Faculty of Health Sciences, University of Macau, Taipa, Macau, China.
Healthcare Analytics Institute, Eastern Virginia Medical School, Norfolk, VA, USA.
J Med Genet. 2021 Nov;58(11):752-759. doi: 10.1136/jmedgenet-2020-107299. Epub 2020 Sep 22.
Germline mutation in 1 and () is genetic predisposition for breast and ovarian cancer. Identification of mutation carriers is a critical step to prevent and treat the cancer in the mutation carriers. Human variation has been well determined as ethnic-specific by studies in Ashkenazi Jewish, Polish and Icelandic populations in the 1990s. However, sufficient evidence is lacking to determine if ethnic-specific variation is also present in Asia population, which is the largest and the most diversified in modern humans. Our current study aims to investigate ethnic-specific variation in Asian population.
We performed a comprehensive data mining to collect variation data in Indian, Chinese, Korean and Japanese populations derived from over 78 000 cancer and 40 000 non-cancer cases. We standardised all variation data following the international standard. We made a systematic comparison between the datasets including variant composition, variation spectrum, variant type, clinical class, founder mutation and high-frequent variants.
Our analysis showed that over half of the Asian variants were Asian-specific, and significant differences were present between the four Asia populations in each category analysed.
Data from our study reveal that ethnic-specific variation is commonly present in Asia population as existing in non-Asian populations. Our study indicates that ethnicity should be an important factor to consider in prevention and treatment of mutation-related cancer in the Asia population. We recommend that the current variation databases should include ethnic variation information in order to function as true global references.
1 和 () 种系突变是乳腺癌和卵巢癌的遗传易感性。识别突变携带者是预防和治疗突变携带者癌症的关键步骤。20 世纪 90 年代,对阿什肯纳兹犹太、波兰和冰岛人群的研究已经充分确定了人类 变体的种族特异性。然而,缺乏足够的证据来确定亚洲人群是否也存在种族特异性 变体,亚洲人群是现代人类中最大和最多样化的人群。我们目前的研究旨在调查亚洲人群中的种族特异性 变体。
我们进行了全面的数据挖掘,收集了来自 78000 多个癌症和 40000 个非癌症病例的印度、中国、韩国和日本人群的 变体数据。我们按照国际标准对所有 变体数据进行了标准化。我们对数据集进行了系统比较,包括变体组成、变体谱、变体类型、临床分类、创始人突变和高频变体。
我们的分析表明,超过一半的亚洲 变体是亚洲特有的,在分析的每个类别中,四个亚洲人群之间都存在显著差异。
我们的研究数据表明,种族特异性 变体在亚洲人群中普遍存在,就像在非亚洲人群中存在一样。我们的研究表明,在亚洲人群中预防和治疗与 突变相关的癌症时,种族应该是一个重要的考虑因素。我们建议当前的 变体数据库应包括种族变体信息,以便作为真正的全球 参考。