The present and future of molecular genetic analysis in the screening and prevention of malignant neoplasms of female reproductive organs

Buyanovskaya O.A., Khokhlova S.V., Sencha A.N.

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow
The authors have conducted a systematic analysis of the data available in modern literature on the role of genetic testing for mutations in the genes responsible for a predisposition to hereditary reproductive organ cancers in women. They consider data on the importance of using genetic testing in clinical practice to predict the disease development, a need for the follow-up monitoring in the presence of mutation carriage, the volume of surgical treatment and to determine combination chemotherapy policy for malignant neoplasm. The role of mutations for chemotherapy, prophylactic surgery, and preimplantation genetic diagnosis as primary prevention of hereditary cancer syndromes is described.

Keywords

hereditary cancer
breast cancer
ovarian cancer
BReast CAncer (BRCA) gene
colorectal cancer
Lynch syndrome
endometrial cancer
genetic predisposition
high risk
screening
high-throughput sequencing (HTS)
preimplantation genetic diagnosis (PGD)
prophylactic surgery
risk reduction

References

  1. Каприн А.Д., Старинский В.В., Петрова Г.В., ред. Злокачественные новообразования в России в 2017 году (заболеваемость и смертность). М.: МНИОИ им. П.А. Герцена – филиал ФГБУ «НМИЦ радиологии» Минздрава России, 2018. 250 с. [Kaprin A.D., Starinskij V.V., Petrova G.V., red. Zlokachestvennye novoobrazovanija v Rossii v 2017 godu (zabolevaemost’ i smertnost’). M.: MNIOI im. P.A. Gercena – filial FGBU «NMIC radiologii» Minzdrava Rossii, 2018. 250 s. (in Russ.)]. ISBN 978-5-85502-243-8
  2. Каприн А.Д., Старинский В.В., Петрова Г.В., ред. Злокачественные новообразования в России в 2016 году (заболеваемость и смертность) под редакцией. М.: МНИОИ им. П.А. Герцена – филиал ФГБУ «НМИЦ радиологии» Минздрава России, 2018. 250 с.[Kaprin A.D., Starinskij V.V., Petrova G.V., red. Zlokachestvennye novoobrazovanija v Rossii v 2016 godu (zabolevaemost’ i smertnost’) pod redakciej. M.: MNIOI im. P.A. Gercena – filial FGBU «NMIC radiologii» Minzdrava Rossii, 2018. 250 s.(in Russ.)]. ISBN 978-5-85502-234-6
  3. Каприн А.Д., Старинский В.В., Петрова Г.В., ред. Злокачественные новообразования в России в 2018 году (заболеваемость и смертность) под редакцией. М.: МНИОИ им. П.А. Герцена – филиал ФГБУ «НМИЦ радиологии» Минздрава России, 2019. 250 с. [Kaprin A.D., Starinskij V.V., Petrova G.V., red. Zlokachestvennye novoobrazovanija v Rossii v 2018 godu (zabolevaemost’ i smertnost’) pod redakciej. M.: MNIOI im. P.A. Gercena – filial FGBU «NMIC radiologii» Minzdrava Rossii, 2019. 250 s. (in Russ.)]. ISBN 978-5-85502-251-3
  4. Паяниди Ю.Г., Жорданиа К.И. и соавт. Полинеоплазия органов репродуктивной системы и толстой кишки у женщин. Онкогинекология. 2016; 1: 12-17. [Payanidi Yu.G., Zhordania K.I., Pauker V., Selchyuk V.Yu., Kazubskaya T.P. Multiple primary malignant neoplasms of female reproductive system organs and of the colon. Onkoginekologija. 2016; 1: 12-17. (in Russ.)]. eLIBRARY ID: 26702050
  5. Аблицова Н.В., Закиряходжаев А.Д., Сарибекян Э.К. Ошибки в диагностике и лечении рака молочной железы у пациенток молодого возраста. Акушерство и гинекология. 2015; 5: 109-112. [Ablitsova N.V., Zikiryakhodzhaev A.D., Saribekyan E.K., Tyshchenko E.V. Errors in the diagnosis and treatment of breast cancer in young patients. Akusherstvo i Ginekologiya/ Obstetrics and gynecology.2015; 5: 109-112. (in Russ.)].
  6. Бабаева Н.А., Ашрафян Л.А., Антонова И.Б., Алешикова О.И., Ивашина С.В. Роль гормональных нарушений в канцерогенезе опухолей женской репродуктивной системы. Акушерство и гинекология: Новости. Мнения. Обучения. 2017; 1(15): 76-82. [Babaeva N.A., Ashrafyan L.A., Antonova I.B., Aleshikova O.I., Ivashina S.V. The role of hormonal disbalance in the carcinogenesis of tumors of the female reproductive system. Akusherstvo i ginekologija: Novosti. Mnenija. Obuchenija. 2017; 1(15): 76-82. (In Russ.)]. doi:10.24411/2303-9698-2017-00021
  7. Кулигина Е.Ш. Эпидемиологические и молекулярные аспекты рака молочной железы. Практическая онкология. 2010; 11(4): 203-204. [Kuligina E.Sh. Epidemiological and molecular aspects of breast cancer. Practical Oncology. 2010; 11 (4): 203–204.(in Russ.)]. eLIBRARY ID: 19394712
  8. Gloria H.J. Chan, Pei Yi Ong. Clinical genetic testing outcome with multi–gene panel in Asian patients with multiple primary cancers. Oncotarget. 2018; 9(55): 30649-660. doi: 10.18632/oncotarget.25769
