Standard

Co-observation of germline pathogenic variants in breast cancer predisposition genes: Results from analysis of the BRIDGES sequencing dataset. / Davidson, Aimee L.; Michailidou, Kyriaki; Parsons, Michael T.; Fortuno, Cristina; Bolla, Manjeet K.; Wang, Qin; Dennis, Joe; Naven, Marc; Abubakar, Mustapha; Ahearn, Thomas U.; Alonso, M. Rosario; Andrulis, Irene L.; Antoniou, Antonis C.; Auvinen, Päivi; Behrens, Sabine; Bermisheva, Marina A.; Bogdanova, Natalia V.; Bojesen, Stig E.; Brüning, Thomas; Byers, Helen J.; Camp, Nicola J.; Campbell, Archie; Castelao, Jose E.; Cessna, Melissa H.; Chang-Claude, Jenny; Chanock, Stephen J.; Chenevix-Trench, Georgia; Sahlberg, Kristine K.; Børresen-Dale, Anne-Lise; Gram, Inger Torhild; Olsen, Karina Standahl; Engebråten, Olav; Naume, Bjørn; Geisler, Jürgen; OSBREAC; Grenaker Alnæs, Grethe I.; Collée, J. Margriet; Czene, Kamila; Dörk, Thilo; Eriksson, Mikael; Evans, D. Gareth; Fasching, Peter A.; Figueroa, Jonine D.; Flyger, Henrik; Gago-Dominguez, Manuela; García-Closas, Montserrat; Glendon, Gord; González-Neira, Anna; Grassmann, Felix; Gronwald, Jacek; Guénel, Pascal; Hadjisavvas, Andreas; Haeberle, Lothar; Hall, Per; Hamann, Ute; Hartman, Mikael; Ho, Peh Joo; Hooning, Maartje J.; Hoppe, Reiner; Howell, Anthony; Amor, David; Andrews, Lesley; Antill, Yoland; Balleine, Rosemary; Beesley, Jonathan; Bennett, Ian; Bogwitz, Michael; Bodek, Simon; Botes, Leon; Brennan, Meagan; Brown, Melissa; Buckley, Michael; Burke, Jo; Butow, Phyllis; Caldon, Liz; Campbell, Ian; Cao, Michelle; Chakrabarti, Anannya; Chauhan, Deepa; Chauhan, Manisha; Christian, Alice; Cohen, Paul; Colley, Alison; Crook, Ashley; Cui, James; Courtney, Eliza; Cummings, Margaret; Dawson, Sarah-Jane; deFazio, Anna; Delatycki, Martin; Dickson, Rebecca; Dixon, Joanne; Edwards, Stacey; Farshid, Gelareh; Fellows, Andrew; Fenton, Georgina; Field, Michael; Flanagan, James; Fong, Peter; Forrest, Laura; Fox, Stephen; French, Juliet; Friedlander, Michael; Gaff, Clara; Gattas, Mike; George, Peter; Greening, Sian; Harris, Marion; Hart, Stewart; Harraka, Philip; Hayward, Nick; Hopper, John; Hoskins, Cass; Hunt, Clare; Jenkins, Mark; Kidd, Alexa; Kirk, Judy; Koehler, Jessica; Kollias, James; Lakhani, Sunil; Lawrence, Mitchell; Lee, Jason; Li, Shuai; Lindeman, Geoff; Lippey, Jocelyn; Lipton, Lara; Lobb, Liz; Loi, Sherene; Mann, Graham; Marsh, Deborah; McLachlan, Sue Anne; Meiser, Bettina; Nightingale, Sophie; O'Connell, Shona; O'Sullivan, Sarah; Ortega, David Gallego; Pachter, Nick; Pang, Jia-Min; Pathak, Gargi; Patterson, Briony; Pearn, Amy; Phillips, Kelly; Pieper, Ellen; Ramus, Susan; Rickard, Edwina; Ragunathan, Abi; Robinson, Bridget; Saleh, Mona; Skandarajah, Anita; Salisbury, Elizabeth; Saunders, Christobel; Saunus, Jodi; Savas, Peter; Scott, Rodney; Scott, Clare; Sexton, Adrienne; Shaw, Joanne; Shelling, Andrew; Srinivasa, Shweta; Simpson, Peter; Taylor, Jessica; Taylor, Renea; Thorne, Heather; Trainer, Alison; Tucker, Kathy; Visvader, Jane; Walker, Logan; Williams, Rachael; Winship, Ingrid; Young, Mary Ann; Zaheed, Milita; Jakubowska, Anna; Khusnutdinova, Elza K.; Kristensen, Vessela N.; Li, Jingmei; Lim, Joanna; Lindblom, Annika; Liu, Jenny; Lophatananon, Artitaya; Mannermaa, Arto; Mavroudis, Dimitrios A.; Mensenkamp, Arjen R.; Milne, Roger L.; Muir, Kenneth R.; Newman, William G.; Obi, Nadia; Panayiotidis, Mihalis I.; Park, Sue K.; Park-Simon, Tjoung-Won; Peterlongo, Paolo; Radice, Paolo; Rashid, Muhammad U.; Rhenius, Valerie; Saloustros, Emmanouil; Sawyer, Elinor J.; Schmidt, Marjanka K.; Seibold, Petra; Shah, Mitul; Southey, Melissa C.; Teo, Soo Hwang; Tomlinson, Ian; Torres, Diana; Truong, Thérèse; van de Beek, Irma; van der Hout, Annemieke H.; Wendt, Camilla C.; Dunning, Alison M.; Pharoah, Paul D.P.; Devilee, Peter; Easton, Douglas F.; James, Paul A.; Spurdle, Amanda B.

