Pathogenic Variant Profile of Hereditary Cancer Syndromes in a Vietnamese Cohort

BackgroundHereditary cancer syndromes (HCS) are responsible for 5-10% of cancer cases. Genetic testing to identify pathogenic variants associated with cancer predisposition has not been routinely available in Vietnam. Consequently, the prevalence and genetic landscape of HCS remain unknown.Methods11...

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Main Authors: Van Thuan Tran, Sao Trung Nguyen, Xuan Dung Pham, Thanh Hai Phan, Van Chu Nguyen, Huu Thinh Nguyen, Huu Phuc Nguyen, Phuong Thao Thi Doan, Tuan Anh Le, Bao Toan Nguyen, Thanh Xuan Jasmine, Duy Sinh Nguyen, Hong-Dang Luu Nguyen, Ngoc Mai Nguyen, Duy Xuan Do, Vu Uyen Tran, Hue Hanh Thi Nguyen, Minh Phong Le, Yen Nhi Nguyen, Thanh Thuy Thi Do, Dinh Kiet Truong, Hung Sang Tang, Minh-Duy Phan, Hoai-Nghia Nguyen, Hoa Giang, Lan N. Tu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-01-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2021.789659/full
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author Van Thuan Tran
Sao Trung Nguyen
Xuan Dung Pham
Thanh Hai Phan
Van Chu Nguyen
Huu Thinh Nguyen
Huu Phuc Nguyen
Phuong Thao Thi Doan
Tuan Anh Le
Bao Toan Nguyen
Thanh Xuan Jasmine
Duy Sinh Nguyen
Hong-Dang Luu Nguyen
Hong-Dang Luu Nguyen
Ngoc Mai Nguyen
Ngoc Mai Nguyen
Duy Xuan Do
Duy Xuan Do
Vu Uyen Tran
Vu Uyen Tran
Hue Hanh Thi Nguyen
Hue Hanh Thi Nguyen
Minh Phong Le
Minh Phong Le
Yen Nhi Nguyen
Yen Nhi Nguyen
Thanh Thuy Thi Do
Dinh Kiet Truong
Hung Sang Tang
Hung Sang Tang
Minh-Duy Phan
Minh-Duy Phan
Hoai-Nghia Nguyen
Hoa Giang
Hoa Giang
Lan N. Tu
Lan N. Tu
author_facet Van Thuan Tran
Sao Trung Nguyen
Xuan Dung Pham
Thanh Hai Phan
Van Chu Nguyen
Huu Thinh Nguyen
Huu Phuc Nguyen
Phuong Thao Thi Doan
Tuan Anh Le
Bao Toan Nguyen
Thanh Xuan Jasmine
Duy Sinh Nguyen
Hong-Dang Luu Nguyen
Hong-Dang Luu Nguyen
Ngoc Mai Nguyen
Ngoc Mai Nguyen
Duy Xuan Do
Duy Xuan Do
Vu Uyen Tran
Vu Uyen Tran
Hue Hanh Thi Nguyen
Hue Hanh Thi Nguyen
Minh Phong Le
Minh Phong Le
Yen Nhi Nguyen
Yen Nhi Nguyen
Thanh Thuy Thi Do
Dinh Kiet Truong
Hung Sang Tang
Hung Sang Tang
Minh-Duy Phan
Minh-Duy Phan
Hoai-Nghia Nguyen
Hoa Giang
Hoa Giang
Lan N. Tu
Lan N. Tu
author_sort Van Thuan Tran
collection DOAJ
description BackgroundHereditary cancer syndromes (HCS) are responsible for 5-10% of cancer cases. Genetic testing to identify pathogenic variants associated with cancer predisposition has not been routinely available in Vietnam. Consequently, the prevalence and genetic landscape of HCS remain unknown.Methods1165 Vietnamese individuals enrolled in genetic testing at our laboratory in 2020. We performed analysis of germline mutations in 17 high- and moderate- penetrance genes associated with HCS by next generation sequencing.ResultsA total of 41 pathogenic variants in 11 genes were detected in 3.2% individuals. The carrier frequency was 4.2% in people with family or personal history of cancer and 2.6% in those without history. The percentage of mutation carriers for hereditary colorectal cancer syndromes was 1.3% and for hereditary breast and ovarian cancer syndrome was 1.6%. BRCA1 and BRCA2 mutations were the most prevalent with the positive rate of 1.3% in the general cohort and 5.1% in breast or ovarian cancer patients. Most of BRCA1 mutations located at the BRCA C-terminus domains and the top recurrent mutation was NM_007294.3:c.5251C>T (p.Arg1751Ter). One novel variant NM_000038.6(APC):c.6665C>A (p.Pro2222His) was found in a breast cancer patient with a strong family history of cancer. A case study of hereditary cancer syndrome was illustrated to highlight the importance of genetic testing.ConclusionThis is the first largest analysis of carrier frequency and mutation spectrum of HCS in Vietnam. The findings demonstrate the clinical significance of multigene panel testing to identify carriers and their at-risk relatives for better cancer surveillance and management strategies.
