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Familial clear cell renal cancer

Identity

Note Renal cell carcinomas (RCC) represent 85% of all primary renal tumors. In general, RCCs are sporadic tumors but cases of familial RCC have also been reported. If detected early and without metastases, the disease can be cured surgically with conservation of renal function. Both familial and sporadic cases have in common the presence of abnormalities involving chromosome 3, suggesting a primary role for this chromosome in RCC causation, particularly the clear cell type. An early gene rearrangement due to translocation may be a primary event. Loss of 3p and somatic mutation(s) in a tumor-surpressor-gene(s) on 3p (e.g.VHL) may be recurring events related to tumor progression
Inheritance The inherited form of renal cancer is characterized by :
- the tumor is found at an early age compared to sporadic tumors (see below)
- the tumors are found frequently bilateral
- multiple occurrence.
Other (well known) classes of inherited renal cell carcinomas are:
  • the Von Hippel-Lindau syndrome, and
  • the Lynch syndrome II.
    Also chromosome abnormalities may be related to inherited renal cancer.
  • Clinics

    Note No phenotypic sign.
    Neoplastic risk Multiple and/or bilateral nonpapillary renal cell carcinomas, with median age 45 yrs at diagnosis (range 18-79 yrs, most cases being between 35 and 55 yrs old).
    Treatment If the tumor is detected at an early stage the tumor can be surgical removed, without the lost of the renal function.
    Prognosis Depends on the stage of the tumor at the time of detection.

    Cytogenetics

    Note Clear-cell renal cell carcinomas are associated with chromosome 3 translocations and deletions of 3p.

    Genes involved and Proteins

     
    Gene NameFHIT
    Location 3p14.2
    Note FHIT is a breakpoint spanning gene on chromosome 3 in a constitutional familial case of a t(3;8)(p14;q24) translocation.
    DNA/RNA
    Description 10 exons
    Protein
    Description 147 amino acids

     
    Gene NameTRC8
    Location 8q24
    Note TRC8 is a breakpoint spanning gene on chromosome 8 in a constitutional familial case of a t(3;8)(p14;q24) translocation.

     
    Gene NameDIRC2
    Location 3q21
    Note Dirc2 is a breakpointspanning gene on chromosome 3 in a constitutional familial case of a t(2;3)(q35;q21) translocation.
    DNA/RNA
    Description The gene spans 73 kb, 9 exons.
    Protein
    Description 478 amino acids
    Expression Expression in pancreas, kidney, skeletal muscle, liver, lung, placenta, brain and heart.
    Localisation Proximal tubular cells of the kidney.
    Function May be a transporter.

     
    Gene NameDIRC3
    Location 2q35
    Note Dirc3 is a breakpointspanning gene on chromosome 2 in a constitutional familial case of a t(2;3)(q35;q21) translocation.
    DNA/RNA
    Description The gene spans 3071 bp and contains 12 exons.

     
    Gene NameDIRC1
    Location 2q33
    Note Dirc1 is a breakpointspanning gene on chromosome 2 in a constitutional familial case of a t(2;3)(q33;q22) translocation.
    DNA/RNA
    Description DIRC1 gene contains 2 exons and spans approximately 57 kb of genomic DNA

    To be noted

    External links

    OrphanetRenal cell carcinoma, familial

    Bibliography

    A new inducible fragile site on chromosome 3(p14.2) in human lymphocytes.
    Wegner RD
    Human genetics. 1983 ; 63 (3) : 297-298.
    PMID 6852828
     
    Involvement of band 3p14 in t(3;8) hereditary renal carcinoma.
    Wang N, Perkins KL
    Cancer genetics and cytogenetics. 1984 ; 11 (4) : 479-481.
    PMID 6704944
     
    An alternative route for multistep tumorigenesis in a novel case of hereditary renal cell cancer and a t(2;3)(q35;q21) chromosome translocation.
    Bodmer D, Eleveld MJ, Ligtenberg MJ, Weterman MA, Janssen BA, Smeets DF, de Wit PE, van den Berg A, van den Berg E, Koolen MI, Geurts van Kessel A
    American journal of human genetics. 1998 ; 62 (6) : 1475-1483.
    PMID 9585616
     
    The DIRC1 gene at chromosome 2q33 spans a familial RCC-associated t(2;3)(q33;q21) chromosome translocation.
    Druck T, Podolski J, Byrski T, Wyrwicz L, Zajaczek S, Kata G, Borowka A, Lubinski J, Huebner K
    Journal of human genetics. 2001 ; 46 (10) : 583-589.
    PMID 11587072
     
    Characterization of a familial RCC-associated t(2;3)(q33;q21) chromosome translocation.
    Podolski J, Byrski T, Zajaczek S, Druck T, Zimonjic DB, Popescu NC, Kata G, Borowka A, Gronwald J, Lubinski J, Huebner K
    Journal of human genetics. 2001 ; 46 (12) : 685-693.
    PMID 11776380
     
    Disruption of a novel MFS transporter gene, DIRC2, by a familial renal cell carcinoma-associated t(2;3)(q35;q21).
    Bodmer D, Eleveld M, Kater-Baats E, Janssen I, Janssen B, Weterman M, Schoenmakers E, Nickerson M, Linehan M, Zbar B, van Kessel AG
    Human molecular genetics. 2002 ; 11 (6) : 641-649.
    PMID 11912179
     
    The TRC8 hereditary kidney cancer gene suppresses growth and functions with VHL in a common pathway.
    Gemmill RM, Bemis LT, Lee JP, Sozen MA, Baron A, Zeng C, Erickson PF, Hooper JE, Drabkin HA
    Oncogene. 2002 ; 21 (22) : 3507-3516.
    PMID 12032852
     
    Disruption of a novel gene, DIRC3, and expression of DIRC3-HSPBAP1 fusion transcripts in a case of familial renal cell cancer and t(2;3)(q35;q21).
    Bodmer D, Schepens M, Eleveld MJ, Schoenmakers EF, Geurts van Kessel A
    Genes, chromosomes & cancer. 2003 ; 38 (2) : 107-116.
    PMID 12939738
     
    Molecular study of a new family with hereditary renal cell carcinoma and a translocation t(3;8)(p13;q24.1).
    Melˆ©ndez B, Rodrˆ‚guez-Perales S, Martˆ‚nez-Delgado B, Otero I, Robledo M, Martˆ‚nez-Ramˆ‚rez A, Ruiz-Llorente S, Urioste M, Cigudosa JC, Benˆ‚tez J
    Human genetics. 2003 ; 112 (2) : 178-185.
    PMID 12522559
     
    REVIEW articlesautomatic search in PubMed
    Last year publicationsautomatic search in PubMed

    Contributor(s)

    Written10-2003Anita Bonné, Danielle Bodmer, Marc Eleveld, Eric Schoenmakers, Ad Geurts van Kessel
    Department of Human Genetics (417), P.O. Box 9101, 6500 HB Nijmegen, The Netherlands

    Citation

    This paper should be referenced as such :
    Bonné A, Bodmer D, Eleveld M, Schoenmakers EFPMG, Geurts van Kessel A . Familial clear cell renal cancer. Atlas Genet Cytogenet Oncol Haematol. October 2003 .
    URL : http://AtlasGeneticsOncology.org/Kprones/FamClearCellRenalID10081.html

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    indexed on : Wed Feb 10 18:14:20 CET 2010

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