In: American Journal of Human Genetics, Vol. 111, No. 9, 05.09.2024, p. 2059-2069.

Research output: Contribution to journalArticlepeer-review

Harvard

Davidson, AL, Michailidou, K, Parsons, MT, Fortuno, C, Bolla, MK, Wang, Q, Dennis, J, Naven, M, Abubakar, M, Ahearn, TU, Alonso, MR, Andrulis, IL, Antoniou, AC, Auvinen, P, Behrens, S, Bermisheva, MA, Bogdanova, NV, Bojesen, SE, Brüning, T, Byers, HJ, Camp, NJ, Campbell, A, Castelao, JE, Cessna, MH, Chang-Claude, J, Chanock, SJ, Chenevix-Trench, G, Sahlberg, KK, Børresen-Dale, A-L, Gram, IT, Olsen, KS, Engebråten, O, Naume, B, Geisler, J, OSBREAC, Grenaker Alnæs, GI, Collée, JM, Czene, K, Dörk, T, Eriksson, M, Evans, DG, Fasching, PA, Figueroa, JD, Flyger, H, Gago-Dominguez, M, García-Closas, M, Glendon, G, González-Neira, A, Grassmann, F, Gronwald, J, Guénel, P, Hadjisavvas, A, Haeberle, L, Hall, P, Hamann, U, Hartman, M, Ho, PJ, Hooning, MJ, Hoppe, R, Howell, A, Amor, D, Andrews, L, Antill, Y, Balleine, R, Beesley, J, Bennett, I, Bogwitz, M, Bodek, S, Botes, L, Brennan, M, Brown, M, Buckley, M, Burke, J, Butow, P, Caldon, L, Campbell, I, Cao, M, Chakrabarti, A, Chauhan, D, Chauhan, M, Christian, A, Cohen, P, Colley, A, Crook, A, Cui, J, Courtney, E, Cummings, M, Dawson, S-J, deFazio, A, Delatycki, M, Dickson, R, Dixon, J, Edwards, S, Farshid, G, Fellows, A, Fenton, G, Field, M, Flanagan, J, Fong, P, Forrest, L, Fox, S, French, J, Friedlander, M, Gaff, C, Gattas, M, George, P, Greening, S, Harris, M, Hart, S, Harraka, P, Hayward, N, Hopper, J, Hoskins, C, Hunt, C, Jenkins, M, Kidd, A, Kirk, J, Koehler, J, Kollias, J, Lakhani, S, Lawrence, M, Lee, J, Li, S, Lindeman, G, Lippey, J, Lipton, L, Lobb, L, Loi, S, Mann, G, Marsh, D, McLachlan, SA, Meiser, B, Nightingale, S, O'Connell, S, O'Sullivan, S, Ortega, DG, Pachter, N, Pang, J-M, Pathak, G, Patterson, B, Pearn, A, Phillips, K, Pieper, E, Ramus, S, Rickard, E, Ragunathan, A, Robinson, B, Saleh, M, Skandarajah, A, Salisbury, E, Saunders, C, Saunus, J, Savas, P, Scott, R, Scott, C, Sexton, A, Shaw, J, Shelling, A, Srinivasa, S, Simpson, P, Taylor, J, Taylor, R, Thorne, H, Trainer, A, Tucker, K, Visvader, J, Walker, L, Williams, R, Winship, I, Young, MA, Zaheed, M, Jakubowska, A, Khusnutdinova, EK, Kristensen, VN, Li, J, Lim, J, Lindblom, A, Liu, J, Lophatananon, A, Mannermaa, A, Mavroudis, DA, Mensenkamp, AR, Milne, RL, Muir, KR, Newman, WG, Obi, N, Panayiotidis, MI, Park, SK, Park-Simon, T-W, Peterlongo, P, Radice, P, Rashid, MU, Rhenius, V, Saloustros, E, Sawyer, EJ, Schmidt, MK, Seibold, P, Shah, M, Southey, MC, Teo, SH, Tomlinson, I, Torres, D, Truong, T, van de Beek, I, van der Hout, AH, Wendt, CC, Dunning, AM, Pharoah, PDP, Devilee, P, Easton, DF, James, PA & Spurdle, AB 2024, 'Co-observation of germline pathogenic variants in breast cancer predisposition genes: Results from analysis of the BRIDGES sequencing dataset', American Journal of Human Genetics, vol. 111, no. 9, pp. 2059-2069. https://doi.org/10.1016/j.ajhg.2024.07.004, https://doi.org/10.1016/j.ajhg.2024.07.004