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spelling doaj.art-7c1065ac4dc3424bbe627d9a5f04306c2022-12-22T04:04:12ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-01-011110.3389/fonc.2021.789659789659Pathogenic Variant Profile of Hereditary Cancer Syndromes in a Vietnamese CohortVan Thuan Tran0Sao Trung Nguyen1Xuan Dung Pham2Thanh Hai Phan3Van Chu Nguyen4Huu Thinh Nguyen5Huu Phuc Nguyen6Phuong Thao Thi Doan7Tuan Anh Le8Bao Toan Nguyen9Thanh Xuan Jasmine10Duy Sinh Nguyen11Hong-Dang Luu Nguyen12Hong-Dang Luu Nguyen13Ngoc Mai Nguyen14Ngoc Mai Nguyen15Duy Xuan Do16Duy Xuan Do17Vu Uyen Tran18Vu Uyen Tran19Hue Hanh Thi Nguyen20Hue Hanh Thi Nguyen21Minh Phong Le22Minh Phong Le23Yen Nhi Nguyen24Yen Nhi Nguyen25Thanh Thuy Thi Do26Dinh Kiet Truong27Hung Sang Tang28Hung Sang Tang29Minh-Duy Phan30Minh-Duy Phan31Hoai-Nghia Nguyen32Hoa Giang33Hoa Giang34Lan N. Tu35Lan N. Tu36Ministry of Health, Hanoi, VietnamUniversity of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, VietnamOncology Hospital, Ho Chi Minh City, VietnamMEDIC Medical Center, Ho Chi Minh City, VietnamVietnam National Cancer Hospital, Hanoi, VietnamUniversity Medical Center Ho Chi Minh City, Ho Chi Minh City, VietnamUniversity Medical Center Ho Chi Minh City, Ho Chi Minh City, VietnamUniversity of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, VietnamCho Ray Hospital, Ho Chi Minh City, VietnamMEDIC Medical Center, Ho Chi Minh City, VietnamMEDIC Medical Center, Ho Chi Minh City, VietnamDepartment of Oncology, Faculty of Medicine, Nguyen Tat Thanh University, Ho Chi Minh City, VietnamMedical Genetics Institute, Ho Chi Minh City, Vietnam0Gene Solutions, Ho Chi Minh City, VietnamMedical Genetics Institute, Ho Chi Minh City, Vietnam0Gene Solutions, Ho Chi Minh City, VietnamMedical Genetics Institute, Ho Chi Minh City, Vietnam0Gene Solutions, Ho Chi Minh City, VietnamMedical Genetics Institute, Ho Chi Minh City, Vietnam0Gene Solutions, Ho Chi Minh City, VietnamMedical Genetics Institute, Ho Chi Minh City, Vietnam0Gene Solutions, Ho Chi Minh City, VietnamMedical Genetics Institute, Ho Chi Minh City, Vietnam0Gene Solutions, Ho Chi Minh City, VietnamMedical Genetics Institute, Ho Chi Minh City, Vietnam0Gene Solutions, Ho Chi Minh City, VietnamMedical Genetics Institute, Ho Chi Minh City, VietnamMedical Genetics Institute, Ho Chi Minh City, VietnamMedical Genetics Institute, Ho Chi Minh City, Vietnam0Gene Solutions, Ho Chi Minh City, VietnamMedical Genetics Institute, Ho Chi Minh City, Vietnam0Gene Solutions, Ho Chi Minh City, VietnamUniversity of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, VietnamMedical Genetics Institute, Ho Chi Minh City, Vietnam0Gene Solutions, Ho Chi Minh City, VietnamMedical Genetics Institute, Ho Chi Minh City, Vietnam0Gene Solutions, Ho Chi Minh City, VietnamBackgroundHereditary cancer syndromes (HCS) are responsible for 5-10% of cancer cases. Genetic testing to identify pathogenic variants associated with cancer predisposition has not been routinely available in Vietnam. Consequently, the prevalence and genetic landscape of HCS remain unknown.Methods1165 