TY - JOUR
T1 - BRCA locus-specific loss of heterozygosity in germline BRCA1 and BRCA2 carriers
AU - Maxwell, Kara N.
AU - Wubbenhorst, Bradley
AU - Wenz, Brandon M.
AU - De Sloover, Daniel
AU - Pluta, John
AU - Emery, Lyndsey
AU - Barrett, Amanda
AU - Kraya, Adam A.
AU - Anastopoulos, Ioannis N.
AU - Yu, Shun
AU - Jiang, Yuchao
AU - Chen, Hao
AU - Zhang, Nancy R.
AU - Hackman, Nicole
AU - D'Andrea, Kurt
AU - Daber, Robert
AU - Morrissette, Jennifer J.D.
AU - Mitra, Nandita
AU - Feldman, Michael
AU - Domchek, Susan M.
AU - Nathanson, Katherine L.
N1 - Publisher Copyright:
© 2017 The Author(s).
PY - 2017/12/1
Y1 - 2017/12/1
N2 - 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.
AB - 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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U2 - 10.1038/s41467-017-00388-9
DO - 10.1038/s41467-017-00388-9
M3 - Article
C2 - 28831036
AN - SCOPUS:85027871906
SN - 2041-1723
VL - 8
JO - Nature communications
JF - Nature communications
IS - 1
M1 - 319
ER -