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The BRCA2 polymorphic stop codon: stuff or nonsense?

J E Higgs1, E F Harkness2, N L Bowers1

  • 1Manchester Centre for Genomic Medicine, Manchester Academic Health Sciences Centre, Institute of Human Development, University of Manchester and Central Manchester Foundation Trust, Manchester, UK.

Journal of Medical Genetics
|June 5, 2015
PubMed
Summary
This summary is machine-generated.

The BRCA2 c.9976A>T variant, previously linked to cancers, is likely not pathogenic on its own. Its association with increased tumor risk is probably due to linkage disequilibrium with the pathogenic BRCA2 c.6275_6276delTT mutation.

Keywords:
BRCA2 polymorphic stop codonCancer: breastCancer: lungCancer: oesophagealCancer: pancreatic

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Area of Science:

  • Genetics
  • Oncology
  • Molecular Biology

Background:

  • The BRCA2 c.9976A>T variant is classified as a polymorphism.
  • This variant has been anecdotally associated with increased risks for pancreatic, lung, esophageal, and breast cancers.

Purpose of the Study:

  • To investigate the potential association between the BRCA2 c.9976A>T variant and increased cancer risks.
  • To determine if co-occurrence with the BRCA2 c.6275_6276delTT mutation explains these observed cancer associations.

Main Methods:

  • A cohort study design was employed.
  • Co-occurrences of BRCA2 c.9976A>T and BRCA2 c.6275_6276delTT were analyzed.
  • Co-segregation analysis was performed in families.
  • Cancer frequencies in individuals with BRCA2 c.9976A>T alone were assessed using person-years at risk analysis.

Main Results:

  • Fifty-two families with the BRCA2 c.6275_6276delTT mutation were identified, all carrying BRCA2 c.9976A>T in cis.
  • Only 1.3% of 3245 sequenced breast/ovarian cancer samples carried BRCA2 c.9976A>T alone, after excluding individuals with BRCA2 c.6275_6276delTT or other pathogenic mutations.
  • No increased frequencies of esophageal, pancreatic, or lung cancer were found in families with only the BRCA2 c.9976A>T variant.

Conclusions:

  • The previously reported associations of increased cancer risks with BRCA2 c.9976A>T are likely due to reporting bias.
  • These associations are likely contributed to by the linkage disequilibrium (LD) between BRCA2 c.9976A>T and the pathogenic BRCA2 c.6275_6276delTT mutation.