AI Article Synopsis

  • - Small intestine-neuroendocrine tumors (SI-NETs) are common tumors in the small bowel, with an increasing incidence, but the reasons behind their development are still unclear.
  • - Recent studies suggested a potential link between SI-NETs and genetic conditions like Lynch syndrome and MUTYH variants, which could influence treatment options.
  • - However, this study found that none of the 64 SI-NETs displayed deficiencies in mismatch repair genes or MUTYH hotspot variants, indicating no association with these genetic factors and suggesting that future research should explore other potential causes of SI-NETs.

Article Abstract

Small intestine-neuroendocrine tumors (SI-NETs) are one of the most common tumors of the small bowel. Despite an increasing incidence, the exact mechanisms driving underlying pathology remain to be determined. Interestingly, recent studies linked the development of (SI-)NETs to both Lynch syndrome (LS) and MUTYH variants. If confirmed, these associations would have important consequences for treatment. In this study we therefore investigated the prevalence of mismatch repair (MMR) deficiency and MUTYH variants in 64 primary resected SI-NETs. Immunohistochemistry was used to assess the expression of the MMR genes, and competitive allele-specific PCR (KASPar) targeting two hotspot MUTYH variants [p.(Tyr179Cys), p.(Gly396Asp)] was performed to determine their prevalence in SI-NETs. Strikingly, all 64 SI-NETs stained positive for MSH6 and PMS2, indicating MMR proficiency. In addition, no MUTYH hotspot variant was found in any of the 64 SI-NETs. As such, these results do not support an association between SI-NET development and LS or MUTYH variants. In order to gain insight into SI-NET pathogenesis and optimally manage patients, future research should therefore focus on other candidate genes.

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http://dx.doi.org/10.1016/j.humpath.2022.04.003DOI Listing

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