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{{Retinoblastoma}}
{{Retinoblastoma}}
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==Overview==
==Overview==
Retinoblastoma is caused by a [[mutation]] in the ''RB1'' gene.<ref name="wiki">  Retinoblastoma. Wikipedia(2015) https://en.wikipedia.org/wiki/Retinoblastoma Accessed on October 10 2015</ref>
Retinoblastoma may be caused by [[mutation]] in both [[Allele|alleles]] of [[RB1]] [[tumor suppressor gene]] or due to [[somatic]] amplification of the ''MYCN'' [[oncogene]].
==Causes==
==Causes==
*In children with the heritable genetic form of retinoblastoma there is a [[mutation]] on [[chromosome 13]], called the ''[[RB1]]'' [[gene]]. The genetic codes found in chromosomes control the way in which cells grow and develop within the body.<ref name="DuPogoriler2006">{{cite journal|last1=Du|first1=W|last2=Pogoriler|first2=J|title=Retinoblastoma family genes|journal=Oncogene|volume=25|issue=38|year=2006|pages=5190–5200|issn=0950-9232|doi=10.1038/sj.onc.1209651}}</ref> If a portion of the code is missing or altered (mutation) a cancer may develop. The defective [[RB1 gene]] can be inherited from either parent; in some children, however, the mutation occurs in the early stages of fetal development. Inheritance is [[autosomal dominant]] with 90% penetrance.<ref name="wiki">  Retinoblastoma. Wikipedia(2015) https://en.wikipedia.org/wiki/Retinoblastoma Accessed on October 10 2015</ref>
'''[[Heritable]] Retinoblastoma'''
*The development of retinoblastoma can be explained by the two-hit model. According to the two-hit model, two events are necessary for the [[retinal]] [[cell]] or cells to develop into [[tumors]]. The first mutational event can be inherited (germline or constitutional) and would then be present in all cells in the body. The second “hit” results in the loss of the remaining normal allele ([[gene]]) and occurs within a particular retinal cell. In the sporadic, nonheritable form of retinoblastoma, both mutational events occur within a single retinal cell after fertilization (somatic events), resulting in unilateral retinoblastoma.
*In [[Child|children]] with the [[heritable]] [[genetic]] form of retinoblastoma, there is a [[mutation]] of ''[[RB1]]'' [[gene]] on [[chromosome 13]].<ref name="DuPogoriler2006">{{cite journal|last1=Du|first1=W|last2=Pogoriler|first2=J|title=Retinoblastoma family genes|journal=Oncogene|volume=25|issue=38|year=2006|pages=5190–5200|issn=0950-9232|doi=10.1038/sj.onc.1209651}}</ref>  
 
*[[Somatic]] amplification of the ''MYCN'' [[oncogene]] is responsible for some cases of [[Heredity|non-hereditary]], early-onset, aggressive, and unilateral retinoblastoma.
*Somatic amplification of the ''MYCN'' [[oncogene]] is responsible for some cases of non-hereditary, early-onset, aggressive, unilateral retinoblastoma.
'''Sporadic Heritable Retinoblastoma'''
 
*The exact cause of the sporadic [[Heritability|heritable]] form of the [[disease]] is still unclear.  
*Since the sporadic form of retinoblastoma occurs due to a new [[germline mutation]], it should occur before [[conception]]. For this reason, [[Conception|preconception]] exposure to [[Mutagen|mutagens]] is [[Hypothesis|hypothesized]] to be a potential [[risk factors|risk factor]].<ref>{{cite book | last = Singh | first = Arun | title = Clinical ophthalmic oncology | publisher = Elsevier Saunders | location = Edinburgh | year = 2007 | isbn = 978-1-4160-3167-3 }}</ref>
*[[13q deletion syndrome]] may also cause retinoblastoma. However, the [[tumor]] tends to occur at a later age and unilaterally.<ref name="ClarkAvishay2015">{{cite journal|last1=Clark|first1=Robin D.|last2=Avishay|first2=Stefanie G.|title=Retinoblastoma: Genetic Counseling and Testing|year=2015|pages=77–88|doi=10.1007/978-3-662-43451-2_8}}</ref>
==References==
==References==
{{reflist|2}}
{{reflist|2}}
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[[Category:Disease]]
[[Category:Medicine]]
[[Category:Ophthalmology]]
[[Category:Oncology]]
[[Category:hereditary cancers]]
[[Category:Up-To-Date]]
[[Category:Surgery]]

Latest revision as of 23:59, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2] Sahar Memar Montazerin, M.D.[3]

Overview

Retinoblastoma may be caused by mutation in both alleles of RB1 tumor suppressor gene or due to somatic amplification of the MYCN oncogene.

Causes

Heritable Retinoblastoma

Sporadic Heritable Retinoblastoma

References

  1. Du, W; Pogoriler, J (2006). "Retinoblastoma family genes". Oncogene. 25 (38): 5190–5200. doi:10.1038/sj.onc.1209651. ISSN 0950-9232.
  2. Singh, Arun (2007). Clinical ophthalmic oncology. Edinburgh: Elsevier Saunders. ISBN 978-1-4160-3167-3.
  3. Clark, Robin D.; Avishay, Stefanie G. (2015). "Retinoblastoma: Genetic Counseling and Testing": 77–88. doi:10.1007/978-3-662-43451-2_8.