Skip to main content
Top
Published in: Breast Cancer Research and Treatment 3/2012

Open Access 01-06-2012 | Epidemiology

Prevalence of BRCA1 and BRCA2 mutations in non-familial breast cancer patients with high risks in Korea: The Korean Hereditary Breast Cancer (KOHBRA) Study

Authors: Byung Ho Son, Sei Hyun Ahn, Sung-Won Kim, Eunyoung Kang, Sue K. Park, Min Hyuk Lee, Woo-Chul Noh, Lee Su Kim, Yongsik Jung, Ku Sang Kim, Dong-Young Noh, Byung-In Moon, Young Jin Suh, Jeong Eon Lee, Doo Ho Choi, Sung Yong Kim, Sung Hoo Jung, Cha Kyong Yom, Hyde Lee, Jung-Hyun Yang, the KOHBRA Research Group and the Korean Breast Cancer Society

Published in: Breast Cancer Research and Treatment | Issue 3/2012

Login to get access

Abstract

Prevalence and phenotype of BRCA mutation can vary by race. The purpose of this study is to evaluate the prevalence of BRCA1/2 mutations in non-familial breast cancer patients with high risks in Korea. A subset of 758 patients was selected for this study from the KOHBRA nationwide multicenter prospective cohort study. Mutations in BRCA1/2 genes were tested using fluorescent-conformation sensitive gel electrophoresis, denaturing high performance liquid chromatography or direct sequencing. Mutation of BRCA1/2 genes were identified in 65 (8.6%) patients among total 758 patients [BRCA1 mutation: 25 (3.3%), BRCA2 mutation: 40 (5.3%)]. According to risk groups, mutation of BRCA1/2 genes were identified in 53 (8.5%) of 625 early onset patients (age ≤40), in 22 (17.7%) of 124 bilateral breast cancer patients, in 3 (50.0%) of 6 breast and ovarian cancer patients, in one (5.9%) of 17 male breast cancer patients, in 5 cases (7.6%) of 66 multiple organ cancer patients. The most common mutation was 509C>A for BRCA1 and 7708C>T for BRCA2. The prevalence of BRCA1/2 mutations by age in early onset patients was significantly different (age <35 vs age ≥35; 10.0 vs 2.9%, p = 0.0007). BRCA1/2 mutations for non-familial Korean breast cancer patients were detected at a high rate, particularly, in patients with early onset of less than 35 years of age, bilateral breast cancer, and breast and ovarian cancer. Individualized genetic counseling should be offered for non-familial breast cancer patients with these risk factors.
Literature
1.
go back to reference Schwartz GF, Hughes KS, Lynch HT et al (2008) Proceedings of the international consensus conference on breast cancer risk, genetics, & risk management, April, 2007. Cancer 113:2627–2637PubMedCrossRef Schwartz GF, Hughes KS, Lynch HT et al (2008) Proceedings of the international consensus conference on breast cancer risk, genetics, & risk management, April, 2007. Cancer 113:2627–2637PubMedCrossRef
2.
go back to reference Brose MS, Rebbeck TR, Calzone KA et al (2002) Cancer risk estimates for BRCA1 mutation carriers identified in a risk evaluation program. J Natl Cancer Inst 94:1365–1372PubMedCrossRef Brose MS, Rebbeck TR, Calzone KA et al (2002) Cancer risk estimates for BRCA1 mutation carriers identified in a risk evaluation program. J Natl Cancer Inst 94:1365–1372PubMedCrossRef
3.
go back to reference Easton DF, Bishop DT, Ford D et al (1993) Genetic linkage analysis in familial breast and ovarian cancer: result from 214 families. The Breast Cancer Linkage Consortium. Am J Hum Genet 52:678–701PubMed Easton DF, Bishop DT, Ford D et al (1993) Genetic linkage analysis in familial breast and ovarian cancer: result from 214 families. The Breast Cancer Linkage Consortium. Am J Hum Genet 52:678–701PubMed
4.
go back to reference King MC, Marks JH, Mandel JB (2003) Breast and ovarian cancer risks due to inherited mutations in BRCA1 and BRCA2. Science 302:643–646PubMedCrossRef King MC, Marks JH, Mandel JB (2003) Breast and ovarian cancer risks due to inherited mutations in BRCA1 and BRCA2. Science 302:643–646PubMedCrossRef
