1. Association of BRCA2 K3326* With Small Cell Lung Cancer and Squamous Cell Cancer of the Skin
- Author
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Rafnar, T., Sigurjonsdottir, G.R., Stacey, S.N., Halldorsson, G., Sulem, P., Pardo, L.M., Helgason, H., Sigurdsson, S.T., Gudjonsson, T., Tryggvadottir, L., Olafsdottir, G.H., Jonasson, J.G., Alexiusdottir, K., Sigurdsson, A., Gudmundsson, J., Saemundsdottir, J., Sigurdsson, J.K., Johannsdottir, H., Uitterlinden, A., Vermeulen, S.H., Galesloot, T.E., Allain, D.C., Lacko, M., Sigurgeirsson, B., Thorisdottir, K., Johannsson, O.T., Sigurdsson, F., Ragnarsson, G.B., Isaksson, H., Hardardottir, H., Gudbjartsson, T., Gudbjartsson, D.F., Masson, G., Kiemeney, B., Toland, A.E., Nijsten, T., Peters, W.H.M., Olafsson, J.H., Jonsson, S., Thorsteinsdottir, U., Thorleifsson, G., Stefansson, K., Rafnar, T., Sigurjonsdottir, G.R., Stacey, S.N., Halldorsson, G., Sulem, P., Pardo, L.M., Helgason, H., Sigurdsson, S.T., Gudjonsson, T., Tryggvadottir, L., Olafsdottir, G.H., Jonasson, J.G., Alexiusdottir, K., Sigurdsson, A., Gudmundsson, J., Saemundsdottir, J., Sigurdsson, J.K., Johannsdottir, H., Uitterlinden, A., Vermeulen, S.H., Galesloot, T.E., Allain, D.C., Lacko, M., Sigurgeirsson, B., Thorisdottir, K., Johannsson, O.T., Sigurdsson, F., Ragnarsson, G.B., Isaksson, H., Hardardottir, H., Gudbjartsson, T., Gudbjartsson, D.F., Masson, G., Kiemeney, B., Toland, A.E., Nijsten, T., Peters, W.H.M., Olafsson, J.H., Jonsson, S., Thorsteinsdottir, U., Thorleifsson, G., and Stefansson, K.
- Abstract
Contains fulltext : 195644.pdf (publisher's version ) (Closed access), Background: Most pathogenic mutations in the BRCA2 gene carry a high risk of hereditary breast and ovarian cancer (HBOC). However, a stop-gain mutation, K3326* (rs11571833), confers risk of lung cancer and cancers of the upper-aero-digestive tract but only a modest risk of breast or ovarian cancer. The Icelandic population provides an opportunity for comprehensive characterization of the cancer risk profiles of K3326* and HBOC mutations because a single mutation, BRCA2 999del5, is responsible for almost all BRCA2-related HBOC in the population. Methods: Genotype information on 43 641 cancer patients and 370 971 control subjects from Iceland, the Netherlands, and the United States was used to assess the cancer risk profiles of K3326* and BRCA2 999del5. BRCA2 expression was assessed using RNAseq data from blood (n = 2233), as well as 52 tissues reported in the GTEx database. Results: The cancer risks associated with K3326* are fundamentally different from those associated with 999del5. We report for the first time an association between K3326* and small cell lung cancer (odds ratio [OR] = 2.06, 95% confidence interval [CI] = 1.35 to 3.16) and squamous cell carcinoma of the skin (OR = 1.69, 95% CI = 1.26 to 2.26). Individuals homozygous for K3326* reach old age and have children. Unlike BRCA2 999del5, the K3326* allele does not affect the level of BRCA2 transcripts, and the allele is expressed to the same extent as the wild-type allele. Conclusions: K3326* associates primarily with cancers that have strong environmental genotoxic risk factors. Expression of the K3326* allele suggests that a variant protein may be made that retains the DNA repair capabilities important to hormone-responsive tissues but may be less efficient in responding to genotoxic stress.
- Published
- 2018