Characterization of lung cancers in patients with BRCA germline variants: A multicenter series.


Journal

Lung cancer (Amsterdam, Netherlands)
ISSN: 1872-8332
Titre abrégé: Lung Cancer
Pays: Ireland
ID NLM: 8800805

Informations de publication

Date de publication:
11 2022
Historique:
received: 03 03 2022
revised: 24 07 2022
accepted: 02 09 2022
pubmed: 27 9 2022
medline: 21 10 2022
entrez: 26 9 2022
Statut: ppublish

Résumé

BRCA1 and BRCA2 (BReast CAncer susceptibility genes) are two tumor-suppressor genes associated with the hereditary breast and ovarian cancer susceptibility syndrome. Recent studies also suggest an increased lung adenocarcinoma risk in carriers. We conducted a multi-center retrospective study in 18 different French pulmonology and/or oncology departments on medico-administrative and clinical data prospectively collected in the Clinical Data Warehouse (CDW) of Greater Paris University Hospitals (Assistance Publique-Hôpitaux de Paris, AP-HP). Clinical characteristics and outcomes of patients with LC and a previously known BRCA1/2gl variant were retrospectively evaluated. 17 patients with LC and known BRCA1/2gl variant were included. Patients were most women, former smokers with localized disease and BRCA2 variants. All LC were adenocarcinoma. For patients with medical history of cancer, median time from the first cancer in the BRCA spectrum and the LC occurrence was 20 years. Median disease-free survival (DFS) and overall survival (OS) in localized tumor (Stage I and II) was not reached and 78.6 months, respectively. In advanced cancer (Stade III and IV) median progression free survival was 9.7 months and median OS was 17.8 months. Univariate OS and DFS/PFS analyses by BRCA status did not find significant differences. Results seem to show particular LC features in carriers of BRCA2 variants: adenocarcinoma subtype, woman, former or non-smoker.

Identifiants

pubmed: 36156322
pii: S0169-5002(22)00616-X
doi: 10.1016/j.lungcan.2022.09.002
pii:
doi:

Substances chimiques

BRCA1 Protein 0
BRCA1 protein, human 0
BRCA2 protein, human 0

Types de publication

Multicenter Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

67-70

Informations de copyright

Copyright © 2022 Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: J. Cadranel reports fees for participation on boards of experts for the development of cancer drugs from AZ, BMS, Jansen, MSD, Novartis, Lilly, Pfizer, Roche and Takeda. PR Benusiglio has received honoraria from AstraZeneca and MSD, the manufacturers of the PARP-inhibitor olaparib.

Auteurs

Mateo Sanchis-Borja (M)

Department of Pulmonology and Thoracic Oncology, Hôpital Tenon, Assistance Publique Hôpitaux de Paris and GRC 4, Theranoscan, Sorbonne Université, Paris, France.

Vincent Fallet (V)

Department of Pulmonology and Thoracic Oncology, Hôpital Tenon, Assistance Publique Hôpitaux de Paris and GRC 4, Theranoscan, Sorbonne Université, Paris, France. Electronic address: vincent.fallet@aphp.fr.

Elisabeth Fabre (E)

Department of Thoracic Oncology, Hôpital Européen Georges Pompidou (HEGP), Assistance Publique - Hôpitaux de Paris, Paris, France.

Marie Wislez (M)

Department of Pulmonology, Thoracic Oncology Unit, Hôpital Cochin, AP-HP.Centre - Université de Paris, Paris, France.

Stéphane Culine (S)

Department of Medical Oncology Saint-Louis University Hospital, AP-HP, Paris, France.

Gérard Zalcman (G)

Thoracic Oncology Department, CIC1425/CLIP2 Paris-Nord, Hôpital Bichat- Claude Bernard, Paris, France.

Jean-Philippe Spano (JP)

Department of Medical Oncology, Pitié-Salpétrière University Hospital, AP-HP, Sorbonne University, Paris, France.

Nathalie Chabbert Buffet (NC)

Department of Obstetrics and Gynaecology, Tenon University Hospital, Assistance Publique des Hôpitaux de Paris, Sorbonne University, Paris, France.

Florence Coulet (F)

Department of Medical Genetics, Oncogenetics Groupe Hospitalier Pitié-Salpêtrière APHP, Sorbonne University, Paris, France.

Patrick R Benusiglio (PR)

Department of Medical Genetics, Oncogenetics Groupe Hospitalier Pitié-Salpêtrière APHP, Sorbonne University, Paris, France.

Jacques Cadranel (J)

Department of Pulmonology and Thoracic Oncology, Hôpital Tenon, Assistance Publique Hôpitaux de Paris and GRC 4, Theranoscan, Sorbonne Université, Paris, France.

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Classifications MeSH