5.
go back to reference Honrado E, Osorio A, Palacios J et al (2006) Pathology and gene expression of hereditary breast tumors associated with BRCA1, BRCA2 and CHEK2 gene mutations. Oncogene 25:5837–5845PubMedCrossRef Honrado E, Osorio A, Palacios J et al (2006) Pathology and gene expression of hereditary breast tumors associated with BRCA1, BRCA2 and CHEK2 gene mutations. Oncogene 25:5837–5845PubMedCrossRef
6.
go back to reference Foulkes WD, Stefansson IM, Chappuis PO et al (2003) Germline BRCA1 mutations and a basal epithelial phenotype in breast cancer. J Natl Cancer Inst 95:1482–1485PubMedCrossRef Foulkes WD, Stefansson IM, Chappuis PO et al (2003) Germline BRCA1 mutations and a basal epithelial phenotype in breast cancer. J Natl Cancer Inst 95:1482–1485PubMedCrossRef
7.
go back to reference Liede A, Karlan BY, Narod SA (2004) Cancer risks for male carriers of germline mutations in BRCA1 or BRCA2: a review of the literature. J Clin Oncol 22:735–742PubMedCrossRef Liede A, Karlan BY, Narod SA (2004) Cancer risks for male carriers of germline mutations in BRCA1 or BRCA2: a review of the literature. J Clin Oncol 22:735–742PubMedCrossRef
9.
go back to reference Wainberg S, Husted J (2004) Utilization of screening and preventive surgery among unaffected carriers of a BRCA1 or BRCA2 gene mutation. Cancer Epidemiol Biomarkers Prev 13:1989–1995PubMed Wainberg S, Husted J (2004) Utilization of screening and preventive surgery among unaffected carriers of a BRCA1 or BRCA2 gene mutation. Cancer Epidemiol Biomarkers Prev 13:1989–1995PubMed
10.
go back to reference Narod SA, Offit K (2005) Prevention and management of hereditary breast cancer. J Clin Oncol 23:1656–1663PubMedCrossRef Narod SA, Offit K (2005) Prevention and management of hereditary breast cancer. J Clin Oncol 23:1656–1663PubMedCrossRef
12.
go back to reference Balmaña J, Diez O, Rubio I et al (2010) BRCA in breast cancer: ESMO Clinical Practice Guidelines. Ann Oncol 21(supple):v20–v22PubMedCrossRef Balmaña J, Diez O, Rubio I et al (2010) BRCA in breast cancer: ESMO Clinical Practice Guidelines. Ann Oncol 21(supple):v20–v22PubMedCrossRef
13.
go back to reference Lee JA, Kim KI, Bae JW et al (2010) Triple negative breast cancer in Korea-distinct biology with different impact of prognostic factors on survival. Breast Cancer Res Treat 123:177–187PubMedCrossRef Lee JA, Kim KI, Bae JW et al (2010) Triple negative breast cancer in Korea-distinct biology with different impact of prognostic factors on survival. Breast Cancer Res Treat 123:177–187PubMedCrossRef
14.
go back to reference Chlebowski RT, Chen Z, Anderson GL et al (2005) Ethnicity and breast cancer: factors influencing differences in incidence and outcome. J Natl Cancer Inst 97:439–448PubMedCrossRef Chlebowski RT, Chen Z, Anderson GL et al (2005) Ethnicity and breast cancer: factors influencing differences in incidence and outcome. J Natl Cancer Inst 97:439–448PubMedCrossRef
15.
go back to reference Son BH, Kwak BS, Kim JK et al (2006) Changing patterns in the clinical characteristics of Korean patients with breast cancer during the last 15 years. Arch Surg 141:155–160PubMedCrossRef Son BH, Kwak BS, Kim JK et al (2006) Changing patterns in the clinical characteristics of Korean patients with breast cancer during the last 15 years. Arch Surg 141:155–160PubMedCrossRef
16.
