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Published in: Digestive Diseases and Sciences 4/2023

31-10-2022 | Pancreatic Cancer | Original Article

The Frequency of Germline BRCA and Non-BRCA HR-Gene-Variants in a Cohort of Pancreatic Cancer Patients

Authors: M. Baz, V. Gondran-Teiller, B. Bressac, O. Cabaret, A. Fievet, M. Dimaria, V. Goldbarg, C. Colas, M. N. Bonnet-Dupeyron, J. Tinat, M. Lebrun, V. Mari, J. M. Limacher, C. Corsini, E. Ginglinger, J. C. Saurin, A. Brahimi, C. Rouzier, S. Giraud, H. Schuster, A. Hollebecque, V. Boige, E. Cauchin, D. Malka, O. Caron, E. Rouleau

Published in: Digestive Diseases and Sciences | Issue 4/2023

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Abstract

Germline DNA alterations affecting homologous recombination pathway genes have been associated with pancreatic cancer (PC) risk. BRCA2 is the most studied gene and affects the management of PC patients and their families. Even though recent reports have suggested a similar role of germline ATM pathogenic variants (PV) in familial PC, there is still a disagreement between experts on how it could affect patient management given the lack of proper PC risk estimates. We retrospectively analyzed the germline data of 257 PC patients among whom nearly 50% were sporadic cases. We showed similar frequencies of BRCA2 (4.9%) and ATM (4.4%) PV or likely pathogenic variants, which were not related to familial history. Based on our findings and that of the literature, we suggest including ATM gene among the panel of genes analyzed in PC patients pending the publication of prospective studies.
Literature
2.
go back to reference Zhen DB, Rabe KG, Gallinger S, Syngal S, Schwartz AG, Goggins MG et al. BRCA1, BRCA2, PALB2, and CDKN2A mutations in familial pancreatic cancer: a PACGENE study. Genet Med Off J Am Coll Med Genet. 2015;17:569–577. Zhen DB, Rabe KG, Gallinger S, Syngal S, Schwartz AG, Goggins MG et al. BRCA1, BRCA2, PALB2, and CDKN2A mutations in familial pancreatic cancer: a PACGENE study. Genet Med Off J Am Coll Med Genet. 2015;17:569–577.
3.
go back to reference Goggins M, Schutte M, Lu J, Moskaluk CA, Weinstein CL, Petersen GM et al. Germline BRCA2 gene mutations in patients with apparently sporadic pancreatic carcinomas. Cancer Res. 1996;56:5360–5364.PubMed Goggins M, Schutte M, Lu J, Moskaluk CA, Weinstein CL, Petersen GM et al. Germline BRCA2 gene mutations in patients with apparently sporadic pancreatic carcinomas. Cancer Res. 1996;56:5360–5364.PubMed
4.
go back to reference Golan T, Hammel P, Reni M, Van Cutsem E, Macarulla T, Hall MJ et al. Maintenance Olaparib for Germline BRCA-Mutated Metastatic Pancreatic Cancer. N Engl J Med. 2019;381:317–327.CrossRefPubMedPubMedCentral Golan T, Hammel P, Reni M, Van Cutsem E, Macarulla T, Hall MJ et al. Maintenance Olaparib for Germline BRCA-Mutated Metastatic Pancreatic Cancer. N Engl J Med. 2019;381:317–327.CrossRefPubMedPubMedCentral
6.
go back to reference Roberts NJ, Jiao Y, Yu J, Kopelovich L, Petersen GM, Bondy ML et al. ATM mutations in patients with hereditary pancreatic cancer. Cancer Discov. 2012;2:41–46.CrossRefPubMed Roberts NJ, Jiao Y, Yu J, Kopelovich L, Petersen GM, Bondy ML et al. ATM mutations in patients with hereditary pancreatic cancer. Cancer Discov. 2012;2:41–46.CrossRefPubMed
