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Published in: Familial Cancer 3/2010

Open Access 01-09-2010

Identification of a Danish breast/ovarian cancer family double heterozygote for BRCA1 and BRCA2 mutations

Authors: Ane Y. Steffensen, Lars Jønson, Bent Ejlertsen, Anne-Marie Gerdes, Finn C. Nielsen, Thomas V. O. Hansen

Published in: Familial Cancer | Issue 3/2010

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Abstract

Mutations in the two breast cancer susceptibility genes BRCA1 and BRCA2 are associated with increased risk of breast and ovarian cancer. Patients with mutations in both genes are rarely reported and often involve Ashkenazi founder mutations. Here we report the first identification of a Danish breast and ovarian cancer family heterozygote for mutations in the BRCA1 and BRCA2 genes. The BRCA1 nucleotide 5215G > A/c.5096G > A mutation results in the missense mutation Arg1699Gln, while the BRCA2 nucleotide 859 + 4A > G/c.631 + 4A > G is novel. Exon trapping experiments and reverse transcriptase (RT)–PCR analysis revealed that the BRCA2 mutation results in skipping of exon 7, thereby introducing a frameshift and a premature stop codon. We therefore classify the mutation as disease causing. Since the BRCA1 Arg1699Gln mutation is also suggested to be disease-causing, we consider this family double heterozygote for BRCA1 and BRCA2 mutations.
Literature
1.
go back to reference Nathanson KL, Wooster R, Weber BL (2001) Breast cancer genetics: what we know and what we need. Nat Med 7:552–556CrossRefPubMed Nathanson KL, Wooster R, Weber BL (2001) Breast cancer genetics: what we know and what we need. Nat Med 7:552–556CrossRefPubMed
3.
go back to reference Thomassen M, Hansen TV, Borg A et al (2008) BRCA1 and BRCA2 mutations in Danish families with hereditary breast and/or ovarian cancer. Acta Oncol 47:772–777CrossRefPubMed Thomassen M, Hansen TV, Borg A et al (2008) BRCA1 and BRCA2 mutations in Danish families with hereditary breast and/or ovarian cancer. Acta Oncol 47:772–777CrossRefPubMed
4.
go back to reference Hansen TV, Bisgaard ML, Jonson L et al (2008) Novel de novo BRCA2 mutation in a patient with a family history of breast cancer. BMC Med Genet 9:58CrossRefPubMed Hansen TV, Bisgaard ML, Jonson L et al (2008) Novel de novo BRCA2 mutation in a patient with a family history of breast cancer. BMC Med Genet 9:58CrossRefPubMed
5.
go back to reference Hansen TV, Steffensen AY, Jonson L et al (2010) The silent mutation nucleotide 744 G – > A, Lys172Lys, in exon 6 of BRCA2 results in exon skipping. Breast Cancer Res Treat 119:547–550CrossRefPubMed Hansen TV, Steffensen AY, Jonson L et al (2010) The silent mutation nucleotide 744 G – > A, Lys172Lys, in exon 6 of BRCA2 results in exon skipping. Breast Cancer Res Treat 119:547–550CrossRefPubMed
6.
go back to reference Hansen TO, Jonson L, Albrechtsen A et al (2009) Large BRCA1 and BRCA2 genomic rearrangements in Danish high risk breast-ovarian cancer families. Breast Cancer Res Treat 115:315–323CrossRefPubMed Hansen TO, Jonson L, Albrechtsen A et al (2009) Large BRCA1 and BRCA2 genomic rearrangements in Danish high risk breast-ovarian cancer families. Breast Cancer Res Treat 115:315–323CrossRefPubMed
7.
go back to reference Neuhausen S, Gilewski T, Norton L et al (1996) Recurrent BRCA2 6174delT mutations in Ashkenazi Jewish women affected by breast cancer. Nat Genet 13:126–128CrossRefPubMed Neuhausen S, Gilewski T, Norton L et al (1996) Recurrent BRCA2 6174delT mutations in Ashkenazi Jewish women affected by breast cancer. Nat Genet 13:126–128CrossRefPubMed
8.
