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Contribution of germline mutations in the BRCA and PALB2 genes to pancreatic cancer in Italy

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Abstract

Pancreatic adenocarcinoma (PC) is the third most common cancer associated with BRCA mutations. Most notice has been given to BRCA2, while the association between BRCA1 and PC is less widely reported. Recently, PALB2 has been implicated in both PC and breast cancer (BC) susceptibility. We selected 29 Italian PC patients from a case–control study of PC according to their personal and family history of both PC and breast/ovarian cancer (BC/OC) and tested them for presence of germline mutations in BRCA1, BRCA2 and PALB2. We identified no germline mutations or deletions in PALB2, but detected 7 BRCA mutations (4 in BRCA1 and 3 in BRCA2). These findings suggest that PALB2 does not play a major role in PC susceptibility in our population. As we found an almost equal frequency of germline mutations in BRCA1 and BRCA2, germline alterations in either of these genes may explain a subset of Italian families presenting both PC and BC/OC. Moreover, as we began the observation of these families from probands who are affected by PC, we provide here a direct assessment of the role of PALB2 and BRCA mutations in PC susceptibility.

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References

  1. Easton D, Thompson D, McGuffog L, Haites N, Schofield A, Scott RJ, King M-C, Schubert E, Bignon Y, Stratton M, Ford D, Peto J, Eeles R, Ponder B, Gayther S, Chang-Claude J, Weber BHF, Hamann U, Benitez J, Osorio A, Eerola H, Nevanlinna H, Lynch HT, Narod S, Goldgar D, Lenoir G, Stoppa-Lyonnet D, Arason A, Barkardottir R, Egilsson V, Eyfjord J, Tulinius H, Bishop DT, Borg A, Loman N, Johannsson O, Olsson H, Tonin P, Foulkes W, Ghadirian P, Mes-Masson AM, Provencher D, Weber B, Devilee P, Vasen H, Cornelisse CJ, Meijers-Heijboer H, Klijn JGM, Narod S, Brunet J-S, Moslehi R, Neuhausen S, Cannon-Albright L (1999) Cancer risks in BRCA2 mutation carriers. The Breast Cancer Linkage Consortium. J Natl Cancer Inst 91:1310–1316

    Google Scholar 

  2. Lal G, Liu G, Schmocker B et al (2000) Inherited predisposition to pancreatic adenocarcinoma: role of family history and germ-line p16, BRCA1 and BRCA2 mutations. Cancer Res 60:409–416

    PubMed  CAS  Google Scholar 

  3. Thompson D, Easton DF et al (2002) Cancer incidence in BRCA1 mutation carriers. J Natl Cancer Inst 94:1358–1365

    Article  PubMed  CAS  Google Scholar 

  4. van Asperen CJ, Brohet RM, Meijers-Heijboer EJ et al (2005) Cancer risks in BRCA2 families: estimates for sites other than breast and ovary. J Med Genet 42:711–719

    Article  PubMed  Google Scholar 

  5. Lynch HT, Deters CA, Snyder CL et al (2005) BRCA1 and pancreatic cancer: pedigree findings and their causal relationships. Cancer Genet Cytogenet 158:119–125

    Article  PubMed  CAS  Google Scholar 

  6. Greer JB, Whitcomb DC (2007) Role of BRCA1 and BRCA2 mutations in pancreatic cancer. Gut 56:601–605

    Article  PubMed  CAS  Google Scholar 

  7. Brand RE, Lerch MM, Rubinstein WS, Neoptolemos JP, Whitcomb DC, Hruban RH, Brentnall TA, Lynch HT, Canto MI (2007) Participants of the fourth international symposium of inherited diseases of the pancreas. Advances in counselling and surveillance of patients at risk for pancreatic cancer. Gut 56:1460–1469

    Google Scholar 

  8. Lawniczak M, Gawin A, Białek A, Lubiński J, Starzyńska T (2008) Is there any relationship between BRCA1 gene mutation and pancreatic cancer development? Pol Arch Med Wewn 118:645–649

    PubMed  CAS  Google Scholar 

  9. Ferrone CR, Levine DA, Tang LH, Allen PJ, Jarnagin W, Brennan MF, Offit K, Robson ME (2009) BRCA germline mutations in Jewish patients with pancreatic adenocarcinoma. J Clin Oncol 27:433–438

    Article  PubMed  CAS  Google Scholar 

  10. Al-Sukhni W, Rothenmund H, Borgida AE, Zogopoulos G, O’Shea AM, Pollett A, Gallinger S (2008) Germline BRCA1 mutations predispose to pancreatic adenocarcinoma. Hum Genet 124:271–278