APA

Davidson, A. L., Michailidou, K., Parsons, M. T., Fortuno, C., Bolla, M. K., Wang, Q., Dennis, J., Naven, M., Abubakar, M., Ahearn, T. U., Alonso, M. R., Andrulis, I. L., Antoniou, A. C., Auvinen, P., Behrens, S., Bermisheva, M. A., Bogdanova, N. V., Bojesen, S. E., Brüning, T., ... Spurdle, A. B. (2024). Co-observation of germline pathogenic variants in breast cancer predisposition genes: Results from analysis of the BRIDGES sequencing dataset. American Journal of Human Genetics, 111(9), 2059-2069. https://doi.org/10.1016/j.ajhg.2024.07.004, https://doi.org/10.1016/j.ajhg.2024.07.004

Vancouver

Author

Davidson, Aimee L. ; Michailidou, Kyriaki ; Parsons, Michael T. ; Fortuno, Cristina ; Bolla, Manjeet K. ; Wang, Qin ; Dennis, Joe ; Naven, Marc ; Abubakar, Mustapha ; Ahearn, Thomas U. ; Alonso, M. Rosario ; Andrulis, Irene L. ; Antoniou, Antonis C. ; Auvinen, Päivi ; Behrens, Sabine ; Bermisheva, Marina A. ; Bogdanova, Natalia V. ; Bojesen, Stig E. ; Brüning, Thomas ; Byers, Helen J. ; Camp, Nicola J. ; Campbell, Archie ; Castelao, Jose E. ; Cessna, Melissa H. ; Chang-Claude, Jenny ; Chanock, Stephen J. ; Chenevix-Trench, Georgia ; Sahlberg, Kristine K. ; Børresen-Dale, Anne-Lise ; Gram, Inger Torhild ; Olsen, Karina Standahl ; Engebråten, Olav ; Naume, Bjørn ; Geisler, Jürgen ; OSBREAC ; Grenaker Alnæs, Grethe I. ; Collée, J. Margriet ; Czene, Kamila ; Dörk, Thilo ; Eriksson, Mikael ; Evans, D. Gareth ; Fasching, Peter A. ; Figueroa, Jonine D. ; Flyger, Henrik ; Gago-Dominguez, Manuela ; García-Closas, Montserrat ; Glendon, Gord ; González-Neira, Anna ; Grassmann, Felix ; Gronwald, Jacek ; Guénel, Pascal ; Hadjisavvas, Andreas ; Haeberle, Lothar ; Hall, Per ; Hamann, Ute ; Hartman, Mikael ; Ho, Peh Joo ; Hooning, Maartje J. ; Hoppe, Reiner ; Howell, Anthony ; Amor, David ; Andrews, Lesley ; Antill, Yoland ; Balleine, Rosemary ; Beesley, Jonathan ; Bennett, Ian ; Bogwitz, Michael ; Bodek, Simon ; Botes, Leon ; Brennan, Meagan ; Brown, Melissa ; Buckley, Michael ; Burke, Jo ; Butow, Phyllis ; Caldon, Liz ; Campbell, Ian ; Cao, Michelle ; Chakrabarti, Anannya ; Chauhan, Deepa ; Chauhan, Manisha ; Christian, Alice ; Cohen, Paul ; Colley, Alison ; Crook, Ashley ; Cui, James ; Courtney, Eliza ; Cummings, Margaret ; Dawson, Sarah-Jane ; deFazio, Anna ; Delatycki, Martin ; Dickson, Rebecca ; Dixon, Joanne ; Edwards, Stacey ; Farshid, Gelareh ; Fellows, Andrew ; Fenton, Georgina ; Field, Michael ; Flanagan, James ; Fong, Peter ; Forrest, Laura ; Fox, Stephen ; French, Juliet ; Friedlander, Michael ; Gaff, Clara ; Gattas, Mike ; George, Peter ; Greening, Sian ; Harris, Marion ; Hart, Stewart ; Harraka, Philip ; Hayward, Nick ; Hopper, John ; Hoskins, Cass ; Hunt, Clare ; Jenkins, Mark ; Kidd, Alexa ; Kirk, Judy ; Koehler, Jessica ; Kollias, James ; Lakhani, Sunil ; Lawrence, Mitchell ; Lee, Jason ; Li, Shuai ; Lindeman, Geoff ; Lippey, Jocelyn ; Lipton, Lara ; Lobb, Liz ; Loi, Sherene ; Mann, Graham ; Marsh, Deborah ; McLachlan, Sue Anne ; Meiser, Bettina ; Nightingale, Sophie ; O'Connell, Shona ; O'Sullivan, Sarah ; Ortega, David Gallego ; Pachter, Nick ; Pang, Jia-Min ; Pathak, Gargi ; Patterson, Briony ; Pearn, Amy ; Phillips, Kelly ; Pieper, Ellen ; Ramus, Susan ; Rickard, Edwina ; Ragunathan, Abi ; Robinson, Bridget ; Saleh, Mona ; Skandarajah, Anita ; Salisbury, Elizabeth ; Saunders, Christobel ; Saunus, Jodi ; Savas, Peter ; Scott, Rodney ; Scott, Clare ; Sexton, Adrienne ; Shaw, Joanne ; Shelling, Andrew ; Srinivasa, Shweta ; Simpson, Peter ; Taylor, Jessica ; Taylor, Renea ; Thorne, Heather ; Trainer, Alison ; Tucker, Kathy ; Visvader, Jane ; Walker, Logan ; Williams, Rachael ; Winship, Ingrid ; Young, Mary Ann ; Zaheed, Milita ; Jakubowska, Anna ; Khusnutdinova, Elza K. ; Kristensen, Vessela N. ; Li, Jingmei ; Lim, Joanna ; Lindblom, Annika ; Liu, Jenny ; Lophatananon, Artitaya ; Mannermaa, Arto ; Mavroudis, Dimitrios A. ; Mensenkamp, Arjen R. ; Milne, Roger L. ; Muir, Kenneth R. ; Newman, William G. ; Obi, Nadia ; Panayiotidis, Mihalis I. ; Park, Sue K. ; Park-Simon, Tjoung-Won ; Peterlongo, Paolo ; Radice, Paolo ; Rashid, Muhammad U. ; Rhenius, Valerie ; Saloustros, Emmanouil ; Sawyer, Elinor J. ; Schmidt, Marjanka K. ; Seibold, Petra ; Shah, Mitul ; Southey, Melissa C. ; Teo, Soo Hwang ; Tomlinson, Ian ; Torres, Diana ; Truong, Thérèse ; van de Beek, Irma ; van der Hout, Annemieke H. ; Wendt, Camilla C. ; Dunning, Alison M. ; Pharoah, Paul D.P. ; Devilee, Peter ; Easton, Douglas F. ; James, Paul A. ; Spurdle, Amanda B. / Co-observation of germline pathogenic variants in breast cancer predisposition genes: Results from analysis of the BRIDGES sequencing dataset. In: American Journal of Human Genetics. 2024 ; Vol. 111, No. 9. pp. 2059-2069.

