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BAP1 activates Mesothelioma. 18 / 18
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"On the other hand, the occasionally described heterozygous deletions of these genes cannot be completely excluded in our series, because NGS procedure and mode of data analysis were not sensitive to moderate CNV (copy number variation), the detection of which was not the aim of this panel.Germline mutations in BAP1 are known to underlie sometimes melanomas, renal cell carcinomas, malignant mesotheliomas, and some other cancers [31]."
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"The data show that the top 2 mutant genes in both groups are BAP1 and NF2, which is consistent with the conclusion that the inactivation of BAP1 with loss of NF2 or CDKN2A promotes the development of malignant mesothelioma in approximately 20% of mice with double conditional knockout (CKO), as already reported in the previous literature."
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"In summary, neither BAP1 nor CDKN2A inactivation contributed to mesothelioma, at least in one of these three patients.We considered whether the 2 BARD1 mutations and the BARD1 deletion described above might be causally linked to mesothelioma because of their high in silico pathogenicity prediction scores, their low frequency in the human population, the early onset of these mesotheliomas and the unusually significant prolonged survival of these three patients."
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"In this regard, mesothelioma is considered a malignancy that cannot be cured surgically; however, there are a few cases of patients from families with malignant mesothelioma caused by germline BAP1 or other tumor suppressor mutations who, because of screening and a high degree of suspicion, underwent surgery at a very early stage, and most of them are alive and apparently tumor-free 10 years postsurgical resection (2 of them at 18 years and 21 years, respectively, postsurgery)."