Skip to main content

Advertisement

Log in

A Survey of BRCA1, BRCA2, and PALB2 mutations in women with breast cancer in Trinidad and Tobago

  • Epidemiology
  • Published:
Breast Cancer Research and Treatment Aims and scope Submit manuscript

Abstract

The mortality rate from breast cancer in the nation of Trinidad and Tobago is among the highest of any country in the Caribbean region. The contribution of inherited gene mutations to the burden of breast cancer in Trinidad and Tobago has not been studied. We examined the prevalence of mutations in three susceptibility genes (BRCA1, BRCA2, and PALB2) in breast cancer patients in Trinidad and Tobago. We studied 268 unselected breast cancer patients from Trinidad and Tobago and looked for mutations across the entire coding sequences of BRCA1, BRCA2, and PALB2. Overall, 28 of 268 patients (10.4 %) had a mutation in one of the three genes, including 15 in BRCA1, ten in BRCA2, two in PALB2, and one in both BRCA2 and PALB2. There were 25 different mutations identified; of these, four mutations were seen in two patients each. Given the high prevalence of mutations, it is reasonable to offer genetic testing for these three genes to all breast cancer patients in Trinidad and Tobago.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Ferlay J, Soerjomataram I, Ervik M et al (2013) GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11 [Internet]. Lyon, France: International Agency for Research on Cancer. Available from: http://globocan.iarc.fr

  2. Warner WA, Morrison RL, Lee TY et al (2015) Associations among ancestry, geography and breast cancer incidence, mortality, and survival in Trinidad and Tobago. Cancer Med 4:1747–1753. doi:10.1002/cam4.503

    Article  Google Scholar 

  3. Naraynsingh V, Hariharan S, Dan D et al (2009) Trends in breast cancer mortality in Trinidad and Tobago—a 35-year study. Cancer Epidemiol 34(1):20–23

    Article  PubMed  Google Scholar 

  4. Hennis AJ, Hambleton IR, Wu SY et al (2009) Breast cancer incidence and mortality in a Caribbean population: comparisons with African–Americans. Int J Cancer 124(2):429–433

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Luciani S, Cabanes A, Preito-Lara E et al (2013) Cervical and female breast cancers in the Americas: current situation and opportunities for action. Bull World Health Organ 91(9):640–649

    Article  PubMed  PubMed Central  Google Scholar 

  6. Camacho-Rivera M, Ragin C, Roach V et al (2015) Breast cancer clinical characteristics and outcomes in Trinidad and Tobago. J Immigr Minor Health 17(3):765–772

    Article  PubMed  Google Scholar 

  7. Taioli E, Attong-Rogers A, Layne P et al (2010) Breast cancer survival in women of African descent living in the US and in the Caribbean: effect of place of birth. Breast Cancer Res Treat 122(2):515–520

    Article  PubMed  Google Scholar 

  8. Donenberg T, Lunn J, Curling D et al (2011) A high prevalence of BRCA1 mutations among breast cancer patients from the Bahamas. Breast Cancer Res Treat 125(2):591–596

    Article  PubMed  Google Scholar 

  9. Akbari MR, Donenberg T, Lunn J et al (2013) The spectrum of BRCA1 and BRCA2 mutations in breast cancer patients in the Bahamas. Clin Genet 85:64–67. doi:10.1111/cge.12132

    Article  PubMed  Google Scholar 

  10. Easton D (1994) The inherited component of cancer. Br Med Bull 50:527–535

    CAS  PubMed  Google Scholar 

  11. Narod SA, Foulkes WD (2004) BRCA1 and BRCA2: 1994 and beyond. Nat Rev Cancer 4:665–676

    Article  CAS  PubMed  Google Scholar 

  12. Claus EB, Schildkraut JM, Thompson WD et al (1996) The genetic attributable risk of breast and ovarian cancer. Cancer 77:2318–2324

    Article  CAS  PubMed  Google Scholar 

  13. Antoniou A, Pharoah PD, Narod S et al (2003) Average risks of breast and ovarian cancer associated with BRCA1 or BRCA2 mutations detected in case series unselected for family history: a combined analysis of 22 studies. Am J Hum Genet 72(5):1117–1130

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Sy SM, Huen MS, Chen J (2009) PALB2 is an integral component of the BRCA complex required for homologous recombination repair. Proc Natl Acad Sci USA 106(17):7155–7160. doi:10.1073/pnas.0811159106

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Antoniou AC, Casadei S, Heikkinen T et al (2014) Breast-cancer risk in families with mutations in PALB2. NEJM 371(6):497–506. doi:10.1056/NEJMoa1400382

    Article  PubMed  PubMed Central  Google Scholar 

  16. Warner E, Foulkes W, Goodwin P et al (1999) Prevalence and penetrance of BRCA1 and BRCA2 gene mutations in unselected Ashkenazi Jewish women with breast cancer. J Natl Cancer Inst 91(14):1241–1247

    Article  CAS  PubMed  Google Scholar 

  17. Metcalfe KA, Poll A, Royer R et al (2010) Screening for founder mutations in BRCA1 and BRCA2 in unselected Jewish women. J Clin Oncol 28(3):387–391