go back to reference Ahn SH, Yoo KY, The Korean Breast Cancer Society (2006) Chronological changes of clinical characteristics in 31,115 new breast cancer patients among Koreans during 1996–2004. Breast Cancer Res Treat 99:209–214PubMedCrossRef Ahn SH, Yoo KY, The Korean Breast Cancer Society (2006) Chronological changes of clinical characteristics in 31,115 new breast cancer patients among Koreans during 1996–2004. Breast Cancer Res Treat 99:209–214PubMedCrossRef
17.
go back to reference American Cancer Society (2009) Breast Cancer Facts and Figures 2009–2010. American Cancer Society, Inc., Atlanta American Cancer Society (2009) Breast Cancer Facts and Figures 2009–2010. American Cancer Society, Inc., Atlanta
18.
go back to reference Weitzel JN, Lagos VI, Gullinane CA et al (2007) Limited family structure and BRCA gene mutation status in single cases of breast cancer. JAMA 297:2587–2595PubMedCrossRef Weitzel JN, Lagos VI, Gullinane CA et al (2007) Limited family structure and BRCA gene mutation status in single cases of breast cancer. JAMA 297:2587–2595PubMedCrossRef
19.
go back to reference Nagy R, Sweet K, Eng C (2004) Highly penetrant hereditary cancer syndromes. Oncogene 23:6445–6470PubMedCrossRef Nagy R, Sweet K, Eng C (2004) Highly penetrant hereditary cancer syndromes. Oncogene 23:6445–6470PubMedCrossRef
20.
go back to reference Liede A, Narod SA (2002) Hereditary breast and ovarian cancer in Asia: genetic epidemiology of BRCA1 and BRCA2. Hum Mutat 20:413–424PubMedCrossRef Liede A, Narod SA (2002) Hereditary breast and ovarian cancer in Asia: genetic epidemiology of BRCA1 and BRCA2. Hum Mutat 20:413–424PubMedCrossRef
21.
go back to reference Neuhausen SL (2000) Founder populations and their uses for breast cancer genetics. Breast Cancer Res 2:77–81PubMedCrossRef Neuhausen SL (2000) Founder populations and their uses for breast cancer genetics. Breast Cancer Res 2:77–81PubMedCrossRef
22.
go back to reference Oh JH, Noh DY, Choe KJ et al (1995) Germline mutation of BRCA1 gene in Korean breast and ovarian cancer patients. J Korean Cancer Assoc 27:1061–1069 Oh JH, Noh DY, Choe KJ et al (1995) Germline mutation of BRCA1 gene in Korean breast and ovarian cancer patients. J Korean Cancer Assoc 27:1061–1069
23.
go back to reference Kang HC, Kim IJ, Park JH et al (2002) Germline mutations of BRCA1 and BRCA2 in Korean breast and/or ovarian cancer families. Hum Mutat 20:235–239PubMedCrossRef Kang HC, Kim IJ, Park JH et al (2002) Germline mutations of BRCA1 and BRCA2 in Korean breast and/or ovarian cancer families. Hum Mutat 20:235–239PubMedCrossRef
24.
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 22:1638–1645PubMedCrossRef Choi DH, Lee MH, Bale AE et al (2004) Incidence of BRCA1 and BRCA2 mutations in young Korean breast cancer patients. J Clin Oncol 22:1638–1645PubMedCrossRef
25.
go back to reference Seo JH, Cho DY, Ahn SH et al (2004) BRCA1 and BRCA2 germline mutations in Korean patients with sporadic breast cancer. Hum Mutat 24:350PubMedCrossRef Seo JH, Cho DY, Ahn SH et al (2004) BRCA1 and BRCA2 germline mutations in Korean patients with sporadic breast cancer. Hum Mutat 24:350PubMedCrossRef
26.
go back to reference Ahn SH, Hwang UK, Kwak BS et al (2004) Prevalence of BRCA1 and BRCA2 Mutations in Korean Breast Cancer Patients. J Korean Med Sci 19:269–274PubMedCrossRef Ahn SH, Hwang UK, Kwak BS et al (2004) Prevalence of BRCA1 and BRCA2 Mutations in Korean Breast Cancer Patients. J Korean Med Sci 19:269–274PubMedCrossRef
27.
go back to reference Ahn SH, Son BH, Yoon KS et al (2007) BRCA1 and BRCA2 germline mutations in Korean breast cancer patients at high risk of carrying mutations. Cancer Lett 8(245):90–95CrossRef Ahn SH, Son BH, Yoon KS et al (2007) BRCA1 and BRCA2 germline mutations in Korean breast cancer patients at high risk of carrying mutations. Cancer Lett 8(245):90–95CrossRef
28.
