Background
Genetic testing is becoming an essential tool for breast cancer (BC) diagnosis and treatment pathway, and particularly important for early detection and cancer prevention. The purpose of this study was to explore the diagnostic yield of targeted sequencing of the high priority BC genes.
Methods
We have utilized a cost-effective targeted sequencing approach of high priority actionable BC genes (
BRCA1
,
BRCA2
,
ERBB2 and TP53)
in a homogeneous patient cohort from Bangladesh (
n
= 52) by using tumor and blood samples.
Results
Blood derived targeted sequencing revealed 25.58% (11/43) clinically relevant mutations (both pathogenic and variants of uncertain significance (VUS)), with 13.95% (6/43) of samples carrying a pathogenic mutations. We have identified and validated five novel pathogenic germline mutations in this cohort, comprising of two frameshift deletions in
BRCA2,
and missense mutations in
BRCA1
,
BRCA2
and
ERBB2
gene respectively. Furthermore, we have identified three pathogenic mutations and a VUS within three tumor samples, including a sample carrying pathogenic mutations impacting both
TP53
(c.322dupG; a novel frameshift insertion) and
BRCA1
genes (c.116G > A). 22% of tissue samples had a clinically relevant
TP53
mutation. Although the cohort is small, we have found pathogenic mutations to be enriched in
BRCA2
(9.30%, 4/43) compare to
BRCA1
(4.65%, 2/43). The frequency of germline VUS mutations found to be similar in both
BRCA1
(4.65%; 2/43) and
BRCA2
(4.65%; 2/43) compared to
ERBB2
(2.32%; 1/43).
Conclusions
This is the first genetic study of BC predisposition genes in this population, implies that genetic screening through targeted sequencing can detect clinically significant and actionable BC-relevant mutations.
Electronic supplementary material
The online version of this article (10.1186/s12881-019-0881-0) contains supplementary material, which is available to authorized users.