Pathogenic germline variants in SMARCA4 and further cancer predisposition genes in early onset ovarian cancer

Author:

Herold Natalie1ORCID,Schmolling Johanna1,Ernst Corinna1ORCID,Ataseven Beyhan23,Blümcke Britta1,Schömig‐Markiefka Birgid4,Heikaus Sebastian5,Göhring Uwe‐Jochen6,Engel Christoph7,Lampe Björn8,Rhiem Kerstin1,Harter Philipp2,Hauke Jan1ORCID,Schmutzler Rita K.1,Hahnen Eric1ORCID

Affiliation:

1. Center for Familial Breast and Ovarian Cancer, Center for Integrated Oncology (CIO), Medical Faculty University of Cologne and University Hospital Cologne Cologne Germany

2. Department of Gynecology & Gynecologic Oncology Kliniken Essen‐Mitte (KEM) Essen Germany

3. Medical School and University Medical Center East Westphalia‐Lippe, Klinikum Lippe, Academic Department of Gynecology, Gynecologic Oncology and Obstetrics Bielefeld University Detmold Germany

4. Institute of Pathology University Hospital Cologne Cologne Germany

5. Department of Pathology Kliniken Essen‐Mitte (KEM) Evang. Huyssens‐Stiftung/Knappschaft GmbH Essen Germany

6. Department of Gynecology and Obstetrics Johanniter Krankenhaus Bonn Germany

7. Institute for Medical Informatics, Statistics and Epidemiology University of Leipzig Leipzig Germany

8. Department of Gynecology and Obstetrics Diakonie Kaiserswerth Düsseldorf Germany

Abstract

To assess the role of germline pathogenic variants (PVs) in SMARCA4 and further established ovarian cancer (OC) predisposition genes in early onset OC, we investigated a clinical cohort of 206 unrelated OC index patients with an age at diagnosis of OC ≤40 years using an extended panel of 24 (candidate) cancer predisposition genes. PVs in established OC predisposition genes were most frequent in patients with high grade serous OC (21/62, 33.9%), comparatively rare in patients with epithelial OC other than high grade serous (5/74, 6.8%) or borderline ovarian tumours (2/39, 5.1%) and absent in mucinous OC (0/27). We demonstrate that germline PVs in SMARCA4 unlikely predispose for early onset OC other than SCCOHT.

Funder

Bundesministerium für Bildung und Forschung

Deutsche Forschungsgemeinschaft

Deutsche Krebshilfe

Publisher

Wiley

Subject

Cancer Research,Radiology, Nuclear Medicine and imaging,Oncology

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