go back to reference Han SH, Lee KR, Lee DG et al (2006) Mutation analysis of BRCA1 and BRCA2 from 793 Korean patients with sporadic breast cancer. Clin Genet 70:496–501PubMedCrossRef Han SH, Lee KR, Lee DG et al (2006) Mutation analysis of BRCA1 and BRCA2 from 793 Korean patients with sporadic breast cancer. Clin Genet 70:496–501PubMedCrossRef
29.
go back to reference Kim BY, Lee DG, Lee KR et al (2006) Identification of BRCA1 and BRCA2 mutations from Korean breast cancer patients using denaturing HPLC. Biochem Biophys Res Commun 349:604–610PubMedCrossRef Kim BY, Lee DG, Lee KR et al (2006) Identification of BRCA1 and BRCA2 mutations from Korean breast cancer patients using denaturing HPLC. Biochem Biophys Res Commun 349:604–610PubMedCrossRef
30.
go back to reference Kim TJ, Lee KM, Choi CH et al (2006) Germline mutations of BRCA1 in two Korean hereditary breast/ovarian cancer families. Oncol Rep 15:565–569PubMed Kim TJ, Lee KM, Choi CH et al (2006) Germline mutations of BRCA1 in two Korean hereditary breast/ovarian cancer families. Oncol Rep 15:565–569PubMed
31.
go back to reference Kim EK, Kim KS, Park SK et al (2007) The Korean Hereditary Breast Cancer (KOHBRA) Study: protocol review. J Breast Cancer 10:241–247CrossRef Kim EK, Kim KS, Park SK et al (2007) The Korean Hereditary Breast Cancer (KOHBRA) Study: protocol review. J Breast Cancer 10:241–247CrossRef
32.
go back to reference Han SA, Park SK, Ahn SH et al (2011) The Korean Hereditary Breast Cancer (KOHBRA) Study: protocols and report. Clin Oncol (R Coll Radiol) 23(7):434–441CrossRef Han SA, Park SK, Ahn SH et al (2011) The Korean Hereditary Breast Cancer (KOHBRA) Study: protocols and report. Clin Oncol (R Coll Radiol) 23(7):434–441CrossRef
33.
go back to reference U.S. Preventive Services Task Force (2005) Genetic risk assessment and BRCA mutation testing for breast and ovarian cancer susceptibility: recommendation statement. Ann Intern Med 5:355–361 U.S. Preventive Services Task Force (2005) Genetic risk assessment and BRCA mutation testing for breast and ovarian cancer susceptibility: recommendation statement. Ann Intern Med 5:355–361
34.
go back to reference Kurian AW (2010) BRCA1 and BRCA2 mutations across race and ethnicity: distribution and clinical implications. Curr Opin Obstet Gynecol 22:72–78PubMedCrossRef Kurian AW (2010) BRCA1 and BRCA2 mutations across race and ethnicity: distribution and clinical implications. Curr Opin Obstet Gynecol 22:72–78PubMedCrossRef
35.
go back to reference John EM, Miron A, Gong G et al (2007) Prevalence of pathogenic BRCA1 mutation carriers in 5 US racial/ethnic groups. JAMA 298:2869–2876PubMedCrossRef John EM, Miron A, Gong G et al (2007) Prevalence of pathogenic BRCA1 mutation carriers in 5 US racial/ethnic groups. JAMA 298:2869–2876PubMedCrossRef
36.
go back to reference Gershoni-Baruch R, Dagan E, Fried G et al (1999) BRCA1 and BRCA2 founder mutations in patients with bilateral breast cancer. Eur J Hum Genet 7:833–836PubMedCrossRef Gershoni-Baruch R, Dagan E, Fried G et al (1999) BRCA1 and BRCA2 founder mutations in patients with bilateral breast cancer. Eur J Hum Genet 7:833–836PubMedCrossRef
37.
go back to reference Rogozińska-Szczepka J, Utracka-Hutka B, Grzybowska E et al (2004) BRCA1 and BRCA2 mutations as prognostic factors in bilateral breast cancer patients. Ann Oncol 15:1373–1376PubMedCrossRef Rogozińska-Szczepka J, Utracka-Hutka B, Grzybowska E et al (2004) BRCA1 and BRCA2 mutations as prognostic factors in bilateral breast cancer patients. Ann Oncol 15:1373–1376PubMedCrossRef
38.