7.
go back to reference Roberts NJ, Norris AL, Petersen GM, Bondy ML, Brand R, Gallinger S et al. Whole Genome Sequencing Defines the Genetic Heterogeneity of Familial Pancreatic Cancer. Cancer Discov. 2016;6:166–175.CrossRefPubMed Roberts NJ, Norris AL, Petersen GM, Bondy ML, Brand R, Gallinger S et al. Whole Genome Sequencing Defines the Genetic Heterogeneity of Familial Pancreatic Cancer. Cancer Discov. 2016;6:166–175.CrossRefPubMed
8.
go back to reference LaDuca H, Polley EC, Yussuf A, Hoang L, Gutierrez S, Hart SN et al. A clinical guide to hereditary cancer panel testing: evaluation of gene-specific cancer associations and sensitivity of genetic testing criteria in a cohort of 165,000 high-risk patients. Genet Med Off J Am Coll Med Genet. 2020;22:407–415. LaDuca H, Polley EC, Yussuf A, Hoang L, Gutierrez S, Hart SN et al. A clinical guide to hereditary cancer panel testing: evaluation of gene-specific cancer associations and sensitivity of genetic testing criteria in a cohort of 165,000 high-risk patients. Genet Med Off J Am Coll Med Genet. 2020;22:407–415.
9.
go back to reference Hall MJ, Bernhisel R, Hughes E, Larson K, Rosenthal ET, Singh NA et al. Germline Pathogenic Variants in the Ataxia Telangiectasia Mutated (ATM) Gene are Associated with High and Moderate Risks for Multiple Cancers. Cancer Prev Res Phila PA 2021;14:433–440.CrossRef Hall MJ, Bernhisel R, Hughes E, Larson K, Rosenthal ET, Singh NA et al. Germline Pathogenic Variants in the Ataxia Telangiectasia Mutated (ATM) Gene are Associated with High and Moderate Risks for Multiple Cancers. Cancer Prev Res Phila PA 2021;14:433–440.CrossRef
10.
go back to reference Hu C, Hart SN, Polley EC, Gnanaolivu R, Shimelis H, Lee KY et al. Association Between Inherited Germline Mutations in Cancer Predisposition Genes and Risk of Pancreatic Cancer. JAMA. 2018;319:2401–2409.CrossRefPubMedPubMedCentral Hu C, Hart SN, Polley EC, Gnanaolivu R, Shimelis H, Lee KY et al. Association Between Inherited Germline Mutations in Cancer Predisposition Genes and Risk of Pancreatic Cancer. JAMA. 2018;319:2401–2409.CrossRefPubMedPubMedCentral
11.
go back to reference Goggins M, Overbeek KA, Brand R, Syngal S, Del Chiaro M, Bartsch DK et al. Management of patients with increased risk for familial pancreatic cancer: updated recommendations from the International Cancer of the Pancreas Screening (CAPS) Consortium. Gut. 2020;69:7–17.CrossRefPubMed Goggins M, Overbeek KA, Brand R, Syngal S, Del Chiaro M, Bartsch DK et al. Management of patients with increased risk for familial pancreatic cancer: updated recommendations from the International Cancer of the Pancreas Screening (CAPS) Consortium. Gut. 2020;69:7–17.CrossRefPubMed
12.
go back to reference Hannan Z, Yu S, Domchek S, Mamtani R, Reiss KA. Clinical Characteristics of Patients With Pancreatic Cancer and Pathogenic ATM Alterations. JNCI Cancer Spectr. 2021;5(2):pkaa121. Hannan Z, Yu S, Domchek S, Mamtani R, Reiss KA. Clinical Characteristics of Patients With Pancreatic Cancer and Pathogenic ATM Alterations. JNCI Cancer Spectr. 2021;5(2):pkaa121.
13.
