Mutational analysis of BRCA1/2 in a group of 134 consecutive ovarian cancer patients. Novel and recurrent BRCA1/2 alterations detected by next generation sequencing

被引:0
作者
Magdalena Ratajska
Magdalena Krygier
Maciej Stukan
Alina Kuźniacka
Magdalena Koczkowska
Mirosław Dudziak
Marcin Śniadecki
Jarosław Dębniak
Dariusz Wydra
Izabela Brozek
Wojciech Biernat
Ake Borg
Janusz Limon
Bartosz Wasąg
机构
[1] Medical University of Gdansk,Department of Biology and Genetics
[2] Gdynia Oncology Center,Department of Gynecologic Oncology
[3] Medical University of Gdansk,Department of Gynaecology, Gynaecological Oncology and Gynaecological Endocrinology
[4] Medical University of Gdansk,Department of Pathomorphology
[5] Lund University,Department of Oncology, CREATE Health Strategic Center for Translational Cancer Research, Skane Department of Oncology
[6] Skane University Hospital,undefined
来源
Journal of Applied Genetics | 2015年 / 56卷
关键词
Mutations; Next generation sequencing; Ovarian cancer; PARP inhibitors;
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学科分类号
摘要
The importance of proper mutational analysis of BRCA1/2 in individuals at risk for hereditary breast and ovarian cancer syndrome is widely accepted. Standard genetic screening includes targeted analysis of recurrent, population-specific mutations. The purpose of the study was to establish the frequency of germline BRCA1/2 mutations in a group of 134 unrelated patients with primary ovarian cancer. Next generation sequencing analysis revealed a presence of 20 (14.9 %) mutations, where 65 % (n = 13) were recurrent BRCA1 alterations included in the standard diagnostic panel in northern Poland. However, the remaining seven BRCA1/2 mutations (35 %) would be missed by the standard approach and were detected in unique patients. A substantial proportion (n = 5/12; 41 %) of mutation-positive individuals with complete family history reported no incidence of breast or ovarian cancer in their relatives. This observation, together with the raising perspectives for personalized therapy targeting BRCA1/2 signaling pathways indicates the necessity of comprehensive genetic screening in all ovarian cancer patients. However, due to the limited sensitivity of the standard genetic screening presented in this study (65 %) an application of next generation sequencing in molecular diagnostics of BRCA1/2 genes should be considered.
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页码:193 / 198
页数:5
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