Evidence map›Paper›PMID 31395037›Full record

ArticleBMC cancer2019

Investigating the effects of additional truncating variants in DNA-repair genes on breast cancer risk in BRCA1-positive women.

Ilnaz Sepahi, Ulrike Faust, Marc Sturm, Kristin Bosse, Martin Kehrer, Tilman Heinrich, Kathrin Grundman-Hauser, Peter Bauer, Stephan Ossowski, Hana Susak and 17 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. International journal of molecular sciences · 2024
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  3. Review
  4. Lack of Association ofGenetics research · 2023
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  5. A novelFrontiers in oncology · 2023
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  6. Review
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors at 16 institutions in 2 countries.

Ilnaz SepahiInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
Ulrike FaustInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
Marc SturmInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
Kristin BosseInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
Martin KehrerInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
Tilman HeinrichInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
Kathrin Grundman-HauserInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
Peter BauerInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
Stephan OssowskiInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
Hana SusakCentre for Genomic Regulation (CRG), The Barcelona Institute of Science and Technology, Barcelona, Spain.
Raymonda VaronInstitute of Medical and Human Genetics, Charité Universitätsmedizin Berlin, Berlin, Germany.
Evelin SchröckInstitute for Clinical Genetics, Dresden, Germany.
Dieter NiederacherDepartment of Obstetrics and Gynaecology, Düsseldorf University Hospital, Düsseldorf, Germany.
Bernd AuberDepartment of Human Genetics, Hannover Medical School, Hannover, Germany.
Christian SutterInstitute of Human Genetics, University Hospital Heidelberg, Heidelberg, Germany.
Norbert ArnoldDepartment of Gynaecology and Obstetrics and Institute of Clinical Molecular Biology, University Hospital of Schleswig-Holstein, Christian-Albrechts-University of Kiel, Kiel, Germany.
Eric HahnenCentre for Hereditary Breast and Ovarian Cancer, University of Cologne and University Hospital Cologne, Cologne, Germany.
Bernd DworniczakInstitute of Human Genetics, University Hospital Münster, Münster, Germany.
Shan Wang-GorkeDepartment of Gynaecology and Obstetrics, University Hospital Ulm, Ulm, Germany.
Andrea GehrigCentre of Familial Breast and Ovarian Cancer, Department of Medical Genetics, Institute of Human Genetics, University Würzburg, Würzburg, Germany.
Bernhard H F WeberInstitute of Human Genetics, University of Regensburg, Regensburg, Germany.
Christoph EngelInstitute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Leipzig, Germany.
Johannes R LemkeInstitute of Human Genetics, University of Leipzig Hospitals and Clinics, Leipzig, Germany.
Andreas HartkopfDepartment of Obstetrics and Gynecology, University of Tuebingen, Tuebingen, Germany.
Huu Phuc NguyenDepartment of Human Genetics, Ruhr-University Bochum, Bochum, Germany.
Olaf RiessInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
Christopher SchroederInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany. Christopher.Schroeder@med.uni-tuebingen.de.ORCID http://orcid.org/0000-0002-6686-0236
University of Tübingen · DEUniversitat Pompeu Fabra · ESCentogene (Germany) · DECharité - Universitätsmedizin Berlin · DEChristian-Albrechts-Universität zu Kiel · DEDüsseldorf University Hospital · DEHeidelberg University · DELeipzig University · DEMedizinische Hochschule Hannover · DERuhr University Bochum · DEUniversity Hospital Leipzig · DEUniversity Hospital Münster · DEUniversity Hospital Ulm · DEUniversity of Cologne · DEUniversity of Regensburg · DEUniversity of Würzburg · DE

Funding

Fortüne Project grant of the Medical Faculty of the University of Tübingen Nr.2253-0-0
6 · The paper itself

Abstract

backgroundInherited pathogenic variants in BRCA1 and BRCA2 are the most common causes of hereditary breast and ovarian cancer (HBOC). The risk of developing breast cancer by age 80 in women carrying a BRCA1 pathogenic variant is 72%. The lifetime risk varies between families and even within affected individuals of the same family. The cause of this variability is largely unknown, but it is hypothesized that additional genetic factors contribute to differences in age at onset (AAO). Here we investigated whether truncating and rare missense variants in genes of different DNA-repair pathways contribute to this phenomenon.

methodsWe used extreme phenotype sampling to recruit 133 BRCA1-positive patients with either early breast cancer onset, below 35 (early AAO cohort) or cancer-free by age 60 (controls). Next Generation Sequencing (NGS) was used to screen for variants in 311 genes involved in different DNA-repair pathways.

resultsPatients with an early AAO (73 women) had developed breast cancer at a median age of 27 years (interquartile range (IQR); 25.00-27.00 years). A total of 3703 variants were detected in all patients and 43 of those (1.2%) were truncating variants. The truncating variants were found in 26 women of the early AAO group (35.6%; 95%-CI 24.7 - 47.7%) compared to 16 women of controls (26.7%; 95%-CI 16.1 to 39.7%). When adjusted for environmental factors and family history, the odds ratio indicated an increased breast cancer risk for those carrying an additional truncating DNA-repair variant to BRCA1 mutation (OR: 3.1; 95%-CI 0.92 to 11.5; p-value = 0.07), although it did not reach the conventionally acceptable significance level of 0.05.

conclusionsTo our knowledge this is the first time that the combined effect of truncating variants in DNA-repair genes on AAO in patients with hereditary breast cancer is investigated. Our results indicate that co-occurring truncating variants might be associated with an earlier onset of breast cancer in BRCA1-positive patients. Larger cohorts are needed to confirm these results.

Indexed as

Biomarkers, TumorDNA RepairGenetic Predisposition to DiseaseSequence DeletionAdultAgedAge of OnsetBRCA1 ProteinBreast NeoplasmsDatabases, GeneticFemaleGenetic Association StudiesGenetic LociGermanyHumansMiddle AgedBiomarkers, TumorBRCA1 ProteinBRCA1 protein, humanAge at onsetBRCA1Breast cancerDNA-repairDNA-repair genesExtreme phenotypesHereditary breast and ovarian cancerNext-generation-sequencingPanel sequencing

Identifiers

PMID31395037
PMCPMC6686546
OpenAlexW2967574561

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.