  9. Hooker G.W., Clemens K.R., Quillin J., Vogel Postula K.J., Summerour P., Nagy R., Buchanan A.H. Counseling and Testing in an Era of Rapid Change. J Genet Couns. 2017; 26(6):1244-53. https://doi.org/10.1007/s10897-017-0099-2
  10. Куталиа П.З., Сельчук В.Ю., Паяниди Ю.Г., Жорданиа К.И., Шелепова В.М., Захарова Т.И. Злокачественные новообразования яичников и полинеоплазии: клиника, диагностика, закономерности развития, прогноз. Опухоли женской репродуктивной системы. 2011; 1: 80. [Kutalia P.Z., Selchuk V.Yu., Payanidi Yu.G., Zhordania K.I., Shelepova V.M., Zakharova T.I. Ovarian malignancies and polyneoplasias: clinical presentation, diagnosis, mechanisms of development, prognosi. Opuholi zhenskoj reproduktivnoj sistemy. 2011;1: 80. (In Russ.)].
  11. Акуленко Л.В. Клиническая лекция: о наследственном раке женской репродуктивной системы. Онкогинекология. 2012; 1: 24. [Akulenko L.V. Clinical lecture. Hereditary cancer of reproductive system. Onkoginekologija. 2012; 1: 24.(in Russ.)]. eLIBRARY ID: 22568081
  12. Аксель М., Виноградова Н.Н. Статистика злокачественных новообразований женских репродуктивных. Онкогинекология. 2018; 3: 64. [Aksel E.M., Vinogradova N.N. Statistics of malignant neoplasms of female reproductive organs. Onkoginekologija. 2018; 3: 64.(in Russ.)].
  13. Давыдов М.И., Летягин В.П., ред. Практическое руководство по клинической маммологии. М., 2004; 128 c. [Davydov M.I., Letyagin V.P., ed. A practical guide to clinical mammology. M., 2004; 128.(in Russ.)].
  14. Любченко Л.Н., Батенева Е.И., Воротников И.К., Портной С.М., Крохина О.В., Соболевский В.А., Жукова Л.Г., Хайленко В.А., Тюляндин С.А. Наследственный рак молочной железы: генетическая и клиническая гетерогенность, молекулярная диагностика, хирургическая профилактика в группах риска. Успехи молекулярной онкологии. 2014; 2: 16-25. [Lyubchenko L.N., Bateneva Ye.I., Vorotnikov I.K., Portnoy S.M., Krokhina O.V., Sobolevskiy V.A., Zhukova L.G., Khaylenko V.A., Tyulyandin S.A. Hereditary breast cancer: genetic and clinical hetergeneity, genetic testing, prophylactic surgery. Uspehi molekuljarnoj onkologii/Advances in molecular oncology. 2014; 2:16–25. (in Russ.)].eLIBRARY ID: 23383014
  15. Rancoule C., Vallard A., Guy J.B., Espenel S., Sauvaigo S., Rodriguez-Lafrasse C., Magné N. Impairment of DNA damage response and cancer. Elsevier, Bulletin du Cancer. 2017; 104(11): 962-70. https://doi.org/10.1016/j.bulcan.2017.09.006
  16. Aka P., Mateuca R., Buchet J.P., Thierens H., Kirsch-Volders M. Are genetic polymorphisms in OGG1, XRCC1 and XRCC3 genes predictive for the DNA strand break repair phenotype and genotoxicity in workers exposed to low dose ionising radiations? Mutat Res. 2004. 556(1-2): 169-81. DOI: 10.1016/j.mrfmmm.2004.08.002
  17. Druzhinin V.G., Sinitsky M.Y., Larionov A.V., Volobaev V.P., Minina V.I., Golovina T.A. Assessing the level of chromosome aberrations in peripheral blood lymphocytes in long-term resident children under conditions of high exposure to radon and its decay products. Mutagenesis. 2015. 30(5):677-83.
  18. Stanislaw C., Xue Y., Wilcox W.R. Genetic evaluation and testing for hereditary forms of cancer in the era of next-generation sequencing. Cancer Biol Med. 2016. 13(1): 55–67. http://dx.doi.org/10.28092/j.issn.2095-3941.2016.0002
  19. Имянитов Е.Н. Скрининг для лиц с наследственной предрасположенностью к раку. Практическая онкология. 2010; 11(2); 103-108. [Imyanitov E.N. Screening for people with a hereditary predisposition to cancer.Practical oncology. 2010;11(2);103-108.(in Russ.)]. eLIBRARY ID:19100044
  20. Kamps R., Brandão R.D., van den Bosch B.J., Paulussen A.D.C., Xanthoulea S., Blok M.J., Romano A. Next-Generation Sequencing in Oncology: Genetic Diagnosis, Risk Prediction and Cancer Classification. International Journal of Molecular Sciences. 2017; 18(2): 308. DOI: 10.3390/ijms18020308
  21. Okur V., Chung W.K. The impact of hereditary cancer gene panels on clinical care and lessons learned. Cold Spring Harb Mol Case Stud. 2017; 3(6): pii: a002154. doi: 10.1101/mcs.a002154
  22. Price K.S., Svenson A. King E., Ready K.J., Lazarin G.A. Inherited Cancer in the Age of Next-Generation Sequencing. Biological Research for Nursing. 2018; 20(2): 192-204. DOI:10.1177/1099800417750746
  23. Ring K.L., Garcia C., Thomas M.H., Modesitt S.C. Current and future role of genetic screening in gynecologic malignancies. Am J Obstet Gynecol. 2017; 217(5): 512-21. doi: 10.1016/j.ajog.2017.04.011
  24. Win A.K., Reece J.C., et al. Risk of extracolonic cancers for people with biallelic and monoallelic mutations in MUTYH. Int J Cancer. 2016; 139(7): 1557-63. doi: 10.1002/ijc.30197
  25. Elsayed F.A., Kets C.M., Ruano D., et al. Germline variants in POLE are associated with early onset mismatch repair deficient colorectalcancer. Eur J Hum Genet. 2015; 23: 1080-4. doi:10.1038/ejhg.2014.242
