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Three novel BRCA1/BRCA2 mutations in breast/ovarian cancer families in Croatia
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摘要
m>BRCA1m> and m>BRCA2m> genes from 167 candidates (145 families) were scanned for mutations. We identified 14 pathogenic point mutations in 17 candidates, 9 in m>BRCA1m> and 5 in m>BRCA2m>. Of those, 11 have been previously described and 3 were novel (c.5335C > T in m>BRCA1m> and c.4139_4140dupTT and c.8175G > A in m>BRCA2m>). No large deletions or duplications involving m>BRCA1m> and m>BRCA2m> genes were identified. No founder mutations were detected for the Croatian population. Croatia shares most of the mutations with neighboring Slovenia and also with Germany, Austria and Poland.

Two common sequence variants in m>BRCA1m>, c.2077G > A and c.4956G > A, were found more frequently in mutation carriers compared to healthy controls. No difference in m>BRCA2m> variants was detected between the groups.

Haplotype inference showed no difference in haplotype distributions between deleterious mutation carriers and non-carriers in neither m>BRCA1m> nor m>BRCA2m>. In silico analyses identified one m>BRCA1m> sequence variant (c.4039A > G) and two m>BRCA2m> variants (c.5986G > A and c.6884G > C) as harmful with high probability, and inconclusive results were obtained for our novel m>BRCA2m> variant c.3864_3866delTAA.

Combination of QMPSF and HRMA methods provides high detection rate and complete coverage of m>BRCA1/2m> genes. Benefit of m>BRCA1/2m> mutation testing is clear, since we detected mutations in young unaffected women, who will be closely monitored for breast and ovarian cancer.

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