Multigene Panel Testing in Turkish Hereditary Cancer Syndrome Patients

Objective: Hereditary cancer syndromes (HCSs) are a heterogenous group of disorders caused by germline pathogenic variations in various genes that function in cell growth and proliferation. This study aimed to describe the germline variations in patients with hereditary cancer using multigene panels...

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Main Authors: Esra ARSLAN ATES, Ayberk TURKYILMAZ, Ceren ALAVANDA, Ozlem YILDIRIM, Ahmet Ilter GUNEY
Format: Article
Language:English
Published: Galenos Publishing House 2022-06-01
Series:Medeniyet Medical Journal
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Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-22556
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author Esra ARSLAN ATES
Ayberk TURKYILMAZ
Ceren ALAVANDA
Ozlem YILDIRIM
Ahmet Ilter GUNEY
author_facet Esra ARSLAN ATES
Ayberk TURKYILMAZ
Ceren ALAVANDA
Ozlem YILDIRIM
Ahmet Ilter GUNEY
author_sort Esra ARSLAN ATES
collection DOAJ
description Objective: Hereditary cancer syndromes (HCSs) are a heterogenous group of disorders caused by germline pathogenic variations in various genes that function in cell growth and proliferation. This study aimed to describe the germline variations in patients with hereditary cancer using multigene panels. Methods: The molecular and clinical findings of 218 patients with HCS were evaluated. In addition, 25 HCS-related genes were sequenced using a multigene panel, and variations were classified according to the American College of Medical Genetics and Genomics (ACMG) criteria. In total, 218 HCS patients predominantly with breast, colorectal, ovarian, gastric, and endometrium cancers were included. Results: Pathogenic variations in 12 distinct genes were detected in 36 of 218 (16.5%) cases. In this study, the most affected gene was the ATM gene, in which pathogenic variations were detected in 8 of 218 cases, followed by CHEK2 (3.2%), MUTYH (3.2%), BRIP1 (1.8%), BARD1 (0.9%), TP53 (0.9%), PALB2 (0.4%), MLH1 (0.4%), MSH2 (0.4%), PMS2 (0.4%), RAD50 (0.4%), and RAD51C (0.4%). Conclusions: This study contributes to genotype-phenotype correlation in HCSs and expands the variation spectrum by introducing three novel pathogenic variations. The wide spectrum of the gene pathogenic variations detected and the presence of multiple gene defects in the same patient make the multigene panel testing a valuable tool in detecting the hereditary forms of cancer and providing effective genetic counseling and family specific screening strategies.
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issn 2149-2042
2149-4606
language English
publishDate 2022-06-01
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record_format Article
series Medeniyet Medical Journal
spelling doaj-art-c4458b918e7d4eb69e5790292a7632342025-01-30T07:13:14ZengGalenos Publishing HouseMedeniyet Medical Journal2149-20422149-46062022-06-0137215015810.4274/MMJ.galenos.2022.22556MEDJ-22556Multigene Panel Testing in Turkish Hereditary Cancer Syndrome PatientsEsra ARSLAN ATES0Ayberk TURKYILMAZ1Ceren ALAVANDA2Ozlem YILDIRIM3Ahmet Ilter GUNEY4Marmara University Pendik Training and Research Hospital, Genetic Diseases Diagnostics Center, Istanbul, Turkey and Istanbul University Institute of Graduate Studies in Science and Engineering, Molecular Biology and Genetics, Istanbul, TurkeyKaradeniz Technical University Faculty of Medicine, Department of Medical Genetics, Trabzon, TurkeyMarmara University Faculty of Medicine, Department of Medical Genetics, Istanbul, TurkeyIstanbul University Institute of Graduate Studies in Science and Engineering, Molecular Biology and Genetics, Istanbul, TurkeyMarmara University Faculty of Medicine, Department of Medical Genetics, Istanbul, TurkeyObjective: Hereditary cancer syndromes (HCSs) are a heterogenous group of disorders caused by germline pathogenic variations in various genes that function in cell growth and proliferation. This study aimed to describe the germline variations in patients with hereditary cancer using multigene panels. Methods: The molecular and clinical findings of 218 patients with HCS were evaluated. In addition, 25 HCS-related genes were sequenced using a multigene panel, and variations were classified according to the American College of Medical Genetics and Genomics (ACMG) criteria. In total, 218 HCS patients predominantly with breast, colorectal, ovarian, gastric, and endometrium cancers were included. Results: Pathogenic variations in 12 distinct genes were detected in 36 of 218 (16.5%) cases. In this study, the most affected gene was the ATM gene, in which pathogenic variations were detected in 8 of 218 cases, followed by CHEK2 (3.2%), MUTYH (3.2%), BRIP1 (1.8%), BARD1 (0.9%), TP53 (0.9%), PALB2 (0.4%), MLH1 (0.4%), MSH2 (0.4%), PMS2 (0.4%), RAD50 (0.4%), and RAD51C (0.4%). Conclusions: This study contributes to genotype-phenotype correlation in HCSs and expands the variation spectrum by introducing three novel pathogenic variations. The wide spectrum of the gene pathogenic variations detected and the presence of multiple gene defects in the same patient make the multigene panel testing a valuable tool in detecting the hereditary forms of cancer and providing effective genetic counseling and family specific screening strategies.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-22556cancer predispositiongenetic counselinghereditary cancernext generation sequencing
spellingShingle Esra ARSLAN ATES
Ayberk TURKYILMAZ
Ceren ALAVANDA
Ozlem YILDIRIM
Ahmet Ilter GUNEY
Multigene Panel Testing in Turkish Hereditary Cancer Syndrome Patients
Medeniyet Medical Journal
cancer predisposition
genetic counseling
hereditary cancer
next generation sequencing
title Multigene Panel Testing in Turkish Hereditary Cancer Syndrome Patients
title_full Multigene Panel Testing in Turkish Hereditary Cancer Syndrome Patients
title_fullStr Multigene Panel Testing in Turkish Hereditary Cancer Syndrome Patients
title_full_unstemmed Multigene Panel Testing in Turkish Hereditary Cancer Syndrome Patients
title_short Multigene Panel Testing in Turkish Hereditary Cancer Syndrome Patients
title_sort multigene panel testing in turkish hereditary cancer syndrome patients
topic cancer predisposition
genetic counseling
hereditary cancer
next generation sequencing
url https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-22556
work_keys_str_mv AT esraarslanates multigenepaneltestinginturkishhereditarycancersyndromepatients
AT ayberkturkyilmaz multigenepaneltestinginturkishhereditarycancersyndromepatients
AT cerenalavanda multigenepaneltestinginturkishhereditarycancersyndromepatients
AT ozlemyildirim multigenepaneltestinginturkishhereditarycancersyndromepatients
AT ahmetilterguney multigenepaneltestinginturkishhereditarycancersyndromepatients