go back to reference Thorlacius S, Olafsdottir G, Tryggvadottir L et al (1996) A single BRCA2 mutation in male and female breast cancer families from Iceland with varied cancer phenotypes. Nat Genet 13:117–119CrossRefPubMed Thorlacius S, Olafsdottir G, Tryggvadottir L et al (1996) A single BRCA2 mutation in male and female breast cancer families from Iceland with varied cancer phenotypes. Nat Genet 13:117–119CrossRefPubMed
9.
go back to reference Hansen TV, Ejlertsen B, Albrechtsen A et al (2009) A common Greenlandic Inuit BRCA1 RING domain founder mutation. Breast Cancer Res Treat 115:69–76CrossRefPubMed Hansen TV, Ejlertsen B, Albrechtsen A et al (2009) A common Greenlandic Inuit BRCA1 RING domain founder mutation. Breast Cancer Res Treat 115:69–76CrossRefPubMed
10.
go back to reference Baralle D, Baralle M (2005) Splicing in action: assessing disease causing sequence changes. J Med Genet 42:737–748CrossRefPubMed Baralle D, Baralle M (2005) Splicing in action: assessing disease causing sequence changes. J Med Genet 42:737–748CrossRefPubMed
11.
go back to reference Ng PC, Henikoff S (2003) SIFT: predicting amino acid changes that affect protein function. Nucleic Acids Res 31:3812–3814CrossRefPubMed Ng PC, Henikoff S (2003) SIFT: predicting amino acid changes that affect protein function. Nucleic Acids Res 31:3812–3814CrossRefPubMed
12.
go back to reference Ramensky V, Bork P, Sunyaev S (2002) Human non-synonymous SNPs: server and survey. Nucleic Acids Res 30:3894–3900CrossRefPubMed Ramensky V, Bork P, Sunyaev S (2002) Human non-synonymous SNPs: server and survey. Nucleic Acids Res 30:3894–3900CrossRefPubMed
13.
go back to reference Ferrer-Costa C, Gelpi JL, Zamakola L et al (2005) PMUT: a web-based tool for the annotation of pathological mutations on proteins. Bioinformatics 21:3176–3178CrossRefPubMed Ferrer-Costa C, Gelpi JL, Zamakola L et al (2005) PMUT: a web-based tool for the annotation of pathological mutations on proteins. Bioinformatics 21:3176–3178CrossRefPubMed
14.
go back to reference Reese MG, Eeckman FH, Kulp D et al (1997) Improved splice site detection in Genie. J Comput Biol 4:311–323CrossRefPubMed Reese MG, Eeckman FH, Kulp D et al (1997) Improved splice site detection in Genie. J Comput Biol 4:311–323CrossRefPubMed
15.
go back to reference Hebsgaard SM, Korning PG, Tolstrup N et al (1996) Splice site prediction in Arabidopsis thaliana pre-mRNA by combining local and global sequence information. Nucleic Acids Res 24:3439–3452CrossRefPubMed Hebsgaard SM, Korning PG, Tolstrup N et al (1996) Splice site prediction in Arabidopsis thaliana pre-mRNA by combining local and global sequence information. Nucleic Acids Res 24:3439–3452CrossRefPubMed
16.
go back to reference Yeo G (2004) Burge CB: maximum entropy modeling of short sequence motifs with applications to RNA splicing signals. J Comput Biol 11:377–394CrossRefPubMed Yeo G (2004) Burge CB: maximum entropy modeling of short sequence motifs with applications to RNA splicing signals. J Comput Biol 11:377–394CrossRefPubMed
17.
go back to reference Leegte B, van der Hout AH, Deffenbaugh AM et al (2005) Phenotypic expression of double heterozygosity for BRCA1 and BRCA2 germline mutations. J Med Genet 42:e20CrossRefPubMed Leegte B, van der Hout AH, Deffenbaugh AM et al (2005) Phenotypic expression of double heterozygosity for BRCA1 and BRCA2 germline mutations. J Med Genet 42:e20CrossRefPubMed
18.
go back to reference Friedman E, Bar-Sade Bruchim R, Kruglikova A et al (1998) Double heterozygotes for the Ashkenazi founder mutations in BRCA1 and BRCA2 genes. Am J Hum Genet 63:1224–1227CrossRefPubMed Friedman E, Bar-Sade Bruchim R, Kruglikova A et al (1998) Double heterozygotes for the Ashkenazi founder mutations in BRCA1 and BRCA2 genes. Am J Hum Genet 63:1224–1227CrossRefPubMed
19.
