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                  <mods:namePart>Cascón, Alberto</mods:namePart>
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               <mods:identifier type="citation">Cancers (Basel)  . 2020 Nov 9;12(11):3304</mods:identifier>
               <mods:identifier type="journal">Cancers (BASEL)</mods:identifier>
               <mods:identifier type="pubmedID">33182397</mods:identifier>
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               <mods:abstract>Over the past few years, next generation technologies have been applied to unravel the genetics of rare inherited diseases, facilitating the discovery of new susceptibility genes. We recently found germline  gain-of-function variants in two patients with head and neck paragangliomas causing a characteristic hypermethylated DNA profile. Here, whole-exome sequencing identifies a novel germline  variant (p.Gly332Arg) in a patient with bilateral carotid paragangliomas, papillary thyroid carcinoma and idiopathic intellectual disability. The variant, located in the Pro-Trp-Trp-Pro (PWWP) domain of the protein involved in chromatin targeting, affects a residue mutated in papillary thyroid tumors and located between the two residues found mutated in microcephalic dwarfism patients. Structural modelling of the variant in the DNMT3A PWWP domain predicts that the interaction with H3K36me3 will be altered. An increased methylation of  target genes, compatible with a gain-of-function effect of the alteration, was observed in saliva DNA from the proband and in one independent acute myeloid leukemia sample carrying the same p.Gly332Arg variant. Although further studies are needed to support a causal role of  variants in paraganglioma, the description of a new  alteration in a patient with multiple clinical features suggests a heterogeneous phenotypic spectrum related to  germline variants.</mods:abstract>
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               <mods:subject>
                  <mods:topic>papillary thyroid carcinoma</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>paraganglioma</mods:topic>
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               <mods:titleInfo>
                  <mods:title>Novel  Germline Variant in a Patient with Multiple Paragangliomas and Papillary Thyroid Carcinoma.</mods:title>
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