BibTeX

@article{19b2f2cbdc8e4dda899e730feb7dfb77,
title = "Co-observation of germline pathogenic variants in breast cancer predisposition genes: Results from analysis of the BRIDGES sequencing dataset",
abstract = "Co-observation of a gene variant with a pathogenic variant in another gene that explains the disease presentation has been designated as evidence against pathogenicity for commonly used variant classification guidelines. Multiple variant curation expert panels have specified, from consensus opinion, that this evidence type is not applicable for the classification of breast cancer predisposition gene variants. Statistical analysis of sequence data for 55,815 individuals diagnosed with breast cancer from the BRIDGES sequencing project was undertaken to formally assess the utility of co-observation data for germline variant classification. Our analysis included expected loss-of-function variants in 11 breast cancer predisposition genes and pathogenic missense variants in BRCA1, BRCA2, and TP53. We assessed whether co-observation of pathogenic variants in two different genes occurred more or less often than expected under the assumption of independence. Co-observation of pathogenic variants in each of BRCA1, BRCA2, and PALB2 with the remaining genes was less frequent than expected. This evidence for depletion remained after adjustment for age at diagnosis, study design (familial versus population-based), and country. Co-observation of a variant of uncertain significance in BRCA1, BRCA2, or PALB2 with a pathogenic variant in another breast cancer gene equated to supporting evidence against pathogenicity following criterion strength assignment based on the likelihood ratio and showed utility in reclassification of missense BRCA1 and BRCA2 variants identified in BRIDGES. Our approach has applicability for assessing the value of co-observation as a predictor of variant pathogenicity in other clinical contexts, including for gene-specific guidelines developed by ClinGen Variant Curation Expert Panels.",
keywords = "Adult, BRCA1 Protein/genetics, BRCA2 Protein/genetics, Breast Neoplasms/genetics, Fanconi Anemia Complementation Group N Protein/genetics, Female, Genetic Predisposition to Disease, Germ-Line Mutation/genetics, Humans, Middle Aged, Mutation, Missense/genetics, Tumor Suppressor Protein p53/genetics, ACMG/AMP, variant classification, BP5, breast cancer, co-observation, genetics, sequencing data",
author = "Davidson, {Aimee L.} and Kyriaki Michailidou and Parsons, {Michael T.} and Cristina Fortuno and Bolla, {Manjeet K.} and Qin Wang and Joe Dennis and Marc Naven and Mustapha Abubakar and Ahearn, {Thomas U.} and Alonso, {M. Rosario} and Andrulis, {Irene L.} and Antoniou, {Antonis C.} and P{\"a}ivi Auvinen and Sabine Behrens and Bermisheva, {Marina A.} and Bogdanova, {Natalia V.} and Bojesen, {Stig E.} and Thomas Br{\"u}ning and Byers, {Helen J.} and Camp, {Nicola J.} and Archie Campbell and Castelao, {Jose E.} and Cessna, {Melissa H.} and Jenny Chang-Claude and Chanock, {Stephen J.} and Georgia Chenevix-Trench and Sahlberg, {Kristine K.} and Anne-Lise B{\o}rresen-Dale and Gram, {Inger Torhild} and Olsen, {Karina Standahl} and Olav Engebr{\aa}ten and Bj{\o}rn Naume and J{\"u}rgen Geisler and OSBREAC and {Grenaker Aln{\ae}s}, {Grethe I.} and Coll{\'e}e, {J. Margriet} and Kamila Czene and Thilo D{\"o}rk and Mikael Eriksson and Evans, {D. Gareth} and Fasching, {Peter A.} and Figueroa, {Jonine D.