To the editorBreast cancer is one of the main causes of cancer-related deaths among women worldwide, with 5-10% of cases being attributed to germline mutations in major genes. Former genetic linkage analysis revealed that the etiology of a relatively large proportion of Chinese potential hereditary breast cancers could not be explained by BRCA1 or BRCA2 mutations [1]. RAD50 is one of the highly conserved DNA double-strand (DSB) break repair factors. Together with NBS1 and MRE11, it composes the Mre11 complex and functions in sensing and early processing of DSB, cell cycle checkpoints, DNA recombination, and maintenance of telomeres [2]. Heterozygosity for deleterious mutations in components of the RAD50-MRE11-NBS1 complex seems to influence risk of breast cancer. The initial finding of mutations in Rad50 and NBS1 associated with breast cancer risk is consistent with the involvement of DNA repair genes in carcinogenesis [3], and mutations in those genes seem to be moderately penetrant but infrequent. This study is a continuation of our efforts to determine the role of some known common mutations of RAD50 and NBS1 in western populations in the development of non-BRCA1/2 Chinese families with signs of hereditary susceptibility to breast cancer.High-risk breast cancer patients were recruited and collected through four different medical centers which were described in our previous study [4]. The index cases included should match the following criteria: (1) at least one firstor second-degree relatives with breast cancer and/or ovarian cancer, regardless of age; or (2) breast cancer diagnosed below 35 years of age. Written informed consent was obtained from all subjects in accordance with institutional guidelines. Previous testing had confirmed the included cases to be BRCA1/2 mutation negative. Altogether 192 cases came from independent families were identified, the average age at diagnosis of breast cancer was 42.2 years, ranging between 23 and 81. The family histories concerning four-generation pedigrees of all the eligible cases were retrieved from the medical records and standard questionnaires, ascertained by the families and/or the patients personally. Six of the families in our study were breast-ovarian cancer families. A total of 192 women with no personal or family history of cancer were enrolled as normal control from Cancer Hospital of Fudan University between 2003 and 2007. This project has been approved by the Scientific and Ethical Committee of the Cancer Hospital of Fudan University.Oligonucleotide primers and polymerase chain reaction (PCR) conditions as former publications were used to amplify the specific segments which spanned the three mutation spots (RAD50 687delT, NBS1 657del5 and NBS1 I171 V) [3,5,6]. The PCR and DNA sequencing analysis were performed as described previously [4].Full sequencing of all the index cases did not revealed the Rad50 687delT mutation in any case, and we did not find any other deleterious mutations in exon 5 of RAD50. In addition, our analysis of sequence variations in t...