    Article  CAS  PubMed  Google Scholar 

  18. Tanabe R. Trinidad and Tobago [Internet], New World Encyclopedia. Available from: http://www.newworldencyclopedia.org/p/index.php?title=Trinidad_and_Tobago&oldid=992842

  19. Donenberg T, George S, Akbari M et al (2014) Evaluation of Bahamian BRCA founder mutations in the Caribbean. Curr Oncol 21(2):e358–e391

    Article  Google Scholar 

  20. Szabo C, Masiello A, Ryan JF et al (2000) The breast cancer information core: database design, structure, and scope. Hum Mutat 16:123–131

    Article  CAS  PubMed  Google Scholar 

  21. Olopade OI, Fackenthal JD, Dunston G et al (2003) Breast cancer genetics in African Americans. Cancer 97:236–245. doi:10.1002/cncr.11019

    Article  CAS  PubMed  Google Scholar 

  22. Fackenthal KD, Zhang J, Zhang B et al (2012) High prevalence of BRCA1 and BRCA2 mutations in unselected Nigerian breast cancer patients. Int J Cancer 131:1114–1123. doi:10.1002/ijc.27326

    Article  CAS  PubMed  Google Scholar 

  23. Churpek JE, Walsh T, Zheng Y et al (2015) Inherited predisposition to breast cancer among African American women. Breast Cancer Res Tr 149:31–39. doi:10.1007/s10549-014-3195-0

    Article  CAS  Google Scholar 

  24. Gao Q, Neuhausen S, Cummings S et al (1997) Recurrent germ-line BRCA1 mutations in extended African American families with early-onset breast. Am J Hum Genet 60:1233–1236

    CAS  PubMed  PubMed Central  Google Scholar 

  25. Laitman Y, Borsthein RT, Stoppa-Lyonnet D et al (2011) Germline mutations in BRCA1 and BRCA2 genes in ethnically diverse high risk families in Israel. Breast Cancer Res Tr 127:489–495. doi:10.1007/s10549-010-1217-0

    Article  Google Scholar 

  26. Vezina H, Durocher F, Dumont M et al (2005) Molecular and genealogical characterization of the R1443X BRCA1 mutation in high-risk French-Canadian breast/ovarian cancer families. Hum Genet 117:119–132. doi:10.1007/s00439-005-1297-9

    Article  CAS  PubMed  Google Scholar 

  27. Blesa JR, García JA, Ochoa E (2000) Frequency of germ-line BRCA1 mutations among Spanish families from a Mediterranean area. Hum Mutat 15:381–382

    Article  CAS  PubMed  Google Scholar 

  28. Dutil J, Golubeva VA, Pacheco-Torres AL et al (2015) The spectrum of BRCA1 and BRCA2 alleles in Latin America and the Caribbean: a clinical perspective. Breast Cancer Res Tr 154(3):441–453. doi:10.1007/s10549-015-3629-3

    Article  CAS  Google Scholar 

  29. Caux-Moncoutier V, Castera L (2010) EMMA, a cost- and time-effective diagnostic method for simultaneous detection of point mutations and large-scale genomic rearrangements: application to BRCA1 and BRCA2 in 1525 patients. Hum Mutat 32(3):325–334. doi:10.1002/humu.21414

    Article  Google Scholar 

  30. Desmond A, Kurian A, Gabree M et al (2015) Clinical actionability of multigene panel testing for hereditary breast and ovarian cancer risk assessment. JAMA Oncol 1(7):943–951. doi:10.1001/jamaoncol.2015.2690

    Article  PubMed  Google Scholar 

  31. Metcalfe K, Lynch HT, Foulkes WD, Tung N, Kim-Sing C, Olopade OI, Eisen A, Rosen B, Snyder C, Gershman S, Sun P, Narod SA (2015) Effect of oophorectomy on survival after breast cancer in BRCA1 and BRCA2 mutation carriers. JAMA Oncol. 1(3):306–313

    Article  PubMed  Google Scholar 

  32. Metcalfe K, Gershman S, Ghadirian P, Lynch HT, Snyder C, Tung N, Kim-Sing C, Eisen A, Foulkes WD, Rosen B, Sun P, Narod SA (2014) Contralateral mastectomy and survival after breast cancer in carriers of BRCA1 and BRCA2 mutations: retrospective analysis. BMJ 11(348):g226

    Article  Google Scholar 

  33. Finch AP, Lubinski J, Møller P et al (2014) Impact of oophorectomy on cancer incidence and mortality in women with a BRCA1 or BRCA2 mutation. J Clin Oncol 32(15):1547–1553

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgments

This research was supported by the grant from Susan G. Komen® KG11-0017. The authors thank the staff of the North West Regional Health Authority: Dr. Dylan Narinesingh, Dr. Cemonne Nixon, Dr. Jamie Morton-Gittens, Dr. Navin Sookar, Dr. Zahir Mohammed, Dr. Suzanne Chapman. The authors would also like to thank Nurse Patrice Carrington and Nurse Netasha Celestine.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Judith Hurley.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Donenberg, T., Ahmed, H., Royer, R. et al. A Survey of BRCA1, BRCA2, and PALB2 mutations in women with breast cancer in Trinidad and Tobago. Breast Cancer Res Treat 159, 131–138 (2016). https://doi.org/10.1007/s10549-016-3870-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10549-016-3870-4

Keywords

Navigation