[HTML][HTML] BRCA locus-specific loss of heterozygosity in germline BRCA1 and BRCA2 carriers

KN Maxwell, B Wubbenhorst, BM Wenz… - Nature …, 2017 - nature.com
KN Maxwell, B Wubbenhorst, BM Wenz, D De Sloover, J Pluta, L Emery, A Barrett, AA Kraya…
Nature communications, 2017nature.com
Complete loss of BRCA1 or BRCA2 function is associated with sensitivity to DNA damaging
agents. However, not all BRCA1 and BRCA2 germline mutation-associated tumors respond.
Herein we report analyses of 160 BRCA1 and BRCA2 germline mutation-associated breast
and ovarian tumors. Retention of the normal BRCA1 or BRCA2 allele (absence of locus-
specific loss of heterozygosity (LOH)) is observed in 7% of BRCA1 ovarian, 16% of BRCA2
ovarian, 10% of BRCA1 breast, and 46% of BRCA2 breast tumors. These tumors have …
Abstract
Complete loss of BRCA1 or BRCA2 function is associated with sensitivity to DNA damaging agents. However, not all BRCA1 and BRCA2 germline mutation-associated tumors respond. Herein we report analyses of 160 BRCA1 and BRCA2 germline mutation-associated breast and ovarian tumors. Retention of the normal BRCA1 or BRCA2 allele (absence of locus-specific loss of heterozygosity (LOH)) is observed in 7% of BRCA1 ovarian, 16% of BRCA2 ovarian, 10% of BRCA1 breast, and 46% of BRCA2 breast tumors. These tumors have equivalent homologous recombination deficiency scores to sporadic tumors, significantly lower than scores in tumors with locus-specific LOH (ovarian, P = 0.0004; breast P < 0.0001, two-tailed Student’s t-test). Absence of locus-specific LOH is associated with decreased overall survival in ovarian cancer patients treated with platinum chemotherapy (P = 0.01, log-rank test). Locus-specific LOH may be a clinically useful biomarker to predict primary resistance to DNA damaging agents in patients with germline BRCA1 and BRCA2 mutations.
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