Abstract
Background Alterations in BRCA1 gene are responsible for the majority of hereditary breast and/or ovarian cancers. However, the frequency of detected germline mutations is lower than expected by linkage analysis. Standard PCR-based screening methods are mainly used for detecting mutations, but the large genomic rearrangements are commonly overlooked. The purpose of this study was to confirm and characterize a novel deletion identified in BRCA1 gene which has not yet been reported to date. Methods Multiplex ligation-dependent probe amplification was used to analyze BRCA1 rearrangements in 255 unrelated index patients with familial breast and/or ovarian cancer negative for BRCA1/BRCA2 mutations studied in Program of Genetic Counselling on Cancer of Valencia Community (Spain). The breakpoints of detected novel rearrangement were characterized by sequencing. Results and discussion Five different rearrangements in the BRCA1 gene were identified in five unrelated index patients out of the 225 (2%). We found four large genomic rearrangements already described consisting in a 1A/1B and 2 deletion; deletion of exons 5–7; deletion of exons 8–13; exon 20 deletion. Additionally, we found the novel g.8097_22733del14637 deletion that encompasses exons 3–5. This deletion affects the RING domain of the BRCA1 protein and it is suggestive of having a negative impact on its function. Conclusion The new mutation here reported broadens the mutational spectrum of large rearrangements. Furthermore, the five large rearrangements found in patients non-carriers of BRCA1/BRCA2 mutations reinforce the need of studying BRCA1 large genomic rearrangements in genetic counselling programs.
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Acknowledgements
We should manifest our gratitude to the “Fundación para Investigación La Fe” for having granted Sarai Palanca Suela (Lda. in Farmacy and Specialist in Clinical Biopathology) in a research project in HBC, which made possible her participation in the present study. Gratefully acknowledge support for the development of research projects in field of health to the “Consellería de Sanitat” from Valencia Community (project AP-019/06). We also should express our gratitude to Dr. Dolores Cuevas Cuerda (Jefa de Servicio de Protocolización e Integración Asistencial, Dirección de Asistencia Sanitaria, Consellería de Sanitat, Generalitat Valenciana) and Dolores Salas Trejo (Jefa de Servicio de la Oficina del Plan de Cáncer, Dirección General de Salud Pública, Consellería de Sanitat, Generalitat Valenciana) for her help and strong support given to establish and develop the Program of Genetic Counselling in Cancer of Valencia Community.
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Palanca Suela, S., Esteban Cardeñosa, E., Barragán González, E. et al. Identification of a novel BRCA1 large genomic rearrangement in a Spanish breast/ovarian cancer family. Breast Cancer Res Treat 112, 63–67 (2008). https://doi.org/10.1007/s10549-007-9839-6
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DOI: https://doi.org/10.1007/s10549-007-9839-6