BRCA1 and BRCA2 germline mutations in Sardinian breast cancer families and their implications for genetic counseling

Background: The Sardinian population is genetically homogeneous and could be useful in understanding better the genetics of a complex disease like breast cancer (BC). Patients and methods: Using a screening assay based on a combination of single-strand conformation polymorphism, denaturing high-perf...

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Veröffentlicht in:Annals of oncology 2002-12, Vol.13 (12), p.1899-1907
Hauptverfasser: Palmieri, G., Palomba, G., Cossu, A., Pisano, M., Dedola, M. F., Sarobba, M. G., Farris, A., Olmeo, N., Contu, A., Pasca, A., Satta, M. P., Persico, I., Carboni, A. A., Cossu-Rocca, P., Contini, M., Mangion, J., Stratton, M. R., Tanda, F.
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container_end_page 1907
container_issue 12
container_start_page 1899
container_title Annals of oncology
container_volume 13
creator Palmieri, G.
Palomba, G.
Cossu, A.
Pisano, M.
Dedola, M. F.
Sarobba, M. G.
Farris, A.
Olmeo, N.
Contu, A.
Pasca, A.
Satta, M. P.
Persico, I.
Carboni, A. A.
Cossu-Rocca, P.
Contini, M.
Mangion, J.
Stratton, M. R.
Tanda, F.
description Background: The Sardinian population is genetically homogeneous and could be useful in understanding better the genetics of a complex disease like breast cancer (BC). Patients and methods: Using a screening assay based on a combination of single-strand conformation polymorphism, denaturing high-performance liquid chromatography and sequence analysis, 47 Sardinian families with three or more BC cases were screened for germline mutations in BRCA1 and BRCA2 genes. Results: Three BRCA1/2 germline sequence variants were identified. While BRCA2-Ile3412Val is a missense variant with unknown functional significance, BRCA2-8765delAG and BRCA1-Lys505ter are two deleterious mutations (due to their predicted effects on protein truncation), which were found in seven families (15%). BRCA2-8765delAG was found in six of eight (75%) BRCA1/2-positive families and seven of 501 (1.4%) unselected and consecutively collected BC patients. Prevalence of BRCA1/2 mutations in BC families was significantly correlated with the total number of female BCs (P
doi_str_mv 10.1093/annonc/mdf326
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F. ; Sarobba, M. G. ; Farris, A. ; Olmeo, N. ; Contu, A. ; Pasca, A. ; Satta, M. P. ; Persico, I. ; Carboni, A. A. ; Cossu-Rocca, P. ; Contini, M. ; Mangion, J. ; Stratton, M. R. ; Tanda, F.</creator><creatorcontrib>Palmieri, G. ; Palomba, G. ; Cossu, A. ; Pisano, M. ; Dedola, M. F. ; Sarobba, M. G. ; Farris, A. ; Olmeo, N. ; Contu, A. ; Pasca, A. ; Satta, M. P. ; Persico, I. ; Carboni, A. A. ; Cossu-Rocca, P. ; Contini, M. ; Mangion, J. ; Stratton, M. R. ; Tanda, F.</creatorcontrib><description>Background: The Sardinian population is genetically homogeneous and could be useful in understanding better the genetics of a complex disease like breast cancer (BC). Patients and methods: Using a screening assay based on a combination of single-strand conformation polymorphism, denaturing high-performance liquid chromatography and sequence analysis, 47 Sardinian families with three or more BC cases were screened for germline mutations in BRCA1 and BRCA2 genes. Results: Three BRCA1/2 germline sequence variants were identified. While BRCA2-Ile3412Val is a missense variant with unknown functional significance, BRCA2-8765delAG and BRCA1-Lys505ter are two deleterious mutations (due to their predicted effects on protein truncation), which were found in seven families (15%). BRCA2-8765delAG was found in six of eight (75%) BRCA1/2-positive families and seven of 501 (1.4%) unselected and consecutively collected BC patients. Prevalence of BRCA1/2 mutations in BC families was significantly correlated with the total number of female BCs (P &lt;0.01) and increased by the presence of (i) at least one case of ovarian or male BC, or (ii) three generations affected, or (iii) bilateral BC. Conclusions: Identification of such features should address BC patients and their families to genetic counseling and BRCA1/2 mutational analysis. In addition, this is the first report of a detailed BRCA1/2 mutation screening in Sardinia, having immediate implications for the clinical management of BC families.