Comparison of germline mutations in African American and Caucasian men with metastatic prostate cancer

Background The goal of this study is to evaluate germline genetic variants in African American men with metastatic prostate cancer as compared to those in Caucasian men with metastatic prostate cancer in an effort to understand the role of genetic factors in these populations. Methods African Americ...

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Veröffentlicht in:The Prostate 2021-05, Vol.81 (7), p.433-439
Hauptverfasser: Ledet, Elisa M., Burgess, Earle F., Sokolova, Alexandra O., Jaeger, Ellen B., Hatton, Whitley, Moses, Marcus, Miller, Patrick, Cotogno, Patrick, Layton, Jodi, Barata, Pedro, Lewis, Brian E., Nakazawa, Mari, Zhu, Jason, Dellinger, Beth, Elrefai, Sara, Nafissi, Nellie N., Egan, Jan B., Shore, Neal, McKay, Rana R., Bryce, Alan H., Cheng, Heather H., Antonarakis, Emmanuel S., Sartor, Oliver
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container_end_page 439
container_issue 7
container_start_page 433
container_title The Prostate
container_volume 81
creator Ledet, Elisa M.
Burgess, Earle F.
Sokolova, Alexandra O.
Jaeger, Ellen B.
Hatton, Whitley
Moses, Marcus
Miller, Patrick
Cotogno, Patrick
Layton, Jodi
Barata, Pedro
Lewis, Brian E.
Nakazawa, Mari
Zhu, Jason
Dellinger, Beth
Elrefai, Sara
Nafissi, Nellie N.
Egan, Jan B.
Shore, Neal
McKay, Rana R.
Bryce, Alan H.
Cheng, Heather H.
Antonarakis, Emmanuel S.
Sartor, Oliver
description Background The goal of this study is to evaluate germline genetic variants in African American men with metastatic prostate cancer as compared to those in Caucasian men with metastatic prostate cancer in an effort to understand the role of genetic factors in these populations. Methods African American and Caucasian men with metastatic prostate cancer who had germline testing using multigene panels were used to generate comparisons. Germline genetic results, clinical parameters, and family histories between the two populations were analyzed. Results A total of 867 patients were included in this retrospective study, including 188 African American and 669 Caucasian patients. There was no significant difference in the likelihood of a pathogenic or likely‐pathogenic variants (PV/LPVs) between African American and Caucasian patients (p = .09). African American patients were more likely to have a variant of unknown significance than Caucasians (odds ratio [OR] = 1.95; p 
doi_str_mv 10.1002/pros.24123
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Methods African American and Caucasian men with metastatic prostate cancer who had germline testing using multigene panels were used to generate comparisons. Germline genetic results, clinical parameters, and family histories between the two populations were analyzed. Results A total of 867 patients were included in this retrospective study, including 188 African American and 669 Caucasian patients. There was no significant difference in the likelihood of a pathogenic or likely‐pathogenic variants (PV/LPVs) between African American and Caucasian patients (p = .09). African American patients were more likely to have a variant of unknown significance than Caucasians (odds ratio [OR] = 1.95; p &lt; .0001). BRCA1 PV/LPVs were higher in African Americans (OR = 4.86; p = .04). African American patients were less likely to have a PV/LPV in non‐BRCA DNA repair genes (OR = 0.30; p = .008). Family history of breast (OR = 2.09; p = .002) or ovarian cancer (OR = 2.33; p = .04) predicted PV/LPVs in Caucasians but not African‐Americans. This underscores the limitations of family history in AA men and the importance of personal history to guide germline testing in AA men. Conclusions In metastatic prostate cancer patients, PV/LPVs of tested genes did not vary by race, BRCA1 PV/LPVs were more common in the African American subset. However, PV/LPVs in non‐BRCA DNA repair genes were less likely to be encountered in African Americans. Family history associated with genetic testing results in Caucasians only.