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Characterization of BRCA1 and BRCA2 deleterious mutations and variants of unknown clinical significance in unilateral and bilateral breast cancer: the WECARE study.

Borg, Åke LU ; Haile, Robert W ; Malone, Kathleen E ; Capanu, Marinela ; Diep, Ahn ; Törngren, Therese LU ; Teraoka, Sharon ; Begg, Colin B ; Thomas, Duncan C and Concannon, Patrick , et al. (2010) In Human Mutation 31. p.1200-1240
Abstract
BRCA1 and BRCA2 screening in women at high-risk of breast cancer results in the identification of both unambiguously defined deleterious mutations and sequence variants of unknown clinical significance (VUS). We examined a population-based sample of young women with contralateral breast cancer (CBC, n=705) or unilateral breast cancer (UBC, n=1398). We identified 470 unique sequence variants, of which 113 were deleterious mutations. The remaining 357 VUS comprised 185 unique missense changes, 60% were observed only once, while 3% occurred with a frequency of >10%. Deleterious mutations occurred three times more often in women with CBC (15.3%) than in women with UBC (5.2%), whereas combined, VUS were observed in similar frequencies in... (More)
BRCA1 and BRCA2 screening in women at high-risk of breast cancer results in the identification of both unambiguously defined deleterious mutations and sequence variants of unknown clinical significance (VUS). We examined a population-based sample of young women with contralateral breast cancer (CBC, n=705) or unilateral breast cancer (UBC, n=1398). We identified 470 unique sequence variants, of which 113 were deleterious mutations. The remaining 357 VUS comprised 185 unique missense changes, 60% were observed only once, while 3% occurred with a frequency of >10%. Deleterious mutations occurred three times more often in women with CBC (15.3%) than in women with UBC (5.2%), whereas combined, VUS were observed in similar frequencies in women with CBC and UBC. A protein alignment algorithm defined 16 rare VUS, occurring at highly conserved residues and/or conferring a considerable biochemical difference, the majority located in the BRCA2 DNA-binding domain. We confirm a multiplicity of BRCA1 and BRCA2 VUS that occur at a wide range of allele frequencies. Although some VUS inflict chemical differences at conserved residues, suggesting a deleterious effect, the majority are not associated with an increased risk of CBC. (c) 2010 Wiley-Liss, Inc. (Less)
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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Human Mutation
volume
31
pages
1200 - 1240
publisher
John Wiley & Sons Inc.
external identifiers
  • wos:000279981700003
  • pmid:20104584
  • scopus:77149138300
ISSN
1059-7794
DOI
10.1002/humu.21202
language
English
LU publication?
yes
id
89b11d81-4271-4a5d-ae53-32e1a35c2944 (old id 1540553)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/20104584?dopt=Abstract
date added to LUP
2016-04-04 08:22:07
date last changed
2022-04-23 17:27:05
@article{89b11d81-4271-4a5d-ae53-32e1a35c2944,
  abstract     = {{BRCA1 and BRCA2 screening in women at high-risk of breast cancer results in the identification of both unambiguously defined deleterious mutations and sequence variants of unknown clinical significance (VUS). We examined a population-based sample of young women with contralateral breast cancer (CBC, n=705) or unilateral breast cancer (UBC, n=1398). We identified 470 unique sequence variants, of which 113 were deleterious mutations. The remaining 357 VUS comprised 185 unique missense changes, 60% were observed only once, while 3% occurred with a frequency of >10%. Deleterious mutations occurred three times more often in women with CBC (15.3%) than in women with UBC (5.2%), whereas combined, VUS were observed in similar frequencies in women with CBC and UBC. A protein alignment algorithm defined 16 rare VUS, occurring at highly conserved residues and/or conferring a considerable biochemical difference, the majority located in the BRCA2 DNA-binding domain. We confirm a multiplicity of BRCA1 and BRCA2 VUS that occur at a wide range of allele frequencies. Although some VUS inflict chemical differences at conserved residues, suggesting a deleterious effect, the majority are not associated with an increased risk of CBC. (c) 2010 Wiley-Liss, Inc.}},
  author       = {{Borg, Åke and Haile, Robert W and Malone, Kathleen E and Capanu, Marinela and Diep, Ahn and Törngren, Therese and Teraoka, Sharon and Begg, Colin B and Thomas, Duncan C and Concannon, Patrick and Mellemkjaer, Lene and Bernstein, Leslie and Tellhed, Lina and Xue, Shanyan and Olson, Eric R and Liang, Xiaolin and Dolle, Jessica and Børresen-Dale, Anne-Lise and Bernstein, Jonine L}},
  issn         = {{1059-7794}},
  language     = {{eng}},
  pages        = {{1200--1240}},
  publisher    = {{John Wiley & Sons Inc.}},
  series       = {{Human Mutation}},
  title        = {{Characterization of BRCA1 and BRCA2 deleterious mutations and variants of unknown clinical significance in unilateral and bilateral breast cancer: the WECARE study.}},
  url          = {{http://dx.doi.org/10.1002/humu.21202}},
  doi          = {{10.1002/humu.21202}},
  volume       = {{31}},
  year         = {{2010}},
}