go back to reference Bell DW, Erban J, Sgroi DC et al (2002) Selective loss of heterozygosity in multiple breast cancers from a carrier of mutations in both BRCA1 and BRCA2. Cancer Res 62:2741–2743PubMed Bell DW, Erban J, Sgroi DC et al (2002) Selective loss of heterozygosity in multiple breast cancers from a carrier of mutations in both BRCA1 and BRCA2. Cancer Res 62:2741–2743PubMed
20.
go back to reference Frank TS, Deffenbaugh AM, Reid JE et al (2002) Clinical characteristics of individuals with germline mutations in BRCA1 and BRCA2: analysis of 10, 000 individuals. J Clin Oncol 20:1480–1490CrossRefPubMed Frank TS, Deffenbaugh AM, Reid JE et al (2002) Clinical characteristics of individuals with germline mutations in BRCA1 and BRCA2: analysis of 10, 000 individuals. J Clin Oncol 20:1480–1490CrossRefPubMed
21.
go back to reference Smith M, Fawcett S, Sigalas E et al (2008) Familial breast cancer: double heterozygosity for BRCA1 and BRCA2 mutations with differing phenotypes. Fam Cancer 7:119–124CrossRefPubMed Smith M, Fawcett S, Sigalas E et al (2008) Familial breast cancer: double heterozygosity for BRCA1 and BRCA2 mutations with differing phenotypes. Fam Cancer 7:119–124CrossRefPubMed
22.
go back to reference Choi DH, Lee MH, Bale AE et al (2004) Incidence of BRCA1 and BRCA2 mutations in young Korean breast cancer patients. J Clin Oncol 22:1638–1645CrossRefPubMed Choi DH, Lee MH, Bale AE et al (2004) Incidence of BRCA1 and BRCA2 mutations in young Korean breast cancer patients. J Clin Oncol 22:1638–1645CrossRefPubMed
23.
go back to reference Caldes T, de la Hoya M, Tosar A et al (2002) A breast cancer family from Spain with germline mutations in both the BRCA1 and BRCA2 genes. J Med Genet 39:e44CrossRefPubMed Caldes T, de la Hoya M, Tosar A et al (2002) A breast cancer family from Spain with germline mutations in both the BRCA1 and BRCA2 genes. J Med Genet 39:e44CrossRefPubMed
24.
go back to reference Giannini G, Capalbo C, Ottini L et al (2008) Clinical classification of BRCA1 DNA missense variants: H1686Q is a novel pathogenic mutation occurring in the ontogenetically invariant THV motif of the N-terminal BRCT domain. J Clin Oncol 26:4212–4214CrossRefPubMed Giannini G, Capalbo C, Ottini L et al (2008) Clinical classification of BRCA1 DNA missense variants: H1686Q is a novel pathogenic mutation occurring in the ontogenetically invariant THV motif of the N-terminal BRCT domain. J Clin Oncol 26:4212–4214CrossRefPubMed
25.
go back to reference Glover JN (2006) Insights into the molecular basis of human hereditary breast cancer from studies of the BRCA1 BRCT domain. Fam Cancer 5:89–93CrossRefPubMed Glover JN (2006) Insights into the molecular basis of human hereditary breast cancer from studies of the BRCA1 BRCT domain. Fam Cancer 5:89–93CrossRefPubMed
26.
go back to reference Williams RS, Bernstein N, Lee MS et al (2005) Structural basis for phosphorylation-dependent signaling in the DNA-damage response. Biochem Cell Biol 83:721–727CrossRefPubMed Williams RS, Bernstein N, Lee MS et al (2005) Structural basis for phosphorylation-dependent signaling in the DNA-damage response. Biochem Cell Biol 83:721–727CrossRefPubMed
27.
go back to reference Goldgar DE, Easton DF, Deffenbaugh AM et al (2004) Integrated evaluation of DNA sequence variants of unknown clinical significance: application to BRCA1 and BRCA2. Am J Hum Genet 75:535–544CrossRefPubMed Goldgar DE, Easton DF, Deffenbaugh AM et al (2004) Integrated evaluation of DNA sequence variants of unknown clinical significance: application to BRCA1 and BRCA2. Am J Hum Genet 75:535–544CrossRefPubMed
28.