    Article  PubMed  CAS  Google Scholar 

  11. Stadler ZK, Salo-Mullen E, Patil SM, Pietanza MC, Vijai J, Saloustros E, Hansen NA, Kauff ND, Kurtz RC, Kelsen DP, Offit K, Robson ME (2011) Prevalence of BRCA1 and BRCA2 mutations in Ashkenazi Jewish families with breast and pancreatic cancer. Cancer. doi:10.1002/cncr.26191

  12. Xia B, Sheng Q, Nakanishi K, Ohashi A, Wu J, Christ N, Liu X, Jasin M, Couch FJ, Livingston DM (2006) Control of BRCA2 cellular and clinical functions by a nuclear partner, PALB2. Mol Cell 22:719–729

    Article  PubMed  CAS  Google Scholar 

  13. Tischkowitz M, Xia B (2010) PALB2/FANCN: recombining cancer and Fanconi anemia. Cancer Res 70:7353–7359

    Article  PubMed  CAS  Google Scholar 

  14. Jones S, Hruban RH, Kamiyama M, Borges M, Zhang X, Parsons DW, Lin JC, Palmisano E, Brune K, Jaffee EM, Iacobuzio-Donahue CA, Maitra A, Parmigiani G, Kern SE, Velculescu VE, Kinzler KW, Vogelstein B, Eshleman JR, Goggins M, Klein AP (2009) Exomic sequencing identifies PALB2 as a pancreatic cancer susceptibility gene. Science 324:217

    Article  PubMed  CAS  Google Scholar 

  15. Stadler ZK, Salo-Mullen E, Sabbaghian N, Simon JA, Zhang L, Olson SH, Kurtz R, Offit K, Foulkes WD, Robson ME, Tischkowitz M (2011) Germline PALB2 mutation analysis in breast-pancreas cancer families. J Med Genet 48:523–525

    Google Scholar 

  16. Tischkowitz MD, Sabbaghian N, Hamel N, Borgida A, Rosner C, Taherian N, Srivastava A, Holter S, Rothenmund H, Ghadirian P, Foulkes WD, Gallinger S (2009) Analysis of the gene coding for the BRCA2-interacting protein PALB2 in familial and sporadic pancreatic cancer. Gastroenterology 137:1183–1186

    Article  PubMed  Google Scholar 

  17. Hofstatter EW, Domchek SM, Miron A, Garber J, Wang M, Componeschi K, Boghossian L, Miron PL, Nathanson KL, Tung N (2011) PALB2 mutations in familial breast and pancreatic cancer. Fam Cancer 10:225–231

    Article  PubMed  CAS  Google Scholar 

  18. Casadei S, Norquist BM, Walsh T, Stray S, Mandell JB, Lee MK, Stamatoyannopoulos JA, King MC (2011) Contribution of inherited mutations in the BRCA2-interacting protein PALB2 to familial breast cancer. Cancer Res Mar 1571:2222–2229

    Article  Google Scholar 

  19. Peterlongo P, Catucci I, Pasquini G, Verderio P, Peissel B, Barile M, Varesco L, Riboni M, Fortuzzi S, Manoukian S, Radice P (2011) PALB2 germline mutations in familial breast cancer cases with personal and family history of pancreatic cancer. Breast Cancer Res Treat 126:825–828

    Article  PubMed  Google Scholar 

  20. Adank MA, van Mil SE, Gille JJ, Waisfisz Q, Meijers-Heijboer H (2011) PALB2 analysis in BRCA2-like families. Breast Cancer Res Treat 127:357–362

    Article  PubMed  CAS  Google Scholar 

  21. Ghiorzo P, Pastorino L, Bonelli L, Cusano R, Nicora A, Zupo S, Queirolo P, Sertoli M, Pugliese V, Bianchi-Scarrà G (2004) INK4/ARF germline alterations in pancreatic cancer patients. Ann Oncol 15:70–78

    Article  PubMed  CAS  Google Scholar 

  22. Ghiorzo P, Gargiulo S, Nasti S, Pastorino L, Battistuzzi L, Bruno W, Bonelli L, Taveggia P, Pugliese V, Borgonovo G, Mastracci L, Fornarini G, Romagnoli P, Iiritano E, Savarino V, Bianchi-Scarrà G (2007) Predicting the risk of pancreatic cancer: on CDKN2A mutations in the melanoma-pancreatic cancer syndrome in Italy. J Clin Oncol 25:5336–5337