  26. Bellido F., Pineda M., et al.. POLE and POLD1 mutations in 529 kindred with familial 167 colorectal cancer and/or polyposis: review of reported cases and recommendations for genetic testing and surveillance. Genet Med. 2016; 18(4): 325-32. doi: 10.1038/gim.2015.75
  27. Smolarz B., Michalska M.M., et al. Studies of Correlations Between Single Nucleotide Polymorphisms of DNA Repair Genes and Endometrial Cancer in Polish Women. Anticancer Res. 2018; 38(9): 5223-9. doi: 10.21873/anticanres.12846
  28. Zhao M., Mishra L., Deng Ch.-X. The role of TGF-β/SMAD4 signaling in cancer. International Journal of Biological Sciences. 2018; 14(2): 111-123. doi: 10.7150/ijbs.23230.
  29. Kuchenbaecker K.B., Hopper J.L., Barnes D.R., Phillips K.A., et al. Risks of Breast, Ovarian, and Contralateral Breast Cancer for BRCA1 and BRCA2 Mutation. JAMA. 2017; 317(23): 2402-16. doi: 10.1001/jama.2017.7112
  30. Daly M., Pilarski R., Axilbund J.E., et al. Genetic/familial high-risk assessment: breast and ovarian. J Natl Compr Canc Netw. 2017; 15(1): 9-20. doi: 10.6004/jnccn.2017.0003
  31. Skates S.J., Greene M.H., Buys S.S., Mai P.L. et al. Early Detection of Ovarian Cancer using the Risk of Ovarian Cancer Algorithm with Frequent CA-125 Testing in Women at Increased Familial Risk – Combined Results from Two Screening Trials. Clinical Cancer Research. 2017; 23(14): 3628–37. doi: 10.6004/jnccn.2017.0003
  32. Marino M.A., Riedl C., et al. Imaging Phenotypes in Women at High Risk for Breast Cancer on Mammography, Ultrasound, and Magnetic Resonance Imaging Using the Fifth Edition of the Breast Imaging Reporting and Data System. Eur J Radiol. 2018; 106: 150-159. doi: 10.1016/j.ejrad.2018.07.026
  33. Salani R., Khanna N., Frimer M., Bristow R.E., Chen L.M. An update on post-treatment surveillance and diagnosis of recurrence in women with gynecologic malignancies: Society of Gynecologic Oncology (SGO) recommendations. Gyn Oncol. 2017; 146(1): 3-10. doi: 10.1016/j.ygyno.2017.03.022
  34. Lancaster J.M., Powell C.B., Chen L.M., Richardson D.L. SGO Clinical Practice Committee. Society of Gynecologic Oncology statement on risk assessment for inherited gynecologic cancer predispositions. Gyn Oncol. 2015; 136(1): 3-7.doi: 10.1016/j.ygyno.2014.09.009
  35. Рекомендации РООМ по диагностике и лечению наследственного РМЖ Электронный ресурс: http://breastcancersociety.ru/download/599 (Дата обращения: 09.04.2019).[ROOM recommendations for the diagnosis and treatment of hereditary breast cancer Electronic resource:http://breastcancersociety.ru/download/599 (Date of treatment: 09.04.2019).(in Russ.)].
  36. Neff R.T. BRCA mutation in ovarian cancer: testing, implications and treatment considerations. Ther Adv. Med Oncol. 2017; 9(8): 519-531. ttps://doi.org/10.1177/1758834017714993
  37. Kotsopoulos J., et al. Age-specific ovarian cancer risks among women with a BRCA1 or BRCA2 mutation. Gyn Oncol. 2018; 150: 85-91. doi: . 10.1001/jama.2014.5985
  38. Oktay K., Kim J.Y., Barad D., Babayev S.N. Association of BRCA1 mutations with occult primary ovarian insufficiency: a possible explanation for the link between infertility and breast/ovarian cancer risks. J. Clin. Oncol. 2009; 28(2): 240-4. doi: 10.1200/JCO.2009.24.2057
  39. Lee V.C., Chow J.F., Lau E.Y., Kwong A., Leung S.Y., Yeung W.S., Ho P.C, Ng E.H. Preimplantation genetic diagnosis for hereditary cancer syndrome: local experience. Hong Kong Med J. 2016; 22(3): 289-91. doi: 10.12809/hkmj144499.
  40. Vitellaro M., Sala P., Signoroni S., et al. Risk of desmoid tumours after open and laparoscopic colectomy in patients with familial adenomatous polyposis. Br J Surg. 2014; 101: 558-65. doi: 10.1007/s00464-010-1478-z
  41. Ao A. Wells D., Handyside A.H., et at. Preimplantation genetic diagnosis of inherited cancer: Familial adenomatous polyposis coli. J Assist Reprod Genet. 1998; 15(3): 140-4. doi: 10.1023/a:1023008921386
  42. Abou-Sleiman P.M., Apessos A., Harper J.C., et al. First application of preimplantation genetic diagnosis to neurofibromatosis type 2 (NF2). Prenat. Diagn. 2002; 22(6): 519-524. DOI: 10.1002/pd.393
  43. Kotsopoulos J., Lubinski J., et al.. Factors influencing ovulation and the risk of ovarian cancer in BRCA1 and BRCA2 mutation carriers. International Journal of Cancer. 2014; 137(5): 1136-46. doi: 10.1002/ijc.29386.
  44. van Marckea, Collardc A., Vikkulab M., Duhouxa F.P. Prevalence of pathogenic variants and variants of unknown significance in patients at high risk of breast cancer: A systematic review and meta-analysis of gene-panel data. Crit Rev Oncol Hematol. 2018; 132: 138-144. doi: 10.1016/j.critrevonc.2018.09.009