</description><identifier>ISSN: 0270-4137</identifier><identifier>EISSN: 1097-0045</identifier><identifier>DOI: 10.1002/pros.24123</identifier><identifier>PMID: 33792945</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>African American ; African Americans ; African Americans - genetics ; BRCA1 protein ; BRCA2 Protein - genetics ; Breast cancer ; Deoxyribonucleic acid ; DNA ; DNA repair ; Family medical history ; Genetic diversity ; Genetic factors ; Genetic screening ; genetics ; Germ-Line Mutation ; germline ; Humans ; Male ; Metastases ; Metastasis ; metastatic prostate cancer ; Middle Aged ; Neoplasm Metastasis - genetics ; Neoplasm Metastasis - pathology ; Original ; Ovarian cancer ; pathogenic variants ; Population genetics ; Prostate cancer ; Prostatic Neoplasms - genetics ; Prostatic Neoplasms - pathology ; racial disparity ; White people ; Whites - genetics</subject><ispartof>The Prostate, 2021-05, Vol.81 (7), p.433-439</ispartof><rights>2021 The Authors. 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Methods African American and Caucasian men with metastatic prostate cancer who had germline testing using multigene panels were used to generate comparisons. Germline genetic results, clinical parameters, and family histories between the two populations were analyzed. Results A total of 867 patients were included in this retrospective study, including 188 African American and 669 Caucasian patients. There was no significant difference in the likelihood of a pathogenic or likely‐pathogenic variants (PV/LPVs) between African American and Caucasian patients (p = .09). African American patients were more likely to have a variant of unknown significance than Caucasians (odds ratio [OR] = 1.95; p &lt; .0001). BRCA1 PV/LPVs were higher in African Americans (OR = 4.86; p = .04). African American patients were less likely to have a PV/LPV in non‐BRCA DNA repair genes (OR = 0.30; p = .008). Family history of breast (OR = 2.09; p = .002) or ovarian cancer (OR = 2.33; p = .04) predicted PV/LPVs in Caucasians but not African‐Americans. This underscores the limitations of family history in AA men and the importance of personal history to guide germline testing in AA men. Conclusions In metastatic prostate cancer patients, PV/LPVs of tested genes did not vary by race, BRCA1 PV/LPVs were more common in the African American subset. However, PV/LPVs in non‐BRCA DNA repair genes were less likely to be encountered in African Americans. Family history associated with genetic testing results in Caucasians only.</description><subject>African American</subject><subject>African Americans</subject><subject>African Americans - genetics</subject><subject>BRCA1 protein</subject><subject>BRCA2 Protein - genetics</subject><subject>Breast cancer</subject><subject>Deoxyribonucleic acid</subject><subject>DNA</subject><subject>DNA repair</subject><subject>Family medical history</subject><subject>Genetic diversity</subject><subject>Genetic factors</subject><subject>Genetic screening</subject><subject>genetics</subject><subject>Germ-Line Mutation</subject><subject>germline</subject><subject>Humans</subject><subject>Male</subject><subject>Metastases</subject><subject>Metastasis</subject><subject>metastatic prostate cancer</subject><subject>Middle Aged</subject><subject>Neoplasm Metastasis - genetics</subject><subject>Neoplasm Metastasis - pathology</subject><subject>Original</subject><subject>Ovarian cancer</subject><subject>pathogenic variants</subject><subject>Population genetics</subject><subject>Prostate cancer</subject><subject>Prostatic Neoplasms - genetics</subject><subject>Prostatic Neoplasms - pathology</subject><subject>racial disparity</subject><subject>White people</subject><subject>Whites - genetics</subject><issn>0270-4137</issn><issn>1097-0045</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNp9kUtLJDEUhcMwou1jMz9gCMxmEMpJblJdqc2ANOMDBMXHOqTStzRSlfQkVYr_3vSUis7C1T0hXw4n9xDyjbMDzhj8WsWQDkByEF_IjLO6KhiT5VcyY1CxQnJRbZHtlO4ZyziDTbIlRFVDLcsZaRehX5noUvA0tPQWY985j7QfBzO44BN1nh620VmTZ4-TMH5JF2a0Jrl86tHTRzfcZTGYtH5n6TpTVkgzbjHuko3WdAn3XuYOuTn6c704Kc7Oj08Xh2eFlVKJYl4KwVXTWLVUrUUh1DxrZJUQWKu5FBbRQGOUBc5KCUaUjcS5aRAakG0tdsjvyXc1Nj0uLfohmk6voutNfNLBOP3xxrs7fRsetIISSiWywc8Xgxj-jpgG3btkseuMxzAmDSWrKgEKZEZ__IfehzH6_L1McQ5SKQmZ2p8omzeSIrZvYTjT6_r0elX6X30Z_v4-_hv62lcG-AQ8ug6fPrHSF5fnV5PpM9RLp1Y</recordid><startdate>20210501</startdate><enddate>20210501</enddate><creator>Ledet, Elisa M.