Frequency of 5382insC mutation of BRCA1 gene among breast cancer patients: an experience from Eastern India

Fam Cancer. 2013 Sep;12(3):489-95. doi: 10.1007/s10689-012-9590-y.

Abstract

The incidence of breast cancer in India is on the rise and is rapidly becoming the number one cancer in females pushing the cervical cancer to the second position. The mutations in two breast cancer susceptibility genes, BRCA1 and BRCA2, are frequently associated with familial breast cancer. The main objective of the study was to determine the frequency of the mutation 5382insC in BRCA1 of eastern Indian breast cancer patients and also study the hormonal receptor status and histopathology of the patients. Altogether 92 patients affected with breast cancer were included in this study. ARMS-PCR based amplification was used to detect the presence of mutation. The mutations were considered only after pedigree analysis. Out of 92 patients (age range: 20-77 years) with family history (57 individuals) and without family history (35 individuals) were screened. Fifty controls have been systematically investigated. Seven patients and two family members were found to be carriers of 5382insC mutation in BRCA1 gene. We have found 42.64 % ER(-)/PR(-) cancer and 20.58 % triple negative cancer. Invasive ductal carcinoma is the most common histology among the investigated individuals. The presented data confirm a noticeable contribution of BRCA1 5382insC mutation in BC development in Eastern India, which may justify an extended BRCA1 5382insC testing within this patient population. We found HER-2/neu negativity and BRCA1 positivity associated with familial breast cancer. From the hospital's patient history, it was revealed that the age of menarche plays an important role in development of breast cancer.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • BRCA1 Protein / genetics*
  • Breast Neoplasms / congenital*
  • Breast Neoplasms / epidemiology
  • Breast Neoplasms / genetics
  • Breast Neoplasms / pathology
  • Carcinoma, Ductal, Breast / epidemiology
  • Carcinoma, Ductal, Breast / genetics
  • Carcinoma, Ductal, Breast / pathology
  • Carcinoma, Lobular / epidemiology
  • Carcinoma, Lobular / genetics
  • Carcinoma, Lobular / pathology
  • Case-Control Studies
  • DNA Mutational Analysis
  • Female
  • Follow-Up Studies
  • Genetic Predisposition to Disease
  • Genetic Testing
  • Humans
  • India / epidemiology
  • Middle Aged
  • Mutation / genetics*
  • Neoplasm Grading
  • Neoplasm Invasiveness
  • Ovarian Neoplasms / genetics
  • Ovarian Neoplasms / pathology
  • Polymerase Chain Reaction
  • Prognosis
  • Young Adult

Substances

  • BRCA1 Protein
  • BRCA1 protein, human

Supplementary concepts

  • Breast Cancer, Familial