A search for modifying genetic factors in CHEK2:c.1100delC breast cancer patients

Abstract The risk of breast cancer associated with CHEK2:c.1100delC is 2–threefold but higher in carriers with a family history of breast cancer than without, suggesting that other genetic loci in combination with CHEK2:c.1100delC confer an increased risk in a polygenic model. Part of the excess fam...

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Autores principales: Camilla Wendt, Taru A. Muranen, Lotta Mielikäinen, Jessada Thutkawkorapin, Carl Blomqvist, Xiang Jiao, Hans Ehrencrona, Emma Tham, Brita Arver, Beatrice Melin, Ekaterina Kuchinskaya, Marie Stenmark Askmalm, Ylva Paulsson-Karlsson, Zakaria Einbeigi, Anna von Wachenfeldt Väppling, Eija Kalso, Tiina Tasmuth, Anne Kallioniemi, Kristiina Aittomäki, Heli Nevanlinna, Åke Borg, Annika Lindblom
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/602994982db2421bbe135a9df5feb72b
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spelling oai:doaj.org-article:602994982db2421bbe135a9df5feb72b2021-12-02T16:26:22ZA search for modifying genetic factors in CHEK2:c.1100delC breast cancer patients10.1038/s41598-021-93926-x2045-2322https://doaj.org/article/602994982db2421bbe135a9df5feb72b2021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-93926-xhttps://doaj.org/toc/2045-2322Abstract The risk of breast cancer associated with CHEK2:c.1100delC is 2–threefold but higher in carriers with a family history of breast cancer than without, suggesting that other genetic loci in combination with CHEK2:c.1100delC confer an increased risk in a polygenic model. Part of the excess familial risk has been associated with common low-penetrance variants. This study aimed to identify genetic loci that modify CHEK2:c.1100delC-associated breast cancer risk by searching for candidate risk alleles that are overrepresented in CHEK2:c.1100delC carriers with breast cancer compared with controls. We performed whole-exome sequencing in 28 breast cancer cases with germline CHEK2:c.1100delC, 28 familial breast cancer cases and 70 controls. Candidate alleles were selected for validation in larger cohorts. One recessive synonymous variant, rs16897117, was suggested, but no overrepresentation of homozygous CHEK2:c.1100delC carriers was found in the following validation. Furthermore, 11 non-synonymous candidate alleles were suggested for further testing, but no significant difference in allele frequency could be detected in the validation in CHEK2:c.1100delC cases compared with familial breast cancer, sporadic breast cancer and controls. With this method, we found no support for a CHEK2:c.1100delC-specific genetic modifier. Further studies of CHEK2:c.1100delC genetic modifiers are warranted to improve risk assessment in clinical practice.Camilla WendtTaru A. MuranenLotta MielikäinenJessada ThutkawkorapinCarl BlomqvistXiang JiaoHans EhrencronaEmma ThamBrita ArverBeatrice MelinEkaterina KuchinskayaMarie Stenmark AskmalmYlva Paulsson-KarlssonZakaria EinbeigiAnna von Wachenfeldt VäpplingEija KalsoTiina TasmuthAnne KallioniemiKristiina AittomäkiHeli NevanlinnaÅke BorgAnnika LindblomNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Camilla Wendt
Taru A. Muranen
Lotta Mielikäinen
Jessada Thutkawkorapin
Carl Blomqvist
Xiang Jiao
Hans Ehrencrona
Emma Tham
Brita Arver
Beatrice Melin
Ekaterina Kuchinskaya
Marie Stenmark Askmalm
Ylva Paulsson-Karlsson
Zakaria Einbeigi
Anna von Wachenfeldt Väppling
Eija Kalso
Tiina Tasmuth
Anne Kallioniemi
Kristiina Aittomäki
Heli Nevanlinna
Åke Borg
Annika Lindblom
A search for modifying genetic factors in CHEK2:c.1100delC breast cancer patients
description Abstract The risk of breast cancer associated with CHEK2:c.1100delC is 2–threefold but higher in carriers with a family history of breast cancer than without, suggesting that other genetic loci in combination with CHEK2:c.1100delC confer an increased risk in a polygenic model. Part of the excess familial risk has been associated with common low-penetrance variants. This study aimed to identify genetic loci that modify CHEK2:c.1100delC-associated breast cancer risk by searching for candidate risk alleles that are overrepresented in CHEK2:c.1100delC carriers with breast cancer compared with controls. We performed whole-exome sequencing in 28 breast cancer cases with germline CHEK2:c.1100delC, 28 familial breast cancer cases and 70 controls. Candidate alleles were selected for validation in larger cohorts. One recessive synonymous variant, rs16897117, was suggested, but no overrepresentation of homozygous CHEK2:c.1100delC carriers was found in the following validation. Furthermore, 11 non-synonymous candidate alleles were suggested for further testing, but no significant difference in allele frequency could be detected in the validation in CHEK2:c.1100delC cases compared with familial breast cancer, sporadic breast cancer and controls. With this method, we found no support for a CHEK2:c.1100delC-specific genetic modifier. Further studies of CHEK2:c.1100delC genetic modifiers are warranted to improve risk assessment in clinical practice.
format article
author Camilla Wendt
Taru A. Muranen
Lotta Mielikäinen
Jessada Thutkawkorapin
Carl Blomqvist
Xiang Jiao
Hans Ehrencrona
Emma Tham
Brita Arver
Beatrice Melin
Ekaterina Kuchinskaya
Marie Stenmark Askmalm
Ylva Paulsson-Karlsson
Zakaria Einbeigi
Anna von Wachenfeldt Väppling
Eija Kalso
Tiina Tasmuth
Anne Kallioniemi
Kristiina Aittomäki
Heli Nevanlinna
Åke Borg
Annika Lindblom
author_facet Camilla Wendt
Taru A. Muranen
Lotta Mielikäinen
Jessada Thutkawkorapin
Carl Blomqvist
Xiang Jiao
Hans Ehrencrona
Emma Tham
Brita Arver
Beatrice Melin
Ekaterina Kuchinskaya
Marie Stenmark Askmalm
Ylva Paulsson-Karlsson
Zakaria Einbeigi
Anna von Wachenfeldt Väppling
Eija Kalso
Tiina Tasmuth
Anne Kallioniemi
Kristiina Aittomäki
Heli Nevanlinna
Åke Borg
Annika Lindblom
author_sort Camilla Wendt
title A search for modifying genetic factors in CHEK2:c.1100delC breast cancer patients
title_short A search for modifying genetic factors in CHEK2:c.1100delC breast cancer patients
title_full A search for modifying genetic factors in CHEK2:c.1100delC breast cancer patients
title_fullStr A search for modifying genetic factors in CHEK2:c.1100delC breast cancer patients
title_full_unstemmed A search for modifying genetic factors in CHEK2:c.1100delC breast cancer patients
title_sort search for modifying genetic factors in chek2:c.1100delc breast cancer patients
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/602994982db2421bbe135a9df5feb72b
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