</description><identifier>ISSN: 0923-7534</identifier><identifier>EISSN: 1569-8041</identifier><identifier>DOI: 10.1093/annonc/mdf326</identifier><identifier>PMID: 12453858</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Biomarkers, Tumor - analysis ; breast cancer ; Breast Neoplasms - epidemiology ; Breast Neoplasms - genetics ; Breast Neoplasms, Male - epidemiology ; Breast Neoplasms, Male - genetics ; DNA Mutational Analysis ; Female ; Genes, BRCA1 ; Genes, BRCA2 ; genetic counseling ; Genetic Counseling - standards ; Genetic Counseling - trends ; Genetic Predisposition to Disease ; Genetic Testing ; genetically homogeneous population ; Germ-Line Mutation ; germline mutation ; Gynecology. Andrology. Obstetrics ; Humans ; Incidence ; Italy - epidemiology ; Key words:BRCA1/2 genes ; Male ; Mammary gland diseases ; Medical sciences ; Middle Aged ; Pedigree ; Polymerase Chain Reaction - methods ; polymerase chain reaction-based screening ; Polymorphism, Single-Stranded Conformational ; Population Surveillance ; Risk Factors ; Survival Analysis ; Tumors</subject><ispartof>Annals of oncology, 2002-12, Vol.13 (12), p.1899-1907</ispartof><rights>2003 INIST-CNRS</rights><rights>Copyright Springer Science &amp; Business Media Dec 2002</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c423t-3f53a0798c01e415a7cc6a831cd29cea14bb6c0aaee699d567e53fbf92bccb833</citedby><cites>FETCH-LOGICAL-c423t-3f53a0798c01e415a7cc6a831cd29cea14bb6c0aaee699d567e53fbf92bccb833</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=14414640$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12453858$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Palmieri, G.</creatorcontrib><creatorcontrib>Palomba, G.</creatorcontrib><creatorcontrib>Cossu, A.</creatorcontrib><creatorcontrib>Pisano, M.</creatorcontrib><creatorcontrib>Dedola, M. F.</creatorcontrib><creatorcontrib>Sarobba, M. G.</creatorcontrib><creatorcontrib>Farris, A.</creatorcontrib><creatorcontrib>Olmeo, N.</creatorcontrib><creatorcontrib>Contu, A.</creatorcontrib><creatorcontrib>Pasca, A.</creatorcontrib><creatorcontrib>Satta, M. P.</creatorcontrib><creatorcontrib>Persico, I.</creatorcontrib><creatorcontrib>Carboni, A. A.</creatorcontrib><creatorcontrib>Cossu-Rocca, P.</creatorcontrib><creatorcontrib>Contini, M.</creatorcontrib><creatorcontrib>Mangion, J.</creatorcontrib><creatorcontrib>Stratton, M. R.</creatorcontrib><creatorcontrib>Tanda, F.</creatorcontrib><title>BRCA1 and BRCA2 germline mutations in Sardinian breast cancer families and their implications for genetic counseling</title><title>Annals of oncology</title><addtitle>Ann Oncol</addtitle><description>Background: The Sardinian population is genetically homogeneous and could be useful in understanding better the genetics of a complex disease like breast cancer (BC). Patients and methods: Using a screening assay based on a combination of single-strand conformation polymorphism, denaturing high-performance liquid chromatography and sequence analysis, 47 Sardinian families with three or more BC cases were screened for germline mutations in BRCA1 and BRCA2 genes. Results: Three BRCA1/2 germline sequence variants were identified. While BRCA2-Ile3412Val is a missense variant with unknown functional significance, BRCA2-8765delAG and BRCA1-Lys505ter