Abstract
Breast cancer is the most common cancer in women worldwide, including Romania, where its incidence has increased significantly during the last decade. Ovarian cancer is the fourth leading cause of mortality by cancer in women. BRCA1 and BRCA2 are major cancer predisposition genes, responsible for a large percentage of hereditary breast and ovarian cancer (HBOC) families. We investigated 17 patients from unrelated HBOC families in north-eastern Romania, screening for mutations in BRCA1 and BRCA2 by mutation-specific PCR and by dideoxy sequencing. We identified four BRCA1 and two BRCA2 mutations in the 17 families. The overall mutation frequency was 41% (7/17; 5 BRCA1 and 2 BRCA2). Two mutations (BRCA1 c.2241dupC and BRCA2 c.8680C>T) were novel and not listed in the BIC database. Two recurrent BRCA1 mutations (c.5266dupC and c.181T>G), previously described among Ashkenazi Jewish and Eastern European populations, were also found. Two unclassified variants (UV) were found, one of which was novel (BRCA2 c.4589A>G). Medical follow-up for mutation carriers was implemented. Our study is the first molecular investigation of the role of the BRCA genes in breast and ovarian cancer in Romania.
Similar content being viewed by others
References
Ferlay J et al (2001) GLOBOCAN 2000: cancer incidence, mortality and prevalence worldwide. International Agency for Research on Cancer Press (IARC Cancer base no.5) - IARC Press, Lyon. Available at http://apps.who.int/bookorders/anglais/detart1.jsp?sesslan=1&codlan=1&codcol=76&codcch=12#
King MC, Marks JH, Mandell JB, for The New York BreastCancer Study Group (2003) Breast and Ovarian Cancer Risks Due to Inherited Mutations in BRCA1 and BRCA2. Science 302:643–646
WHOSIS—World Health Organization Statistical Information System (http://www.who.int/whosis/en/)
Romanian Cancer League (http://www.romaniancancerleague.org/en/index.php)
Sun CC, Ramirez PT, Bodurka DC (2007) Quality of Life for patients with epithelial ovarian cancer. Nat Clin Pract Oncol 4(1):18–29
Miki Y, Swensen J, Shattuck-Eidens D, Futreal PA, Harshman K, Tavtigian S, Liu Q, Cochran C, Bennett LM, Ding W et al (1994) A strong candidate for the breast and ovarian cancer susceptibility gene BRCA1. Science 266:66–71
Wooster R, Neuhausen SL, Mangion J, Quirk Y, Ford D, Collins N, Nguyen K, Seal S, Tran T, Averill D et al (1994) Localization of a breast cancer susceptibility gene, BRCA2, to chromosome 13q12–13. Science 265(5181):2088–2090
Narod SA (2002) Modifiers of risk of hereditary breast and ovarian cancer. Nature Rev Cancer 2(2):113–123
Easton DF, Hopper JL, Thomas DC, Antoniou A, Pharoah PDP, Whittemore A, Haile RW (2004) Breast cancer risks for BRCA1/2 carriers. Science 306:2187–2188
Ford D, Easton DF, Peto J (1995) Estimates of the gene frequency of BRCA1 mutations and its contribution to breast and ovarian cancer incidence. Am J Hum Genet 57:1457–1462
Antoniou A 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
Bermejo JL, Hemminiki K (2006) Risks of cancer and families. J Natl Cancer Inst 98(8):563–564
Chetrit A et al (2008) Effect of BRCA1/2 mutations on long-term survival of patients with invasive ovarian cancer: the national Israeli study of ovarian cancer. J Clin Oncol 26(1):9–10
Uhrhammer N, Bornes S, Bignon Y-J (2005) Quelle place tiennent les gènes BRCA1 et BRCA2 dans les risques héréditaires de cancer de l’ovaire? Oncologie 7:526–530
Honrado E, Benitez J, Palacios J (2005) The molecular pathology of hereditary breast cancer: genetic testing and therapeutic implications. Mod Pathol 18(10):1305–1320
