Li Wen-Feng, Hu Zhen, Zhang Bin, Cao Ming-Zhi, Wang Yong-Sheng, Liu Xiao-Yi, Zhao Lin, Liu Yan-Bing, Yuan Wen-Tao, Shen Zhen-Zhou, Huang Wei, Shao Zhi-Min
Breast Cancer Institute, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China.
Zhonghua Yi Xue Za Zhi. 2007 Jan 9;87(2):76-80.
Previous investigation on BRCA1 gene mutations in thirty-five breast cancer patients with affected relatives in Shanghai identified four germ-line mutations (1100delAT, IVS17-1G > T, IVS21+1G > C and 5640delA). To our knowledge, up to now, no founder mutation in BRCA1 gene has been identified in Chinese mainland population. The aim of this study was to investigate whether there are recurrent mutations or 'founder mutations' in Chinese mainland population.
Peripheral blood samples were collected from 60 breast cancer patients with at least one first-degree relative affected with breast cancer from Shanghai, Jinan, Qingdao, and Shenyang. DNA extracted from lymphocytes was amplified by polymerase chain reaction (PCR) to analyze the 4 germ-line mutations (1100delAT, IVS17-1G > T, IVS21+1G > C and 5640delA) discovered previously: the amplicons were analyzed by denaturing high-performance liquid chromatography (DHPLC), and those with abnormal chromatographic profiles were confirmed by direct sequencing. Four BRCA1-linked markers were used to do allelotype analysis.
Only the 1100delAT mutation in BRCA1 gene recurred in two unrelated individuals. Allelotype analysis showed that the two individuals who carried the 1100delAT mutation shared the same allelotype at 4 sites: D17S855, D17S1322, D17S1326, and D17S1327, which was different from the allelotype of the patients who carried the mutation at the site D17S1322 previously reported in Shanghai population. This recurrent mutation gave an overall prevalence of 3.16% (3/95) in all of our investigated population. A novel mutation, 5589del8, was found in one case.
Recurrent mutation is found in Chinese mainland familial breast cancer patients for the first time. 1100delAT mutation may be a hotspot in BRCA1 gene in Chinese population. Whether this mutation is a founder mutation in the Northern Chinese community need further investigation.
先前对上海35名有患病亲属的乳腺癌患者进行的BRCA1基因突变调查发现了4种生殖系突变(1100delAT、IVS17 - 1G>T、IVS21 + 1G>C和5640delA)。据我们所知,截至目前,中国大陆人群中尚未发现BRCA1基因的始祖突变。本研究的目的是调查中国大陆人群中是否存在复发性突变或“始祖突变”。
从上海、济南、青岛和沈阳的60名至少有一名患乳腺癌的一级亲属的乳腺癌患者中采集外周血样本。从淋巴细胞中提取的DNA通过聚合酶链反应(PCR)进行扩增,以分析先前发现的4种生殖系突变(1100delAT、IVS17 - 1G>T、IVS21 + 1G>C和5640delA):扩增产物通过变性高效液相色谱(DHPLC)进行分析,色谱图谱异常的通过直接测序进行确认。使用4个与BRCA1相关的标记进行等位基因分型分析。
BRCA1基因中只有1100delAT突变在两名无亲缘关系的个体中复发。等位基因分型分析表明,携带1100delAT突变的两名个体在4个位点(D17S855、D17S1322、D17S1326和D17S1327)具有相同的等位基因型,这与先前在上海人群中报道的在D17S1322位点携带突变的患者的等位基因型不同。这种复发性突变在我们所有调查的人群中的总体患病率为3.16%(3/95)。在1例患者中发现了一种新的突变5589del8。
首次在中国大陆家族性乳腺癌患者中发现复发性突变。1100delAT突变可能是中国人群BRCA1基因中的一个热点。这种突变是否为中国北方人群中的始祖突变需要进一步研究。