} and Henrik Flyger and Manuela Gago-Dominguez and Montserrat Garc{\'i}a-Closas and Gord Glendon and Anna Gonz{\'a}lez-Neira and Felix Grassmann and Jacek Gronwald and Pascal Gu{\'e}nel and Andreas Hadjisavvas and Lothar Haeberle and Per Hall and Ute Hamann and Mikael Hartman and Ho, {Peh Joo} and Hooning, {Maartje J.} and Reiner Hoppe and Anthony Howell and David Amor and Lesley Andrews and Yoland Antill and Rosemary Balleine and Jonathan Beesley and Ian Bennett and Michael Bogwitz and Simon Bodek and Leon Botes and Meagan Brennan and Melissa Brown and Michael Buckley and Jo Burke and Phyllis Butow and Liz Caldon and Ian Campbell and Michelle Cao and Anannya Chakrabarti and Deepa Chauhan and Manisha Chauhan and Alice Christian and Paul Cohen and Alison Colley and Ashley Crook and James Cui and Eliza Courtney and Margaret Cummings and Sarah-Jane Dawson and Anna deFazio and Martin Delatycki and Rebecca Dickson and Joanne Dixon and Stacey Edwards and Gelareh Farshid and Andrew Fellows and Georgina Fenton and Michael Field and James Flanagan and Peter Fong and Laura Forrest and Stephen Fox and Juliet French and Michael Friedlander and Clara Gaff and Mike Gattas and Peter George and Sian Greening and Marion Harris and Stewart Hart and Philip Harraka and Nick Hayward and John Hopper and Cass Hoskins and Clare Hunt and Mark Jenkins and Alexa Kidd and Judy Kirk and Jessica Koehler and James Kollias and Sunil Lakhani and Mitchell Lawrence and Jason Lee and Shuai Li and Geoff Lindeman and Jocelyn Lippey and Lara Lipton and Liz Lobb and Sherene Loi and Graham Mann and Deborah Marsh and McLachlan, {Sue Anne} and Bettina Meiser and Sophie Nightingale and Shona O'Connell and Sarah O'Sullivan and Ortega, {David Gallego} and Nick Pachter and Jia-Min Pang and Gargi Pathak and Briony Patterson and Amy Pearn and Kelly Phillips and Ellen Pieper and Susan Ramus and Edwina Rickard and Abi Ragunathan and Bridget Robinson and Mona Saleh and Anita Skandarajah and Elizabeth Salisbury and Christobel Saunders and Jodi Saunus and Peter Savas and Rodney Scott and Clare Scott and Adrienne Sexton and Joanne Shaw and Andrew Shelling and Shweta Srinivasa and Peter Simpson and Jessica Taylor and Renea Taylor and Heather Thorne and Alison Trainer and Kathy Tucker and Jane Visvader and Logan Walker and Rachael Williams and Ingrid Winship and Young, {Mary Ann} and Milita Zaheed and Anna Jakubowska and Khusnutdinova, {Elza K.} and Kristensen, {Vessela N.} and Jingmei Li and Joanna Lim and Annika Lindblom and Jenny Liu and Artitaya Lophatananon and Arto Mannermaa and Mavroudis, {Dimitrios A.} and Mensenkamp, {Arjen R.} and Milne, {Roger L.} and Muir, {Kenneth R.} and Newman, {William G.} and Nadia Obi and Panayiotidis, {Mihalis I.} and Park, {Sue K.} and Tjoung-Won Park-Simon and Paolo Peterlongo and Paolo Radice and Rashid, {Muhammad U.} and Valerie Rhenius and Emmanouil Saloustros and Sawyer, {Elinor J.} and Schmidt, {Marjanka K.} and Petra Seibold and Mitul Shah and Southey, {Melissa C.} and Teo, {Soo Hwang} and Ian Tomlinson and Diana Torres and Th{\'e}r{\`e}se Truong and {van de Beek}, Irma and {van der Hout}, {Annemieke H.} and Wendt, {Camilla C.} and Dunning, {Alison M.} and Pharoah, {Paul D.P.} and Peter Devilee and Easton, {Douglas F.} and James, {Paul A.} and Spurdle, {Amanda B.}",
year = "2024",
month = sep,
day = "5",
doi = "10.1016/j.ajhg.2024.07.004",
language = "English",
volume = "111",
pages = "2059--2069",
journal = "American Journal of Human Genetics",
issn = "0002-9297",
publisher = "Cell Press",
number = "9",

