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JNCI Journal of the National Cancer Institute 2003 95(3):214-221; doi:10.1093/jnci/95.3.214
© 2003 by Oxford University Press
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Journal of the National Cancer Institute, Vol. 95, No. 3, 214-221, February 5, 2003
© 2003 Oxford University Press


ARTICLE

BRCA2 Germline Mutations in Familial Pancreatic Carcinoma

Stephan A. Hahn, Bill Greenhalf, Ian Ellis, Mercedes Sina-Frey, Harald Rieder, Birgit Korte, Berthold Gerdes, Ralf Kress, Andreas Ziegler, John A. Raeburn, Donata Campra, Robert Grützmann, Helga Rehder, Matthias Rothmund, Wolff Schmiegel, John P. Neoptolemos, Detlef K. Bartsch

Affiliations of authors: S. A. Hahn, B. Korte, W. Schmiegel, Department of Internal Medicine, Knappschaftskrankenhaus University of Bochum, Bochum, Germany; B. Greenhalf, J. P. Neoptolemos (Department of Surgery), I. Ellis (Department of Clinical Genetics), University of Liverpool, Liverpool, U.K.; M. Sina-Frey, H. Rieder, H. Rehder (Department of Clinical Genetics), B. Gerdes, M. Rothmund, D. K. Bartsch (Department of Surgery), R. Kress (Institute of Medical Biometry and Epidemiology), Philipps-University Marburg, Marburg, Germany; A. Ziegler, Institute of Medical Biometry and Statistics, University of Lübeck, Lübeck, Germany; J. A. Raeburn, Department of Clinical Genetics, City Hospital, Nottingham, U.K.; D. Campra, Department of Surgery, University of Turin, Turin, Italy; R. Grützmann, Department of Surgery, University Hospital Carl-Gustav-Carus, Technical University of Dresden, Dresden, Germany.

Correspondence to: Detlef K. Bartsch, M.D., Department of Surgery, Philipps-University Marburg, Baldingerstrasse, 35043 Marburg, Germany (e-mail: bartsch{at}mailer.uni-marburg.de).

Background: Although as many as 10% of pancreatic cancer cases may have an inherited component, familial pancreatic cancer has not been linked to defects in any specific gene. Some studies have shown that families with germline mutations in the breast cancer susceptibility gene BRCA2 have an increased risk of breast and ovarian cancers, as well as a modestly increased risk of pancreatic cancer. To study these relationships in more detail, we examined whether BRCA2 germline mutations are associated with familial pancreatic cancer. Methods: We identified 26 European families in which at least two first-degree relatives had a histologically confirmed diagnosis of pancreatic ductal adenocarcinoma. We sequenced genomic DNA isolated from peripheral blood lymphocytes obtained from participating family members to identify germline mutations in BRCA2. Results: Three (12%, exact 95% confidence interval [CI] = 2% to 30%) families carried germline frameshift mutations in the BRCA2 gene that are predicted to result in a truncated BRCA2 protein. Two additional families harbored mutations previously designated as unclassified variants of BRCA2. Thus, 19% (exact 95% CI = 7% to 39%) of the families in our study had either a frameshift mutation or an unclassified variant of BRCA2. None of the families in our study met the criteria for familial breast or ovarian cancer. Conclusions: Our data support an important role for BRCA2 germline mutations in a subpopulation of families with familial pancreatic cancer. BRCA2 mutation analysis should be included in molecular genetic testing and counseling strategies in families with at least two first-degree relatives affected with ductal adenocarcinoma of the pancreas.



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