High prevalence of somatic PIK3CA and TP53 pathogenic variants in the normal mammary gland tissue of sporadic breast cancer patients revealed by duplex sequencing

Autor: Anna Kostecka, Tomasz Nowikiewicz, Paweł Olszewski, Magdalena Koczkowska, Monika Horbacz, Monika Heinzl, Maria Andreou, Renato Salazar, Theresa Mair, Piotr Madanecki, Magdalena Gucwa, Hanna Davies, Jarosław Skokowski, Patrick G. Buckley, Rafał Pęksa, Ewa Śrutek, Łukasz Szylberg, Johan Hartman, Michał Jankowski, Wojciech Zegarski, Irene Tiemann-Boege, Jan P. Dumanski, Arkadiusz Piotrowski
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: npj Breast Cancer, Vol 8, Iss 1, Pp 1-10 (2022)
Druh dokumentu: article
ISSN: 2374-4677
DOI: 10.1038/s41523-022-00443-9
Popis: Abstract The mammary gland undergoes hormonally stimulated cycles of proliferation, lactation, and involution. We hypothesized that these factors increase the mutational burden in glandular tissue and may explain high cancer incidence rate in the general population, and recurrent disease. Hence, we investigated the DNA sequence variants in the normal mammary gland, tumor, and peripheral blood from 52 reportedly sporadic breast cancer patients. Targeted resequencing of 542 cancer-associated genes revealed subclonal somatic pathogenic variants of: PIK3CA, TP53, AKT1, MAP3K1, CDH1, RB1, NCOR1, MED12, CBFB, TBX3, and TSHR in the normal mammary gland at considerable allelic frequencies (9 × 10−2– 5.2 × 10− 1), indicating clonal expansion. Further evaluation of the frequently damaged PIK3CA and TP53 genes by ultra-sensitive duplex sequencing demonstrated a diversified picture of multiple low-level subclonal (in 10−2–10−4 alleles) hotspot pathogenic variants. Our results raise a question about the oncogenic potential in non-tumorous mammary gland tissue of breast-conserving surgery patients.
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