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BRCA2 种系突变频率增加与多种族患者人群的前列腺癌转移相关。

Increased frequency of germline BRCA2 mutations associates with prostate cancer metastasis in a racially diverse patient population.

机构信息

Department of Surgery, Center for Prostate Disease Research, Uniformed Services University of the Health Sciences, Rockville, MD, USA.

John P Murtha Cancer Center, Walter Reed National Military Medical Center, Bethesda, MD, USA.

出版信息

Prostate Cancer Prostatic Dis. 2019 Sep;22(3):406-410. doi: 10.1038/s41391-018-0114-1. Epub 2018 Dec 12.


DOI:10.1038/s41391-018-0114-1
PMID:30542053
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6760554/
Abstract

BACKGROUND: Germline mutations in BRCA2 have been linked to a higher risk of prostate cancer (PCa), and high frequency of BRCA1 and BRCA2 (BRCA1/2) gene alterations was recently reported in metastatic castration-resistant PCa specimens. Mutations in BRCA2 vary in racial and ethnic groups including African-American (AA) and Caucasian-American (CA) populations. METHODS: BRCA1 and BRCA2 genes were sequenced (Ion AmpliSeq targeted sequencing) in archived blood DNA specimens in 1240 PCa patients, including 30% AA patients, in three different cohorts: localized early stage (T2) PCa (N = 935); advanced PCa (50% T3-4) (N = 189); and metastatic PCa (N = 116). The sequences were analyzed for known and novel mutations in BRCA1/2. Statistical analyses were performed to determine associations of the mutations with clinico-pathological parameters. RESULTS: BRCA2 mutations with known pathogenic annotation were significantly more prevalent in men with advanced and metastatic PCa (3.1%) compared to patients with an organ-confined disease (0.7%). AA patients carried more frequently BRCA1/2 variants of unknown significance (VUS) when compared to Caucasian Americans (4.6 vs. 1.6%, respectively). Significantly, pathogenic BRCA2 mutations in men with localized early stage PCa increased the risk of distant metastasis. CONCLUSIONS: Germline variants of unknown significance in BRCA1/2 are more frequent in AA than CA PCa patients; however, the prevalence of pathogenic mutations were similar across the races. Patients carrying BRCA2 pathogenic mutations are more likely to progress to metastasis.

摘要

背景:BRCA2 种系突变与前列腺癌(PCa)风险增加相关,最近在转移性去势抵抗性 PCa 标本中报道了 BRCA1 和 BRCA2(BRCA1/2)基因改变的高频率。BRCA2 突变在包括非裔美国人(AA)和高加索裔美国人(CA)在内的不同种族和民族群体中存在差异。

方法:在三个不同的队列中,对 1240 名 PCa 患者(包括 30%的 AA 患者)的存档血液 DNA 标本进行了 BRCA1 和 BRCA2 基因测序(Ion AmpliSeq 靶向测序):局限性早期(T2)PCa(N=935);晚期 PCa(50%为 T3-4)(N=189);转移性 PCa(N=116)。对 BRCA1/2 的已知和新突变进行了序列分析。进行了统计学分析,以确定突变与临床病理参数的关联。

结果:与局限于器官的疾病患者(0.7%)相比,具有已知致病性注释的 BRCA2 突变在晚期和转移性 PCa 男性中更为常见(3.1%)。与高加索裔美国人相比,AA 患者携带更多的 BRCA1/2 意义不明的变异(VUS)(分别为 4.6%和 1.6%)。重要的是,局限性早期 PCa 男性中的种系 BRCA2 突变增加了远处转移的风险。

结论:BRCA1/2 中的种系意义不明的变异在 AA 比 CA PCa 患者中更为常见;然而,不同种族之间的致病性突变的流行率相似。携带 BRCA2 致病性突变的患者更有可能进展为转移。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8050/6760554/a45aa397d0fa/41391_2018_114_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8050/6760554/a45aa397d0fa/41391_2018_114_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8050/6760554/a45aa397d0fa/41391_2018_114_Fig1_HTML.jpg

相似文献

[1]
Increased frequency of germline BRCA2 mutations associates with prostate cancer metastasis in a racially diverse patient population.

Prostate Cancer Prostatic Dis. 2018-12-12

[2]
Germline BRCA mutations are associated with higher risk of nodal involvement, distant metastasis, and poor survival outcomes in prostate cancer.

J Clin Oncol. 2013-4-8

[3]
Comparison of germline mutations in African American and Caucasian men with metastatic prostate cancer.

Prostate. 2021-5

[4]
Germline Mutations in ATM and BRCA1/2 Distinguish Risk for Lethal and Indolent Prostate Cancer and are Associated with Early Age at Death.

Eur Urol. 2017-5

[5]
Breast cancer in young women (YBC): prevalence of BRCA1/2 mutations and risk of secondary malignancies across diverse racial groups.

Ann Oncol. 2009-10

[6]
Prognostic significance of pathogenic variants in BRCA1, BRCA2, ATM and PALB2 genes in men undergoing hormonal therapy for advanced prostate cancer.

Br J Cancer. 2022-11

[7]
Germline BRCA2 mutations drive prostate cancers with distinct evolutionary trajectories.

Nat Commun. 2017-1-9

[8]
[Impact of germline BRCA2 and CHEK2 mutations on time to castration resistance in patients with metastatic hormone-nave prostate cancer].

Urologiia. 2019-12

[9]
Targeted prostate cancer screening in BRCA1 and BRCA2 mutation carriers: results from the initial screening round of the IMPACT study.

Eur Urol. 2014-9

[10]
Effect of BRCA Mutations on Metastatic Relapse and Cause-specific Survival After Radical Treatment for Localised Prostate Cancer.

Eur Urol. 2014-11-6

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Cancer Res. 2025-5-2

[2]
Ancestry-Specific DNA Damage Repair Gene Mutations and Prostate Cancer.

Cancers (Basel). 2025-2-18

[3]
Homologous recombination deficiency in ovarian high-grade serous carcinoma by self-reported race.

medRxiv. 2025-1-28

[4]
Lethal Prostate Cancer in Mexico: Data from the Can.Prost Mexican Registry and a Project for Early Detection.

Cancers (Basel). 2024-10-30

[5]
Adaptation of the socioecological model to address disparities in engagement of Black men in prostate cancer genetic testing.

BMC Public Health. 2024-9-18

[6]
Men with metastatic prostate cancer carrying a pathogenic germline variant in breast cancer genes: disclosure of genetic test results to relatives.

Fam Cancer. 2024-6

[7]
Single nucleotide polymorphism within chromosome 8q24 is associated with prostate cancer development in Saudi Arabia.

Asian J Urol. 2024-1

[8]
Adding a Coefficient for Race to the 4Kscore Improves Calibration for Black Men.

J Urol. 2024-3

[9]
Genetic and biological drivers of prostate cancer disparities in Black men.

Nat Rev Urol. 2024-5

[10]
Mutational spectrum of DNA damage and mismatch repair genes in prostate cancer.

Front Genet. 2023-9-4

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