Rare mutations in XRCC2 increase the risk of breast cancer

D. J. Park, F. Lesueur, T. Nguyen-Dumont, M. Pertesi, F. Odefrey, F. Hammet, S. L. Neuhausen, E. M. John, I. L. Andrulis, M. B. Terry, M. Daly, S. Buys, F. Le Calvez-Kelm, A. Lonie, B. J. Pope, H. Tsimiklis, C. Voegele, F. M. Hilbers, N. Hoogerbrugge, A. BarrosoA. Osorio, G. G. Giles, P. Devilee, J. Benitez, J. L. Hopper, S. V. Tavtigian, D. E. Goldgar, M. C. Southey

Research output: Contribution to journalArticlepeer-review

147 Scopus citations

Abstract

An exome-sequencing study of families with multiple breast-cancer-affected individuals identified two families with XRCC2 mutations, one with a protein-truncating mutation and one with a probably deleterious missense mutation. We performed a population-based case-control mutation-screening study that identified six probably pathogenic coding variants in 1,308 cases with early-onset breast cancer and no variants in 1,120 controls (the severity grading was p < 0.02). We also performed additional mutation screening in 689 multiple-case families. We identified ten breast-cancer-affected families with protein-truncating or probably deleterious rare missense variants in XRCC2. Our identification of XRCC2 as a breast cancer susceptibility gene thus increases the proportion of breast cancers that are associated with homologous recombination-DNA-repair dysfunction and Fanconi anemia and could therefore benefit from specific targeted treatments such as PARP (poly ADP ribose polymerase) inhibitors. This study demonstrates the power of massively parallel sequencing for discovering susceptibility genes for common, complex diseases.

Original languageEnglish
Pages (from-to)734-739
Number of pages6
JournalAmerican Journal of Human Genetics
Volume90
Issue number4
DOIs
StatePublished - Apr 6 2012

Keywords

  • Adult
  • Breast Neoplasms/genetics
  • Case-Control Studies
  • DNA-Binding Proteins/genetics
  • Exome
  • Female
  • Genetic Predisposition to Disease
  • Homologous Recombination/genetics
  • Humans
  • Male
  • Middle Aged
  • Mutation
  • Pedigree
  • Risk

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