Next-generation sequencing in familial breast cancer patients from Lebanon

N Jalkh, E Chouery, Z Haidar, C Khater, D Atallah… - BMC medical …, 2017 - Springer
N Jalkh, E Chouery, Z Haidar, C Khater, D Atallah, H Ali, MJ Marafie, MR Al-Mulla, F Al-Mulla
BMC medical genomics, 2017Springer
Background Familial breast cancer (BC) represents 5 to 10% of all BC cases. Mutations in
two high susceptibility BRCA1 and BRCA2 genes explain 16–40% of familial BC, while
other high, moderate and low susceptibility genes explain up to 20% more of BC families.
The Lebanese reported prevalence of BRCA1 and BRCA2 deleterious mutations (5.6% and
12.5%) were lower than those reported in the literature. Methods In the presented study, 45
Lebanese patients with a reported family history of BC were tested using Whole Exome …
Background
Familial breast cancer (BC) represents 5 to 10% of all BC cases. Mutations in two high susceptibility BRCA1 and BRCA2 genes explain 16–40% of familial BC, while other high, moderate and low susceptibility genes explain up to 20% more of BC families. The Lebanese reported prevalence of BRCA1 and BRCA2 deleterious mutations (5.6% and 12.5%) were lower than those reported in the literature.
Methods
In the presented study, 45 Lebanese patients with a reported family history of BC were tested using Whole Exome Sequencing (WES) technique followed by Sanger sequencing validation.
Results
Nineteen pathogenic mutations were identified in this study. These 19 mutations were found in 13 different genes such as: ABCC12, APC, ATM, BRCA1, BRCA2, CDH1, ERCC6, MSH2, POLH, PRF1, SLX4, STK11 and TP53.
Conclusions
In this first application of WES on BC in Lebanon, we detected six BRCA1 and BRCA2 deleterious mutations in seven patients, with a total prevalence of 15.5%, a figure that is lower than those reported in the Western literature. The p.C44F mutation in the BRCA1 gene appeared twice in this study, suggesting a founder effect. Importantly, the overall mutation prevalence was equal to 40%, justifying the urgent need to deploy WES for the identification of genetic variants responsible for familial BC in the Lebanese population.
Springer
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