AUTHOR=Castillo María Isabel , Freire Erick , Romero Vanessa I. , Arias-Almeida Benjamín , Reyes Carlos , Hosomichi Kazuyoshi TITLE=Novel Variation in Acyl-CoA Synthetase Long Chain Family Member 6 (ACSL6) Results in Protein Structural Modification and Multiple Non-Related Neoplasia in a 46-Year-Old: Case Report JOURNAL=Frontiers in Oncology VOLUME=Volume 12 - 2022 YEAR=2022 URL=https://www.frontiersin.org/journals/oncology/articles/10.3389/fonc.2022.899579 DOI=10.3389/fonc.2022.899579 ISSN=2234-943X ABSTRACT=Multiple non-related neoplasia does not have an established approach and benefit of performing whole-exome sequencing (WES) analysis. We report a 46 -year- old woman who developed astrocytoma, thyroid, and breast cancer within 10 years. WES analysis found a novel missense variant in the ACSL6 gene, and the protein modeling showed an altered secondary and tertiary structures which modifies the binding to cofactors and substrates. ACSL6 is involved in lipid metabolism, expressed in brain, thyroid, and breast tissues, and associated with diverse types of cancer. Our study demonstrates the benefit of WES analysis compared to commercial panels in patients with non-related neoplasia.