Article
BRCA1 and BRCA2 rearrangements in Brazilian individuals with Hereditary Breast and Ovarian Cancer Syndrome
Registro en:
EWALD, Ingrid Petroni; et al. BRCA1 and BRCA2 rearrangements in Brazilian individuals with Hereditary Breast and Ovarian Cancer Syndrome. Genetics and Molecular Biology, v.39, n.2, p.223-231, 2016.
1415-4757
10.1590/1678-4685-GMB-2014-0350
1678-4685
Autor
Ewald, Ingrid Petroni
Cossio, Silvia Liliana
Palmero, Edenir Inez
Pinheiro, Manuela
Nascimento, Ivana Lucia de Oliveira
Machado, Taisa Manuela Bonfim
Sandes, Kiyoko Abe
Toralles, Betânia
Garicochea, Bernardo
Izetti, Patricia
Pereira, Maria Luiza Saraiva
Bock, Hugo
Vargas, Fernando Regla
Moreira, Miguel Ângelo Martins
Peixoto, Ana
Teixeira, Manuel R.
Prolla, Patricia Ashton
Resumen
Approximately 5-10% of breast cancers are caused by germline mutations in high penetrance predisposition genes. Among these, BRCA1 and BRCA2, which are associated with the Hereditary Breast and Ovarian Cancer (HBOC) syndrome, are the most frequently affected genes. Recent studies confirm that gene rearrangements, especially in BRCA1, are responsible for a significant proportion of mutations in certain populations. In this study we determined the prevalence of BRCA rearrangements in 145 unrelated Brazilian individuals at risk for HBOC syndrome who had not been previously tested for BRCA mutations. Using Multiplex Ligation-dependent Probe Amplification (MLPA) and a specific PCR-based protocol to identify a Portuguese founder BRCA2 mutation, we identified two (1,4%) individuals with germline BRCA1 rearrangements (c.547+240_5193+178del and c.4675+467_5075-990del) and three probands with the c.156_157insAlu founder BRCA2 rearrangement. Furthermore, two families with false positive MLPA results were shown to carry a deleterious point mutation at the probe binding site. This study comprises the largest Brazilian series of HBOC families tested for BRCA1 and BRCA2 rearrangements to date and includes patients from three regions of the country. The overall observed rearrangement frequency of 3.44% indicates that rearrangements are relatively uncommon in the admixed population of Brazil.
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