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Genetic Predisposition to Male Breast Cancer

M. Janatová, M. Borecká, P. Zemánková, K. Matějková, P. Nehasil, L. Černá, M. Černá, P. Dušková, T. Doležalová, L. Foretová, O. Havránek, J. Házová, K. Horáčková, M. Hovhannisyan, L. Hrušková, Š. Chvojka, M. Janíková, M. Kalousová, M. Kosařová,...

. 2024 ; 70 (5-6) : 274-284. [pub] -

Jazyk angličtina Země Česko

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc25005460

Grantová podpora
NU23-03-00150 Ministerstvo Zdravotnictví Ceské Republiky
NW24-03-00092 Ministerstvo Zdravotnictví Ceské Republiky
BBMRI_CZ LM2023033 Ministerstvo Zdravotnictví Ceské Republiky
DRO-VFN-64165 Ministerstvo Zdravotnictví Ceské Republiky
LX22NPO5102 Ministerstvo Školství, Mládeže a Tělovýchovy
COOPERATIO Univerzita Karlova v Praze
SVV260631 Univerzita Karlova v Praze
UNCE/24/MED/022 Univerzita Karlova v Praze

Male breast cancer (mBC) is a rare cancer diagnosis that constitutes less than 1 % of all breast cancer cases globally. Genetic factors play an important role in the mBC risk. Germline pathogenic variants (PVs) in cancer predisposition genes could be identified in about 15 % of cases. We performed germline genetic testing in 248 Czech mBC patients and 3,626 non-cancer male controls using next-generation sequencing by the CZECANCA panel (226 genes). We identified 46/248 (18.5 %) carriers of PVs in the established mBC predisposition genes, primarily in BRCA2 (N = 34), less frequently in BRCA1 (N = 7) and PALB2 (N = 5). The presence of a PV in these genes significantly increased the mBC risk (OR 44.04; 5.82; and 8.26, respectively). Additionally, we identified 16 carriers of PVs in candidate mBC genes, but only PVs in CHEK2 were significantly associated with increased mBC risk (OR = 4.98). The significance of 26 germline alterations in 23/192 additionally analysed genes remained uncertain. The carriers of PVs in BRCA1 and CHEK2 were significantly younger (55.8 and 52.6 years, respectively) than non-carriers (64.8 years), and all carriers of PVs in the established genes had more frequently grade G3 tumours and positive family cancer history. Our study underscores the critical role of BRCA2 in mBC predisposition while also highlighting the potential contributions of additional genes that warrant further investigation. Moreover, it supports and justifies universal genetic testing for all mBC patients to generally improve early cancer detection and tailored treatment.

BIOCEV 1st Faculty of Medicine Charles University Prague Czech Republic

Centre for Medical Genetics and Reproductive Medicine GENNET Prague Czech Republic

CZECANCA consortium Czech Republic

Department of Biochemistry Faculty of Science Charles University Prague Czech Republic

Department of Cancer Epidemiology and Genetics Masaryk Memorial Cancer Institute Brno Czech Republic

Department of Genetics and Microbiology Faculty of Science Charles University Prague Czech Republic

Department of Medical Genetics AGEL Laboratories AGEL Research and Training Institute Novy Jicin Czech Republic

Department of Medical Genetics Faculty of Medicine and Dentistry University Hospital Olomouc Palacky University Olomouc Olomouc Czech Republic

Department of Medical Genetics Faculty of Medicine in Pilsen Charles University and University Hospital Pilsen Pilsen Czech Republic

Department of Medical Genetics PRONATAL Sanatorium Prague Czech Republic

Department of Oncology 1st Faculty of Medicine Charles University and General University Hospital Prague Prague

Department of Paediatrics and Inherited Metabolic Disorders 1st Faculty of Medicine Charles University and General University Hospital Prague Prague Czech Republic

GHC Genetics Prague Czech Republic

Institute of Biology and Medical Genetics 1st Faculty of Medicine Charles University and General University Hospital Prague Prague Czech Republic

Institute of Medical Biochemistry and Laboratory Diagnostics 1st Faculty of Medicine Charles University and General University Hospital Prague Prague Czech Republic

Institute of Pathological Physiology 1st Faculty of Medicine Charles University Prague Czech Republic

Laboratory of Molecular Biology and Genetics Hospital Ceske Budejovice Ceske Budejovice Czech Republic

Citace poskytuje Crossref.org

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