N.N. Petrov Institute of Oncology, 197758, St.-Petersburg, Russia.
Med Oncol. 2014 Feb;31(2):828. doi: 10.1007/s12032-013-0828-9. Epub 2014 Jan 12.
Somatic inactivation of the remaining allele is a characteristic feature of cancers arising in BRCA1 and BRCA2 mutation carriers, which determines their unprecedented sensitivity to some DNA-damaging agents. Data on tumor-specific status of the involved gene in novel varieties of hereditary breast cancer (BC) remain incomplete. We analyzed 32 tumors obtained from 30 patients with non-BRCA1/2 BC-associated germ-line mutations: 25 women were single mutation carriers (7 BLM, 15 CHEK2 and 3 NBN/NBS1) and 5 were double mutation carriers (2 BLM/BRCA1, 1 CHEK2/BLM, 1 CHEK2/BRCA1 and 1 NBN/BLM). Losses of heterozygosity affecting the wild-type allele were detected in none of the tumors from BLM mutation carriers, 3/18 (17 %) CHEK2-associated BC and 1/4 (25 %) NBN/NBS1-driven tumors. The remaining 28 BC were subjected to the sequence analysis of entire coding region of the involved gene; no somatic mutations were identified. We conclude that the tumor-specific loss of the wild-type allele is not characteristic for BC arising in CHEK2, NBN/NBS1 and BLM mutation carriers. Rarity of "second-hit" inactivation of the involved gene in CHEK2-, NBN/NBS1- and BLM-associated BC demonstrates their substantial biological difference from BRCA1/2-driven cancers and makes them poorly suitable for the clinical trials with cisplatin and PARP inhibitors.
体细胞中剩余等位基因的失活是 BRCA1 和 BRCA2 突变携带者中发生癌症的一个特征,这决定了它们对一些 DNA 损伤剂的前所未有的敏感性。关于新的遗传性乳腺癌(BC)变体中涉及基因的肿瘤特异性状态的数据仍然不完整。我们分析了 30 名具有非 BRCA1/2 相关种系突变的 BC 患者的 32 个肿瘤:25 名女性是单突变携带者(7 名 BLM、15 名 CHEK2 和 3 名 NBN/NBS1),5 名是双突变携带者(2 名 BLM/BRCA1、1 名 CHEK2/BLM、1 名 CHEK2/BRCA1 和 1 名 NBN/BLM)。在没有 BLM 突变携带者的肿瘤中检测到影响野生型等位基因的杂合性丢失,在 3/18(17%)的 CHEK2 相关 BC 和 1/4(25%)的 NBN/NBS1 驱动的肿瘤中检测到杂合性丢失。其余 28 例 BC 进行了涉及基因整个编码区的序列分析;未发现体细胞突变。我们得出结论,野生型等位基因的肿瘤特异性缺失不是 CHEK2、NBN/NBS1 和 BLM 突变携带者中发生的 BC 的特征。在 CHEK2、NBN/NBS1 和 BLM 相关 BC 中涉及基因的“二次打击”失活的罕见性表明它们与 BRCA1/2 驱动的癌症具有实质性的生物学差异,使它们不太适合顺铂和 PARP 抑制剂的临床试验。