2022
DOI: 10.3390/cancers14235953
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Gastric Cancer Risk and Pathogenesis in BRCA1 and BRCA2 Carriers

Abstract: Carriers of a pathogenic germline variant (PV) in BRCA1 or BRCA2 are at increased risk for a number of malignancies, including breast, ovarian, pancreatic, and prostate cancer. In this review, we discuss emerging evidence that BRCA2 PV carriers, and likely also BRCA1 PV carriers, are also at increased risk for gastric cancer (GC), highlighting that GC may be part of the BRCA1/2 cancer risk spectrum. While the pathogenesis of GC among BRCA1/2 PV carriers remains unclear, increasing evidence reveals that GCs are… Show more

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Cited by 22 publications
(15 citation statements)
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“…Strict cancer surveillance and risk-decreasing prophylactic surgeries have become a central component in the management of BRCA1/2 PV and LPV carriers [ 2 ]. BRCA 1/2 PVs and LPVs are commonly associated with breast and ovarian cancers along with other malignancies involving the prostate, pancreas and stomach [ 3 ]. In particular, Pancreatic Ductal Adenocarcinoma (PDAC) represents one of the most aggressive tumors, with a 5-year survival rate of 8% [ 4 ].…”
Section: Introductionmentioning
confidence: 99%
“…Strict cancer surveillance and risk-decreasing prophylactic surgeries have become a central component in the management of BRCA1/2 PV and LPV carriers [ 2 ]. BRCA 1/2 PVs and LPVs are commonly associated with breast and ovarian cancers along with other malignancies involving the prostate, pancreas and stomach [ 3 ]. In particular, Pancreatic Ductal Adenocarcinoma (PDAC) represents one of the most aggressive tumors, with a 5-year survival rate of 8% [ 4 ].…”
Section: Introductionmentioning
confidence: 99%
“…The RET (rearranged during transfection) is a well-known gene involved in the development and progression of several types of cancers, particularly medullary thyroid cancer and multiple endocrine neoplasia type 2 (MEN 2) [ 35 ]. The RET protein is a tyrosine kinase receptor that plays a crucial role in signaling pathways that regulate cell growth, differentiation, and survival [ 36 ]. Mutations in the RET gene can result in the activation of the oncogenic potential of the RET protein, thus contributing to the development of cancer.…”
Section: Discussionmentioning
confidence: 99%
“…In sporadic GC cases, mutations and the abnormal methylation of CDH1 are predominantly found in diffuse GC [ 86 , 87 ]. Other key mutations in GC include those within the ARID1A , PIK3CA , or BRCA2 genes [ 88 , 89 , 90 ].…”
Section: Gastric Cancer Characterization Prognosis and Management In ...mentioning
confidence: 99%