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Retinoblastoma Genes in Chinese Studies

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Advances in Vision Research, Volume II

Abstract

Retinoblastoma is the commonest pediatric intraocular malignancy across most ethnic populations. Its genetic basis follows a two-hit model, in which two events are needed to inactivate both alleles of the disease-causative gene, RB1. Loss of heterozygosity (LOH) is a major driving force to inactivate the whole RB1 gene. Epigenetic modifications such as DNA methylation involving different genes and microRNA (miRNA) expressions also play important roles in retinoblastoma tumorigenesis. Functionally, as RB1 is important in maintaining chromosomal stability and cell cycle progression, loss of its function would underlie aberrations in other chromosomal regions. In addition, genes other than RB1 have been identified as direct or indirect causes of retinoblastoma tumorigenesis. In this chapter, we review the major genetic studies of retinoblastoma that have been conducted in Chinese. Contrasts with other ethnic groups will be made. These studies help us to understand the mechanisms of inactivating RB1, its functional consequences, and maintaining genome stability. Evidences have also been obtained on epigenetic contribution to retinoblastoma, especially by DNA repair genes. On the basis of the genetic and epigenetic findings, development of potential alternative therapy for retinoblastoma will be discussed, together with key issues in attempts of awareness campaign for early detection and genetic counselling.

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Bi Ning Zhang, Yuning Jiang, Wai Kit Chu, Winnie W.Y. Lau, Simon T.C. Ko, Kwong Wai Choy, Calvin C.P. Pang, Guy L.J. Chen, and Jason C.S. Yam declare that they have no conflict of interest.

No human or animal studies were performed by the authors for this article.

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Zhang, B.N. et al. (2019). Retinoblastoma Genes in Chinese Studies. In: Prakash, G., Iwata, T. (eds) Advances in Vision Research, Volume II. Essentials in Ophthalmology. Springer, Singapore. https://doi.org/10.1007/978-981-13-0884-0_24

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