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The complex genetic landscape of familial breast cancer

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Abstract

Familial breast cancer represents a minor percentage of all human breast cancers. Mutations in two high susceptibility genes BRCA1 and BRCA2 explain around 25 % of familial breast cancers, while other high, moderate and low susceptibility genes explain up to 20 % more of breast cancer families. Thus, it is important to decipher the genetic architecture of families that show no mutations to improve genetic counselling. The comprehensive description of familial breast cancer using different techniques and platforms has shown to be very valuable for better patient diagnosis, tumour surveillance, and ultimately patient treatment. This review focuses on the complex landscape of pathological, protein, genetic and genomic features associated with BRCA1-, BRCA2-, and non-BRCA1/BRCA2-related cancers described up to date. Special emphasis deserves the coexistence of distinct molecular breast cancer subtypes, the development of tumour classifiers to predict BRCA1/2 mutations, and the last insights from recent whole genome sequencing studies and miRNA profiling.

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Abbreviations

aCGH:

Array-based comparative genomic hybridisation

BC:

Breast cancer

cCGH:

Conventional or chromosomal-based comparative genomic hybridisation

DSB:

Double strand break DNA

ER:

Oestrogen receptor

FBC:

Familial breast cancer

GAP:

Genomic aberration pattern

GEP:

Gene expression profile

HR:

Homologous recombination DNA repair

IHC:

Immunohistochemistry or immunohistochemical

MLPA:

Multiplex ligation-dependent probe amplification

NGS:

Next generation sequencing

NHEJ:

Non-homologous end joining DNA repair

PR:

Progesterone receptor

SBC:

Sporadic breast cancer

TNBL:

Triple-negative basal-like breast cancers

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Acknowledgments

The authors would like to thank all members of the Human Genetics Team for the last 10 years, who have been key in our advance in understanding familial breast cancer. We are grateful to the financial support from FIS PI12/0070 and INNPRONTA (MICIN) programmes.

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Correspondence to Lorenzo Melchor.

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Melchor, L., Benítez, J. The complex genetic landscape of familial breast cancer. Hum Genet 132, 845–863 (2013). https://doi.org/10.1007/s00439-013-1299-y

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