Identification of genetic variants in Vietnamese patients with breast cancer by whole exome sequencing
Author affiliations
DOI:
https://doi.org/10.15625/vjbt-23548Keywords:
BRCA1, BARD1, breast cancer, genetic variants, Vietnamese patient, whole exome sequencing (WES).Abstract
Breast cancer is becoming the most common type of cancer among women in Vietnam and globally, in terms of both incidence and mortality rates. In addition to factors such as lifestyle habits and environmental exposure, genetic mutations are a significant concern in the development of this disease. Identifying these mutations is essential for understanding hereditary risks and improving early diagnosis. In this study, we utilized whole exome sequencing (WES) to analyze and identify genetic mutations potentially associated with breast cancer in ten affected women. All patients had at least one family member diagnosed with breast cancer, ovarian cancer, or other types of cancer, suggesting a hereditary component. The analysis and screening process focused on mutations in breast cancer-related genes with a minor allele frequency (MAF) of less than 1%. The screening results indicated that five out of ten patients carried only benign mutations, whereas pathogenic mutations were identified in three patients. Specifically, two heterozygous mutations, c.5314C>T (p.Arg1772Ter) and c.66dupA (p.Glu23ArgfsTer18), both located in the BRCA1 gene, along with a frameshift variant, c.1350dupT (p.Gly451TrpfsTer3), in the BARD1 gene, were identified. These mutations caused the introduction of premature stop codons, leading to truncated protein products with a significant impact on gene/protein function. Our findings provide a deeper understanding of the genetic basis of breast cancer and contribute to improving the genetic diagnosis of familial breast cancer in Vietnam.
Downloads
References
Abreu R. B. V., Gomes T. T., Nepomuceno, T. C., Li X., Fuchshuber-Moraes M., De Gregoriis G., et al. (2022). Functional restoration of BRCA1 nonsense mutations by aminoglycoside-induced readthrough. Fron- tiers in Pharmacology, 13, 935995. https://doi.org/10.3389/fphar.2022.935995
Alenezi W. M., Fierheller C. T., Recio N., and Tonin P. N. (2020). Literature review of BARD1 as a cancer predisposing gene with a focus on breast and ovarian cancers. Genes, 11(8), 856. https://doi.org/10.3390/genes11080856
Amendola L. M., Jarvik G. P., Leo M. C., McLaughlin H. M., Akkari Y., Amaral M. D., et al. (2016). Performance of ACMG-AMP Variant-interpretation guidelines among nine laboratories in the clinical sequencing exploratory research consortium. American Journal of Human Genetics, 98(6), 1067–1076. https://doi.org/10.1016/j.ajhg.2016.03.024
Apessos A., Agiannitopoulos K., Pepe G., Tsaousis G. N., Papadopoulou E., Metaxa-Mariatou, V., et al. (2018). Comprehensive BRCA mutation analysis in the Greek population. Experience from a single clinical diagnostic center. Cancer Genetics, 220, 1–12. https://doi.org/10.1016/j.cancergen.2017.10.002
Auton A., Abecasis G. R., Altshuler D. M., Durbin R. M., Abecasis G. R., Bentley D. R., et al (2015). A global reference for human genetic variation. Nature, 526(7571), Article 7571. https://doi.org/10.1038/nature15393
Balmaña J., Díez O., Rubio I. T., Cardoso F., and ESMO guidelines working group. (2011). BRCA in breast cancer: ESMO clinical practice guidelines. Annals of Oncology: Official Journal of the European Society for Medical Oncology, 22 Supplementary 6, vi31-34. https://doi.org/10.1093/annonc/mdr373
Bray F., Laversanne M., Sung H., Ferlay J., Siegel R.L., Soerjomataram I., et al. (2024). Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 74(3): 229-263. https://doi.org/10.3322/caac.21834
Castelló A., Martín M., Ruiz A., Casas A. M., Baena-Cañada J. M., Lope V., et al. (2015). Lower breast cancer risk among women following the World Cancer Research Fund and American Institute for Cancer Research Lifestyle Recommendations: EpiGEICAM Case-Control Study. PloS One, 10(5), e0126096. https://doi.org/10.1371/journal.pone.0126096
