Assessment of candidate high-grade serous ovarian carcinoma predisposition genes through integrated germline and tumour sequencing

Abstract High-grade serous ovarian carcinoma (HGSOC) has a significant hereditary component, only half of which is explained. Previously, we performed germline exome sequencing on BRCA1 and BRCA2-negative HGSOC patients, revealing three proposed and 43 novel candidate genes enriched with rare loss-o...

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Main Authors: Deepak N. Subramanian, Maia Zethoven, Kathleen I. Pishas, Evanny R. Marinović, Simone McInerny, Simone M. Rowley, Prue E. Allan, Lisa Devereux, Dane Cheasley, Paul A. James, Ian G. Campbell
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:npj Genomic Medicine
Online Access:https://doi.org/10.1038/s41525-024-00447-3
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author Deepak N. Subramanian
Maia Zethoven
Kathleen I. Pishas
Evanny R. Marinović
Simone McInerny
Simone M. Rowley
Prue E. Allan
Lisa Devereux
Dane Cheasley
Paul A. James
Ian G. Campbell
author_facet Deepak N. Subramanian
Maia Zethoven
Kathleen I. Pishas
Evanny R. Marinović
Simone McInerny
Simone M. Rowley
Prue E. Allan
Lisa Devereux
Dane Cheasley
Paul A. James
Ian G. Campbell
author_sort Deepak N. Subramanian
collection DOAJ
description Abstract High-grade serous ovarian carcinoma (HGSOC) has a significant hereditary component, only half of which is explained. Previously, we performed germline exome sequencing on BRCA1 and BRCA2-negative HGSOC patients, revealing three proposed and 43 novel candidate genes enriched with rare loss-of-function variants. For validation, we undertook case-control analyses using genomic data from disease-free controls. This confirms enrichment for nearly all previously identified genes. Additionally, one-hundred-and-eleven HGSOC tumours from variant carriers were sequenced alongside other complementary studies, seeking evidence of biallelic inactivation as supportive evidence. PALB2 and ATM validate as HGSOC predisposition genes, with 6/8 germline carrier tumours exhibiting biallelic inactivation accompanied by characteristic mutational signatures. Among candidate genes, only LLGL2 consistently shows biallelic inactivation and protein expression loss, supporting it as a novel HGSOC susceptibility gene. The remaining candidate genes fail to validate. Integrating case-control analyses with tumour sequencing is thus crucial for accurate gene discovery in familial cancer studies.
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publishDate 2025-01-01
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spelling doaj-art-18f591b9005448beb5d1a0ed8f98a2b62025-01-12T12:33:49ZengNature Portfolionpj Genomic Medicine2056-79442025-01-0110111610.1038/s41525-024-00447-3Assessment of candidate high-grade serous ovarian carcinoma predisposition genes through integrated germline and tumour sequencingDeepak N. Subramanian0Maia Zethoven1Kathleen I. Pishas2Evanny R. Marinović3Simone McInerny4Simone M. Rowley5Prue E. Allan6Lisa Devereux7Dane Cheasley8Paul A. James9Ian G. Campbell10Cancer Genetics Laboratory, Peter MacCallum Cancer CentreBioinformatics Core Facility, Peter MacCallum Cancer CentreCancer Genetics Laboratory, Peter MacCallum Cancer CentreCancer Genetics Laboratory, Peter MacCallum Cancer CentreParkville Familial Cancer Centre, Peter MacCallum Cancer Centre and The Royal Melbourne HospitalCancer Genetics Laboratory, Peter MacCallum Cancer CentreDepartment of Pathology, Peter MacCallum Cancer CentreSir Peter MacCallum Department of Oncology, The University of MelbourneCancer Genetics Laboratory, Peter MacCallum Cancer CentreSir Peter MacCallum Department of Oncology, The University of MelbourneCancer Genetics Laboratory, Peter MacCallum Cancer CentreAbstract High-grade serous ovarian carcinoma (HGSOC) has a significant hereditary component, only half of which is explained. Previously, we performed germline exome sequencing on BRCA1 and BRCA2-negative HGSOC patients, revealing three proposed and 43 novel candidate genes enriched with rare loss-of-function variants. For validation, we undertook case-control analyses using genomic data from disease-free controls. This confirms enrichment for nearly all previously identified genes. Additionally, one-hundred-and-eleven HGSOC tumours from variant carriers were sequenced alongside other complementary studies, seeking evidence of biallelic inactivation as supportive evidence. PALB2 and ATM validate as HGSOC predisposition genes, with 6/8 germline carrier tumours exhibiting biallelic inactivation accompanied by characteristic mutational signatures. Among candidate genes, only LLGL2 consistently shows biallelic inactivation and protein expression loss, supporting it as a novel HGSOC susceptibility gene. The remaining candidate genes fail to validate. Integrating case-control analyses with tumour sequencing is thus crucial for accurate gene discovery in familial cancer studies.https://doi.org/10.1038/s41525-024-00447-3
spellingShingle Deepak N. Subramanian
Maia Zethoven
Kathleen I. Pishas
Evanny R. Marinović
Simone McInerny
Simone M. Rowley
Prue E. Allan
Lisa Devereux
Dane Cheasley
Paul A. James
Ian G. Campbell
Assessment of candidate high-grade serous ovarian carcinoma predisposition genes through integrated germline and tumour sequencing
npj Genomic Medicine
title Assessment of candidate high-grade serous ovarian carcinoma predisposition genes through integrated germline and tumour sequencing
title_full Assessment of candidate high-grade serous ovarian carcinoma predisposition genes through integrated germline and tumour sequencing
title_fullStr Assessment of candidate high-grade serous ovarian carcinoma predisposition genes through integrated germline and tumour sequencing
title_full_unstemmed Assessment of candidate high-grade serous ovarian carcinoma predisposition genes through integrated germline and tumour sequencing
title_short Assessment of candidate high-grade serous ovarian carcinoma predisposition genes through integrated germline and tumour sequencing
title_sort assessment of candidate high grade serous ovarian carcinoma predisposition genes through integrated germline and tumour sequencing
url https://doi.org/10.1038/s41525-024-00447-3
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