Abstract

BackgroundBRCA2 c.68-7T>A has been demonstrated to cause aberrant splicing and is possibly pathogenic. The population prevalence of the variant is 0.2%, which higher than usual for pathogenic BRCA2 variants. The pathogenicity of the variant is discussed.MethodsThe outpatient genetic clinic at The Norwegian Radium Hospital, part of Oslo University Hospital, has invited breast cancer kindreds for genetic examinations and prospective follow-up of high risk patients since 1988. We have complete files of all activities and results, and we examined the files for association between BRCA2 c.68-7T>A and breast cancer.ResultsSeventeen out of 714 (2.4%) breast cancer kindreds sequenced for BRCA2 carried the variant BRCA2 c.68-7T>A (p < 0.0001 compared to population controls). Segregation analysis was inconclusive (likelihood ratio 0.36) for pathogenicity. Two breast cancers were prospectively observed during 134 observation years (annual incidence rate 1.5% (95% CI 0.15% to 5.4%) and one additional breast cancer was diagnosed at first (prevalence) round.ConclusionBRCA2 c.68-7T>A is associated with breast cancer. In the families selected due to aggregation of breast cancer, carriers of the BRCA2 c.68-7T>A variant have increased risk for breast cancer. It is, however, possible that the variant has lower penetrance than the average pathogenic BRCA2 variants, and that in the families selected for having known aggregation of breast cancer other (modifying) factors contributed to the observed results.

Highlights

  • MethodsThe outpatient genetic clinic at The Norwegian Radium Hospital, part of Oslo University Hospital, has invited breast cancer kindreds for genetic examinations and prospective follow-up of high risk patients since 1988.T We have complete files of all activities and results, and we examined the files for association between BRCA2 c.68-7T>A and breast cancer.R Results: Seventeen out of 714 (2.4%) breast cancer kindreds sequenced for BRCA2 carried the variant BRCA2 c.68-7T>A (p < 0.0001 compared to population controls)

  • BRCA2 c.68-7T>A has been demonstrated to cause aberrant splicing and is possibly pathogenic.C The population prevalence of the variant is 0.2%, which higher than usual for pathogenic BRCA2 variants.The pathogenicity of the variant is discussed

  • We have previously identified the BRCA2 c.68-7T>A in a breast cancer kindred, and we

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Summary

Methods

The outpatient genetic clinic at The Norwegian Radium Hospital, part of Oslo University Hospital, has invited breast cancer kindreds for genetic examinations and prospective follow-up of high risk patients since 1988.T We have complete files of all activities and results, and we examined the files for association between BRCA2 c.68-7T>A and breast cancer.R Results: Seventeen out of 714 (2.4%) breast cancer kindreds sequenced for BRCA2 carried the variant BRCA2 c.68-7T>A (p < 0.0001 compared to population controls). T We have complete files of all activities and results, and we examined the files for association between BRCA2 c.68-7T>A and breast cancer. The outpatient genetic clinic at The Norwegian Radium Hospital, part of Oslo University Hospital, has invited breast cancer kindreds for genetic examinations and prospective follow-up of high risk patients since 1988. We examined the files for information on the pathogenicity of BRCA2 c.68-7T>A. We extracted the following information from our files: Prevalence of BRCA2 c.68-7T>A in the breast cancer kindreds we have examined, segregation. We have previously described our filing system holding all data obtained from the start onwards [5], Møller and Hovig Hereditary Cancer in Clinical Practice (2017) 15:20 with a detailed description on how patients/families BRCA2 variants were either carriers of the variant or not were selected, examined, followed-up, as well as the tested.

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