BRCA1 错义变异体的功能分析在日本乳腺癌家族中的不确定意义。

Functional analysis of BRCA1 missense variants of uncertain significance in Japanese breast cancer families.

机构信息

Department of Medical Genetics, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.

出版信息

J Hum Genet. 2013 Sep;58(9):618-21. doi: 10.1038/jhg.2013.71. Epub 2013 Jul 11.

Abstract

Germline mutations in the tumor suppressor genes BRCA1 and BRCA2 are responsible for a large proportion of familial breast cancer cases, and therefore, BRCA1 and BRCA2 genetic testing has become increasingly common in clinical practice. However, variants of uncertain significance (VUS) have been detected in 16.3% of Japanese patients suspected of having hereditary breast and ovarian cancers. The clinical importance of VUS is unknown, and their incidence has led to issues in risk counseling, assessment and treatment of cancer patients. In the present study, we performed functional analyses of two VUS in BRCA1, A1752G and Y1853C that were detected in two independent breast cancer patients who were suspected of having hereditary breast cancer. Segregation analysis revealed that Y1853C, but not A1752G, was cosegregated in affected family members. Conservation, transcription and structure analyses also supported the pathogenic potential of Y1853C. Detailed segregation and in silico and in vitro analyses will enhance our understanding of VUS and improve the management of cancer patients and their families.

摘要

种系突变的肿瘤抑制基因 BRCA1 和 BRCA2 负责的大部分家族性乳腺癌病例,因此,BRCA1 和 BRCA2 基因突变检测已成为越来越普遍的在临床实践中。然而,变异的意义不确定(VUS)已被发现在 16.3%的日本患者怀疑遗传性乳腺癌和卵巢癌。VUS 的临床意义尚不清楚,其发生率已导致问题的风险咨询,评估和治疗癌症患者。在本研究中,我们进行了功能分析的两个 VUS 在 BRCA1 ,A1752G 和 Y1853C 检测到在两个独立的乳腺癌患者被怀疑有遗传性乳腺癌。分离分析表明 Y1853C ,但不是 A1752G ,是共分离在受影响的家庭成员。保存,转录和结构分析也支持的致病性潜力 Y1853C 。详细的分离和在计算机和体外分析将提高我们的认识 VUS ,并改善管理癌症患者和他们的家人。

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