Table 1.

A summary of current knowledge regarding the molecular mechanisms of subsequent neoplasms

ReferenceType of subsequent neoplasmGenes/genetic variants/molecular pathways associated with subsequent neoplasms
Subsequent breast cancer 
Wang et al17  Radiation-related subsequent breast cancer Pathogenic/likely pathogenic mutations in 60 cancer predisposition genes 
Wang et al17 
 
Subsequent breast cancer without exposure to radiation Pathogenic/likely pathogenic mutations in 60 cancer predisposition genes 
Qin et al18  Radiation-related subsequent breast cancer or breast cancer after exposure to higher doses of anthracyclines Mutations in homologous recombination genes 
Morton et al19  Radiation-related breast cancer rs4342822, nearest gene PROX1 
Best et al20  SNs (primarily radiation-related breast cancer) Two variants at chromosome 6q21. The variants compose a risk locus associated with decreased basal expression of PRDM1 and impaired induction of the PRDM1 protein after radiation exposure. 
Opstal-van Winden et al26  Radiation-related breast cancer SNP in the PVT1 oncogene 
Subsequent sarcoma 
Wang et al17  Radiation-related subsequent sarcoma Pathogenic/likely pathogenic mutations in 60 cancer predisposition genes 
Qin et al18  Subsequent sarcoma after exposure to high doses of alkylating agents Mutations in homologous recombination genes 
Subsequent thyroid cancer 
Qin et al18  Radiation-related thyroid cancer Nucleotide excision repair gene mutations 
Gramatges et al21  Radiation-related thyroid cancer Reduced telomere content 
Richard et al22  Radiation-related thyroid cancer The minor allele at protection of telomeres-1 (POT1) rs58722976 was associated with increased risk for subsequent thyroid cancer. 
Man et al23  Radiation-related thyroid cancer Childhood cancer survivors with subsequent thyroid cancer had shorter median lymphocyte telomere length than controls in leukocyte subsets (natural killer cell, naive T cell). 
Subsequent basal cell carcinoma 
Wang et al17  Subsequent BBC without exposure to radiation Pathogenic/likely pathogenic mutations in 60 cancer predisposition genes 
Sapkota et al24  Subsequent BBC Risk locus in HTR2A that was specific to survivors with reduced clinical risk 
Wang et al29  Radiation-related brain tumors SNPs (rs15869 [BRCA2], rs1805389 [LIG4], rs8079544 [TP53], rs25489 [XRCC1], rs1673041 [POLD1], and rs11615 [ERCC1]) 
Multiple subsequent neoplasms 
Wang et al17  Multiple subsequent neoplasms without exposure to radiation Pathogenic/likely pathogenic mutations in 60 cancer predisposition genes 
ReferenceType of subsequent neoplasmGenes/genetic variants/molecular pathways associated with subsequent neoplasms
Subsequent breast cancer 
Wang et al17  Radiation-related subsequent breast cancer Pathogenic/likely pathogenic mutations in 60 cancer predisposition genes 
Wang et al17 
 
Subsequent breast cancer without exposure to radiation Pathogenic/likely pathogenic mutations in 60 cancer predisposition genes 
Qin et al18  Radiation-related subsequent breast cancer or breast cancer after exposure to higher doses of anthracyclines Mutations in homologous recombination genes 
Morton et al19  Radiation-related breast cancer rs4342822, nearest gene PROX1 
Best et al20  SNs (primarily radiation-related breast cancer) Two variants at chromosome 6q21. The variants compose a risk locus associated with decreased basal expression of PRDM1 and impaired induction of the PRDM1 protein after radiation exposure. 
Opstal-van Winden et al26  Radiation-related breast cancer SNP in the PVT1 oncogene 
Subsequent sarcoma 
Wang et al17  Radiation-related subsequent sarcoma Pathogenic/likely pathogenic mutations in 60 cancer predisposition genes 
Qin et al18  Subsequent sarcoma after exposure to high doses of alkylating agents Mutations in homologous recombination genes 
Subsequent thyroid cancer 
Qin et al18  Radiation-related thyroid cancer Nucleotide excision repair gene mutations 
Gramatges et al21  Radiation-related thyroid cancer Reduced telomere content 
Richard et al22  Radiation-related thyroid cancer The minor allele at protection of telomeres-1 (POT1) rs58722976 was associated with increased risk for subsequent thyroid cancer. 
Man et al23  Radiation-related thyroid cancer Childhood cancer survivors with subsequent thyroid cancer had shorter median lymphocyte telomere length than controls in leukocyte subsets (natural killer cell, naive T cell). 
Subsequent basal cell carcinoma 
Wang et al17  Subsequent BBC without exposure to radiation Pathogenic/likely pathogenic mutations in 60 cancer predisposition genes 
Sapkota et al24  Subsequent BBC Risk locus in HTR2A that was specific to survivors with reduced clinical risk 
Wang et al29  Radiation-related brain tumors SNPs (rs15869 [BRCA2], rs1805389 [LIG4], rs8079544 [TP53], rs25489 [XRCC1], rs1673041 [POLD1], and rs11615 [ERCC1]) 
Multiple subsequent neoplasms 
Wang et al17  Multiple subsequent neoplasms without exposure to radiation Pathogenic/likely pathogenic mutations in 60 cancer predisposition genes 
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