Evidence map›Paper›PMID 38566028›Full record

ArticleBMC cancer2024

Population-based BRCA germline mutation screening in the Han Chinese identifies individuals at risk of BRCA mutation-related cancer: experience from a clinical diagnostic center from greater Shanghai area.

Zhiyuan Wu, Qingyun Zhang, Yiting Jin, Xinju Zhang, Yanli Chen, Can Yang, Xuemei Tang, Haowen Jiang, Xiaoyi Wang, Xinli Zhou and 3 more

Abstract read
In one paragraph

Article in BMC cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
  2. RareOncology letters · 2026
    Article
  3. Article
  4. Article
  5. Frontiers in oncology · 2026
    Article
  6. Article
  7. Prevalence of BRCA1 and BRCA2 mutations in ovarian cancer patients from Yunnan Province in southwest China.European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP) · 2025
    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

13 authors.

Zhiyuan Wu *Department of Laboratory Medicine, Huashan Hospital, Fudan University, 200040, Shanghai, China.
Qingyun Zhang *Central Laboratory, Huashan Hospital, Fudan University, 200040, Shanghai, China.
Yiting Jin *Department of General Surgery, Huashan Hospital, Fudan University, 200040, Shanghai, China.
Xinju ZhangCentral Laboratory, Huashan Hospital, Fudan University, 200040, Shanghai, China.
Yanli ChenDepartment of Laboratory Medicine, Huashan Hospital, Fudan University, 200040, Shanghai, China.
Can YangDepartment of Laboratory Medicine, Huashan Hospital, Fudan University, 200040, Shanghai, China.
Xuemei TangCentral Laboratory, Huashan Hospital, Fudan University, 200040, Shanghai, China.
Haowen JiangDepartment of Urology, Huashan Hospital, Fudan University, 200040, Shanghai, China.
Xiaoyi WangDepartment of Pancreatic Surgery, Huashan Hospital, Fudan University, 200040, Shanghai, China.
Xinli ZhouDepartment of Oncology, Huashan Hospital, Fudan University, 200040, Shanghai, China.
Feng YuHealth Management Center, Huashan Hospital, Fudan University, 200040, Shanghai, China.
Bing WangHealth Management Center, Huashan Hospital, Fudan University, 200040, Shanghai, China. bingbing1967@sina.com.
Ming GuanDepartment of Laboratory Medicine, Huashan Hospital, Fudan University, 200040, Shanghai, China. guanming88@yahoo.com.

Funding

National Natural Science Foundation of China 82272415Shanghai Health and Medical Development Foundation 2022-065Shanghai Municipal Health Commission 2019CXJQ03Shanghai Municipal Health Commission 2022YQ045
6 · The paper itself

Abstract

backgroundDeleterious BRCA1/2 (BRCA) mutation raises the risk for BRCA mutation-related malignancies, including breast, ovarian, prostate, and pancreatic cancer. Germline variation of BRCA exhibits substantial ethnical diversity. However, there is limited research on the Chinese Han population, constraining the development of strategies for BRCA mutation screening in this large ethnic group.

methodsWe profile the BRCA mutational spectrum, including single nucleotide variation, insertion/deletion, and large genomic rearrangements in 2,080 apparently healthy Chinese Han individuals and 522 patients with BRCA mutation-related cancer, to determine the BRCA genetic background of the Chinese Han population, especially of the East Han. Incident cancer events were monitored in 1,005 participants from the healthy group, comprising 11 BRCA pathogenic/likely pathogenic (PLP) variant carriers and 994 PLP-free individuals, including 3 LGR carriers.

resultsHealthy Chinese Han individuals demonstrated a distinct BRCA mutational spectrum compared to cancer patients, with a 0.53% (1 in 189) prevalence of pathogenic/likely pathogenic (PLP) variant, alongside a 3 in 2,080 occurrence of LGR. BRCA1 c. 5470_5477del demonstrated high prevalence (0.44%) in the North Han Chinese and penetrance for breast cancer. None of the 3 LGR carriers developed cancer during the follow-up. We calculated a relative risk of 135.55 (95% CI 25.07 to 732.88) for the development of BRCA mutation-related cancers in the BRCA PLP variant carriers (mean age 42.91 years, median follow-up 10 months) compared to PLP-free individuals (mean age 48.47 years, median follow-up 16 months).

conclusionThe unique BRCA mutational profile in the Chinese Han highlights the potential for standardized population-based BRCA variant screening to enhance BRCA mutation-related cancer prevention and treatment.

Indexed as

BRCA1 ProteinBreast NeoplasmsAdultBRCA2 ProteinChinaEarly Detection of CancerGenetic Predisposition to DiseaseGerm-Line MutationHumansMaleMiddle AgedMutationBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinBRCA2 protein, humanBRCA mutation related-cancerGermline mutationPopulation screening

Identifiers

PMID38566028
PMCPMC10988807

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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.