The heterogeneous cancer phenotype of individuals with biallelic germline pathogenic variants in CHEK2
Standard
The heterogeneous cancer phenotype of individuals with biallelic germline pathogenic variants in CHEK2. / Hinić, Snežana; Cybulski, Cezary; Van der Post, Rachel S; Vos, Janet R; Schuurs-Hoeijmakers, Janneke; Brugnoletti, Fulvia; Koene, Saskia; Vreede, Lilian; van Zelst-Stams, Wendy A G; Kets, C Marleen; Haadsma, Maaike; Spruijt, Liesbeth; Wevers, Marijke R; Evans, D Gareth; Wimmer, Katharina; Schnaiter, Simon; Volk, Alexander E; Möllring, Anna; de Putter, Robin; Soikkonen, Leila; Kahre, Tiina; Tooming, Mikk; de Jong, Mirjam M; Vaz, Fátima; Mensenkamp, Arjen R; Genuardi, Maurizio; Lubinski, Jan; Ligtenberg, Marjolijn; Hoogerbrugge, Nicoline; de Voer, Richarda M.
In: GENET MED, Vol. 26, No. 5, 101101, 05.2024.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - The heterogeneous cancer phenotype of individuals with biallelic germline pathogenic variants in CHEK2
AU - Hinić, Snežana
AU - Cybulski, Cezary
AU - Van der Post, Rachel S
AU - Vos, Janet R
AU - Schuurs-Hoeijmakers, Janneke
AU - Brugnoletti, Fulvia
AU - Koene, Saskia
AU - Vreede, Lilian
AU - van Zelst-Stams, Wendy A G
AU - Kets, C Marleen
AU - Haadsma, Maaike
AU - Spruijt, Liesbeth
AU - Wevers, Marijke R
AU - Evans, D Gareth
AU - Wimmer, Katharina
AU - Schnaiter, Simon
AU - Volk, Alexander E
AU - Möllring, Anna
AU - de Putter, Robin
AU - Soikkonen, Leila
AU - Kahre, Tiina
AU - Tooming, Mikk
AU - de Jong, Mirjam M
AU - Vaz, Fátima
AU - Mensenkamp, Arjen R
AU - Genuardi, Maurizio
AU - Lubinski, Jan
AU - Ligtenberg, Marjolijn
AU - Hoogerbrugge, Nicoline
AU - de Voer, Richarda M
N1 - Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.
PY - 2024/5
Y1 - 2024/5
N2 - PURPOSE: Females with biallelic CHEK2 germline pathogenic variants (gPVs) more often develop multiple breast cancers than individuals with monoallelic CHEK2 gPVs. This study is aimed at expanding the knowledge on the occurrence of other malignancies.METHODS: Exome sequencing of individuals who developed multiple primary malignancies identified 3 individuals with the CHEK2 (NM_007194.4) c.1100del p.(Thr367MetfsTer15) loss-of-function gPV in a biallelic state. We collected the phenotypes of an additional cohort of individuals with CHEK2 biallelic gPVs (n = 291).RESULTS: In total, 157 individuals (53.4%; 157/294 individuals) developed ≥1 (pre)malignancy. The most common (pre)malignancies next to breast cancer were colorectal- (n = 19), thyroid- (n = 19), and prostate (pre)malignancies (n = 12). Females with biallelic CHEK2 loss-of-function gPVs more frequently developed ≥2 (pre)malignancies and at an earlier age compared with females biallelic for the CHEK2 c.470T>C p.(Ile157Thr) missense variant. Furthermore, 26 males (31%; 26/84 males) with CHEK2 biallelic gPVs developed ≥1 (pre)malignancies of 15 origins.CONCLUSION: Our study suggests that CHEK2 biallelic gPVs likely increase the susceptibility to develop multiple malignancies in various tissues, both in females and males. However, it is possible that a substantial proportion of individuals with CHEK2 biallelic gPVs is missed as diagnostic testing for CHEK2 often is limited to individuals who developed breast cancer.
AB - PURPOSE: Females with biallelic CHEK2 germline pathogenic variants (gPVs) more often develop multiple breast cancers than individuals with monoallelic CHEK2 gPVs. This study is aimed at expanding the knowledge on the occurrence of other malignancies.METHODS: Exome sequencing of individuals who developed multiple primary malignancies identified 3 individuals with the CHEK2 (NM_007194.4) c.1100del p.(Thr367MetfsTer15) loss-of-function gPV in a biallelic state. We collected the phenotypes of an additional cohort of individuals with CHEK2 biallelic gPVs (n = 291).RESULTS: In total, 157 individuals (53.4%; 157/294 individuals) developed ≥1 (pre)malignancy. The most common (pre)malignancies next to breast cancer were colorectal- (n = 19), thyroid- (n = 19), and prostate (pre)malignancies (n = 12). Females with biallelic CHEK2 loss-of-function gPVs more frequently developed ≥2 (pre)malignancies and at an earlier age compared with females biallelic for the CHEK2 c.470T>C p.(Ile157Thr) missense variant. Furthermore, 26 males (31%; 26/84 males) with CHEK2 biallelic gPVs developed ≥1 (pre)malignancies of 15 origins.CONCLUSION: Our study suggests that CHEK2 biallelic gPVs likely increase the susceptibility to develop multiple malignancies in various tissues, both in females and males. However, it is possible that a substantial proportion of individuals with CHEK2 biallelic gPVs is missed as diagnostic testing for CHEK2 often is limited to individuals who developed breast cancer.
KW - Adult
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Alleles
KW - Breast Neoplasms/genetics
KW - Checkpoint Kinase 2/genetics
KW - Colorectal Neoplasms/genetics
KW - Exome Sequencing/methods
KW - Genetic Predisposition to Disease
KW - Germ-Line Mutation/genetics
KW - Neoplasms/genetics
KW - Phenotype
KW - Prostatic Neoplasms/genetics
U2 - 10.1016/j.gim.2024.101101
DO - 10.1016/j.gim.2024.101101
M3 - SCORING: Journal article
C2 - 38362852
VL - 26
JO - GENET MED
JF - GENET MED
SN - 1098-3600
IS - 5
M1 - 101101
ER -