}

RIS

TY - JOUR

T1 - Co-observation of germline pathogenic variants in breast cancer predisposition genes: Results from analysis of the BRIDGES sequencing dataset

AU - Davidson, Aimee L.

AU - Michailidou, Kyriaki

AU - Parsons, Michael T.

AU - Fortuno, Cristina

AU - Bolla, Manjeet K.

AU - Wang, Qin

AU - Dennis, Joe

AU - Naven, Marc

AU - Abubakar, Mustapha

AU - Ahearn, Thomas U.

AU - Alonso, M. Rosario

AU - Andrulis, Irene L.

AU - Antoniou, Antonis C.

AU - Auvinen, Päivi

AU - Behrens, Sabine

AU - Bermisheva, Marina A.

AU - Bogdanova, Natalia V.

AU - Bojesen, Stig E.

AU - Brüning, Thomas

AU - Byers, Helen J.

AU - Camp, Nicola J.

AU - Campbell, Archie

AU - Castelao, Jose E.

AU - Cessna, Melissa H.

AU - Chang-Claude, Jenny

AU - Chanock, Stephen J.

AU - Chenevix-Trench, Georgia

AU - Sahlberg, Kristine K.

AU - Børresen-Dale, Anne-Lise

AU - Gram, Inger Torhild

AU - Olsen, Karina Standahl

AU - Engebråten, Olav

AU - Naume, Bjørn

AU - Geisler, Jürgen

AU - OSBREAC, null

AU - Grenaker Alnæs, Grethe I.

AU - Collée, J. Margriet

AU - Czene, Kamila

AU - Dörk, Thilo

AU - Eriksson, Mikael

AU - Evans, D. Gareth

AU - Fasching, Peter A.

AU - Figueroa, Jonine D.

AU - Flyger, Henrik

AU - Gago-Dominguez, Manuela

AU - García-Closas, Montserrat

AU - Glendon, Gord

AU - González-Neira, Anna

AU - Grassmann, Felix

AU - Gronwald, Jacek

AU - Guénel, Pascal

AU - Hadjisavvas, Andreas

AU - Haeberle, Lothar

AU - Hall, Per

AU - Hamann, Ute

AU - Hartman, Mikael

AU - Ho, Peh Joo

AU - Hooning, Maartje J.

