Clinicopathological Features and RB1 Gene Polymorphism in Sudanese Retinoblastoma Patients
DOI:
https://doi.org/10.30683/1929-2279.2025.14.11Keywords:
Retinoblastoma, RB1 gene, Sudanese patients, Clinicopathological features, Genetic polymorphismAbstract
Background: Retinoblastoma is a highly aggressive eye cancer affecting infants and young children, with outcomes dependent on early diagnosis. Mortality remains high in low-resource settings. This study aimed to characterize retinoblastoma among Sudanese patients, including an analysis of clinicopathological features and the status of RB1 gene polymorphisms.
Material and Methods: This is cross-sectional study included 99 Sudanese patients diagnosed with retinoblastoma in Khartoum Teaching Eye Hospital and Mecca Eye Complex. Clinicopathological features and demographic data were retrieved from patient’s medical records and histopathology Laboratory Information System (LIS). Genomic DNA was isolated from formalin fixed paraffin embedded (FFPE) retinoblastoma tissue blocks. Detection of RB 1 gene polymorphism was conducted through Polymerase Chain Reaction (PCR). BLAT search genome used to compare the results of breakpoint sequencing with a reference genomic sequence.
Results: Total of 99 retinoblastoma patients were included, (53.5%) were female and (46.5%) were male, with (79.8%) having unilateral lesions and (20.2%) bilateral. Nerve invasion was present in (44.4%) of the cases. Half of patients were diagnosed at advance stage (T4) (58.6%) and at high grade were (Grade 3) (69.7%). (15%) of the cases were from Damazin state, followed by Nyala (13.1%).
Conclusion: Detection of retinoblastoma in Sudanese patients often occurs at advanced stages and grades, leading to poorer clinical outcomes. Genetic testing is crucial to identify individuals predisposed to this illness, enabling early intervention and management.
References
Ibrahim NO, Saleem M, Eltayeb E, Mekki S, Elnaim EG, Idris AB, Bashir S, Salim MA, Hassan MA. Molecular genetic analysis of RB1 gene among Sudanese children with retinoblastoma. bioRxiv 2019.
Abdalla MA, Mohammed Z. The pattern of pediatric malignancy and outcome in Khartoum Oncology Hospital, Sudan: a 15-year single-center experience. Pediatr Hematol Oncol J 2024; 9(1): 1-8.
Kato MV, Ishizaki K, Shimizu T, Ejima Y, Tanooka H, Takayama J, Kaneko A, Toguchida J, Sasaki MS. Parental origin of germ-line and somatic mutations in the retinoblastoma gene. Hum Genet 1994; 94(1): 31-8.
Kadam-Pai P, Su XY, Miranda JJ, Soemantri A, Saha N, Heng CK, Lai PS. Ethnic variations of a retinoblastoma susceptibility gene (RB1) polymorphism in eight Asian populations. J Genet 2003; 82(1-2): 33-7.
Viatour P, Sage J. Newly identified aspects of tumor suppression by RB. Dis Model Mech 2011; 4(5): 581-5.
Burkhart DL, Sage J. Cellular mechanisms of tumour suppression by the retinoblastoma gene. Nat Rev Cancer 2008; 8(9): 671-82.
Cavenee WK, Leach R, Mohandas T, Pearson P, White R. Isolation and regional localization of DNA segments revealing polymorphic loci from human chromosome 13. Am J Hum Genet 1984; 36(1): 10-24.
Anaya-Pava EJ, Nares-Cisneros J, Cárdenas-Hernández RI, Jaramillo-Rodríguez Y, Zambrano-Galván G. Study of polymorphisms in the TP53 and RB1 genes in children with retinoblastoma in northern Mexico. Mol Vis 2017; 23: 20-25.
Zhang Y, Wang Y, Huang D, Ma J, Zhang W, Gu H, Zhou Y, Yi Y, Zhang P. Correlation between family RB1 gene pathogenic variant with clinical features and prognosis of retinoblastoma under 5 years old. Dis Markers 2021; 2021: 9981028.
Azimi F, Naseripour M, Sedaghat A, Kachoei ZA, Khakpoor G. Association of RB1 rs9568036 and CDKN1A rs1801270 polymorphisms with retinoblastoma susceptibility. J Curr Ophthalmol 2022; 34(3): 328-332.
Mills MB, Hudgins L, Balise RR, Abramson DH, Kleinerman RA. Mutation risk associated with paternal and maternal age in a cohort of retinoblastoma survivors. Hum Genet 2012; 131(7): 1115-22.
Saremi L, Imani S, Rostaminia M, Nadeali Z. Parental age-related risk of retinoblastoma in Iranian children. Asian Pac J Cancer Prev 2014; 15(6): 2847-50.
Lloyd P, Westcott M, Kaliki S, Ji X, Zou Y, Rashid R, et al. The role of maternal age & birth order on the development of unilateral and bilateral retinoblastoma: a multicentre study. Eye (Lond) 2023; 37(5): 966-70.
