Complex Landscape of Germline Variants in Brazilian Patients With Hereditary and Early Onset Breast Cancer

Pathogenic variants in known breast cancer (BC) predisposing genes explain only about 30% of Hereditary Breast Cancer (HBC) cases, whereas the underlying genetic factors for most families remain unknown. Here, we used whole-exome sequencing (WES) to identify genetic variants associated to HBC in 17...

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Main Authors: Giovana T. Torrezan, Fernanda G. dos Santos R. de Almeida, Márcia C. P. Figueiredo, Bruna D. de Figueiredo Barros, Cláudia A. A. de Paula, Renan Valieris, Jorge E. S. de Souza, Rodrigo F. Ramalho, Felipe C. C. da Silva, Elisa N. Ferreira, Amanda F. de Nóbrega, Paula S. Felicio, Maria I. Achatz, Sandro J. de Souza, Edenir I. Palmero, Dirce M. Carraro
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-05-01
Series:Frontiers in Genetics
Subjects:
Online Access:http://journal.frontiersin.org/article/10.3389/fgene.2018.00161/full
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author Giovana T. Torrezan
Giovana T. Torrezan
Fernanda G. dos Santos R. de Almeida
Márcia C. P. Figueiredo
Bruna D. de Figueiredo Barros
Cláudia A. A. de Paula
Renan Valieris
Jorge E. S. de Souza
Jorge E. S. de Souza
Jorge E. S. de Souza
Rodrigo F. Ramalho
Felipe C. C. da Silva
Elisa N. Ferreira
Elisa N. Ferreira
Amanda F. de Nóbrega
Paula S. Felicio
Maria I. Achatz
Maria I. Achatz
Sandro J. de Souza
Sandro J. de Souza
Sandro J. de Souza
Edenir I. Palmero
Edenir I. Palmero
Dirce M. Carraro
Dirce M. Carraro
author_facet Giovana T. Torrezan
Giovana T. Torrezan
Fernanda G. dos Santos R. de Almeida
Márcia C. P. Figueiredo
Bruna D. de Figueiredo Barros
Cláudia A. A. de Paula
Renan Valieris
Jorge E. S. de Souza
Jorge E. S. de Souza
Jorge E. S. de Souza
Rodrigo F. Ramalho
Felipe C. C. da Silva
Elisa N. Ferreira
Elisa N. Ferreira
Amanda F. de Nóbrega
Paula S. Felicio
Maria I. Achatz
Maria I. Achatz
Sandro J. de Souza
Sandro J. de Souza
Sandro J. de Souza
Edenir I. Palmero
Edenir I. Palmero
Dirce M. Carraro
Dirce M. Carraro
author_sort Giovana T. Torrezan
collection DOAJ
description Pathogenic variants in known breast cancer (BC) predisposing genes explain only about 30% of Hereditary Breast Cancer (HBC) cases, whereas the underlying genetic factors for most families remain unknown. Here, we used whole-exome sequencing (WES) to identify genetic variants associated to HBC in 17 patients of Brazil with familial BC and negative for causal variants in major BC risk genes (BRCA1/2, TP53, and CHEK2 c.1100delC). First, we searched for rare variants in 27 known HBC genes and identified two patients harboring truncating pathogenic variants in ATM and BARD1. For the remaining 15 negative patients, we found a substantial vast number of rare genetic variants. Thus, for selecting the most promising variants we used functional-based variant prioritization, followed by NGS validation, analysis in a control group, cosegregation analysis in one family and comparison with previous WES studies, shrinking our list to 23 novel BC candidate genes, which were evaluated in an independent cohort of 42 high-risk BC patients. Rare and possibly damaging variants were identified in 12 candidate genes in this cohort, including variants in DNA repair genes (ERCC1 and SXL4) and other cancer-related genes (NOTCH2, ERBB2, MST1R, and RAF1). Overall, this is the first WES study applied for identifying novel genes associated to HBC in Brazilian patients, in which we provide a set of putative BC predisposing genes. We also underpin the value of using WES for assessing the complex landscape of HBC susceptibility, especially in less characterized populations.
