NGS Panel Testing of Triple-Negative Breast Cancer Patients in Cyprus: A Study of <i>BRCA</i>-Negative Cases

In Cyprus, approximately 9% of triple-negative (estrogen receptor-negative, progesterone receptor-negative, and human epidermal growth factor receptor 2-negative) breast cancer (TNBC) patients are positive for germline pathogenic variants (PVs) in <i>BRCA1/2</i>. However, the contributio...

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Main Authors: Maria Zanti, Maria A. Loizidou, Kyriaki Michailidou, Panagiota Pirpa, Christina Machattou, Yiola Marcou, Flora Kyriakou, Eleni Kakouri, George A. Tanteles, Elena Spanou, George M. Spyrou, Kyriacos Kyriacou, Andreas Hadjisavvas
Format: Article
Language:English
Published: MDPI AG 2020-10-01
Series:Cancers
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Online Access:https://www.mdpi.com/2072-6694/12/11/3140
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author Maria Zanti
Maria A. Loizidou
Kyriaki Michailidou
Panagiota Pirpa
Christina Machattou
Yiola Marcou
Flora Kyriakou
Eleni Kakouri
George A. Tanteles
Elena Spanou
George M. Spyrou
Kyriacos Kyriacou
Andreas Hadjisavvas
author_facet Maria Zanti
Maria A. Loizidou
Kyriaki Michailidou
Panagiota Pirpa
Christina Machattou
Yiola Marcou
Flora Kyriakou
Eleni Kakouri
George A. Tanteles
Elena Spanou
George M. Spyrou
Kyriacos Kyriacou
Andreas Hadjisavvas
author_sort Maria Zanti
collection DOAJ
description In Cyprus, approximately 9% of triple-negative (estrogen receptor-negative, progesterone receptor-negative, and human epidermal growth factor receptor 2-negative) breast cancer (TNBC) patients are positive for germline pathogenic variants (PVs) in <i>BRCA1/2</i>. However, the contribution of other genes has not yet been determined. To this end, we aimed to investigate the prevalence of germline PVs in <i>BRCA1/2</i>-negative TNBC patients in Cyprus, unselected for family history of cancer or age of diagnosis. A comprehensive 94-cancer-gene panel was implemented for 163 germline DNA samples, extracted from the peripheral blood of TNBC patients. Identified variants of uncertain clinical significance were evaluated, using extensive in silico investigation. Eight PVs (4.9%) were identified in two high-penetrance TNBC susceptibility genes. Of these, seven occurred in <i>PALB2</i> (87.5%) and one occurred in <i>TP53</i> (12.5%). Interestingly, 50% of the patients carrying PVs were diagnosed over the age of 60 years. The frequency of non-<i>BRCA</i> PVs (4.9%) and especially <i>PALB2</i> PVs (4.3%) in TNBC patients in Cyprus appears to be higher compared to other populations. Based on these results, we believe that <i>PALB2</i> and <i>TP53</i> along with <i>BRCA1/2</i> genetic testing could be beneficial for a large proportion of TNBC patients in Cyprus, irrespective of their age of diagnosis.
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spelling doaj.art-fa7067faa58a475e98fbe3c8dd9dd9402023-11-20T18:39:34ZengMDPI AGCancers2072-66942020-10-011211314010.3390/cancers12113140NGS Panel Testing of Triple-Negative Breast Cancer Patients in Cyprus: A Study of <i>BRCA</i>-Negative CasesMaria Zanti0Maria A. Loizidou1Kyriaki Michailidou2Panagiota Pirpa3Christina Machattou4Yiola Marcou5Flora Kyriakou6Eleni Kakouri7George A. Tanteles8Elena Spanou9George M. Spyrou10Kyriacos Kyriacou11Andreas Hadjisavvas12Department of Electron Microscopy/Molecular Pathology, The Cyprus Institute of Neurology and Genetics, 6 Iroon Avenue, 2371 Agios Dhometios, Nicosia, CyprusDepartment of Electron Microscopy/Molecular Pathology, The Cyprus Institute of Neurology and Genetics, 6 Iroon Avenue, 2371 Agios Dhometios, Nicosia, CyprusCyprus School of Molecular Medicine, The Cyprus Institute of Neurology and Genetics, 6 Iroon Avenue, 2371 Agios Dhometios, Nicosia, CyprusDepartment of Electron Microscopy/Molecular Pathology, The Cyprus Institute of Neurology and Genetics, 6 Iroon Avenue, 2371 Agios Dhometios, Nicosia, CyprusDepartment of Electron Microscopy/Molecular Pathology, The Cyprus Institute of Neurology and Genetics, 6 Iroon