PMID- 18704682 OWN - NLM STAT- MEDLINE DCOM- 20090929 LR - 20151119 IS - 1573-7217 (Electronic) IS - 0167-6806 (Linking) VI - 116 IP - 3 DP - 2009 Aug TI - Prediction of BRCA1-association in hereditary non-BRCA1/2 breast carcinomas with array-CGH. PG - 479-89 LID - 10.1007/s10549-008-0117-z [doi] AB - BACKGROUND: While new defects in BRCA1 are still being found, it is unclear whether current breast cancer diagnostics misses many BRCA1-associated cases. A reliable test that is able to indicate the involvement of BRCA1 deficiency in cancer genesis could support decision making in genetic counselling and clinical management. To find BRCA1-specific markers and explore the effectiveness of the current diagnostic strategy, we designed a classification method, validated it and examined whether we could find BRCA1-like breast tumours in a group of patients initially diagnosed as non-BRCA1/2 mutation carriers. METHODS: A classifier was built based on array-CGH profiles of 18 BRCA1-related and 32 control breast tumours, and validated on independent sets of 16 BRCA1-related and 16 control breast carcinomas. Subsequently, we applied the classifier to 48 breast tumours of patients from Hereditary Breast and Ovarian Cancer (HBOC) families in whom no germ line BRCA1/BRCA2 mutations were identified. RESULTS: The classifier showed an accuracy of 91% when applied to the validation sets. In 48 non-BRCA1/2 patients, only two breast tumours presented a BRCA1-like CGH profile. Additional evidence for BRCA1 dysfunction was found in one of these tumours. CONCLUSION: We here describe the specific chromosomal aberrations in BRCA1-related breast carcinomas. We developed a predictive genetic test for BRCA1-association and show that BRCA1-related tumours can still be identified in HBOC families after routine DNA diagnostics. FAU - Joosse, Simon A AU - Joosse SA AD - Division of Experimental Therapy, The Netherlands Cancer Institute NKI/AvL, 1066CX, Amsterdam, The Netherlands. s.joosse@nki.nl FAU - van Beers, Erik H AU - van Beers EH FAU - Tielen, Ivon H G AU - Tielen IH FAU - Horlings, Hugo AU - Horlings H FAU - Peterse, Johannes L AU - Peterse JL FAU - Hoogerbrugge, Nicoline AU - Hoogerbrugge N FAU - Ligtenberg, Marjolijn J AU - Ligtenberg MJ FAU - Wessels, Lodewyk F A AU - Wessels LF FAU - Axwijk, Priscilla AU - Axwijk P FAU - Verhoef, Senno AU - Verhoef S FAU - Hogervorst, Frans B L AU - Hogervorst FB FAU - Nederlof, Petra M AU - Nederlof PM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080814 PL - Netherlands TA - Breast Cancer Res Treat JT - Breast cancer research and treatment JID - 8111104 RN - 0 (BRCA1 Protein) RN - 0 (Biomarkers, Tumor) RN - 0 (DNA, Neoplasm) SB - IM MH - Adult MH - Aged MH - BRCA1 Protein/*genetics MH - Biomarkers, Tumor/genetics MH - Breast Neoplasms/*classification/*genetics/pathology MH - Chromosome Aberrations MH - *Comparative Genomic Hybridization MH - DNA Methylation MH - DNA, Neoplasm/genetics/metabolism MH - Female MH - *Genetic Predisposition to Disease MH - Germ-Line Mutation/*genetics MH - Humans MH - Immunoenzyme Techniques MH - Loss of Heterozygosity MH - Middle Aged MH - *Oligonucleotide Array Sequence Analysis MH - Predictive Value of Tests EDAT- 2008/08/16 09:00 MHDA- 2009/09/30 06:00 CRDT- 2008/08/16 09:00 PHST- 2008/03/05 00:00 [received] PHST- 2008/07/01 00:00 [accepted] PHST- 2008/08/16 09:00 [pubmed] PHST- 2009/09/30 06:00 [medline] PHST- 2008/08/16 09:00 [entrez] AID - 10.1007/s10549-008-0117-z [doi] PST - ppublish SO - Breast Cancer Res Treat. 2009 Aug;116(3):479-89. doi: 10.1007/s10549-008-0117-z. Epub 2008 Aug 14.