    Article  PubMed  Google Scholar 

  23. Gargiulo S, Torrini M, Ollila S, Nasti S, Pastorino L, Cusano R, Bonelli L, Battistuzzi L, Mastracci L, Bruno W, Savarino V, Sciallero S, Borgonovo G, Nyström M, Bianchi-Scarrà G, Mareni C, Ghiorzo P (2009) Germline MLH1 and MSH2 mutations in Italian pancreatic cancer patients with suspected Lynch syndrome. Fam Cancer 8:547–553

    Article  PubMed  CAS  Google Scholar 

  24. Sluiter M, Mew S, van Rensburg EJ (2009) PALB2 sequence variants in young South African breast cancer patients. Fam Cancer 8:347–353

    Article  PubMed  CAS  Google Scholar 

  25. Hruban RH, Canto MI, Goggins M, Schulick R, Klein AP (2010) Update on familial pancreatic cancer. Adv Surg 44:293–311 Review

    Article  PubMed  Google Scholar 

  26. NCCN Clinical Practice Guidelines in Oncology: Genetic/ Familial High-Risk Assessment: Breast and Ovarian V.I.2011. Available at http://www.NCCN.com

  27. McCabe N, Lord CJ, Tutt AN, Martin NM, Smith GC, Ashworth A (2005) BRCA2-deficient CAPAN-1 cells are extremely sensitive to the inhibition of Poly (ADP-Ribose) polymerase: an issue of potency. Cancer Biol Ther 4:934–936

    Article  PubMed  CAS  Google Scholar 

  28. Fong PC, Yap TA, Boss DS, Carden CP, Mergui-Roelvink M, Gourley C, De Greve J, Lubinski J, Shanley S, Messiou C, A’Hern R, Tutt A, Ashworth A, Stone J, Carmichael J, Schellens JH, de Bono JS, Kaye SB (2010) Inhibition of Poly(ADP-Ribose) Polymerase in Tumors from BRCA Mutation Carriers. J Clin Oncol 28(15):2512–2519

    Article  PubMed  CAS  Google Scholar 

  29. Tutt A, Robson M, Garber JE, Domchek SM, Audeh MW, Weitzel JN, Friedlander M, Arun B, Loman N, Schmutzler RK, Wardley A, Mitchell G, Earl H, Wickens M, Carmichael J (2010) Oral poly(ADP-ribose) polymerase inhibitor olaparib in patients with BRCA1 or BRCA2 mutations and advanced breast cancer: a proof-of-concept trial. Lancet 376:235–244

    Article  PubMed  CAS  Google Scholar 

  30. Fogelman DR, Wolff RA, Kopetz S, Javle M, Bradley C, Mok I, Cabanillas F, Abbruzzese JL (2011) Evidence for the efficacy of Iniparib, a PARP-1 inhibitor, in BRCA2-associated pancreatic cancer. Anticancer Res 31:1417–1420

    PubMed  Google Scholar 

  31. Drew Y, Mulligan EA, Vong WT, Thomas HD, Kahn S, Kyle S, Mukhopadhyay A, Los G, Hostomsky Z, Plummer ER, Edmondson RJ, Curtin NJ (2011) Therapeutic potential of poly(ADP-ribose) polymerase inhibitor AG014699 in human cancers with mutated or methylated BRCA1 or BRCA2. J Natl Cancer Inst 103:334–346

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

We are grateful to Chiara Baldo at the Galliera Genetic Bank—Network of Telethon Genetic Biobanks (project GTB07001) for providing lymphoblastoid cell-lines. This study was funded by IRCSS 2007 Italian Ministry of Health DGRST.4/4235-P1.9.A.B, Fondazione CARIGE, PRIN 2008 to G.B.-S.

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None declared.

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Correspondence to P. Ghiorzo.

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L. Bernard, G. Bianchi Scarrà contributed equally.

Genoa Pancreatic Cancer Study Group (GPCSG) collaborators: P.Ghiorzo, F. Belli, L. Bonelli, G. Borgonovo, S. Chiara, F. De Cian, A. Decensi, P. Dulbecco, M. Filauro G. Fornarini, A. Gozza, L. Mastracci, S. Sciallero, F. Papadia, P. Queirolo, C. Parodi, P. Romagnoli, G. Sacchi, V. Savarino and G. Bianchi Scarrà.

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Ghiorzo, P., Pensotti, V., Fornarini, G. et al. Contribution of germline mutations in the BRCA and PALB2 genes to pancreatic cancer in Italy. Familial Cancer 11, 41–47 (2012). https://doi.org/10.1007/s10689-011-9483-5

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