are two deleterious mutations (due to their predicted effects on protein truncation), which were found in seven families (15%). BRCA2-8765delAG was found in six of eight (75%) BRCA1/2-positive families and seven of 501 (1.4%) unselected and consecutively collected BC patients. Prevalence of BRCA1/2 mutations in BC families was significantly correlated with the total number of female BCs (P &lt;0.01) and increased by the presence of (i) at least one case of ovarian or male BC, or (ii) three generations affected, or (iii) bilateral BC. Conclusions: Identification of such features should address BC patients and their families to genetic counseling and BRCA1/2 mutational analysis. In addition, this is the first report of a detailed BRCA1/2 mutation screening in Sardinia, having immediate implications for the clinical management of BC families.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Biomarkers, Tumor - analysis</subject><subject>breast cancer</subject><subject>Breast Neoplasms - epidemiology</subject><subject>Breast Neoplasms - genetics</subject><subject>Breast Neoplasms, Male - epidemiology</subject><subject>Breast Neoplasms, Male - genetics</subject><subject>DNA Mutational Analysis</subject><subject>Female</subject><subject>Genes, BRCA1</subject><subject>Genes, BRCA2</subject><subject>genetic counseling</subject><subject>Genetic Counseling - standards</subject><subject>Genetic Counseling - trends</subject><subject>Genetic Predisposition to Disease</subject><subject>Genetic Testing</subject><subject>genetically homogeneous population</subject><subject>Germ-Line Mutation</subject><subject>germline mutation</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Incidence</subject><subject>Italy - epidemiology</subject><subject>Key words:BRCA1/2 genes</subject><subject>Male</subject><subject>Mammary gland diseases</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pedigree</subject><subject>Polymerase Chain Reaction - methods</subject><subject>polymerase chain reaction-based screening</subject><subject>Polymorphism, Single-Stranded Conformational</subject><subject>Population Surveillance</subject><subject>Risk Factors</subject><subject>Survival Analysis</subject><subject>Tumors</subject><issn>0923-7534</issn><issn>1569-8041</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU1rFTEUhoMo9lpdupUg6G5svmeybC9qhdKCHyBuwpnMmZo6k7lNMmD_fed6ByuuEshznhzel5CXnL3jzMoTiHGK_mTseinMI7Lh2tiqYYo_JhtmhaxqLdUReZbzDWPMWGGfkiMulJaNbjaknH3ennIKsaP7m6DXmMYhRKTjXKCEKWYaIv0CqQsxQKRtQsiFeogeE-1hDEPA_EdQfmJINIy7Ifh1tJ_SYoxYgqd-mmPGxX39nDzpYcj4Yj2PybcP779uz6uLq4-ftqcXlVdClkr2WgKrbeMZR8U11N4baCT3nbAegau2NZ4BIBprO21q1LJveyta79tGymPy9uDdpel2xlzcGLLHYYCI05xdLWrBleIL-Po_8GaaU1x2c9was0-LLVB1gHyack7Yu10KI6Q7x5nbd-EOXbhDFwv_apXO7YjdA72GvwBvVgCyh6FPS6YhP3DLZsqofz4OueDvv--QfjlTy1q78-8_nGT68sw2tWPyHrYio2Q</recordid><startdate>20021201</startdate><enddate>20021201</enddate><creator>Palmieri, G.</creator><creator>Palomba, G.</creator><creator>Cossu, A.</creator><creator>Pisano, M.</creator><creator>Dedola, M. F.</creator><creator>Sarobba, M. G.</creator><creator>Farris, A.</creator><creator>Olmeo, N.</creator><creator>Contu, A.</creator><creator>Pasca, A.</creator><creator>Satta, M. P.</creator><creator>Persico, I.</creator><creator>Carboni, A. A.</creator><creator>Cossu-Rocca, P.</creator><creator>Contini, M.</creator><creator>Mangion, J.</creator><creator>Stratton, M. 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Andrology. Obstetrics</topic><topic>Humans</topic><topic>Incidence</topic><topic>Italy - epidemiology</topic><topic>Key words:BRCA1/2 genes</topic><topic>Male</topic><topic>Mammary gland diseases</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pedigree</topic><topic>Polymerase Chain Reaction - methods</topic><topic>polymerase chain reaction-based screening</topic><topic>Polymorphism, Single-Stranded Conformational</topic><topic>Population Surveillance</topic><topic>Risk Factors</topic><topic>Survival Analysis</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Palmieri, G.