , Antony Braithwaite
  • , Nicole Concin
  • , Lawrence A. Donehower
  • , Wafik S. El-Deiry
  • , Pierre Fenaux
  • , Gianluca Gaidano
  • , Anita Langerød
  • , Eva Hellstrom-Lindberg
  • , Richard Iggo
  • , Jacqueline Lehmann-Che
  • , Phuong L. Mai
  • , David Malkin
  • , Ute M. Moll
  • , Jeffrey N. Myers
  • , Kim E. Nichols
  • , Sarka Pospisilova
  • Patricia Ashton-Prolla, Davide Rossi, Sharon A. Savage, Louise C. Strong, Patricia N. Tonin, Robert Zeillinger, Thorsten Zenz, Joseph F. Fraumeni, Peter E.M. Taschner, Pierre Hainaut, Thierry Soussi
  • Sorbonne Université
  • Garvan Institute of Medical Research
  • Hôpital Avicenne
  • University of Oxford
  • University of Otago
  • The University of Sydney
  • Innsbruck Medical University
  • Baylor College of Medicine
  • Fox Chase Cancer Center
  • Université Paris Cité
  • University of Eastern Piedmont
  • University of Oslo
  • Karolinska Institutet
  • Université de Bordeaux
  • University of Pittsburgh
  • University of Toronto
  • University of Texas MD Anderson Cancer Center
  • St. Jude Children Research Hospital
  • Masaryk University
  • Universidade Federal do Rio Grande do Sul
  • National Institutes of Health
  • McGill University
  • Medical University of Vienna
  • Heidelberg University 
  • German Cancer Research Center
  • University of Applied Sciences Leiden
  • Université Grenoble Alpes
  • Centre de Recherche des Cordeliers

Research output: Contribution to journalReview articlepeer-review

79 Scopus citations

Abstract

Accurate assessment of TP53 gene status in sporadic tumors and in the germline of individuals at high risk of cancer due to Li-Fraumeni Syndrome (LFS) has important clinical implications for diagnosis, surveillance, and therapy. Genomic data from more than 20,000 cancer genomes provide a wealth of information on cancer gene alterations and have confirmed TP53 as the most commonly mutated gene in human cancer. Analysis of a database of 70,000 TP53 variants reveals that the two newly discovered exons of the gene, exons 9b and 9g, generated by alternative splicing, are the targets of inactivating mutation events in breast, liver, and head and neck tumors. Furthermore, germline rearrangements in intron 1 of TP53 are associated with LFS and are frequently observed in sporadic osteosarcoma. In this context of constantly growing genomic data, we discuss how screening strategies must be improved when assessing TP53 status in clinical samples. Finally, we discuss how TP53 alterations should be described by using accurate nomenclature to avoid confusion in scientific and clinical reports.

Original languageEnglish
Pages (from-to)1250-1260
Number of pages11
JournalCancer Research
Volume77
Issue number6
DOIs
StatePublished - Mar 15 2017

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