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Related Concept Videos

Genome-wide Association Studies-GWAS01:11

Genome-wide Association Studies-GWAS

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Genome-wide association studies or GWAS are used to identify whether common SNPs are associated with certain diseases. Suppose specific SNPs are more frequently observed in individuals with a particular disease than those without the disease. In that case, those SNPs are said to be associated with the disease. Chi-square analysis is performed to check the probability of the allele likely to be associated with the disease.
GWAS does not require the identification of the target gene involved in...
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Related Experiment Video

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Functional Assessment of BRCA1 variants using CRISPR-Mediated Base Editors
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Reclassification of Five BRCA1/2 Variants with Unknown Significance Using Complex Functional Study.

Anikó Bozsik1,2, János Papp1,2, Vince Kornél Grolmusz1,2

  • 1Department of Molecular Genetics, National Institute of Oncology, Budapest, Hungary.

Cancer Research and Treatment
|February 15, 2022
PubMed
Summary

This study reclassified four of five variants in BRCA1/2 genes, impacting genetic counseling and patient management for hereditary breast and ovarian cancer. Findings clarify variant significance for clinical surveillance and treatment.

Keywords:
BRCA1BRCA2Breast neoplasmsReclassificationSplicingVariants of unknown significance

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Area of Science:

  • Genetics
  • Oncology
  • Molecular Biology

Background:

  • Variants of unknown significance (VUS) in BRCA1/2 genes pose challenges in genetic counseling and therapy.
  • Accurate classification of VUS is crucial for hereditary breast and ovarian cancer (HBOC) management.

Purpose of the Study:

  • To functionally characterize five uninvestigated BRCA1/2 variants with potential splice effects.
  • To reclassify VUS based on molecular and clinical evidence for improved patient care.

Main Methods:

  • Functional characterization of five BRCA1/2 variants in HBOC probands.
  • Transcript-level analysis, splicing assessment, and nonsense-mediated decay studies.
  • Clinical data review, pedigree analysis, co-segregation, and tumor loss of heterozygosity (LOH) testing.

Main Results:

  • Reclassified two BRCA1 variants (c.4484+4dupA, c.5407-10G>A) from VUS to likely pathogenic.
  • Reclassified one BRCA2 variant (c.8487G>T) as likely pathogenic based on splicing and LOH.
  • Reclassified one BRCA2 variant (c.793G>A) from VUS to likely benign.
  • One BRCA1 variant (c.4358-31A>C) remained VUS due to incomplete splicing data.

Conclusions:

  • Provided molecular and clinical evidence to reclassify four out of five studied BRCA1/2 variants.
  • Variant reclassification (up or down) has significant clinical implications for patient management.
  • Accurate variant classification ensures appropriate medical surveillance, preventive measures, and family screening for at-risk relatives.