Chantada GL, Doz F, Orjuela M, Qaddoumi I, Sitorus RS, Kepak T, et al. World disparities in risk definition and management of retinoblastoma: a report from the International Retinoblastoma Staging Working Group. Pediatr Blood Cancer 2008; 50(3): 692-4.
Gupta R, Vemuganti GK, Reddy VA, Honavar SG. Histopathologic risk factors in retinoblastoma in India. Arch Pathol Lab Med 2009; 133(8): 1210-4.
Sastre X, Chantada GL, Doz F, Wilson MW, de Davila MT, Rodríguez-Galindo C, et al. Proceedings of the consensus meetings from the International Retinoblastoma Staging Working Group on the pathology guidelines for the examination of enucleated eyes and evaluation of prognostic risk factors in retinoblastoma. Arch Pathol Lab Med 2009; 133(8): 1199-202.
Shields CL, Shields JA, Baez K, Cater JR, de Potter P. Optic nerve invasion of retinoblastoma: metastatic potential and clinical risk factors. Cancer 1994; 73(3): 692-8.
Yousef YA, Al-Hussaini M, Mehyar M, Sultan I, Jaradat I, AlRawashdeh K, et al. Predictive value of TNM classification, International Classification, and Reese-Ellsworth staging of retinoblastoma for the likelihood of high-risk pathologic features. Retina 2015; 35(9): 1883-9.
Yang YQ, Li J, Yuan HF. Epidemiology and risk factors of retinoblastoma in Chongqing area. Int J Ophthalmol 2016; 9(7): 984-8.
Thomas S, Balan A, Balaram P. The expression of retinoblastoma tumor suppressor protein in oral cancers and precancers: a clinicopathological study. Dent Res J (Isfahan) 2015; 12(4): 307-14.
Downloads
Published
Issue
Section
License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Similar Articles
- Patrick A. Riley, Cancer: Evidence Consistent with Epigenetic Carcinogenesis , Journal of Cancer Research Updates: Vol. 11 (2022)
- Shaimaa A. Soliman, Laila A. Rashed, Mahmoud M. Said, Amina M. Medhat, Assessment of Gene Expression Level of ATP Binding Cassette G Member 2 (ABCG2) Transporter in Newly Diagnosed Breast Cancer Patients Receiving Adjuvant Chemotherapy , Journal of Cancer Research Updates: Vol. 8 No. 1 (2019)
- Janet Wangari-Talbot, Elizabeth Hopper-Borge, Drug Resistance Mechanisms in Non-Small Cell Lung Carcinoma , Journal of Cancer Research Updates: Vol. 2 No. 4 (2013)
- Aparna Govindan, Jacob Paul Alapatt, Progesterone and Estrogen Receptors in Meningiomas – A Clinicopathological Analysis , Journal of Cancer Research Updates: Vol. 12 (2023)
- Fatma Gharib, Rana Ali El Falah, Amr S. Ghobara, Sherehan Moeness ElShishtawy, Radwa A. Awad, Hypofractionated Versus Conventional Fractionated Radiotherapy for Patients with Triple Negative Breast Cancer: A Single Institution Randomized Trial , Journal of Cancer Research Updates: Vol. 14 (2025)
- Lydia Hopp, Edith Willscher, Henry Löffler-Wirth, Hans Binder, Function Shapes Content: DNA-Methylation Marker Genes and their Impact for Molecular Mechanisms of Glioma , Journal of Cancer Research Updates: Vol. 4 No. 4 (2015)
- Ciro Comparetto, Franco Borruto, Liquid Biopsy: A New, Non-Invasive Early Diagnostic and Prognostic Tool in Oncology , Journal of Cancer Research Updates: Vol. 9 No. 1 (2020)
- Fatma F. Abdel Hamid, Mahmoud K. Singer, Mahmoud N. El-Rouby, Mahmoud M. Said, Reda H. Tabashy, Motawa E. El-Houseini, HepG2 Attenuation Induced by RNase A Modulates Gene Profiling and Immunophenotypic Characterization of Some Immune Cells Operating in Cancer Vaccine , Journal of Cancer Research Updates: Vol. 7 No. 1 (2018)
- F. Gloria-Bottini, M. Nicotra, C. Spina, P.L. Benedetti-Panici, P. Saccucci, A. Neri, A. Magrini, E. Bottini, P53 Codon 72 and Endometrium Cancer , Journal of Cancer Research Updates: Vol. 4 No. 4 (2015)
- Peng-Wei Zhang, Zhe-Sheng Chen, Zhi Shi, Targeting Snail1 by CRISPR/Cas9 System Inhibits the Proliferation and Migration of Human Gastric Cancer Cells , Journal of Cancer Research Updates: Vol. 12 (2023)
You may also start an advanced similarity search for this article.