AU - Hoppe, Reiner

AU - Howell, Anthony

AU - Amor, David

AU - Andrews, Lesley

AU - Antill, Yoland

AU - Balleine, Rosemary

AU - Beesley, Jonathan

AU - Bennett, Ian

AU - Bogwitz, Michael

AU - Bodek, Simon

AU - Botes, Leon

AU - Brennan, Meagan

AU - Brown, Melissa

AU - Buckley, Michael

AU - Burke, Jo

AU - Butow, Phyllis

AU - Caldon, Liz

AU - Campbell, Ian

AU - Cao, Michelle

AU - Chakrabarti, Anannya

AU - Chauhan, Deepa

AU - Chauhan, Manisha

AU - Christian, Alice

AU - Cohen, Paul

AU - Colley, Alison

AU - Crook, Ashley

AU - Cui, James

AU - Courtney, Eliza

AU - Cummings, Margaret

AU - Dawson, Sarah-Jane

AU - deFazio, Anna

AU - Delatycki, Martin

AU - Dickson, Rebecca

AU - Dixon, Joanne

AU - Edwards, Stacey

AU - Farshid, Gelareh

AU - Fellows, Andrew

AU - Fenton, Georgina

AU - Field, Michael

AU - Flanagan, James

AU - Fong, Peter

AU - Forrest, Laura

AU - Fox, Stephen

AU - French, Juliet

AU - Friedlander, Michael

AU - Gaff, Clara

AU - Gattas, Mike

AU - George, Peter

AU - Greening, Sian

AU - Harris, Marion

AU - Hart, Stewart

AU - Harraka, Philip

AU - Hayward, Nick

AU - Hopper, John

AU - Hoskins, Cass

AU - Hunt, Clare

AU - Jenkins, Mark

AU - Kidd, Alexa

AU - Kirk, Judy

AU - Koehler, Jessica

AU - Kollias, James

AU - Lakhani, Sunil

AU - Lawrence, Mitchell

AU - Lee, Jason

AU - Li, Shuai

AU - Lindeman, Geoff

AU - Lippey, Jocelyn

AU - Lipton, Lara

AU - Lobb, Liz

AU - Loi, Sherene

AU - Mann, Graham

AU - Marsh, Deborah

AU - McLachlan, Sue Anne

AU - Meiser, Bettina

AU - Nightingale, Sophie

AU - O'Connell, Shona

AU - O'Sullivan, Sarah

AU - Ortega, David Gallego

AU - Pachter, Nick

AU - Pang, Jia-Min

AU - Pathak, Gargi

AU - Patterson, Briony

AU - Pearn, Amy

AU - Phillips, Kelly

AU - Pieper, Ellen

AU - Ramus, Susan

AU - Rickard, Edwina

AU - Ragunathan, Abi

AU - Robinson, Bridget

AU - Saleh, Mona

AU - Skandarajah, Anita

AU - Salisbury, Elizabeth

AU - Saunders, Christobel

AU - Saunus, Jodi

AU - Savas, Peter

AU - Scott, Rodney

AU - Scott, Clare

AU - Sexton, Adrienne

AU - Shaw, Joanne

AU - Shelling, Andrew

AU - Srinivasa, Shweta

AU - Simpson, Peter

AU - Taylor, Jessica

AU - Taylor, Renea

AU - Thorne, Heather

AU - Trainer, Alison

AU - Tucker, Kathy

AU - Visvader, Jane

AU - Walker, Logan

AU - Williams, Rachael

AU - Winship, Ingrid

AU - Young, Mary Ann

AU - Zaheed, Milita

AU - Jakubowska, Anna

AU - Khusnutdinova, Elza K.

AU - Kristensen, Vessela N.

AU - Li, Jingmei

AU - Lim, Joanna

AU - Lindblom, Annika

AU - Liu, Jenny

AU - Lophatananon, Artitaya

AU - Mannermaa, Arto

AU - Mavroudis, Dimitrios A.

AU - Mensenkamp, Arjen R.

AU - Milne, Roger L.

AU - Muir, Kenneth R.

AU - Newman, William G.

AU - Obi, Nadia

AU - Panayiotidis, Mihalis I.

AU - Park, Sue K.

AU - Park-Simon, Tjoung-Won

AU - Peterlongo, Paolo

AU - Radice, Paolo

AU - Rashid, Muhammad U.

AU - Rhenius, Valerie

AU - Saloustros, Emmanouil

AU - Sawyer, Elinor J.

AU - Schmidt, Marjanka K.

