BRCA1/2 variant landscape and clinical correlates in high-risk breast cancer patients from Eastern China - Report - MDSpire

BRCA1/2 variant landscape and clinical correlates in high-risk breast cancer patients from Eastern China

  • By

  • Wei Gu

  • Najeeb Ullah Khan

  • Huijun Lei

  • Jinzhen Fu

  • Chengyin Xu

  • Xukai Chen

  • Xiao-jia Wang

  • Tianhui Chen

  • June 29, 2026

  • 0 min

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Clinical Report: Characterization of BRCA1/2 Variants in High-Risk Breast Cancer

Overview

This study characterizes the landscape of BRCA1/2 variants in 1,262 high-risk breast cancer patients from eastern China, identifying 124 carriers of pathogenic or likely pathogenic variants.

Background

Breast cancer is a significant health issue in China, with rising incidence and mortality rates. Identifying BRCA1/2 pathogenic variants is associated with an increased risk of breast and ovarian cancers.

Data Highlights

Variant TypeFrequency
BRCA1 P/LP variants5.5%
BRCA2 P/LP variants4.3%
Overall P/LP variant carriers9.8%
BRCA1/2 P/LP variants in TNBC60 cases

Key Findings

  • 124 out of 1,262 patients were identified as carriers of BRCA1/2 P/LP variants.
  • 9.8% of the cohort carried BRCA1/2 P/LP variants, with 5.5% being BRCA1 and 4.3% BRCA2.
  • Patients aged ≤45 years had a higher frequency of P/LP variants.
  • Among 336 patients with triple-negative breast cancer, 60 carried BRCA1/2 P/LP variants.
  • 21 variants were observed in more than one participant, including a founder mutation in Chinese populations.

Clinical Implications

This study provides data for genetic counseling and testing strategies in high-risk breast cancer patients in China.

Conclusion

This characterization of BRCA1/2 variants in high-risk breast cancer patients in eastern China provides data for managing breast cancer risk.

Related Resources & Content

  1. Frontiers in Oncology, 2026 -- Clinical predictors of BRCA1/2 P/LP variants for high-risk breast cancer patients in China: HBRCA-risk prediction
  2. Addressing the Management of BRCA Mutation Carriers in China: A Response, 2010
  3. The ASCO Post, 2022 -- Assessment of Cancer Risk Profile for Germline BRCA1 and BRCA2 Pathogenic Variants in Patients With Common Cancers
  4. Evaluating the Precision of BRCA1/2 Mutation Prediction Models Across Various Ethnic and Gender Groups, 2011
  5. Germline Testing in Patients With Breast Cancer: ASCO–Society of Surgical Oncology Guideline, 2023
  6. Clinicopathological characteristics and eligibility for adjuvant olaparib of germline BRCA1/2 mutation carriers with HER2-negative early breast cancer, 2024
  7. Somatic and germline aberrations in homologous recombination repair genes among Chinese high-risk breast cancer patients by multi-gene next-generation sequencing, 2023
  8. Germline Testing in Patients With Breast Cancer: ASCO–Society of Surgical Oncology Guideline | Journal of Clinical Oncology
  9. Clinicopathological characteristics and eligibility for adjuvant olaparib of germline BRCA1/2 mutation carriers with HER2-negative early breast cancer | npj Breast Cancer
  10. Somatic and germline aberrations in homologous recombination repair genes among Chinese high-risk breast cancer patients by multi-gene next-generation sequencing - PubMed

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