Evidence map›Paper›PMID 39488595›Full record

ArticleNPJ precision oncology2024

Reduced penetrance BRCA1 and BRCA2 pathogenic variants in clinical germline genetic testing.

Tuya Pal, Erin Mundt, Marcy E Richardson, Elizabeth Chao, Tina Pesaran, Thomas P Slavin, Fergus J Couch, Alvaro N A Monteiro

Abstract read
In one paragraph

Article in NPJ precision oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Genotype-phenotype correlations inOncology reviews · 2025
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. GermlineCurrent oncology (Toronto, Ont.) · 2025
    Article
  9. Article
  10. Article
  11. Review
  12. Identification and Computational Analysis ofMedical sciences (Basel, Switzerland) · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Review
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

8 authors.

Tuya PalDepartment of Medicine, Vanderbilt-Ingram Cancer Center, University Medical Center, Vanderbilt University, Nashville, TN, USA. tuya.pal@vumc.org.
Erin MundtMyriad Genetics, Salt Lake City, UT, USA.
Marcy E RichardsonAmbry Genetics, Aliso Viejo, CA, USA.ORCID http://orcid.org/0000-0002-4626-4920
Elizabeth ChaoAmbry Genetics, Aliso Viejo, CA, USA.
Tina PesaranAmbry Genetics, Aliso Viejo, CA, USA.ORCID http://orcid.org/0000-0001-9807-4304
Thomas P SlavinMyriad Genetics, Salt Lake City, UT, USA.
Fergus J CouchDepartment of Laboratory Medicine, Mayo Clinic, Rochester, MN, 55905, USA.
Alvaro N A MonteiroDepartment of Cancer Epidemiology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, 33612, USA. alvaro.monteiro@moffitt.org.ORCID http://orcid.org/0000-0002-8448-4801

Funding

The Role of CHFR in Tumorigenesis and Paclitaxel-Sensitivity in Breast CancerP50CA116201 · NCI · MAYO CLINIC ROCHESTER · PI Fergus Joseph Couch · 2005 to 2026
$49.9M
Resolving the cancer relevance of predisposition gene mutationsR35CA253187 · NCI · MAYO CLINIC ROCHESTER · PI Fergus Joseph Couch · 2020 to 2026
$5.8M
The contribution of RAD51C and RAD51D to breast and ovarian cancerR01CA225662 · NCI · MAYO CLINIC ROCHESTER · PI COUCH, FERGUS JOSEPH, WEROHA, SARAVUT · 2018 to 2024
$2.5M
NCI NIH HHS R01 CA225662NCI NIH HHS R35 CA253187U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) CA116201U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) CA225662U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) CA253187
6 · The paper itself

Abstract

Prior studies have suggested the existence of reduced penetrance pathogenic variants (RPPVs) in BRCA1 and BRCA2 (BRCA) which pose challenges for patient counseling and care. Here, we sought to establish RPPVs as a new category of variants. Candidate BRCA RPPVs provided by two large clinical diagnostic laboratories were compiled to identify those with the highest likelihood of being a RPPV, based on concordant interpretations. Sixteen concordant candidate BRCA RPPVs across both laboratories were systematically assessed. RPPVs included missense, splice site, and frameshift variants. Our study establishes RPPVs as a new class of variants imparting a moderately increased risk of breast cancer, which impacts risk-informed cancer prevention strategies, and provides a framework to standardize interpretation and reporting of BRCA RPPVs. Further work to define clinically meaningful risk thresholds and categories for reporting BRCA RPPVs is needed to personalize cancer risks in conjunction with other risk factors.

Identifiers

PMID39488595
PMCPMC11531542

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.