Lab Med Online.  2023 Oct;13(4):301-307. 10.47429/lmo.2023.13.4.301.

Clinical Significance of MUTYH Germline Variant

Affiliations
  • 1Center for Cancer Prevention and Detection, Goyang, Korea
  • 2Targeted Therapy Branch, National Cancer Center, Goyang, Korea
  • 3Department of Laboratory Medicine and Genetics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
  • 4Department of Laboratory Medicine, Hanyang University College of Medicine, Guri, Korea
  • 5Department of Laboratory Medicine, Dong-A University Medical Center, Dong-A University College of Medicine, Busan, Korea
  • 6Department of Laboratory Medicine, Yonsei University College of Medicine, Seoul, Korea
  • 7Department of Preventive Medicine, Hanyang University College of Medicine, Seoul, Korea
  • 8Cancer Biomedical Science, Goyang, Korea
  • 9Department of Laboratory Medicine , National Cancer Center, Goyang, Korea

Abstract

The MUTYH germline pathogenic variant is known to increase the risk of polyposis and colorectal cancer with a recessive mode of inheritance. However, the risks of other cancers caused by the MUTYH variant are not well described. Herein we reviewed the characteristics of MUTYH-associated polyposis, colorectal cancer, and extracolonic cancers. Furthermore, we present the current National Comprehensive Cancer Network (NCCN) guideline on the screening program for the MUTYH variant. These may be helpful in clinical practice when counseling patients with the MUTYH germline variant.

