Researchers discover genetic ‘volume control’ for inherited breast cancers
Posted Sep 28 2010 12:00am
Understanding the faulty genes in cancer is vital for beating the disease
Back in the 1990s, Cancer Research UK scientists played a fundamental role in the discovery of two major “cancer genes”, BRCA1 and BRCA2 . Inheriting a fault in one of these genes greatly increases a woman’s risk of breast cancer, and they’re also linked to an increased risk of prostate and ovarian cancer.
Thankfully, inherited faults in BRCA1 and BRCA2 are rare – for example, they’re only linked to five in every hundred cases of breast cancer.
But even then, not everyone with a faulty BRCA gene develops cancer – and until now, it hasn’t been clear why.
Working together with researchers around the world, Cancer Research UK-funded scientists have discovered that other subtle genetic variations, elsewhere in a woman’s DNA, can affect how likely a woman with a faulty BRCA1 gene is to go on to develop the disease .
“The news is based on a large international study which furthers our understanding of the genetics of breast cancer and helps explain why some women are at higher risk. It identified two new variants associated with an increased risk of breast cancer for women carrying the BRCA1 mutation, as well as three variants associated with a reduced risk.”
This doesn’t mean that the combination of carrying one of these gene variations alongside a BRCA1 fault means that a woman definitely will (or definitely won’t) develop breast cancer. It means that she will be more or less likely to develop breast cancer than we might expect.
One of the researchers, Cambridge-based Dr Antonis Antoniou , likened the finding to “a volume control [that can] turn up or down the risk of developing breast cancer from faults in the BRCA1 gene”.
These findings also open the door to testing women who carry BRCA1 faults, to see if they are carrying the more risky gene variations too. But, as the NHS Choices team concludes:
“The idea of fine tuning genetic tests to offer women a more personalised assessment of their risk is certainly appealing. However, before this can be done, we must first understand more about the genetics of breast cancer. It is too early to discuss the use of these findings in preventative treatment.”
Although it’s too soon to talk about personalised genetic tests for cancer risk, we hope that the knowledge generated from studies like these will ultimately feed into the development of more effective tests and screening, enabling doctors to identify people at greatest risk of cancer, saving lives through prevention and early diagnosis.
Antoniou AC, et al (2010). A locus on 19p13 modifies risk of breast cancer in BRCA1 mutation carriers and is associated with hormone receptor-negative breast cancer in the general population. Nature genetics PMID: 20852631
Bolton KL, et al (2010). Common variants at 19p13 are associated with susceptibility to ovarian cancer. Nature genetics PMID: 20852633
Goode EL, et al (2010). A genome-wide association study identifies susceptibility loci for ovarian cancer at 2q31 and 8q24. Nature genetics PMID: 20852632