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JCO Precis Oncol. 2018;2. doi: 10.1200/PO.17.00291. Epub 2018 Jul 25.

Multigene Hereditary Cancer Panels Reveal High-Risk Pancreatic Cancer Susceptibility Genes.

JCO precision oncology

Chunling Hu, Holly LaDuca, Hermela Shimelis, Eric C Polley, Jenna Lilyquist, Steven N Hart, Jie Na, Abigail Thomas, Kun Y Lee, Brigette Tippin Davis, Mary Helen Black, Tina Pesaran, David E Goldgar, Jill S Dolinsky, Fergus J Couch

Affiliations

  1. , and , Mayo Clinic, Rochester, MN; , and , Ambry Genetics, Aliso Viejo, CA; and , University of Utah, Salt Lake City, UT.

PMID: 31497750 PMCID: PMC6731034 DOI: 10.1200/PO.17.00291

Abstract

PURPOSE: The relevance of inherited pathogenic mutations in cancer predisposition genes in pancreatic cancer is not well understood. We aimed to assess the characteristics of patients with pancreatic cancer referred for hereditary cancer genetic testing and to estimate the risk of pancreatic cancer associated with mutations in panel-based cancer predisposition genes in this high-risk population.

METHODS: Patients with pancreatic cancer (N = 1,652) were identified from a 140,000-patient cohort undergoing multigene panel testing of predisposition genes between March 2012 and June 2016. Gene-level mutation frequencies relative to Exome Aggregation Consortium and Genome Aggregation Database reference controls were assessed.

RESULTS: The frequency of germline cancer predisposition gene mutations among patients with pancreatic cancer was 20.73%. Mutations in

CONCLUSION: These findings provide insight into the spectrum of mutations expected in patients with pancreatic cancer referred for cancer predisposition testing. Mutations in eight genes confer high or moderate risk of pancreatic cancer and may prove useful for risk assessment for pancreatic and other cancers. Family and personal histories of breast cancer are strong predictors of germline mutations.

Conflict of interest statement

AUTHORS’ DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST The following represents disclosure information provided by authors of this manuscript. All relationships are considered compensated. Relationsh

References

  1. Gastroenterology. 2000 Dec;119(6):1447-53 - PubMed
  2. Consens Statement. 1992 Jan 27-29;10(1):1-25 - PubMed
  3. Dis Markers. 2004;20(4-5):179-80 - PubMed
  4. J Natl Cancer Inst. 2006 Dec 6;98(23):1694-706 - PubMed
  5. Cancer Epidemiol Biomarkers Prev. 2007 Feb;16(2):342-6 - PubMed
  6. J Med Genet. 2010 Jun;47(6):421-8 - PubMed
  7. Fam Cancer. 2012 Jun;11(2):235-42 - PubMed
  8. Cancer Discov. 2012 Jan;2(1):41-6 - PubMed
  9. J Natl Cancer Inst. 2012 Sep 19;104(18):1363-72 - PubMed
  10. Gut. 2013 Mar;62(3):339-47 - PubMed
  11. Nat Rev Cancer. 2013 Jan;13(1):66-74 - PubMed
  12. CMAJ. 2013 Oct 1;185(14):1219-26 - PubMed
  13. Genet Med. 2014 Nov;16(11):830-7 - PubMed
  14. Cancer Res. 2014 Jun 1;74(11):2913-21 - PubMed
  15. Genet Med. 2015 Jul;17(7):569-77 - PubMed
  16. Gastroenterology. 2015 Mar;148(3):556-64 - PubMed
  17. Am J Gastroenterol. 2015 Feb;110(2):223-62; quiz 263 - PubMed
  18. J Clin Oncol. 2015 Oct 1;33(28):3124-9 - PubMed
  19. Cancer Epidemiol Biomarkers Prev. 2016 Jan;25(1):207-11 - PubMed
  20. Cancer Discov. 2016 Feb;6(2):166-75 - PubMed
  21. N Engl J Med. 2016 Aug 4;375(5):443-53 - PubMed
  22. Nature. 2016 Aug 17;536(7616):285-91 - PubMed
  23. JAMA Oncol. 2017 Sep 1;3(9):1190-1196 - PubMed
  24. J Clin Oncol. 2017 Oct 20;35(30):3382-3390 - PubMed
  25. JAMA. 2017 Sep 5;318(9):825-835 - PubMed
  26. N Engl J Med. 1995 Oct 12;333(15):970-4 - PubMed
  27. N Engl J Med. 1993 May 20;328(20):1433-7 - PubMed

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