</creator><creator>Burgess, Earle F.</creator><creator>Sokolova, Alexandra O.</creator><creator>Jaeger, Ellen B.</creator><creator>Hatton, Whitley</creator><creator>Moses, Marcus</creator><creator>Miller, Patrick</creator><creator>Cotogno, Patrick</creator><creator>Layton, Jodi</creator><creator>Barata, Pedro</creator><creator>Lewis, Brian E.</creator><creator>Nakazawa, Mari</creator><creator>Zhu, Jason</creator><creator>Dellinger, Beth</creator><creator>Elrefai, Sara</creator><creator>Nafissi, Nellie N.</creator><creator>Egan, Jan B.</creator><creator>Shore, Neal</creator><creator>McKay, Rana R.</creator><creator>Bryce, Alan H.</creator><creator>Cheng, Heather H.</creator><creator>Antonarakis, Emmanuel S.</creator><creator>Sartor, Oliver</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TO</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0436-5931</orcidid><orcidid>https://orcid.org/0000-0002-1365-0702</orcidid><orcidid>https://orcid.org/0000-0002-8777-7343</orcidid><orcidid>https://orcid.org/0000-0002-0206-3895</orcidid><orcidid>https://orcid.org/0000-0003-0031-9655</orcidid><orcidid>https://orcid.org/0000-0003-1230-3255</orcidid></search><sort><creationdate>20210501</creationdate><title>Comparison of germline mutations in African American and Caucasian men with metastatic prostate cancer</title><author>Ledet, Elisa M. ; Burgess, Earle F. ; Sokolova, Alexandra O. ; Jaeger, Ellen B. ; Hatton, Whitley ; Moses, Marcus ; Miller, Patrick ; Cotogno, Patrick ; Layton, Jodi ; Barata, Pedro ; Lewis, Brian E. ; Nakazawa, Mari ; Zhu, Jason ; Dellinger, Beth ; Elrefai, Sara ; Nafissi, Nellie N. ; Egan, Jan B. ; Shore, Neal ; McKay, Rana R. ; Bryce, Alan H. ; Cheng, Heather H. ; Antonarakis, Emmanuel S. ; Sartor, Oliver</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4483-653318bbc8d8fce3386bc8e0733e98643ceea2ba8c210542a35b4e6abe2b24f93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>African American</topic><topic>African Americans</topic><topic>African Americans - genetics</topic><topic>BRCA1 protein</topic><topic>BRCA2 Protein - genetics</topic><topic>Breast cancer</topic><topic>Deoxyribonucleic acid</topic><topic>DNA</topic><topic>DNA repair</topic><topic>Family medical history</topic><topic>Genetic diversity</topic><topic>Genetic factors</topic><topic>Genetic screening</topic><topic>genetics</topic><topic>Germ-Line Mutation</topic><topic>germline</topic><topic>Humans</topic><topic>Male</topic><topic>Metastases</topic><topic>Metastasis</topic><topic>metastatic prostate cancer</topic><topic>Middle Aged</topic><topic>Neoplasm Metastasis - genetics</topic><topic>Neoplasm Metastasis - pathology</topic><topic>Original</topic><topic>Ovarian cancer</topic><topic>pathogenic variants</topic><topic>Population genetics</topic><topic>Prostate cancer</topic><topic>Prostatic Neoplasms - genetics</topic><topic>Prostatic Neoplasms - pathology</topic><topic>racial disparity</topic><topic>White people</topic><topic>Whites - genetics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ledet, Elisa M.</creatorcontrib><creatorcontrib>Burgess, Earle F.</creatorcontrib><creatorcontrib>Sokolova, Alexandra O.</creatorcontrib><creatorcontrib>Jaeger, Ellen B.</creatorcontrib><creatorcontrib>Hatton, Whitley</creatorcontrib><creatorcontrib>Moses, Marcus</creatorcontrib><creatorcontrib>Miller, Patrick</creatorcontrib><creatorcontrib>Cotogno, Patrick</creatorcontrib><creatorcontrib>Layton, Jodi</creatorcontrib><creatorcontrib>Barata, Pedro</creatorcontrib><creatorcontrib>Lewis, Brian E.</creatorcontrib><creatorcontrib>Nakazawa, Mari</creatorcontrib><creatorcontrib>Zhu, Jason</creatorcontrib><creatorcontrib>Dellinger, Beth</creatorcontrib><creatorcontrib>Elrefai, Sara</creatorcontrib><creatorcontrib>Nafissi, Nellie N.</creatorcontrib><creatorcontrib>Egan, Jan B.</creatorcontrib><creatorcontrib>Shore, Neal</creatorcontrib><creatorcontrib>McKay, Rana R.</creatorcontrib><creatorcontrib>Bryce, Alan H.</creatorcontrib><creatorcontrib>Cheng, Heather H.</creatorcontrib><creatorcontrib>Antonarakis, Emmanuel S.