Keyword

MUTYH; MUTYH-associated polyposis (MAP); Colorectal cancer; Genetic counseling

Reference

1. Curia MC, Catalano T, Aceto GM. 2020; MUTYH: Not just polyposis. World J Clin Oncol. 11:428–49. DOI: 10.5306/wjco.v11.i7.428. PMID: 32821650. PMCID: PMC7407923.
2. Yeh YC, Chang DY, Masin J, Lu AL. 1991; Two nicking enzyme systems specific for mismatch-containing DNA in nuclear extracts from human cells. J Biol Chem. 266:6480–4. DOI: 10.1016/S0021-9258(18)38143-2. PMID: 1848856.
3. Nielsen M, Morreau H, Vasen HF, Hes FJ. 2011; MUTYH-associated polyposis (MAP). Crit Rev Oncol Hematol. 79:1–16. DOI: 10.1016/j.critrevonc.2010.05.011. PMID: 20663686.
4. Vogt S, Jones N, Christian D, Engel C, Nielsen M, Kaufmann A, et al. 2009; Expanded extracolonic tumor spectrum in MUTYH-associated polyposis. Gastroenterology. 137:1976–85. DOI: 10.1053/j.gastro.2009.08.052. PMID: 19732775.
5. Hutchcraft ML, Gallion HH, Kolesar JM. 2021; MUTYH as an emerging predictive biomarker in ovarian cancer. Diagnostics (Basel). 11:84. DOI: 10.3390/diagnostics11010084. PMID: 33419231. PMCID: PMC7825630.
6. Kim H, Kim HJ, Chi SG, Joo GR, Dong SH, Kim BH, et al. 2005; Mutational analysis of MYH in patients with multiple sporadic adenomatous polyps in Korea. Intest Res. 3:27–32.
7. Kim HS, Kim HJ, Chi SG, Nam KD, Jang JY, Kim NH, et al. 2004; A case of APC, MMR, MYH negative Turcot's syndrome. Intest Res. 2:113–9.
8. Kim H, Kim HJ, Chi SG, Lee SK, Joo GR, Dong SH, et al. 2006; Absence of MutY homologue mutation in patients with multiple sporadic adenomatous polyps in Korea. World J Gastroenterol. 12:951–5. DOI: 10.3748/wjg.v12.i6.951. PMID: 16521226. PMCID: PMC4066163.
9. Kim IJ, Ku JL, Kang HC, Park JH, Yoon KA, Shin Y, et al. 2004; Mutational analysis of OGG1, MYH, MTH1 in FAP, HNPCC and sporadic colorectal cancer patients: R154H OGG1 polymorphism is associated with sporadic colorectal cancer patients. Hum Genet. 115:498–503. DOI: 10.1007/s00439-004-1186-7. PMID: 15449173.
10. Kim JC, Ka IH, Lee YM, Koo KH, Kim HC, Yu CS, et al. 2007; MYH, OGG1, MTH1, and APC alterations involved in the colorectal tumorigenesis of Korean patients with multiple adenomas. Virchows Archiv. 450:311–9. DOI: 10.1007/s00428-006-0363-6. PMID: 17252231.
11. Kim DW, Kim IJ, Kang HC, Jang SG, Kim K, Yoon HJ, et al. 2007; Germline mutations of the MYH gene in Korean patients with multiple colorectal adenomas. Int J Colorectal Dis. 22:1173–8. DOI: 10.1007/s00384-007-0289-8. PMID: 17703316.
12. Nghiem Y, Cabrera M, Cupples CG, Miller JH. 1988; The mutY gene: a mutator locus in Escherichia coli that generates G·C → T·A transversions. Proc Natl Acad Sci U S A. 85:2709–13. DOI: 10.1073/pnas.85.8.2709. PMID: 3128795. PMCID: PMC280068.
13. Torrezan GT, da Silva FC, Krepischi AC, Santos ÉM, Ferreira Fde O, Rossi BM, et al. 2011; Breakpoint characterization of a novel large intragenic deletion of MUTYH detected in a MAP patient: case report. BMC Med Genet. 12:128. DOI: 10.1186/1471-2350-12-128. PMID: 21962078. PMCID: PMC3203034.
14. Wood ML, Dizdaroglu M, Gajewski E, Essigmann JM. 1990; Mechanistic studies of ionizing radiation and oxidative mutagenesis: genetic effects of a single 8-hydroxyguanine (7-hydro-8-oxoguanine) residue inserted at a unique site in a viral genome. Biochemistry. 29:7024–32. DOI: 10.1021/bi00482a011. PMID: 2223758.
15. Moriya M, Ou C, Bodepudi V, Johnson F, Takeshita M, Grollman AP. 1991; Site-specific mutagenesis using a gapped duplex vector: a study of translesion synthesis past 8-oxodeoxyguanosine in E. coli. Mutat Res. 254:281–8. DOI: 10.1016/0921-8777(91)90067-Y. PMID: 2052015.
16. Nielsen M, Infante E, et al. Adam MP, Mirzaa GM, editors. 1993-2023. MUTYH polyposis. GeneReviews®. University of Washington;Seattle, WA:
17. Win AK, Jenkins MA, Dowty JG, Antoniou AC, Lee A, Giles GG, et al. 2017; Prevalence and penetrance of major genes and polygenes for colorectal cancer. Cancer Epidemiol Biomarkers Prev. 26:404–12. DOI: 10.1158/1055-9965.EPI-16-0693. PMID: 27799157. PMCID: PMC5336409.
18. International Society for Gastrointestinal Hereditary Tumours (InSiGHT). InSiGHT DNA Variant Database. http://insight-database.org/. Last accessed on June 2023.
19. Ricci MT, Miccoli S, Turchetti D, Bondavalli D, Viel A, Quaia M, et al. 2017; Type and frequency of MUTYH variants in Italian patients with suspected MAP: a retrospective multicenter study. J Hum Genet. 62:309–15. DOI: 10.1038/jhg.2016.132. PMID: 27829682.
20. Out AA, Tops CM, Nielsen M, Weiss MM, van Minderhout IJ, Fokkema IF, et al. 2010; Leiden Open Variation Database of the MUTYH gene. Hum Mutat. 31:1205–15. DOI: 10.1002/humu.21343. PMID: 20725929.
21. Mazzei F, Viel A, Bignami M. Role of MUTYH in human cancer. Mutat Res. 2013; 743:33–43. DOI: 10.1016/j.mrfmmm.2013.03.003. PMID: 23507534.
22. Yanaru-Fujisawa R, Matsumoto T, Ushijima Y, Esaki M, Hirahashi M, Gushima M, et al. 2008; Genomic and functional analyses of MUTYH in Japanese patients with adenomatous polyposis. Clin Genet. 73:545–53. DOI: 10.1111/j.1399-0004.2008.00998.x. PMID: 18422726.
23. Akcay IM, Celik E, Agaoglu NB, Alkurt G, Kizilboga Akgun T, Yildiz J, et al. 2021; Germline pathogenic variant spectrum in 25 cancer susceptibility genes in Turkish breast and colorectal cancer patients and elderly controls. Int J Cancer. 148:285–95. DOI: 10.1002/ijc.33199. PMID: 32658311.