Breast Information Core (BIC) database (http://research.nhgri.nih.gov/bic/)
Walsh T, Casadei S, Coats KH, Swisher E, Stray SM, Higgins J, Roach KC, Mandell J, Lee MK, Ciernikova S, Foretova L, Soucek P, King MC (2006) Spectrum of mutations in BRCA1, BRCA2, CHEK2, and TP53 in families at high risk of breast cancer. JAMA 295(12):1379–1388
Chan P, Wong B, Ozcelik H, Cole D (1999) Simple and rapid detection of BRCA1 and BRCA2 mutations by multiplex mutagenically separated PCR. Clin Chem 45(8):1285–1287
Human Genome Variation Society (HGVS) Nomenclature for the description of sequence variations (http://www.genomic.unimelb.edu.au/mdi/mutnomen/)
Gorski B et al (2000) Founder Mutations in the BRCA1 Gene in Polish Families with Breast-Ovarian Cancer. Am J Hum Genet 66:1963–1968
Grzybowska E et al (2002) Germline mutations in the BRCA1 gene predisposing to breast and ovarian cancers in Upper Silesia population. Acta Biochim Pol 49(2):351–356
Janiszewska H et al (2003) Frequency of three BRCA1 gene founder mutations in breast/ovarian cancer families from the Pomerania-Kujavy region of Poland. Clin Genet 64:502–508
Bar-Sade RB et al (1998) The 185delAG BRCA1 mutation originated before the dispersion of Jews in the Diaspora and is not limited to Ashkenazi. Hum Mol Gen 7(5):801–805
Fitzgerald MG et al (1996) Germ-line BRCA1 mutations in Jewish and non-Jewish women with early-onset breast cancer. N Engl J Med 334(3):143–149
Ciernikova S et al (2006) Ashkenazi founder BRCA1/BRCA2 mutations in Slovak hereditary breast and/or ovarian cancer families. Neoplasma 53(2):97–102
Jasinska A et al (2000) Prevalence of BRCA1 founder mutations in Western Poland. Hum Mutat 389:1–7
Ozsurek O et al (2001) Founder mutations in the BRCA1 gene in west Belarusian breast-ovarian cancer families. Clin Genet 60:470–471
Loginova AN et al (2003) Spectrum of mutations in BRCA1 gene in hereditary forms of breast and ovarian cancer in Russian families. Bull Exp Biol Med 136(3):276–278
Van der Looij M et al (2000) Prevalence of founder BRCA1 and BRCA2 mutations among breast and ovarian cancer patients in Hungary. Int J Cancer 86(5):737–740
Kataki A et al (2005) Identification of germline BRCA1 and BRCA2 genetic alterations in Greek breast cancer moderate-risk and low-risk individuals—correlation with clinicopathological data. Clin Genet 67:322–329
Yazici H et al (2000) BRCA1 and BRCA2 mutations in Turkish breast/ovarian families and young breast cancer patients. Br J Cancer 83(6):737–742
Eisinger F et al (2004) Identification and management of hereditary predisposition to cancer of the breast and the ovary. Bull Cancer 91(3):219–237
Acknowledgments
The authors would like to thank Auvergne University, which kindly financed a 1-month invitation as maitre de conferences in Clermont-Ferrand for the first author of this paper, as well as A. Cassanhes and L. Dos Santos of the Centre Jean Perrin for technical support. This study was possible with partial financial support from the Romanian Ministry for Education and Research, by the CNCSIS research grant PN-II-ID-PCE-2008, code 1990/2008. The INCa (Institut National du Cancer) and the Ligue Contre le Cancer (comité du Puy de Dôme) also assisted in financing this research.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Negura, L., Uhrhammer, N., Negura, A. et al. Complete BRCA mutation screening in breast and ovarian cancer predisposition families from a North-Eastern Romanian population. Familial Cancer 9, 519–523 (2010). https://doi.org/10.1007/s10689-010-9361-6
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10689-010-9361-6