Evidence map›Paper›PMID 34196900›Full record

ArticleBreast cancer research and treatment2021

Germline variants in hereditary breast cancer genes are associated with early age at diagnosis and family history in Guatemalan breast cancer.

Megan Ren, Anali Orozco, Kang Shao, Anaseidy Albanez, Jeremy Ortiz, Boyang Cao, Lusheng Wang, Lilian Barreda, Christian S Alvarez, Lisa Garland and 9 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Breast cancer research and treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 7 institutions in 4 countries.

Megan Ren *Division of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Gaithersburg, MD, USA.
Anali Orozco *Instituto Cancerologia, Guatemala City, Guatemala.
Kang Shao *BGI-Shenzhen, Beishan Industrial Zone, Shenzhen, 518083, People's Republic of China.
Anaseidy AlbanezInstituto Cancerologia, Guatemala City, Guatemala.
Jeremy OrtizInstituto Cancerologia, Guatemala City, Guatemala.
Boyang CaoBGI-Shenzhen, Beishan Industrial Zone, Shenzhen, 518083, People's Republic of China.
Lusheng WangCity University of Hong Kong Shenzhen Research Institute, Shenzhen, People's Republic of China.
Lilian BarredaHospital General San Juan de Dios, Guatemala City, Guatemala.
Christian S AlvarezDivision of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Gaithersburg, MD, USA.
Lisa GarlandCancer Genetics Research Laboratory, Division of Cancer Epidemiology and Genetics, Frederick National Laboratory for Cancer Research, Gaithersburg, MD, USA.
Dongjing WuCancer Genetics Research Laboratory, Division of Cancer Epidemiology and Genetics, Frederick National Laboratory for Cancer Research, Gaithersburg, MD, USA.
Charles C ChungCancer Genetics Research Laboratory, Division of Cancer Epidemiology and Genetics, Frederick National Laboratory for Cancer Research, Gaithersburg, MD, USA.
Jiahui WangCancer Genetics Research Laboratory, Division of Cancer Epidemiology and Genetics, Frederick National Laboratory for Cancer Research, Gaithersburg, MD, USA.
Megan FroneDivision of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Gaithersburg, MD, USA.
Sergio RalonHospital General San Juan de Dios, Guatemala City, Guatemala.
Victor ArguetaHospital General San Juan de Dios, Guatemala City, Guatemala.
Roberto OrozcoHospital General San Juan de Dios, Guatemala City, Guatemala. roberto.orozco@yahoo.com.
Eduardo GharzouziIntegra Cancer Center, Guatemala City, Guatemala. drnaufal@gmail.com.
Michael DeanDivision of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Gaithersburg, MD, USA. deanm@mail.nih.gov.ORCID http://orcid.org/0000-0003-2234-0631
Hospital General San Juan de Dios · GTLiga Nacional Contra el Cáncer · GTNational Cancer Institute · USFrederick National Laboratory for Cancer Research · USBGI Group (China) · CNCenter for Biologics Evaluation and Research · USCity University of Hong Kong · HK

Funding

Laboratory of Translational GenomicsZIACP010201 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI PROKUNINA-OLSSON, LIUDMILA · 2010 to 2025
$91.2M
Division of Cancer Epidemiology and Genetics, National Cancer Institute ZIA CP010201-13Intramural NIH HHS ZIA CP010201
6 · The paper itself

Abstract

purposeMutations in hereditary breast cancer genes play an important role in the risk for cancer.

methodsCancer susceptibility genes were sequenced in 664 unselected breast cancer cases from Guatemala. Variants were annotated with ClinVar and VarSome.

resultsA total of 73 out of 664 subjects (11%) had a pathogenic variant in a high or moderate penetrance gene. The most frequently mutated genes were BRCA1 (37/664, 5.6%) followed by BRCA2 (15/664, 2.3%), PALB2 (5/664, 0.8%), and TP53 (5/664, 0.8%). Pathogenic variants were also detected in the moderate penetrance genes ATM, BARD1, CHEK2, and MSH6. The high ratio of BRCA1/BRCA2 mutations is due to two potential founder mutations: BRCA1 c.212 + 1G > A splice mutation (15 cases) and BRCA1 c.799delT (9 cases). Cases with pathogenic mutations had a significantly earlier age at diagnosis (45 vs 51 years, P < 0.001), are more likely to have had diagnosis before menopause, and a higher percentage had a relative with any cancer (51% vs 37%, P = 0.038) or breast cancer (33% vs 15%, P < 0.001).

conclusionsHereditary breast cancer mutations were observed among Guatemalan women, and these women are more likely to have early age at diagnosis and family history of cancer. These data suggest the use of genetic testing in breast cancer patients and those at high risk as part of a strategy to reduce breast cancer mortality in Guatemala.

Indexed as

Breast NeoplasmsGenetic Predisposition to DiseaseGerm-Line MutationBRCA1 ProteinBRCA2 ProteinFemaleGenes, BRCA2Germ CellsGuatemalaHumansBRCA1 ProteinBRCA2 ProteinBRCA1 geneBRCA2 geneHealth disparitiesHispanicLatin AmericaPathogenic mutation

Identifiers

PMID34196900
PMCPMC8357728
OpenAlexW4210344970

What OpenQuestion holds

Textmetadata
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.