Evidence map›Paper›PMID 40249378›Full record

ArticleCancer medicine2025

Regional Differences in the Frequency of BRCA1 and BRCA2 Variants in Northeastern Japan: A Cohort Study.

Hidekazu Shirota, Akimitsu Miyake, Maako Kawamura, Shuhei Suzuki, Kensuke Saito, Jun Yasuda, Hiroyuki Shibata, Motonobu Saito, Takeshi Iwaya, Hiroshi Tada and 16 more

Abstract read
In one paragraph

Article in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. RareOncology letters · 2026
    Article
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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

26 authors.

Hidekazu ShirotaDepartment of Medical Oncology, Tohoku University Hospital, Sendai, Japan.ORCID https://orcid.org/0000-0001-9154-9004
Akimitsu MiyakeTohoku Medical Megabank Organization, Tohoku University, Sendai, Japan.
Maako KawamuraPersonalized Medicine Center, Tohoku University Hospital, Sendai, Japan.
Shuhei SuzukiDepartment of Clinical Oncology, Yamagata University Faculty of Medicine, Yamagata, Japan.
Kensuke SaitoDepartment of Medical Oncology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Jun YasudaDivision of Molecular Cellular Oncology, Miyagi Cancer Center Research Institute, Natori, Japan.ORCID https://orcid.org/0000-0002-3887-6871
Hiroyuki ShibataDepartment of Clinical Oncology, Graduate School of Medicine, Akita University, Akita, Japan.
Motonobu SaitoDepartment of Gastrointestinal Tract Surgery, Fukushima Medical University School of Medicine, Fukushima, Japan.
Takeshi IwayaDepartment of Clinical Oncology, Iwate Medical University School of Medicine, Morioka, Japan.
Hiroshi TadaDepartment of Breast and Endocrine Surgical Oncology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Muneaki ShimadaDepartment of Obstetrics and Gynecology, Tohoku University School of Medicine, Sendai, Japan.
Naoki KawamoritaDepartment of Urology, Tohoku University School of Medicine, Sendai, Japan.
Masayuki KanamoriDepartment of Neurosurgery, Tohoku University School of Medicine, Sendai, Japan.
Eisaku MiyauchiDepartment of Respiratory Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.
Hidetaka NiizumaDepartment of Pediatrics, Tohoku University School of Medicine, Sendai, Japan.
Tomoyuki IwasakiDepartment of Medical Oncology, Tohoku University Hospital, Sendai, Japan.
Yuki KasaharaDepartment of Medical Oncology, Tohoku University Hospital, Sendai, Japan.
Hiroo ImaiDepartment of Medical Oncology, Tohoku University Hospital, Sendai, Japan.
Ken SaijoDepartment of Medical Oncology, Tohoku University Hospital, Sendai, Japan.ORCID https://orcid.org/0000-0003-0179-3789
Keigo KomineDepartment of Medical Oncology, Tohoku University Hospital, Sendai, Japan.
Masanobu TakahashiDepartment of Medical Oncology, Tohoku University Hospital, Sendai, Japan.
Tetsuya NiihoriDepartment of Medical Genetics, Tohoku University Graduate School of Medicine, Sendai, Japan.
Yoko AokiDepartment of Medical Genetics, Tohoku University Graduate School of Medicine, Sendai, Japan.
Toru FurukawaDepartment of Investigative Pathology, Tohoku University Graduate School of Medicine, Sendai, Japan.ORCID https://orcid.org/0000-0002-1083-2324
Gen TamiyaTohoku Medical Megabank Organization, Tohoku University, Sendai, Japan.
Chikashi IshiokaDepartment of Medical Oncology, Tohoku University Hospital, Sendai, Japan.ORCID https://orcid.org/0000-0002-3023-1227

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGermline mutations in BRCA1/2 are known to cause hereditary tumors in the breast, ovary, and other organs. With the widespread adoption of comprehensive diagnostics, including comprehensive genomic profiling (CGP) tests for solid tumors, many patients with BRCA1/2 variants have been identified.

methodsIn this study, we extracted and analyzed cases of BRCA1/2 variants that were presumed to be germline, which were repeatedly detected using the CGP test for solid tumors in northeastern Japan. The frequencies of BRCA1/2 variants in regional areas were compared with those of healthy individuals or nationwide cancer cohorts to investigate regional distribution.

resultsOur findings revealed regional disparities in BRCA1/2 pathogenic germline variants, while variants of unknown significance (VUS) showed no such differences. The regional distribution of BRCA1 and BRCA2 variants showed distinct patterns: pathogenic variants of BRCA1 exhibited regional differences and were less prevalent compared to VUS, whereas BRCA2 variants, including both pathogenic variants and VUS, did not exhibit such clear regional localization. This discrepancy in regional distribution between BRCA1 and BRCA2 variants could be attributed to factors such as the diversity of the genome, gender differences, and cancer types.

conclusionsThese results highlight the importance of considering regional differences in comparative cohort studies, particularly in assessing the differential extension of mutations in pathogenic changes and VUS. Moreover, a presumption of pathogenicity variants would need to be discussed at the regional level.

Indexed as

BRCA1 ProteinBRCA2 ProteinBreast NeoplasmsGerm-Line MutationAdultAgedCohort StudiesFemaleGenetic Predisposition to DiseaseHumansJapanMaleMiddle AgedBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinBRCA2 protein, humanBRCA1BRCA2CGP testgeographical distributionsolid tumor

Identifiers

PMID40249378
PMCPMC12007429

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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.