Złowocka-Perłowska Elżbieta, Tołoczko-Grabarek Aleksandra, Narod Steven A, Lubiński Jan
Department of Genetics and Pathology, International Hereditary Cancer Center, Pomeranian Medical University, Szczecin, Poland.
Women's College Research Institute, Women's College Hospital, University of Toronto, Toronto, Canada.
Hered Cancer Clin Pract. 2022 Apr 8;20(1):13. doi: 10.1186/s13053-022-00220-6.
The role of the BRCA1 and BRCA2 genes in bladder and renal tumorigenesis is unclear. Our goal was to determine the prevalence of specific founder mutations genes BRCA1 (5328 insC, C61G and 4153 delA) and BRCA2 (C5972T) mutations in bladder and kidney cancer patients from Poland.
We genotyped 1028 patients with bladder cancer and 688 cases with kidney cancer and two control groups.
A BRCA1 mutation (all variants combined) was detected in peripheral blood leukocytes in 5 out of 1028 (0.5%) bladder cases and in 17 of 4000 controls (0.4%) (odds ratio [OR], (OR = 1.1; 95% CI 0.42-3.11; p = 1.0). Among 688 unselected kidney cancer cases a BRCA1 mutations was reported in three patients (0.4%) (OR = 1.0; 95% CI 0.29-3.51; p = 1.0). The mutation C5972T in BRCA2 was observed in 54 bladder cancer patients (5.2%) and in 159 of 2791 healthy controls (5.7%) (OR = 0.9; 95% CI 0.66-1.26; p = 0.6). Fifty kidney cancer cases carried a BRCA2 mutation (7.3%) (OR = 1.3; 95% CI 0.93-1.80; p = 0.1).
In conclusion, we found no difference in the prevalence of BRCA1 and BRCA2 founder mutations between cases and healthy controls. The mutations BRCA1 and BRCA2 seem not to play a role in bladder and kidney cancer development in Polish patients.
BRCA1和BRCA2基因在膀胱癌和肾癌发生中的作用尚不清楚。我们的目标是确定波兰膀胱癌和肾癌患者中特定的始祖突变基因BRCA1(5328insC、C61G和4153delA)和BRCA2(C5972T)突变的发生率。
我们对1028例膀胱癌患者、688例肾癌患者以及两个对照组进行了基因分型。
在1028例膀胱癌患者中,有5例(0.5%)在外周血白细胞中检测到BRCA1突变(所有变异合并),在4000例对照组中有17例(0.4%)检测到(优势比[OR],(OR = 1.1;95%可信区间0.42 - 3.11;p = 1.0)。在688例未经选择的肾癌患者中,有3例(0.4%)报告有BRCA1突变(OR = 1.0;95%可信区间0.29 - 3.51;p = 1.0)。在54例膀胱癌患者(5.2%)和2791例健康对照组中的159例(5.7%)中观察到BRCA2的C5972T突变(OR = 0.9;95%可信区间0.66 - 1.26;p = 0.6)。50例肾癌患者携带BRCA2突变(7.3%)(OR = 1.3;95%可信区间0.93 - 1.80;p = 0.1)。
总之,我们发现病例组和健康对照组之间BRCA1和BRCA2始祖突变的发生率没有差异。BRCA1和BRCA2突变似乎在波兰患者的膀胱癌和肾癌发生中不起作用。