Susceptibility gene mutations in germline and tumors of patients with HER2-negative advanced breast cancer

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Peter A. Fasching - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Chunling Hu - , Mayo Clinic Rochester, MN (Autor:in)
  • Steven N. Hart - , Mayo Clinic Rochester, MN (Autor:in)
  • Matthias Ruebner - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Eric C. Polley - , Mayo Clinic Rochester, MN (Autor:in)
  • Rohan D. Gnanaolivu - , Mayo Clinic Rochester, MN (Autor:in)
  • Andreas D. Hartkopf - , Universitätsklinikum Tübingen (Autor:in)
  • Hanna Huebner - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Wolfgang Janni - , Universität Ulm (Autor:in)
  • Peyman Hadji - , Frankfurt Center of Bone Health (Autor:in)
  • Hans Tesch - , Agaplesion Bethanien Hospital (Autor:in)
  • Sabrina Uhrig - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Johannes Ettl - , Technische Universität München (Autor:in)
  • Michael P. Lux - , St. Josefs-Krankenhaus Salzkotten (Autor:in)
  • Diana Lüftner - , Medizinische Hochschule Brandenburg Theodor Fontane (Autor:in)
  • Markus Wallwiener - , Martin-Luther-Universität Halle-Wittenberg (Autor:in)
  • Lena A. Wurmthaler - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Chloë Goossens - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Volkmar Müller - , Universität Hamburg (Autor:in)
  • Matthias W. Beckmann - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Alexander Hein - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Daniel Anetsberger - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Erik Belleville - , ClinSol GmbH & amp; Co KG (Autor:in)
  • Pauline Wimberger - , Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Deutsches Krebsforschungszentrum, DKFZ Standort Dresden, Hochschulmedizin (Medizinische Fakultät und Universitätsklinikum), Technische Universität Dresden, Helmholtz-Zentrum Dresden-Rossendorf (Autor:in)
  • Michael Untch - , HELIOS Klinikum Berlin-Buch (Autor:in)
  • Arif B. Ekici - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Hans Christian Kolberg - , Marienhospital Bottrop (Autor:in)
  • Arndt Hartmann - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Florin Andrei Taran - , Universitätsklinikum Freiburg (Autor:in)
  • Tanja N. Fehm - , Universitätsklinikum Düsseldorf, Centrum für Integrierte Onkologie (CIO) Aachen Bonn Cologne Duesseldorf (Autor:in)
  • Diethelm Wallwiener - , Universitätsklinikum Tübingen (Autor:in)
  • Sara Y. Brucker - , Universitätsklinikum Tübingen (Autor:in)
  • Andreas Schneeweiss - , Universität Heidelberg (Autor:in)
  • Lothar Häberle - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Fergus J. Couch - , Mayo Clinic Rochester, MN (Autor:in)

Abstract

Germline mutations in BRCA1 and BRCA2 (gBRCA1/2) are required for a PARP inhibitor therapy in patients with HER2-negative (HER2−) advanced breast cancer (aBC). However, little is known about the prognostic impact of gBRCA1/2 mutations in aBC patients treated with chemotherapy. This study aimed to investigate the frequencies and prognosis of germline and somatic BRCA1/2 mutations in HER2- aBC patients receiving the first chemotherapy in the advanced setting. Patients receiving their first chemotherapy for HER2- aBC were retrospectively selected from the prospective PRAEGNANT registry (NCT02338167). Genotyping of 26 cancer predisposition genes was performed with germline DNA of 471 patients and somatic tumor DNA of 94 patients. Mutation frequencies, progression-free and overall survival (PFS, OS) according to germline mutation status were assessed. gBRCA1/2 mutations were present in 23 patients (4.9%), and 33 patients (7.0%) had mutations in other cancer risk genes. Patients with a gBRCA1/2 mutation had a better OS compared to non-mutation carriers (HR: 0.38; 95%CI: 0.17–0.86). PFS comparison was not statistically significant. Mutations in other risk genes did not affect prognosis. Two somatic BRCA2 mutations were found in 94 patients without gBRCA1/2 mutations. Most frequently somatic mutated genes were TP53 (44.7%), CDH1 (10.6%) and PTEN (6.4%). In conclusion, aBC patients with gBRCA1/2 mutations had a more favorable prognosis under chemotherapy compared to non-mutation carriers. The mutation frequency of ~5% with gBRCA1/2 mutations together with improved outcome indicates that germline genotyping of all metastatic patients for whom a PARP inhibitor therapy is indicated should be considered.

Details

OriginalspracheEnglisch
Aufsatznummer57
Fachzeitschriftnpj Breast Cancer
Jahrgang10
Ausgabenummer1
PublikationsstatusVeröffentlicht - 13 Juli 2024
Peer-Review-StatusJa

Externe IDs

PubMed 39003306