Received 19.02.2019

Accepted 21.06.2019

About the Authors

Olga A. Buyanovskaya, PhD, clinical genetics at offices of clinical genetics of Reproductive Genetics, «National Medical Research Center for Obstetrics, Gynecology and Perinatology» Ministry of Health of Russia. E-mail: o_duyanovskaya@oparina4.ru
Adress: 4, Academician Oparin St., Moscow, Russian Federation, 117997.
Svetlana V. Hochlova, MD, Sciences, Head of the Oncology Department of Antitumor Drug Therapy. «National Medical Research Center for Obstetrics, Gynecology and Perinatology» Ministry of Health of Russia. E-mail: s_hohlova@oparina4.ru
Adress: 4, Academician Oparin St., Moscow, Russian Federation, 117997. Alexander N. Sencha, MD, Head of the Visual Diagnostic Department, «National Medical Research Center for Obstetrics, Gynecology and Perinatology» Ministry of Health of Russia. E-mail: a_sencha@oparina4.ru
Adress: 4, Academician Oparin St., Moscow, Russian Federation, 117997.

For citation: Buyanovskaya O.A., Khokhlova S.V., Sencha A.N. The present and future of molecular genetic analysis in the screening and prevention of malignant neoplasms of female reproductive organs
Akusherstvo i Ginekologiya/ Obstetrics and gynecology. 2019; 11: 55-64. (In Russian).
https://dx.doi.org/10.18565/aig.2019.11.55-64

Similar Articles

By continuing to use our site, you consent to the processing of cookies that ensure the proper functioning of the site.