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Vol 54(2020) N 3 p. 464-473; DOI 10.1134/S0026893320030127 Full Text

A. Minucci1*, G. Mazzuccato1, C. Marchetti2,3, A. Pietragalla2, G. Scambia2,3, A. Fagotti2,3, A. Urbani1,3**

Detecting Large Germline Rearrangements of BRCA1 by Next Generation Tumor Sequencing

1Molecular Diagnostic and Genomics Laboratory, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, 00168 Italy
2Division of Oncological Gynecology, Department of Women's and Children's Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, 00168 Italy
3Catholic University of the Sacred Heart, Rome, 00168 Italy

*angelo.minucci@virgilio.it
**andrea.urbani@policlinicogemelli.it
Received - 2019-09-30; Revised - 2019-12-16; Accepted - 2019-12-25

A majority of BRCA1/2 (BRCA) pathogenic variants (PVs) are single nucleotide substitutions or small insertions/deletions. Copy number variations (CNVs), also known as large genomic rearrangements (LGRs), have been identified in BRCA genes. LGRs detection is a mandatory analysis in hereditary breast and ovarian cancer families, if no predisposing PVs are found by sequencing. Next generation sequencing (NGS) may be used to detect structural variation, since quantitative analysis of sequencing reads, when coupled with appropriate bioinformatics tools, is capable of estimating and predicting germline LGRs (gLGRs). However, applying this approach to tumor tissue is challenging, and the pipelines for determination of CNV are yet to be optimized. The aim of this study was to validate the Next Generation Tumor Sequencing (NGTS) technology to detect various gLGRs of BRCA1 locus in surgical tumor tissue samples. In this study, seven different BRCA1 gLGRs, previously found in high-grade serous ovarian cancers (HGSOC) patients, were detected in tumor samples collected from the patients at a time of HGSOC surgery. This study demonstrated that NGS can accurately detect BRCA1 gLGRs in primary tumors, suggesting that gLGR evaluation in BRCA1 locus should be performed in cases when the screening for BRCA alterations starts from tumor instead of blood. NGS sequencing of tumor samples may become the preferred method to detect both somatic and germline gLGRs in BRCA-encoding loci.

BRCA1/2 genes, NGS sequencing of tumor DNA, large genomic rearrangements, high grade serous ovarian cancer, copy number variations



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