</creatorcontrib><creatorcontrib>Palomba, G.</creatorcontrib><creatorcontrib>Cossu, A.</creatorcontrib><creatorcontrib>Pisano, M.</creatorcontrib><creatorcontrib>Dedola, M. F.</creatorcontrib><creatorcontrib>Sarobba, M. 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G.</au><au>Farris, A.</au><au>Olmeo, N.</au><au>Contu, A.</au><au>Pasca, A.</au><au>Satta, M. P.</au><au>Persico, I.</au><au>Carboni, A. A.</au><au>Cossu-Rocca, P.</au><au>Contini, M.</au><au>Mangion, J.</au><au>Stratton, M. R.</au><au>Tanda, F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>BRCA1 and BRCA2 germline mutations in Sardinian breast cancer families and their implications for genetic counseling</atitle><jtitle>Annals of oncology</jtitle><addtitle>Ann Oncol</addtitle><date>2002-12-01</date><risdate>2002</risdate><volume>13</volume><issue>12</issue><spage>1899</spage><epage>1907</epage><pages>1899-1907</pages><issn>0923-7534</issn><eissn>1569-8041</eissn><abstract>Background: The Sardinian population is genetically homogeneous and could be useful in understanding better the genetics of a complex disease like breast cancer (BC). Patients and methods: Using a screening assay based on a combination of single-strand conformation polymorphism, denaturing high-performance liquid chromatography and sequence analysis, 47 Sardinian families with three or more BC cases were screened for germline mutations in BRCA1 and BRCA2 genes. Results: Three BRCA1/2 germline sequence variants were identified. While BRCA2-Ile3412Val is a missense variant with unknown functional significance, BRCA2-8765delAG and BRCA1-Lys505ter are two deleterious mutations (due to their predicted effects on protein truncation), which were found in seven families (15%). BRCA2-8765delAG was found in six of eight (75%) BRCA1/2-positive families and seven of 501 (1.4%) unselected and consecutively collected BC patients. Prevalence of BRCA1/2 mutations in BC families was significantly correlated with the total number of female BCs (P &lt;0.01) and increased by the presence of (i) at least one case of ovarian or male BC, or (ii) three generations affected, or (iii) bilateral BC. Conclusions: Identification of such features should address BC patients and their families to genetic counseling and BRCA1/2 mutational analysis. In addition, this is the first report of a detailed BRCA1/2 mutation screening in Sardinia, having immediate implications for the clinical management of BC families.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>12453858</pmid><doi>10.1093/annonc/mdf326</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Biological and medical sciences
Biomarkers, Tumor - analysis
breast cancer
Breast Neoplasms - epidemiology
Breast Neoplasms - genetics
Breast Neoplasms, Male - epidemiology
Breast Neoplasms, Male - genetics
DNA Mutational Analysis
Female
Genes, BRCA1
Genes, BRCA2
genetic counseling
Genetic Counseling - standards
Genetic Counseling - trends
Genetic Predisposition to Disease
Genetic Testing
genetically homogeneous population
Germ-Line Mutation
germline mutation
Gynecology. Andrology. Obstetrics
Humans
Incidence
Italy - epidemiology
Key words:BRCA1/2 genes
Male
Mammary gland diseases
Medical sciences
Middle Aged
Pedigree
Polymerase Chain Reaction - methods
polymerase chain reaction-based screening
Polymorphism, Single-Stranded Conformational
Population Surveillance
Risk Factors
Survival Analysis
Tumors
title BRCA1 and BRCA2 germline mutations in Sardinian breast cancer families and their implications for genetic counseling
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