Isinger Anna, Bhat Misha, Borg Ake, Nilbert Mef
Department of Oncology, Institute of Clinical Sciences, Lund University, 221 85 Lund, Sweden.
BMC Cancer. 2006 Mar 15;6:64. doi: 10.1186/1471-2407-6-64.
Development of multiple primary tumors is a hallmark of hereditary cancer. At least 1/10 of breast cancers and colorectal cancers occur because of heredity and recently the cell cycle kinase 2, CHEK2 1100delC allele has been identified at a particularly high frequency in families with hereditary breast and colorectal cancer.
We utilized the Southern Sweden population-based cancer registry to identify women with double primary breast and colorectal cancer and sequenced tumor material in order to assess the contribution of the CHEK2 1100delC to the development of such metachronous tumors.
Among the 75 patients successfully analyzed, 2 (2.5%) carried the CHEK2 1100delC allele. which was not significantly different (p = 0.26) from the 1% (3/300) carriers identified in the control group.
In summary, our data suggest that the CHEK2 1100delC is not a major cause of double primary breast and colorectal cancer in Sweden, which suggests that this patient group should not routinely be screened for the CHEK2 1100delC variant.
多发性原发性肿瘤的发生是遗传性癌症的一个标志。至少十分之一的乳腺癌和结直肠癌是由遗传因素导致的,最近,细胞周期激酶2(CHEK2)1100delC等位基因在遗传性乳腺癌和结直肠癌家族中被发现具有特别高的频率。
我们利用瑞典南部基于人群的癌症登记处来识别患有双原发性乳腺癌和结直肠癌的女性,并对肿瘤组织进行测序,以评估CHEK2 1100delC对这种异时性肿瘤发生的影响。
在成功分析的75例患者中,2例(2.5%)携带CHEK2 1100delC等位基因,这与在对照组中识别出的1%(3/300)携带者没有显著差异(p = 0.26)。
总之,我们的数据表明,CHEK2 1100delC不是瑞典双原发性乳腺癌和结直肠癌的主要病因,这表明该患者群体不应常规筛查CHEK2 1100delC变体。