Cancers,
Год журнала:
2023,
Номер
15(9), С. 2635 - 2635
Опубликована: Май 6, 2023
The
National
Comprehensive
Cancer
Network
(NCCN)
testing
criteria
for
the
high-penetrance
breast
cancer
susceptibility
genes,
specifically
BRCA1,
BRCA2,
CDH1,
PALB2,
PTEN,
and
TP53,
have
been
recently
modified
in
2023
to
v.1.
following
changed:
(1)
from
a
person
diagnosed
with
at
≤45
≤50;
(2)
aged
45-50
of
personal
diagnosis
any
age
multiple
cancers;
(3)
≥51
family
history
listed
NCCN
2022
v.2.High-risk
patients
(n
=
3797)
were
recruited
Hong
Kong
Hereditary
Breast
Family
Registry
between
2007
2022.
Patients
grouped
according
v.1
v.2.
A
30-gene
panel
hereditary
was
performed.
mutation
rates
on
genes
compared.About
91.2%
met
v.2
criteria,
while
97.5%
criteria.
An
extra
6.4%
included
after
revision
2.5%
did
not
meet
both
germline
BRCA1/2
meeting
10.1%
9.6%,
respectively.
all
6
these
two
groups
12.2%
11.6%,
Among
additional
242
who
using
new
selection
2.1%
those
cancers,
strong
cancers
NCCN,
unclear
pathology
information,
or
patient's
voluntary
intention
be
tested.
5.3%
6.4%,
respectively.This
study
provided
real-world
application
guidelines
its
effect
rate
Chinese
population.
Applying
updated
further
genetic
investigation
would
increase
positive
detection
rate,
potentially
more
benefit.
balance
resource
outcome
requires
careful
consideration.
Frontiers in Oncology,
Год журнала:
2024,
Номер
14
Опубликована: Июнь 24, 2024
Introduction
Approximately
10%
of
breast
cancer
(BC)
cases
result
from
hereditary
causes.
Genetic
testing
has
been
widely
implemented
in
BC
care
to
determine
syndromes
and
personalized
medicine.
Thus,
identification
individuals
carrying
germline
pathogenic
variants
could
be
useful
provide
appropriate
prophylactic
or
screening
measures
for
each
subtype,
however,
there
are
few
formal
recommendations
genetic
this
sense
so
far.
In
study,
we
assessed
rare
a
specific
group
genes
order
the
association
with
human
epidermal
growth
factor
2
enriched
(HER2+)
phenotype
through
systematic
review
meta-analysis
comparing
subtypes
overexpressing
HER2
other
clinically
recognized
BC.
This
was
registered
PROSPERO
(ID:
CRD42023447571).
Methods
We
conducted
an
online
literature
search
PubMed
(MEDLINE),
Scopus,
EMBASE
databases.
included
original
studies
that
investigated
HER2+
patients
selected
reported
only
and/or
variants.
risk
bias
quality
using
Joanna
Briggs
Institute
Critical
Appraisal
checklists
Modified
Newcastle-Ottawa
Scale
Studies,
respectively.
Considering
hormone
receptor
expression
status,
compared
gene-based
risks
initially
HR-HER2-,
HR+HER2-,
HR+HER2+,
HR-HER2+
groups,
conducting
separate
meta-analyses
random
effects
model
comparison,
within
them
gene.
Results
Of
total
36
describing
variants,
11
provided
information
on
prevalence
different
relevant
allowed
comparisons.
Germline
eight
showed
significant
differences
when
meta-analyzed
between
groups:
BRCA1
,
BRCA2
TP53
ATM
CHEK2
PALB2
RAD51C
BARD1
.
Notably,
were
identified
as
predisposing
factors
subtypes,
whereas
associated
predisposition
low
expression.
Main
concerns
about
assessment
lack
confounding
control;
comparability
outcome
assessment,
Discussion
Our
findings
underscore
connection
differential
protein
subtypes.
Systematic
registration
https://www.crd.york.ac.uk/PROSPERO
identifier
CRD42023447571.
Formyl
peptide
receptor-1
(FPR1)
is
a
pathogen
recognition
receptor
involved
in
the
detection
of
bacteria,
control
inflammation,
as
well
cancer
immunosurveillance.
A
single
nucleotide
polymorphism
FPR1,
rs867228,
provokes
loss-of-function
phenotype.
In
bioinformatic
study
performed
on
The
Cancer
Genome
Atlas
(TCGA),
we
observed
that
homo-or
heterozygosity
for
rs867228
FPR1
(which
affects
approximately
one-third
population
across
continents)
accelerates
age
at
diagnosis
specific
carcinomas
including
luminal
B
breast
by
4.9
years.
To
validate
this
finding,
genotyped
215
patients
with
metastatic
mammary
from
SNPs
Risk
Metastasis
(SToRM)
cohort.
first
occurred
an
49.2
years
individuals
bearing
dysfunctional
TT
or
TG
alleles
(n
=
73)
and
55.5
functional
GG
141),
meaning
accelerated
6.3
(p=0.0077,
Mann
&
Whitney).
