ERCC3, a new ovarian cancer susceptibility gene?

Hereditary breast and ovarian cancer syndrome (HBOC) is an inherited disorder with an increased risk of breast cancer (BC) and ovarian cancers (OC). Mutations in BRCA1-BRCA2 explains less than a half of cases. In the last decade several genes with different penetrance have been associated with an in...

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Veröffentlicht in:European journal of cancer (1990) 2020-12, Vol.141, p.1-8
Hauptverfasser: Stradella, Agostina, del Valle, Jesús, Rofes, Paula, Vargas-Parra, Gardenia, Salinas, Mónica, González, Sara, Montes, Eva, López-Doriga, Adriana, Gómez, Carolina, de Cid, Rafael, Darder, Esther, Teulé, Alex, Solanes, Ares, Munté, Elisabet, Capellà, Gabriel, Pineda, Marta, Feliubadaló, Lidia, Brunet, Joan, Lázaro, Conxi
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container_title European journal of cancer (1990)
container_volume 141
creator Stradella, Agostina
del Valle, Jesús
Rofes, Paula
Vargas-Parra, Gardenia
Salinas, Mónica
González, Sara
Montes, Eva
López-Doriga, Adriana
Gómez, Carolina
de Cid, Rafael
Darder, Esther
Teulé, Alex
Solanes, Ares
Munté, Elisabet
Capellà, Gabriel
Pineda, Marta
Feliubadaló, Lidia
Brunet, Joan
Lázaro, Conxi
description Hereditary breast and ovarian cancer syndrome (HBOC) is an inherited disorder with an increased risk of breast cancer (BC) and ovarian cancers (OC). Mutations in BRCA1-BRCA2 explains less than a half of cases. In the last decade several genes with different penetrance have been associated with an increased risk of BC or OC. A recurrent heterozygous ERCC3 truncating mutation increases the risk for breast cancer in patients with Ashkenazi Jewish ancestry. Our study aimed to investigate the role of ERCC3 truncating variants in a cohort of patients with suspicion of HBOC. ERCC3 screening by multigene-panel analysis in 1311 unrelated patients after our regional consensus for genetic testing in hereditary cancer was done. In addition, 453 Spanish cancer-free individuals and 51,343 GnomAD non-Finnish, non-cancer European individuals were used as control populations. We identified 13 patients with heterozygous ERCC3 truncating variants (0.99%). Five of them also carried a mutation in a high- /moderate-penetrance HBOC gene (BRCA1, BRCA2, CHEK2, and TP53) being Multilocus Inherited Neoplasia Alleles syndrome (MINAS) patients. The frequency in 453 Spanish controls was of 0.22%; similar to that observed in 51,343 non-Finnish European GnomAD population (0.24%). We found an almost statistically significant association of truncating ERCC3 variants with BC (odds ratio [OR] = 2.25, confidence interval [CI] = 0.6–5.93, P = 0.11), and we observed for the first time a significant association with OC (OR = 4.74, CI = 1–14.34, P = 0.028), that holds even after removing MINAS cases. To our knowledge, this is the largest HBOC series comprehensively analysed for ERCC3 mutations, and the first study identifying ERCC3 as a cancer risk for OC. •Our results confirm the association of ERCC3 truncating mutations with breast cancer.•We also describe their association with ovarian cancer for the first time. Further studies in larger cohorts are needed to more precisely establish the associated cancer risk as well as the relation with other cancer types.
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Mutations in BRCA1-BRCA2 explains less than a half of cases. In the last decade several genes with different penetrance have been associated with an increased risk of BC or OC. A recurrent heterozygous ERCC3 truncating mutation increases the risk for breast cancer in patients with Ashkenazi Jewish ancestry. Our study aimed to investigate the role of ERCC3 truncating variants in a cohort of patients with suspicion of HBOC. ERCC3 screening by multigene-panel analysis in 1311 unrelated patients after our regional consensus for genetic testing in hereditary cancer was done. In addition, 453 Spanish cancer-free individuals and 51,343 GnomAD non-Finnish, non-cancer European individuals were used as control populations. We identified 13 patients with heterozygous ERCC3 truncating variants (0.99%). Five of them also carried a mutation in a high- /moderate-penetrance HBOC gene (BRCA1, BRCA2, CHEK2, and TP53) being Multilocus Inherited Neoplasia Alleles syndrome (MINAS) patients. The frequency in 453 Spanish controls was of 0.22%; similar to that observed in 51,343 non-Finnish European GnomAD population (0.24%). We found an almost statistically significant association of truncating ERCC3 variants with BC (odds ratio [OR] = 2.25, confidence interval [CI] = 0.6–5.93, P = 0.11), and we observed for the first time a significant association with OC (OR = 4.74, CI = 1–14.34, P = 0.028), that holds even after removing MINAS cases. To our knowledge, this is the largest HBOC series comprehensively analysed for ERCC3 mutations, and the first study identifying ERCC3 as a cancer risk for OC. •Our results confirm the association of ERCC3 truncating mutations with breast cancer.•We also describe their association with ovarian cancer for the first time. 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The frequency in 453 Spanish controls was of 0.22%; similar to that observed in 51,343 non-Finnish European GnomAD population (0.24%). We found an almost statistically significant association of truncating ERCC3 variants with BC (odds ratio [OR] = 2.25, confidence interval [CI] = 0.6–5.93, P = 0.11), and we observed for the first time a significant association with OC (OR = 4.74, CI = 1–14.34, P = 0.028), that holds even after removing MINAS cases. To our knowledge, this is the largest HBOC series comprehensively analysed for ERCC3 mutations, and the first study identifying ERCC3 as a cancer risk for OC. •Our results confirm the association of ERCC3 truncating mutations with breast cancer.•We also describe their association with ovarian cancer for the first time. 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ispartof European journal of cancer (1990), 2020-12, Vol.141, p.1-8
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subjects Adult
BRCA1 protein
BRCA2 protein
Breast cancer
Confidence intervals
DNA Helicases - genetics
DNA-Binding Proteins - genetics
ERCC3
Female
Genetic disorders
Genetic Predisposition to Disease - genetics
Genetic screening
HBOC
Health risks
Hereditary Breast and Ovarian Cancer
Hereditary Breast and Ovarian Cancer Syndrome - genetics
Humans
Middle Aged
Moderate cancer risk
Mutation
Ovarian cancer
p53 Protein
Pedigree
Population control
Risk
Statistical analysis
title ERCC3, a new ovarian cancer susceptibility gene?
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