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spelling doaj.art-18405b7f3663462691d570e7fce4e2562022-12-22T01:02:01ZengFrontiers Media S.A.Frontiers in Genetics1664-80212018-05-01910.3389/fgene.2018.00161329368Complex Landscape of Germline Variants in Brazilian Patients With Hereditary and Early Onset Breast CancerGiovana T. Torrezan0Giovana T. Torrezan1Fernanda G. dos Santos R. de Almeida2Márcia C. P. Figueiredo3Bruna D. de Figueiredo Barros4Cláudia A. A. de Paula5Renan Valieris6Jorge E. S. de Souza7Jorge E. S. de Souza8Jorge E. S. de Souza9Rodrigo F. Ramalho10Felipe C. C. da Silva11Elisa N. Ferreira12Elisa N. Ferreira13Amanda F. de Nóbrega14Paula S. Felicio15Maria I. Achatz16Maria I. Achatz17Sandro J. de Souza18Sandro J. de Souza19Sandro J. de Souza20Edenir I. Palmero21Edenir I. Palmero22Dirce M. Carraro23Dirce M. Carraro24Laboratory of Genomics and Molecular Biology, International Research Center, CIPE/A.C. Camargo Cancer Center, São Paulo, BrazilNational Institute for Science and Technology in Oncogenomics and Therapeutic Innovation, São Paulo, BrazilLaboratory of Genomics and Molecular Biology, International Research Center, CIPE/A.C. Camargo Cancer Center, São Paulo, BrazilLaboratory of Genomics and Molecular Biology, International Research Center, CIPE/A.C. Camargo Cancer Center, São Paulo, BrazilLaboratory of Genomics and Molecular Biology, International Research Center, CIPE/A.C. Camargo Cancer Center, São Paulo, BrazilLaboratory of Genomics and Molecular Biology, International Research Center, CIPE/A.C. Camargo Cancer Center, São Paulo, BrazilLaboratory of Bioinformatics and Computational Biology, International Research Center, CIPE/A.C. Camargo Cancer Center, São Paulo, BrazilInstituto de Bioinformática e Biotecnologia−2bio, Natal, BrazilInstituto Metrópole Digital, Federal University of Rio Grande do Norte, Natal, BrazilBioinformatics Multidisciplinary Environment, Federal University of Rio Grande do Norte, Natal, BrazilLaboratory of Genomics and Molecular Biology, International Research Center, CIPE/A.C. Camargo Cancer Center, São Paulo, BrazilLaboratory of Genomics and Molecular Biology, International Research Center, CIPE/A.C. Camargo Cancer Center, São Paulo, BrazilLaboratory of Genomics and Molecular Biology, International Research Center, CIPE/A.C. Camargo Cancer Center, São Paulo, BrazilResearch and Development, Fleury Group, São Paulo, BrazilOncogenetics Department, A.C. Camargo Cancer Center, São Paulo, BrazilMolecular Oncology Research Center, Barretos Cancer Hospital, São Paulo, BrazilOncogenetics Department, A.C. Camargo Cancer Center, São Paulo, Brazil0Clinical Genetics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Department of Health and Human Services, Bethesda, MD, United StatesNational Institute for Science and Technology in Oncogenomics and Therapeutic Innovation, São Paulo, BrazilBioinformatics Multidisciplinary Environment, Federal University of Rio Grande do Norte, Natal, Brazil1Brain Institute, Federal University of Rio Grande do Norte, Natal, BrazilMolecular Oncology Research Center, Barretos Cancer Hospital, São Paulo, Brazil2Barretos School of Health Sciences, Dr. Paulo Prata – FACISB, Barretos, BrazilLaboratory of Genomics and Molecular Biology, International Research Center, CIPE/A.C. Camargo Cancer Center, São Paulo, BrazilNational Institute for Science and Technology in Oncogenomics and Therapeutic Innovation, São Paulo, BrazilPathogenic variants in known breast cancer (BC) predisposing genes explain only about 30% of Hereditary Breast Cancer (HBC) cases, whereas the underlying genetic factors for most families remain unknown. Here, we used whole-exome sequencing (WES) to identify genetic variants associated to HBC in 17 patients of Brazil with familial BC and negative for causal variants in major BC risk genes (BRCA1/2, TP53, and CHEK2 c.1100delC). First, we searched for rare variants in 27 known HBC genes and identified two patients harboring truncating pathogenic variants in ATM and BARD1. For the remaining 15 negative patients, we found a substantial vast number of rare genetic variants. Thus, for selecting the most promising variants we used functional-based variant prioritization, followed by NGS validation, analysis in a control group, cosegregation analysis in one family and comparison with previous WES studies, shrinking our list to 23 novel BC candidate genes, which were evaluated in an independent cohort of 42 high-risk BC patients. Rare and possibly damaging variants were identified in 12 candidate genes in this cohort, including variants in DNA repair genes (ERCC1 and SXL4) and other cancer-related genes (NOTCH2, ERBB2, MST1R, and RAF1). Overall, this is the first WES study applied for identifying novel genes associated to HBC in Brazilian patients, in which we provide a set of putative BC predisposing genes. We also underpin the value of using WES for assessing the complex landscape of HBC susceptibility, especially in less characterized populations.http://journal.frontiersin.org/article/10.3389/fgene.2018.00161/fullcancer predisposition geneshereditary breast cancerwhole-exome sequencinggermline pathogenic variantscancer susceptibilityDNA repair genes
spellingShingle Giovana T. Torrezan
Giovana T. Torrezan
Fernanda G. dos Santos R. de Almeida
Márcia C. P. Figueiredo
Bruna D. de Figueiredo Barros
Cláudia A. A. de Paula
Renan Valieris
Jorge E. S. de Souza
Jorge E. S. de Souza
Jorge E. S. de Souza
Rodrigo F. Ramalho
Felipe C. C. da Silva
Elisa N. Ferreira
Elisa N. Ferreira
Amanda F. de Nóbrega
Paula S. Felicio
Maria I. Achatz
Maria I. Achatz
Sandro J. de Souza
Sandro J. de Souza
Sandro J. de Souza
Edenir I. Palmero
Edenir I. Palmero
Dirce M. Carraro
Dirce M. Carraro
Complex Landscape of Germline Variants in Brazilian Patients With Hereditary and Early Onset Breast Cancer
Frontiers in Genetics
cancer predisposition genes
hereditary breast cancer
whole-exome sequencing
germline pathogenic variants
cancer susceptibility
DNA repair genes
title Complex Landscape of Germline Variants in Brazilian Patients With Hereditary and Early Onset Breast Cancer
title_full Complex Landscape of Germline Variants in Brazilian Patients With Hereditary and Early Onset Breast Cancer
title_fullStr Complex Landscape of Germline Variants in Brazilian Patients With Hereditary and Early Onset Breast Cancer
title_full_unstemmed Complex Landscape of Germline Variants in Brazilian Patients With Hereditary and Early Onset Breast Cancer
title_short Complex Landscape of Germline Variants in Brazilian Patients With Hereditary and Early Onset Breast Cancer
title_sort complex landscape of germline variants in brazilian patients with hereditary and early onset breast cancer
topic cancer predisposition genes
hereditary breast cancer
whole-exome sequencing
germline pathogenic variants
cancer susceptibility
DNA repair genes
url http://journal.frontiersin.org/article/10.3389/fgene.2018.00161/full
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