Objective
Breast cancer is the
most co
mmon fe
male cancer in Morocco. About 5 to 10%are due to hereditary predisposition and
mutations in
m>BRCA1m> and
m>BRCA2m> genes are responsible for an i
mportant proportion of high-risk breast/ovarian cancer fa
milies. The relevance of
m>BRCA1m>/2
mutations in the Moroccan population was not studied. The
main objective of this study is to investigate the spectru
m of
m>BRCA1m> and
m>BRCA2m> ger
mline
mutations in early onset and fa
milial breast/ovarian cancer a
mong Moroccan wo
men.
Methods
We screened the entire coding sequences and intron/exon boundaries of m>BRCA1m> and m>BRCA2m> genes in 40 patients by direct sequencing.
Results
Nine pathogenic mutations were detected in ten unrelated families, five deleterious mutations in m>BRCA1m> gene and four mutations in m>BRCA2m> gene. Four novel mutations were found: one in m>BRCA1m> (c.2805delA/2924delA) and three in m>BRCA2m> (c.3381delT/3609delT; c.7110delA/7338delA and c.7235insG/7463insG). We also identified 51 distinct polymorphisms and unclassified variants (three described for the first time).
Conclusions
Our data suggest that m>BRCA1m> and m>BRCA2m> mutations are responsible for a significant proportion of familial breast cancer in Moroccan patients. Therefore full m>BRCA1m>/2 screening should be offered to patients with a family history of breast/ovarian cancer.