{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T08:08:24Z","timestamp":1790842104513,"version":"4.1.0"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2019,6,21]],"date-time":"2019-06-21T00:00:00Z","timestamp":1561075200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2019,6,21]],"date-time":"2019-06-21T00:00:00Z","timestamp":1561075200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The cancer-predisposing syndrome caused by biallelic mutations in <jats:italic>NTHL1<\/jats:italic> may not be a solely colorectal cancer (CRC) and polyposis syndrome but rather a multi-tumor recessive disease. The presence of \u226410 adenomas in several mutation carriers suggests a possible causal role of <jats:italic>NTHL1<\/jats:italic> in hereditary or early-onset nonpolyposis CRC. The involvement of <jats:italic>NTHL1<\/jats:italic> in serrated\/hyperplastic polyposis remains unexplored. The aim of our study is to elucidate the role of <jats:italic>NTHL1<\/jats:italic> in the predisposition to personal or familial history of multiple tumor types, familial\/early-onset nonpolyposis CRC, and serrated polyposis. <jats:italic>NTHL1<\/jats:italic> mutational screening was performed in 312 cancer patients with personal or family history of multiple tumor types, 488 with hereditary nonpolyposis CRC, and 96 with serrated\/hyperplastic polyposis. While no biallelic mutation carriers were identified in patients with personal and\/or family history of multiple tumor types or with serrated polyposis, one was identified among the 488 nonpolyposis CRC patients. The carrier of c.268C&gt;T (p.Q90*) and 550-1G&gt;A was diagnosed with CRC and meningioma at ages 37 and 45 respectively, being reclassified as attenuated adenomatous polyposis after the cumulative detection of 26 adenomas. Our findings suggest that biallelic mutations in <jats:italic>NTHL1<\/jats:italic> rarely cause CRC, a personal\/familial multi-tumor history, or serrated polyposis, in absence of adenomas.<\/jats:p>","DOI":"10.1038\/s41598-019-45281-1","type":"journal-article","created":{"date-parts":[[2019,6,21]],"date-time":"2019-06-21T10:02:56Z","timestamp":1561111376000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["NTHL1 biallelic mutations seldom cause colorectal cancer, serrated polyposis or a multi-tumor phenotype, in absence of colorectal adenomas"],"prefix":"10.1038","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0528-9187","authenticated-orcid":false,"given":"Sami","family":"Belhadj","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Quintana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pilar","family":"Mur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pau M.","family":"Munoz-Torres","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0285-5451","authenticated-orcid":false,"given":"M. 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