AU - Seibold, Petra

AU - Shah, Mitul

AU - Southey, Melissa C.

AU - Teo, Soo Hwang

AU - Tomlinson, Ian

AU - Torres, Diana

AU - Truong, Thérèse

AU - van de Beek, Irma

AU - van der Hout, Annemieke H.

AU - Wendt, Camilla C.

AU - Dunning, Alison M.

AU - Pharoah, Paul D.P.

AU - Devilee, Peter

AU - Easton, Douglas F.

AU - James, Paul A.

AU - Spurdle, Amanda B.

PY - 2024/9/5

Y1 - 2024/9/5

N2 - Co-observation of a gene variant with a pathogenic variant in another gene that explains the disease presentation has been designated as evidence against pathogenicity for commonly used variant classification guidelines. Multiple variant curation expert panels have specified, from consensus opinion, that this evidence type is not applicable for the classification of breast cancer predisposition gene variants. Statistical analysis of sequence data for 55,815 individuals diagnosed with breast cancer from the BRIDGES sequencing project was undertaken to formally assess the utility of co-observation data for germline variant classification. Our analysis included expected loss-of-function variants in 11 breast cancer predisposition genes and pathogenic missense variants in BRCA1, BRCA2, and TP53. We assessed whether co-observation of pathogenic variants in two different genes occurred more or less often than expected under the assumption of independence. Co-observation of pathogenic variants in each of BRCA1, BRCA2, and PALB2 with the remaining genes was less frequent than expected. This evidence for depletion remained after adjustment for age at diagnosis, study design (familial versus population-based), and country. Co-observation of a variant of uncertain significance in BRCA1, BRCA2, or PALB2 with a pathogenic variant in another breast cancer gene equated to supporting evidence against pathogenicity following criterion strength assignment based on the likelihood ratio and showed utility in reclassification of missense BRCA1 and BRCA2 variants identified in BRIDGES. Our approach has applicability for assessing the value of co-observation as a predictor of variant pathogenicity in other clinical contexts, including for gene-specific guidelines developed by ClinGen Variant Curation Expert Panels.

AB - Co-observation of a gene variant with a pathogenic variant in another gene that explains the disease presentation has been designated as evidence against pathogenicity for commonly used variant classification guidelines. Multiple variant curation expert panels have specified, from consensus opinion, that this evidence type is not applicable for the classification of breast cancer predisposition gene variants. Statistical analysis of sequence data for 55,815 individuals diagnosed with breast cancer from the BRIDGES sequencing project was undertaken to formally assess the utility of co-observation data for germline variant classification. Our analysis included expected loss-of-function variants in 11 breast cancer predisposition genes and pathogenic missense variants in BRCA1, BRCA2, and TP53. We assessed whether co-observation of pathogenic variants in two different genes occurred more or less often than expected under the assumption of independence. Co-observation of pathogenic variants in each of BRCA1, BRCA2, and PALB2 with the remaining genes was less frequent than expected. This evidence for depletion remained after adjustment for age at diagnosis, study design (familial versus population-based), and country. Co-observation of a variant of uncertain significance in BRCA1, BRCA2, or PALB2 with a pathogenic variant in another breast cancer gene equated to supporting evidence against pathogenicity following criterion strength assignment based on the likelihood ratio and showed utility in reclassification of missense BRCA1 and BRCA2 variants identified in BRIDGES. Our approach has applicability for assessing the value of co-observation as a predictor of variant pathogenicity in other clinical contexts, including for gene-specific guidelines developed by ClinGen Variant Curation Expert Panels.

KW - Adult

KW - BRCA1 Protein/genetics

KW - BRCA2 Protein/genetics

KW - Breast Neoplasms/genetics

KW - Fanconi Anemia Complementation Group N Protein/genetics

KW - Female

KW - Genetic Predisposition to Disease

KW - Germ-Line Mutation/genetics

KW - Humans

KW - Middle Aged

KW - Mutation, Missense/genetics

KW - Tumor Suppressor Protein p53/genetics

KW - ACMG/AMP

KW - variant classification

KW - BP5

KW - breast cancer

KW - co-observation

KW - genetics

KW - sequencing data

UR - https://www.mendeley.com/catalogue/cff8405e-392f-3c01-8a6f-c74e775dee12/

U2 - 10.1016/j.ajhg.2024.07.004

DO - 10.1016/j.ajhg.2024.07.004

M3 - Article

C2 - 39096911

VL - 111

SP - 2059

EP - 2069

JO - American Journal of Human Genetics

JF - American Journal of Human Genetics

SN - 0002-9297

IS - 9

ER -

ID: 124152085