</creatorcontrib><creatorcontrib>Sartor, Oliver</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Prostate</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ledet, Elisa M.</au><au>Burgess, Earle F.</au><au>Sokolova, Alexandra O.</au><au>Jaeger, Ellen B.</au><au>Hatton, Whitley</au><au>Moses, Marcus</au><au>Miller, Patrick</au><au>Cotogno, Patrick</au><au>Layton, Jodi</au><au>Barata, Pedro</au><au>Lewis, Brian E.</au><au>Nakazawa, Mari</au><au>Zhu, Jason</au><au>Dellinger, Beth</au><au>Elrefai, Sara</au><au>Nafissi, Nellie N.</au><au>Egan, Jan B.</au><au>Shore, Neal</au><au>McKay, Rana R.</au><au>Bryce, Alan H.</au><au>Cheng, Heather H.</au><au>Antonarakis, Emmanuel S.</au><au>Sartor, Oliver</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of germline mutations in African American and Caucasian men with metastatic prostate cancer</atitle><jtitle>The Prostate</jtitle><addtitle>Prostate</addtitle><date>2021-05-01</date><risdate>2021</risdate><volume>81</volume><issue>7</issue><spage>433</spage><epage>439</epage><pages>433-439</pages><issn>0270-4137</issn><eissn>1097-0045</eissn><abstract>Background The goal of this study is to evaluate germline genetic variants in African American men with metastatic prostate cancer as compared to those in Caucasian men with metastatic prostate cancer in an effort to understand the role of genetic factors in these populations. Methods African American and Caucasian men with metastatic prostate cancer who had germline testing using multigene panels were used to generate comparisons. Germline genetic results, clinical parameters, and family histories between the two populations were analyzed. Results A total of 867 patients were included in this retrospective study, including 188 African American and 669 Caucasian patients. There was no significant difference in the likelihood of a pathogenic or likely‐pathogenic variants (PV/LPVs) between African American and Caucasian patients (p = .09). African American patients were more likely to have a variant of unknown significance than Caucasians (odds ratio [OR] = 1.95; p &lt; .0001). BRCA1 PV/LPVs were higher in African Americans (OR = 4.86; p = .04). African American patients were less likely to have a PV/LPV in non‐BRCA DNA repair genes (OR = 0.30; p = .008). Family history of breast (OR = 2.09; p = .002) or ovarian cancer (OR = 2.33; p = .04) predicted PV/LPVs in Caucasians but not African‐Americans. This underscores the limitations of family history in AA men and the importance of personal history to guide germline testing in AA men. Conclusions In metastatic prostate cancer patients, PV/LPVs of tested genes did not vary by race, BRCA1 PV/LPVs were more common in the African American subset. However, PV/LPVs in non‐BRCA DNA repair genes were less likely to be encountered in African Americans. Family history associated with genetic testing results in Caucasians only.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>33792945</pmid><doi>10.1002/pros.24123</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-0436-5931</orcidid><orcidid>https://orcid.org/0000-0002-1365-0702</orcidid><orcidid>https://orcid.org/0000-0002-8777-7343</orcidid><orcidid>https://orcid.org/0000-0002-0206-3895</orcidid><orcidid>https://orcid.org/0000-0003-0031-9655</orcidid><orcidid>https://orcid.org/0000-0003-1230-3255</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects African American
African Americans
African Americans - genetics
BRCA1 protein
BRCA2 Protein - genetics
Breast cancer
Deoxyribonucleic acid
DNA
DNA repair
Family medical history
Genetic diversity
Genetic factors
Genetic screening
genetics
Germ-Line Mutation
germline
Humans
Male
Metastases
Metastasis
metastatic prostate cancer
Middle Aged
Neoplasm Metastasis - genetics
Neoplasm Metastasis - pathology
Original
Ovarian cancer
pathogenic variants
Population genetics
Prostate cancer
Prostatic Neoplasms - genetics
Prostatic Neoplasms - pathology
racial disparity
White people
Whites - genetics
title Comparison of germline mutations in African American and Caucasian men with metastatic prostate cancer
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