Avenue, 2371 Agios Dhometios, Nicosia, CyprusDepartment of Medical Oncology, Bank of Cyprus Oncology Center, 32 Acropoleos Avenue, 2012 Strovolos, Nicosia, CyprusDepartment of Medical Oncology, Bank of Cyprus Oncology Center, 32 Acropoleos Avenue, 2012 Strovolos, Nicosia, CyprusDepartment of Medical Oncology, Bank of Cyprus Oncology Center, 32 Acropoleos Avenue, 2012 Strovolos, Nicosia, CyprusCyprus School of Molecular Medicine, The Cyprus Institute of Neurology and Genetics, 6 Iroon Avenue, 2371 Agios Dhometios, Nicosia, CyprusClinical Genetics Department, The Cyprus Institute of Neurology and Genetics, 6 Iroon Avenue, 2371 Agios Dhometios, Nicosia, CyprusCyprus School of Molecular Medicine, The Cyprus Institute of Neurology and Genetics, 6 Iroon Avenue, 2371 Agios Dhometios, Nicosia, CyprusDepartment of Electron Microscopy/Molecular Pathology, The Cyprus Institute of Neurology and Genetics, 6 Iroon Avenue, 2371 Agios Dhometios, Nicosia, CyprusDepartment of Electron Microscopy/Molecular Pathology, The Cyprus Institute of Neurology and Genetics, 6 Iroon Avenue, 2371 Agios Dhometios, Nicosia, CyprusIn Cyprus, approximately 9% of triple-negative (estrogen receptor-negative, progesterone receptor-negative, and human epidermal growth factor receptor 2-negative) breast cancer (TNBC) patients are positive for germline pathogenic variants (PVs) in <i>BRCA1/2</i>. However, the contribution of other genes has not yet been determined. To this end, we aimed to investigate the prevalence of germline PVs in <i>BRCA1/2</i>-negative TNBC patients in Cyprus, unselected for family history of cancer or age of diagnosis. A comprehensive 94-cancer-gene panel was implemented for 163 germline DNA samples, extracted from the peripheral blood of TNBC patients. Identified variants of uncertain clinical significance were evaluated, using extensive in silico investigation. Eight PVs (4.9%) were identified in two high-penetrance TNBC susceptibility genes. Of these, seven occurred in <i>PALB2</i> (87.5%) and one occurred in <i>TP53</i> (12.5%). Interestingly, 50% of the patients carrying PVs were diagnosed over the age of 60 years. The frequency of non-<i>BRCA</i> PVs (4.9%) and especially <i>PALB2</i> PVs (4.3%) in TNBC patients in Cyprus appears to be higher compared to other populations. Based on these results, we believe that <i>PALB2</i> and <i>TP53</i> along with <i>BRCA1/2</i> genetic testing could be beneficial for a large proportion of TNBC patients in Cyprus, irrespective of their age of diagnosis.https://www.mdpi.com/2072-6694/12/11/3140triple-negative breast cancergermline genetic testingNGS of gene panelsgenetic predisposition to breast cancer
spellingShingle Maria Zanti
Maria A. Loizidou
Kyriaki Michailidou
Panagiota Pirpa
Christina Machattou
Yiola Marcou
Flora Kyriakou
Eleni Kakouri
George A. Tanteles
Elena Spanou
George M. Spyrou
Kyriacos Kyriacou
Andreas Hadjisavvas
NGS Panel Testing of Triple-Negative Breast Cancer Patients in Cyprus: A Study of <i>BRCA</i>-Negative Cases
Cancers
triple-negative breast cancer
germline genetic testing
NGS of gene panels
genetic predisposition to breast cancer
title NGS Panel Testing of Triple-Negative Breast Cancer Patients in Cyprus: A Study of <i>BRCA</i>-Negative Cases
title_full NGS Panel Testing of Triple-Negative Breast Cancer Patients in Cyprus: A Study of <i>BRCA</i>-Negative Cases
title_fullStr NGS Panel Testing of Triple-Negative Breast Cancer Patients in Cyprus: A Study of <i>BRCA</i>-Negative Cases
title_full_unstemmed NGS Panel Testing of Triple-Negative Breast Cancer Patients in Cyprus: A Study of <i>BRCA</i>-Negative Cases
title_short NGS Panel Testing of Triple-Negative Breast Cancer Patients in Cyprus: A Study of <i>BRCA</i>-Negative Cases
title_sort ngs panel testing of triple negative breast cancer patients in cyprus a study of i brca i negative cases
topic triple-negative breast cancer
germline genetic testing
NGS of gene panels
genetic predisposition to breast cancer
url https://www.mdpi.com/2072-6694/12/11/3140
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