Vietnamese individuals enrolled in genetic testing at our laboratory in 2020. We performed analysis of germline mutations in 17 high- and moderate- penetrance genes associated with HCS by next generation sequencing.ResultsA total of 41 pathogenic variants in 11 genes were detected in 3.2% individuals. The carrier frequency was 4.2% in people with family or personal history of cancer and 2.6% in those without history. The percentage of mutation carriers for hereditary colorectal cancer syndromes was 1.3% and for hereditary breast and ovarian cancer syndrome was 1.6%. BRCA1 and BRCA2 mutations were the most prevalent with the positive rate of 1.3% in the general cohort and 5.1% in breast or ovarian cancer patients. Most of BRCA1 mutations located at the BRCA C-terminus domains and the top recurrent mutation was NM_007294.3:c.5251C>T (p.Arg1751Ter). One novel variant NM_000038.6(APC):c.6665C>A (p.Pro2222His) was found in a breast cancer patient with a strong family history of cancer. A case study of hereditary cancer syndrome was illustrated to highlight the importance of genetic testing.ConclusionThis is the first largest analysis of carrier frequency and mutation spectrum of HCS in Vietnam. The findings demonstrate the clinical significance of multigene panel testing to identify carriers and their at-risk relatives for better cancer surveillance and management strategies.https://www.frontiersin.org/articles/10.3389/fonc.2021.789659/fullhereditary cancer syndromepathogenic variantgenetic carrier screeningcarrier frequencyBRCA1
spellingShingle Van Thuan Tran
Sao Trung Nguyen
Xuan Dung Pham
Thanh Hai Phan
Van Chu Nguyen
Huu Thinh Nguyen
Huu Phuc Nguyen
Phuong Thao Thi Doan
Tuan Anh Le
Bao Toan Nguyen
Thanh Xuan Jasmine
Duy Sinh Nguyen
Hong-Dang Luu Nguyen
Hong-Dang Luu Nguyen
Ngoc Mai Nguyen
Ngoc Mai Nguyen
Duy Xuan Do
Duy Xuan Do
Vu Uyen Tran
Vu Uyen Tran
Hue Hanh Thi Nguyen
Hue Hanh Thi Nguyen
Minh Phong Le
Minh Phong Le
Yen Nhi Nguyen
Yen Nhi Nguyen
Thanh Thuy Thi Do
Dinh Kiet Truong
Hung Sang Tang
Hung Sang Tang
Minh-Duy Phan
Minh-Duy Phan
Hoai-Nghia Nguyen
Hoa Giang
Hoa Giang
Lan N. Tu
Lan N. Tu
Pathogenic Variant Profile of Hereditary Cancer Syndromes in a Vietnamese Cohort
Frontiers in Oncology
hereditary cancer syndrome
pathogenic variant
genetic carrier screening
carrier frequency
BRCA1
title Pathogenic Variant Profile of Hereditary Cancer Syndromes in a Vietnamese Cohort
title_full Pathogenic Variant Profile of Hereditary Cancer Syndromes in a Vietnamese Cohort
title_fullStr Pathogenic Variant Profile of Hereditary Cancer Syndromes in a Vietnamese Cohort
title_full_unstemmed Pathogenic Variant Profile of Hereditary Cancer Syndromes in a Vietnamese Cohort
title_short Pathogenic Variant Profile of Hereditary Cancer Syndromes in a Vietnamese Cohort
title_sort pathogenic variant profile of hereditary cancer syndromes in a vietnamese cohort
topic hereditary cancer syndrome
pathogenic variant
genetic carrier screening
carrier frequency
BRCA1
url https://www.frontiersin.org/articles/10.3389/fonc.2021.789659/full
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