These
results
confirm
our
original
observation
independent
validation
We
speculate
it
may
be
useful
to
include
screening
campaigns
selectively
increasing
frequency
stringency
examinations
starting
relatively
young
age.
npj Genomic Medicine,
Год журнала:
2024,
Номер
9(1)
Опубликована: Фев. 14, 2024
Abstract
Multi-gene
panel
testing
has
led
to
the
detection
of
pathogenic/likely
pathogenic
(P/LP)
variants
in
many
cancer
susceptibility
genes
patients
with
breast-ovarian
spectrum.
However,
clinical
and
genomic
data
Asian
populations,
including
Thai
patients,
was
underrepresented,
significance
multi-gene
Thailand
remains
undetermined.
In
this
study,
we
collected
genetic
from
4567
hereditary
(HBOC)
spectrum
who
underwent
testing.
Six
hundred
ten
individuals
(13.4%)
had
germline
P/LP
variants.
Detection
rates
breast,
ovarian,
pancreatic,
prostate
were
11.8%,
19.8%,
14.0%,
7.1%,
respectively.
Non-
BRCA
gene
mutations
accounted
for
35%
ATM
most
common
non-
mutation.
Four
thirty-two
breast
(80.4%)
met
current
NCCN
criteria.
The
indication
early-onset
cancer.
Ten
harbored
double
cohort.
Our
result
showed
that
a
significant
proportion
identified
HBOC-related
cancers.
These
findings
support
benefit
inherited
among
HBOC
patients.
Some
modifications
policy
may
be
appropriate
implementation
diverse
populations.
Cancer Treatment Reviews,
Год журнала:
2024,
Номер
129, С. 102785 - 102785
Опубликована: Июнь 11, 2024
The
detection
of
germline
pathogenic
variants
(gPVs)
in
BRCA1/2
and
other
breast
cancer
(BC)
genes
is
rising
exponentially
thanks
to
the
advent
multi-gene
panel
testing.
This
promising
technology,
coupled
with
availability
specific
therapies
for
BC
BRCA-related,
has
increased
number
patients
eligible
genetic
Implementing
testing
hereditary
screening
holds
promise
maximise
benefits
at
risk
BC.
These
range
from
prevention
programs
antineoplastic-targeted
therapies.
However,
clinical
management
these
complex
requires
guidelines
based
on
recent
evidence.
Furthermore,
applying
into
practice
increases
uncertain
significance
(VUSs).
augments
complexity
patients'
management,
becoming
an
unmet
need
medical
oncologists.
review
aims
collect
updated
evidence
most
common
BC-related
besides
BRCA1/2,
their
biological
role
development
potential
impact
tailoring
treatment
strategies.
Frontiers in Oncology,
Год журнала:
2023,
Номер
13
Опубликована: Сен. 14, 2023
Breast
cancer
continues
to
be
the
most
common
diagnosed
among
women
worldwide.
Family
history
of
breast
is
frequently
encountered,
and
5-15%
patients
may
carry
inherited
pathogenic
germline
variants,
identification
which
can
helpful
for
both;
themselves
their
unaffected
close
relatives.
The
availability
affordability
molecular
diagnostics,
like
next
generation
sequencing
(NGS),
had
resulted
in
wider
adoption
such
technologies
detect
variants
cancer-predisposing
genes.
International
guidelines
recently
broadened
indications
genetic
testing
include
much
more
patients,
also
expanded
multi-gene
panels,
while
some
professional
societies
are
calling
universal
all
newly
with
cancer,
regardless
age,
personal
or
family
history.
risk
experiencing
a
contralateral
(CBC)
ipsilateral
recurrence,
well
known.
Such
highest
BRCA1
BRCA2,
but
less
well-studied
other
variants.
optimal
local
therapy
BRCA-associated
remains
controversial,
tends
aggressive
involve
bilateral
mastectomies,
not
have
any
survival
advantage.
Additionally,
surgical
management
women,
known
gene,
vary
from
surveillance
too.
oncological
safety,
higher
satisfaction
new
techniques,
skin-sparing
(SSM)
nipple-sparing
(NSM)
eased
up
process
counselling.
In
this
review,
we
address
safety
options
carriers.
Journal of Medical Genetics,
Год журнала:
2023,
Номер
60(12), С. 1215 - 1217
Опубликована: Авг. 3, 2023
The
gene-disease
relationship
for
CHEK2
remains
listed
as
‘Li-Fraumeni
syndrome
2’
in
public
resources
such
OMIM
and
MONDO,
despite
published
evidence
to
the
contrary,
causing
frustration
among
Li-Fraumeni
(LFS)
clinical
experts.
Here,
we
compared
personal
cancer
characteristics
of
2095
248
TP53
pathogenic
variant
carriers
undergoing
multigene
panel
testing
at
Ambry
Genetics
against
15
135
individuals
with
no
known
variant.
Our
results
from
a
within-cohort
logistic
regression
approach
highlight
obvious
differences
between
presentation
carriers,
being
associated
any
-related
core
LFS
cancers.
These
findings
emphasise
need
replace
-associated
disease
name,
thereby
limiting
potential
confusion.