24. Al-Tassan N, Chmiel NH, Maynard J, Fleming N, Livingston AL, Williams GT, et al. 2002; Inherited variants of MYH associated with somatic G:C → T:A mutations in colorectal tumors. Nat Genet. 30:227–32. DOI: 10.1038/ng828. PMID: 11818965.
25. Jones S, Emmerson P, Maynard J, Best JM, Jordan S, Williams GT, et al. 2002; Biallelic germline mutations in MYH predispose to multiple colorectal adenoma and somatic G:C → T:A mutations. Hum Mol Genet. 11:2961–7. DOI: 10.1093/hmg/11.23.2961. PMID: 12393807.
26. National Comprehensive Cancer Network. Genetic/Familial High-Risk Assessment: Colorectal Version 1.2023. https://www.nccn.org/professionals/physician_gls/pdf/genetics_colon.pdf. Last acessed on June 2023.
27. Win AK, Hopper JL, Jenkins MA. 2011; Association between monoallelic MUTYH mutation and colorectal cancer risk: a meta-regression analysis. Fam Cancer. 10:1–9. DOI: 10.1007/s10689-010-9399-5. PMID: 21061173. PMCID: PMC3228836.
28. Jones N, Vogt S, Nielsen M, Christian D, Wark PA, Eccles D, et al. 2009; Increased colorectal cancer incidence in obligate carriers of heterozygous mutations in MUTYH. Gastroenterology. 137:489–94. 494.e1quiz 725–6. DOI: 10.1053/j.gastro.2009.04.047. PMID: 19394335.
29. Win AK, Dowty JG, Cleary SP, Kim H, Buchanan DD, Young JP, et al. 2014; Risk of colorectal cancer for carriers of mutations in MUTYH, with and without a family history of cancer. Gastroenterology. 146:1208–11.e1-5. DOI: 10.1053/j.gastro.2014.01.022. PMID: 24444654. PMCID: PMC3992182.
30. Thompson AB, Sutcliffe EG, Arvai K, Roberts ME, Susswein LR, Marshall ML, et al. 2022; Monoallelic MUTYH pathogenic variants ascertained via multi-gene hereditary cancer panels are not associated with colorectal, endometrial, or breast cancer. Fam Cancer. 21:415–22. DOI: 10.1007/s10689-021-00285-7. PMID: 34981295.
31. Buecher B, Bonaïti C, Buisine MP, Colas C, Saurin JC. 2012; French experts report on MUTYH-associated polyposis (MAP). Fam Cancer. 11:321–8. DOI: 10.1007/s10689-012-9511-0. PMID: 22538434.
32. Miller DT, Lee K, Chung WK, Gordon AS, Herman GE, Klein TE, et al. 2021; ACMG SF v3.0 list for reporting of secondary findings in clinical exome and genome sequencing: a policy statement of the American College of Medical Genetics and Genomics (ACMG). Genet Med. 23:1381–90. DOI: 10.1038/s41436-021-01172-3. PMID: 34012068.
33. National Comprehensive Cancer Network. Genetic/Familial High-Risk Assessment: Colorectal, Version 3.2017. https://www2.tri-kobe.org/nccn/guideline/colorectal/english/genetics_colon.pdf. Last acessed on June 2023.
34. Win AK, Reece JC, Dowty JG, Buchanan DD, Clendenning M, Rosty C. 2016; Risk of extracolonic cancers for people with biallelic and monoallelic mutations in MUTYH. Int J Cancer. 139:1557–63. DOI: 10.1002/ijc.30197. PMID: 27194394. PMCID: PMC5094810.
35. Magrin L, Fanale D, Brando C, Corsini LR, Randazzo U, Di Piazza M, et al. 2022; MUTYH-associated tumor syndrome: the other face of MAP. Oncogene. 41:2531–9. DOI: 10.1038/s41388-022-02304-y. PMID: 35422474.
36. National Comprehensive Cancer Network. Genetic/Familial High-Risk Assessment: Breast, Ovarian, and Pancreatic Version 3.2023. https://www.nccn.org/professionals/physician_gls/pdf/genetics_bop.pdf. Last acessed on June 2023.
37. Skates SJ, Greene MH, Buys SS, Mai PL, Brown P, Piedmonte M, et al. 2017; Early detection of ovarian cancer using the risk of ovarian cancer algorithm with frequent CA125 testing in women at increased familial risk - combined results from two screening trials. Clin Cancer Res. 23:3628–37. DOI: 10.1158/1078-0432.CCR-15-2750. PMID: 28143870. PMCID: PMC5726402.
38. Minion LE, Dolinsky JS, Chase DM, Dunlop CL, Chao EC, Monk BJ. 2015; Hereditary predisposition to ovarian cancer, looking beyond BRCA1/BRCA2. Gynecol Oncol. 137:86–92. DOI: 10.1016/j.ygyno.2015.01.537. PMID: 25622547.
39. Rennert G, Lejbkowicz F, Cohen I, Pinchev M, Rennert HS, Barnett-Griness O. 2012; MutYH mutation carriers have increased breast cancer risk. Cancer. 118:1989–93. DOI: 10.1002/cncr.26506. PMID: 21952991.
40. Fulk K, LaDuca H, Black MH, Qian D, Tian Y, Yussuf A, et al. 2019; Monoallelic MUTYH carrier status is not associated with increased breast cancer risk in a multigene panel cohort. Fam Cancer. 18:197–201. DOI: 10.1007/s10689-018-00114-4. PMID: 30582135.
41. Ponti G, Ponz de Leon M, Maffei S, Pedroni M, Losi L, Di Gregorio C, et al. 2005; Attenuated familial adenomatous polyposis and Muir-Torre syndrome linked to compound biallelic constitutional MYH gene mutations. Clin Genet. 68:442–7. DOI: 10.1111/j.1399-0004.2005.00519.x. PMID: 16207212.
42. Pervaiz MA, Eppolito A, Schmidt K. 2010; Papillary thyroid cancer in a patient with MUTYH-associated polyposis (MAP). Fam Cancer. 9:595–7. DOI: 10.1007/s10689-010-9366-1. PMID: 20625837.
43. Sutcliffe EG, Bartenbaker Thompson A, Stettner AR, Marshall ML, Roberts ME, Susswein LR, et al. 2019; Multi-gene panel testing confirms phenotypic variability in MUTYH-associated polyposis. Fam Cancer. 18:203–9. DOI: 10.1007/s10689-018-00116-2. PMID: 30604180.
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