BRCA-associated ovarian cancer in the russian patient population. Analysis of the non-interventional study Ovatar

T. Tikhomirova, A. Tyulyandina, A. A. Rumyantsev, E. Israelyan, T. V. Kekeeva, O. Vedrova, M. L. Filipenko, L. N. Lyubchenko, I. A. Demidova, E. N. Imyanitov, S. Andreev, S. Khokhlova, V. Saevets, G. B. Statsenko, L. A. Kolomiets, S. A. Tkachenko, I. A. Koroleva, A. S. Lisyanskaya, O. Bakashvili, L. Krikunova, E. P. Solovieva, D. Ponomarenko, L. Vladimirova, S. Krasilnikov, V. B. Shirinkin, D. D. Sakaeva, E. A. Rumyantseva, S. A. Emeliyanov, D. Stroyakovskiy, E. G. Novikova, E. A. Ronina, V. I. Vladimirov, O. Y. Novikova, L. Zagumennova, V. V. Gorobtsova, E. V. Cherepanova, E. N. Pashkova, V. Moiseyenko, F. G. Ivanova, D. Udovitsa, V. Karaseva, S. Tyulyandin
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Abstract

Purpose: To evaluate the proportion of BRCA1 / 2 mutations in patients with serous and endometrioid cancer of the ovary, fallopian tube, and peritoneum in Russia, to evaluate the percentage of germinal and somatic mutations, to identify the spectrum of mutations in BRCA1 / 2 genes, to evaluate clinical and morphological features of the BRCA-associated ovarian cancer (OC).Patients and methods: The study enrolled patients of 18 years and older with newly diagnosed serous and endometrioid cancer of the ovary, fallopian tube, and peritoneum. Biological material (blood, tumor tissue) was collected, followed by molecular genetic analysis. The method of mutations detecting in the blood were: allele-specific PCR, high-resolution melting (HRM), Sanger sequencing method. Advanced genetic testing included the use of generation sequencing (NGS) and multiplex amplification of ligated probes (MLPA). The collection of clinical data, family history, clinical and morphological characteristics of the tumor was performed.Results: 500 patients were included in the study, the evaluation of BRCA1 / 2 mutations was performed in 496 patients (99,2 %). The frequency of BRCA1 / 2 mutations in the Russian patient population was 28,4 % (n = 141 / 496). The incidence of germinal mutations was 23,5 % (n = 117 / 141), and somatic — 4,8 % (n = 24 / 141). Frequent mutations in the Russian population were identified in 50 % of cases. When analyzing the ethnicity of patients in the Russian Federation BRCA-associated OC was most common in Russian (83,6 %, n = 118 / 141), Ukrainian (4,2 %, n = 6 / 141) and Tatar (3,5 %, n = 5 / 141) women. A family history of cancer was detected in 44 % of patients (n = 62 / 141) with BRCA1 / 2 mutations.Conclusions: Due to the high frequency of germinal and somatic BRCA1 / 2 mutations in the Russian patients it is recommended to conduct the advanced testing methods not only in blood samples but also in tumor tissue.
俄罗斯患者中与 BRCA 相关的卵巢癌。对非干预性研究 "Ovatar "的分析
目的:评估俄罗斯卵巢、输卵管和腹膜浆液性和子宫内膜样癌患者中 BRCA1 / 2 基因突变的比例,评估生殖突变和体细胞突变的比例,确定 BRCA1 / 2 基因突变的范围,评估 BRCA 相关卵巢癌 (OC) 的临床和形态特征:研究对象为新确诊的卵巢、输卵管和腹膜浆液性和子宫内膜样癌的 18 岁及以上患者。采集生物材料(血液、肿瘤组织),然后进行分子遗传学分析。检测血液中突变的方法有:等位基因特异性 PCR、高分辨率熔解(HRM)、桑格测序法。高级基因检测包括使用一代测序法(NGS)和连接探针多重扩增法(MLPA)。对临床数据、家族史、肿瘤的临床和形态特征进行了收集:研究共纳入 500 名患者,对 496 名患者(99.2%)进行了 BRCA1 / 2 基因突变评估。俄罗斯患者中 BRCA1 / 2 基因突变的发生率为 28.4 %(n = 141 / 496)。生殖突变发生率为 23.5 %(n = 117 / 141),体细胞突变发生率为 4.8 %(n = 24 / 141)。在俄罗斯人群中,50%的病例发现了常见的基因突变。在分析俄罗斯联邦患者的种族时,BRCA 相关 OC 最常见于俄罗斯妇女(83.6%,n = 118 / 141)、乌克兰妇女(4.2%,n = 6 / 141)和鞑靼妇女(3.5%,n = 5 / 141)。44%的 BRCA1 / 2 基因突变患者(n = 62 / 141)有癌症家族史:由于俄罗斯患者中生殖和体细胞 BRCA1 / 2 基因突变的频率较高,建议不仅在血液样本中,而且在肿瘤组织中采用先进的检测方法。
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