A high prevalence of BRCA1 mutations among breast cancer patients from the Bahamas

Talia Donenberg, John Lunn, Duvaughn Curling, Theodore Turnquest, Elisa Krill-Jackson, Robert Royer, Steven A. Narod, Judith Hurley

Research output: Contribution to journalArticle

47 Scopus citations

Abstract

The Bahamas is a group of islands in the Caribbean with a high incidence of early onset breast cancer. In isolated populations, the identification of founder mutations in cancer predisposing genes may facilitate genetic testing and counseling. To date, six distinct BRCA1 mutations have been found in patients from cancer families from the Bahamas. The frequencies of these mutant alleles have not been measured in a large series of unselected breast cancer patients from Bahamas. We studied 214 Bahamian women with invasive breast cancer, unselected for age or family history of cancer. All patients were screened for six mutations in the BRCA1 gene that have previously been reported in cancer patients from the Bahamas. A mutation was identified in 49 of the 214 breast cancer patients (23%). The mutation frequency was particularly high in women diagnosed before age 50 (33%) in women with a first-degree relative with breast or ovarian cancer (41%) and in women with bilateral breast cancer (58%). Approximately 23% of unselected cases of breast cancer in the Bahamian population are attributable to a founder mutation in the BRCA1 gene-this is the highest reported mutation prevalence for any country studied to date. Genetic testing for these mutations is advisable for all women diagnosed with breast cancer in the Bahamas.

Original languageEnglish (US)
Pages (from-to)591-596
Number of pages6
JournalBreast cancer research and treatment
Volume125
Issue number2
DOIs
StatePublished - Jan 1 2011

Keywords

  • Bahamas
  • BRCA1
  • Breast cancer
  • Hereditary

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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    Donenberg, T., Lunn, J., Curling, D., Turnquest, T., Krill-Jackson, E., Royer, R., Narod, S. A., & Hurley, J. (2011). A high prevalence of BRCA1 mutations among breast cancer patients from the Bahamas. Breast cancer research and treatment, 125(2), 591-596. https://doi.org/10.1007/s10549-010-1156-9