go back to reference Basham VM, Lipscombe JM, Ward JM et al (2002) BRCA1 and BRCA2 mutations in a population based study of male breast cancer. Breast Cancer Res 4:1–5CrossRef Basham VM, Lipscombe JM, Ward JM et al (2002) BRCA1 and BRCA2 mutations in a population based study of male breast cancer. Breast Cancer Res 4:1–5CrossRef
39.
go back to reference Couch FJ, Farid LM, Deshano ML et al (1996) BRCA2 germline mutations in male breast cancer cases and breast cancer families. Nat Genet 13:123–125PubMedCrossRef Couch FJ, Farid LM, Deshano ML et al (1996) BRCA2 germline mutations in male breast cancer cases and breast cancer families. Nat Genet 13:123–125PubMedCrossRef
40.
go back to reference Friedman LS, Gayther SA, Kurosaki T et al (1997) Mutation analysis of BRCA1 and BRCA2 in a male breast cancer population. Am J Hum Genet 60:313–319PubMed Friedman LS, Gayther SA, Kurosaki T et al (1997) Mutation analysis of BRCA1 and BRCA2 in a male breast cancer population. Am J Hum Genet 60:313–319PubMed
41.
go back to reference Mavraki E, Gray IC, Bishop T et al (1997) Germline BRCA2 mutations in men with breast cancer. Br J Cancer 76:1428–1431PubMedCrossRef Mavraki E, Gray IC, Bishop T et al (1997) Germline BRCA2 mutations in men with breast cancer. Br J Cancer 76:1428–1431PubMedCrossRef
42.
go back to reference Haraldsson K, Loman N, Zhang OX et al (1998) BRCA2 germline mutations are frequent in male breast cancer patients without a family history of the disease. Cancer Res 58:1367–1371PubMed Haraldsson K, Loman N, Zhang OX et al (1998) BRCA2 germline mutations are frequent in male breast cancer patients without a family history of the disease. Cancer Res 58:1367–1371PubMed
43.
go back to reference Csokay B, Udvarhelyi N, Sulyok Z et al (1999) High frequency of germline BRCA2 mutations among Hungarian male breast cancer patients without a family history. Cancer Res 59:995–998PubMed Csokay B, Udvarhelyi N, Sulyok Z et al (1999) High frequency of germline BRCA2 mutations among Hungarian male breast cancer patients without a family history. Cancer Res 59:995–998PubMed
44.
go back to reference Ding YC, Steele L, Kuan CJ et al (2011) Mutations in BRCA2 and PALB2 in male breast cancer cases from the United States. Breast Cancer Res Treat 126:771–778PubMedCrossRef Ding YC, Steele L, Kuan CJ et al (2011) Mutations in BRCA2 and PALB2 in male breast cancer cases from the United States. Breast Cancer Res Treat 126:771–778PubMedCrossRef
45.
go back to reference Kim YT, Nam EJ, Yoon BS et al (2005) Germline mutations of BRCA1 and BRCA2 in Korean sporadic ovarian carcinoma. Gynecol Oncol 99:585–590PubMedCrossRef Kim YT, Nam EJ, Yoon BS et al (2005) Germline mutations of BRCA1 and BRCA2 in Korean sporadic ovarian carcinoma. Gynecol Oncol 99:585–590PubMedCrossRef
46.
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 20:1480–1490PubMedCrossRef 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 20:1480–1490PubMedCrossRef
Metadata
Title
Prevalence of BRCA1 and BRCA2 mutations in non-familial breast cancer patients with high risks in Korea: The Korean Hereditary Breast Cancer (KOHBRA) Study
Authors
Byung Ho Son
Sei Hyun Ahn
Sung-Won Kim
Eunyoung Kang
Sue K. Park
Min Hyuk Lee
Woo-Chul Noh
Lee Su Kim
Yongsik Jung
Ku Sang Kim
Dong-Young Noh
Byung-In Moon
Young Jin Suh
Jeong Eon Lee
Doo Ho Choi
Sung Yong Kim
Sung Hoo Jung
Cha Kyong Yom
Hyde Lee
Jung-Hyun Yang
the KOHBRA Research Group and the Korean Breast Cancer Society
Publication date
01-06-2012
Publisher
Springer US
Published in
Breast Cancer Research and Treatment / Issue 3/2012
Print ISSN: 0167-6806
Electronic ISSN: 1573-7217
DOI
https://doi.org/10.1007/s10549-012-2001-0

Other articles of this Issue 3/2012

Breast Cancer Research and Treatment 3/2012 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine