Aydin F, Akagun T, Yildiz B, Fidan E, Ozdemir F, Kavgaci H
Department of Medical Oncology, School of Medicine, Karadeniz Technical University, Trabzon, Turkey.
Bratisl Lek Listy. 2011;112(9):521-3.
BRCA-1 and BRCA-2 are two major susceptibility genes for breast cancer. Between 30-70 % of hereditary breast cancers are thought to be attributed to mutations in BRCA-1 or BRCA-2. The aim of our study was to investigate the clinicopathologic characteristics and BRCA mutations of patients with breast cancer living in the northeast region of Turkey.
Two hundred eleven patients diagnosed with breast cancer were enrolled in the present study. All patients provided their demographic, environmental, family, and reproductive traits. Patients were screened for mutations of BRCA-1 and BRCA-2 with multiple ligation-dependent probe amplification (MLPA) test.
In the present study, the mean age of breast cancer patients was 50.7 years and the mean age at first delivery was 21.8 years. Large genomic rearrangements in BRCA-1 were detected in 4 (1.9 %) patients; 2 of them had exon 21 deletions and the remaining 2 patients had exon 18 and 19 deletions. No BRCA-2 rearrangements were detected in the study population.
Different mutation analyses results were detected in different countries by using different testing techniques. The characteristics and sensitivities of patients as determined by all methods were different in these studies. Due to these factors, BRCA mutation rates were different. This is the first study where MLPA was used to screen BRCA-1 and BRCA-2 mutations in Turkish population (Tab. 1, Ref. 10).
BRCA - 1和BRCA - 2是乳腺癌的两个主要易感基因。据认为,30%至70%的遗传性乳腺癌归因于BRCA - 1或BRCA - 2的突变。我们研究的目的是调查居住在土耳其东北部地区的乳腺癌患者的临床病理特征和BRCA突变情况。
本研究纳入了211例诊断为乳腺癌的患者。所有患者提供了他们的人口统计学、环境、家族和生殖特征。采用多重连接依赖探针扩增(MLPA)试验对患者进行BRCA - 1和BRCA - 2突变筛查。
在本研究中,乳腺癌患者的平均年龄为50.7岁,首次分娩的平均年龄为21.8岁。在4例(1.9%)患者中检测到BRCA - 1的大片段基因组重排;其中2例有外显子21缺失,其余2例患者有外显子18和19缺失。在研究人群中未检测到BRCA - 2重排。
使用不同的检测技术在不同国家检测到不同的突变分析结果。在这些研究中,所有方法所确定的患者特征和敏感性各不相同。由于这些因素,BRCA突变率也不同。这是第一项在土耳其人群中使用MLPA筛查BRCA - 1和BRCA - 2突变的研究(表1,参考文献10)。