go back to reference Chenevix-Trench G, Healey S, Lakhani S et al (2006) Genetic and histopathologic evaluation of BRCA1 and BRCA2 DNA sequence variants of unknown clinical significance. Cancer Res 66:2019–2027CrossRefPubMed Chenevix-Trench G, Healey S, Lakhani S et al (2006) Genetic and histopathologic evaluation of BRCA1 and BRCA2 DNA sequence variants of unknown clinical significance. Cancer Res 66:2019–2027CrossRefPubMed
29.
go back to reference Abkevich V, Zharkikh A, Deffenbaugh AM et al (2004) Analysis of missense variation in human BRCA1 in the context of interspecific sequence variation. J Med Genet 41:492–507CrossRefPubMed Abkevich V, Zharkikh A, Deffenbaugh AM et al (2004) Analysis of missense variation in human BRCA1 in the context of interspecific sequence variation. J Med Genet 41:492–507CrossRefPubMed
30.
go back to reference Gomez Garcia EB, Oosterwijk JC, Timmermans M et al (2009) A method to assess the clinical significance of unclassified variants in the BRCA1 and BRCA2 genes based on cancer family history. Breast Cancer Res 11:R8CrossRefPubMed Gomez Garcia EB, Oosterwijk JC, Timmermans M et al (2009) A method to assess the clinical significance of unclassified variants in the BRCA1 and BRCA2 genes based on cancer family history. Breast Cancer Res 11:R8CrossRefPubMed
31.
go back to reference Vallon-Christersson J, Cayanan C, Haraldsson K et al (2001) Functional analysis of BRCA1 C-terminal missense mutations identified in breast and ovarian cancer families. Hum Mol Genet 10:353–360CrossRefPubMed Vallon-Christersson J, Cayanan C, Haraldsson K et al (2001) Functional analysis of BRCA1 C-terminal missense mutations identified in breast and ovarian cancer families. Hum Mol Genet 10:353–360CrossRefPubMed
32.
go back to reference Clapperton JA, Manke IA, Lowery DM et al (2004) Structure and mechanism of BRCA1 BRCT domain recognition of phosphorylated BACH1 with implications for cancer. Nat Struct Mol Biol 11:512–518CrossRefPubMed Clapperton JA, Manke IA, Lowery DM et al (2004) Structure and mechanism of BRCA1 BRCT domain recognition of phosphorylated BACH1 with implications for cancer. Nat Struct Mol Biol 11:512–518CrossRefPubMed
33.
go back to reference Lovelock PK, Spurdle AB, Mok MT et al (2007) Identification of BRCA1 missense substitutions that confer partial functional activity: potential moderate risk variants? Breast Cancer Res 9:R82CrossRefPubMed Lovelock PK, Spurdle AB, Mok MT et al (2007) Identification of BRCA1 missense substitutions that confer partial functional activity: potential moderate risk variants? Breast Cancer Res 9:R82CrossRefPubMed
34.
go back to reference Pyne MT, Brothman AR, Ward B et al (2000) The BRCA2 genetic variant IVS7 + 2T– > G is a mutation. J Hum Genet 45:351–357CrossRefPubMed Pyne MT, Brothman AR, Ward B et al (2000) The BRCA2 genetic variant IVS7 + 2T– > G is a mutation. J Hum Genet 45:351–357CrossRefPubMed
35.
go back to reference Pensabene M, Spagnoletti I, Capuano I et al (2009) Two mutations of BRCA2 gene at exon and splicing site in a woman who underwent oncogenetic counseling. Ann Oncol 20:874–878CrossRefPubMed Pensabene M, Spagnoletti I, Capuano I et al (2009) Two mutations of BRCA2 gene at exon and splicing site in a woman who underwent oncogenetic counseling. Ann Oncol 20:874–878CrossRefPubMed
Metadata
Title
Identification of a Danish breast/ovarian cancer family double heterozygote for BRCA1 and BRCA2 mutations
Authors
Ane Y. Steffensen
Lars Jønson
Bent Ejlertsen
Anne-Marie Gerdes
Finn C. Nielsen
Thomas V. O. Hansen
Publication date
01-09-2010
Publisher
Springer Netherlands
Published in
Familial Cancer / Issue 3/2010
Print ISSN: 1389-9600
Electronic ISSN: 1573-7292
DOI
https://doi.org/10.1007/s10689-010-9345-6

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