go back to reference Perkhofer L, Schmitt A, Romero Carrasco MC, Ihle M, Hampp S, Ruess DA et al. ATM Deficiency Generating Genomic Instability Sensitizes Pancreatic Ductal Adenocarcinoma Cells to Therapy-Induced DNA Damage. Cancer Res. 2017;77:5576–5590.CrossRefPubMed Perkhofer L, Schmitt A, Romero Carrasco MC, Ihle M, Hampp S, Ruess DA et al. ATM Deficiency Generating Genomic Instability Sensitizes Pancreatic Ductal Adenocarcinoma Cells to Therapy-Induced DNA Damage. Cancer Res. 2017;77:5576–5590.CrossRefPubMed
14.
go back to reference Armstrong SA, Schultz CW, Azimi-Sadjadi A, Brody JR, Pishvaian MJ. ATM Dysfunction in Pancreatic Adenocarcinoma and Associated Therapeutic Implications. Mol Cancer Ther. 2019;18:1899–1908.CrossRefPubMedPubMedCentral Armstrong SA, Schultz CW, Azimi-Sadjadi A, Brody JR, Pishvaian MJ. ATM Dysfunction in Pancreatic Adenocarcinoma and Associated Therapeutic Implications. Mol Cancer Ther. 2019;18:1899–1908.CrossRefPubMedPubMedCentral
15.
go back to reference Dunlop CR, Wallez Y, Johnson TI, Bernaldo de Quirós Fernández S, Durant ST, Cadogan EB et al. Complete loss of ATM function augments replication catastrophe induced by ATR inhibition and gemcitabine in pancreatic cancer models. Br J Cancer 2020;123:1424–1436.CrossRefPubMedPubMedCentral Dunlop CR, Wallez Y, Johnson TI, Bernaldo de Quirós Fernández S, Durant ST, Cadogan EB et al. Complete loss of ATM function augments replication catastrophe induced by ATR inhibition and gemcitabine in pancreatic cancer models. Br J Cancer 2020;123:1424–1436.CrossRefPubMedPubMedCentral
16.
go back to reference Yap TA, Tan DSP, Terbuch A, Caldwell R, Guo C, Goh BC et al. First-in-Human Trial of the Oral Ataxia Telangiectasia and RAD3-Related (ATR) Inhibitor BAY 1895344 in Patients with Advanced Solid Tumors. Cancer Discov. 2021;11:80–91.CrossRefPubMed Yap TA, Tan DSP, Terbuch A, Caldwell R, Guo C, Goh BC et al. First-in-Human Trial of the Oral Ataxia Telangiectasia and RAD3-Related (ATR) Inhibitor BAY 1895344 in Patients with Advanced Solid Tumors. Cancer Discov. 2021;11:80–91.CrossRefPubMed
17.
go back to reference Rafiei S, Fitzpatrick K, Liu D, Cai M-Y, Elmarakeby HA, Park J et al. ATM Loss Confers Greater Sensitivity to ATR Inhibition Than PARP Inhibition in Prostate Cancer. Cancer Res. 2020;80:2094–2100.CrossRefPubMedPubMedCentral Rafiei S, Fitzpatrick K, Liu D, Cai M-Y, Elmarakeby HA, Park J et al. ATM Loss Confers Greater Sensitivity to ATR Inhibition Than PARP Inhibition in Prostate Cancer. Cancer Res. 2020;80:2094–2100.CrossRefPubMedPubMedCentral
Metadata
Title
The Frequency of Germline BRCA and Non-BRCA HR-Gene-Variants in a Cohort of Pancreatic Cancer Patients
Authors
M. Baz
V. Gondran-Teiller
B. Bressac
O. Cabaret
A. Fievet
M. Dimaria
V. Goldbarg
C. Colas
M. N. Bonnet-Dupeyron
J. Tinat
M. Lebrun
V. Mari
J. M. Limacher
C. Corsini
E. Ginglinger
J. C. Saurin
A. Brahimi
C. Rouzier
S. Giraud
H. Schuster
A. Hollebecque
V. Boige
E. Cauchin
D. Malka
O. Caron
E. Rouleau
Publication date
31-10-2022
Publisher
Springer US
Published in
Digestive Diseases and Sciences / Issue 4/2023
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-022-07733-z

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