Findlay, G. M., Daza, R. M., Martin, B., Zhang, M. D., Leith, A. P., Gasperini, M., et al. (2018). Accurate classification of BRCA1 variants with saturation genome editing. Nature, 562(7726), 217–222. https://doi.org/10.1038/s41586-018-0461-z
Ginsburg O. M., Dinh N. V., To T. V., Quang L. H., Linh N. D., Duong B. T. H., et al. (2011). Family history, BRCA mutations and breast cancer in Vietnamese women. Clinical Genetics, 80(1), 89–92. https://doi.org/10.1111/j.1399-0004.2010.01545.x
Gorodetska I., Kozeretska I., and Dubrovska, A. (2019). BRCA Genes: the role in genome stability, cancer stemness and therapy resistance. Journal of Cancer, 10(9), 2109–2127. https://doi.org/10.7150/jca.30410
Hashizume R., Fukuda M., Maeda I., Nishikawa H., Oyake D., Yabuki Y., et al. (2001). The RING heterodimer BRCA1-BARD1 is a ubiquitin ligase inactivated by a breast cancer-derived mutation. The Journal of Biological Chemistry, 276(18), 14537–14540. https://doi.org/10.1074/jbc.C000881200
Heldenbrand J. R., Baheti S., Bockol M. A., Drucker T. M., Hart S. N., Hudson M. E., et al. (2019). Recommendations for performance optimizations when using GATK3.8 and GATK4. BMC Bioinformatics, 20(1), 557. https://doi.org/10.1186/s12859-019-3169-7
Hofstra R. M. W., Spurdle A. B., Eccles D., Foulkes W. D., de Wind N., Hoogerbrugge N., et al. (2008). Tumor characteristics as an analytic tool for classifying genetic variants of uncertain clinical significance. Human Mutation, 29(11), 1292–1303. https://doi.org/10.1002/humu.20894
Hong R., and Xu B. (2022). Breast cancer: An up‐to‐date review and future perspectives. Cancer Communications, 42(10), 913–936. https://doi.org/10.1002/cac2.12358
Hu C., Hart S. N., Gnanaolivu R., Huang H., Lee K. Y., Na J., et al. (2021). A population-based study of genes previously implicated in breast cancer. The New England Journal of Medicine, 384(5), 440–451. https://doi.org/10.1056/NEJMoa2005936
Janavičius R. (2010). Founder BRCA1/2 mutations in the Europe: Implications for hereditary breast-ovarian cancer prevention and control. The EPMA Journal, 1(3), 397–412. https://doi.org/10.1007/s13167-010-0037-y
Jiang Q., and Greenberg, R. A. (2015). Deciphering the BRCA1 tumor suppressor network. The Journal of Biological Chemistry, 290(29), 17724–17732. https://doi.org/10.1074/jbc.R115.667931
Karczewski K. J., Francioli L. C., Tiao G., Cummings B. B., Alföldi J., Wang Q., et al. (2020). The mutational constraint spectrum quantified from variation in 141,456 humans. Nature, 581(7809), Article 7809. https://doi.org/10.1038/s41586-020-2308-7
Khuwaja G. A., and Abu-Rezq A. N. (2004). Bimodal breast cancer classification system. Pattern Analysis and Applications, 7(3), 235–242. https://doi.org/10.1007/BF02683990
Kwong A., Ho C. Y. S., Au C. H., and Ma E. S. K. (2025). Germline BARD1 mutation in high-risk chinese breast and ovarian cancer patients. Cancers, 17(15), 2524. https://doi.org/10.3390/cancers17152524
Landrum M. J., Lee J. M., Benson M., Brown G. R., Chao C., Chitipiralla S., et al. (2018). ClinVar: Improving access to variant interpretations and supporting evidence. Nucleic Acids Research, 46(D1), D1062–D1067. https://doi.org/10.1093/nar/gkx1153
Le T.N.N., Tran V.L., Nguyen T.T., Vo N.S., Hoang T.H., Vo H.L., et al. (2022) BRCA1/2 mutations in Vietnamese patients with hereditary Breast and ovarian cancer syndrome. Genes, 13(2), 268. https://doi.org/10.3390/genes13020268
Li H., and Durbin R. (2009). Fast and accurate short read alignment with Burrows-Wheeler transform. Bioinformatics (Oxford, England), 25(14), 1754–1760. https://doi.org/10.1093/bioinformatics/btp324
Liede A., Malik I. A., Aziz Z., Rios P. de los., Kwan E., and Narod, S. A. (2002). Contribution of BRCA1 and BRCA2 Mutations to Breast and Ovarian Cancer in Pakistan. American Journal of Human Genetics, 71(3), 595–606. https://doi.org/10.1086/342506
Lim S. Z., Ong K. W., Tan B. K. T., Selvarajan S., and Tan P. H. (2016). Sarcoma of the breast: An update on a rare entity. Journal of Clinical Pathology, 69(5), 373–381. https://doi.org/10.1136/jclinpath-2015-203545
Ngo D.P., Tuong N.V., Hoa P.H., Nhu B.T.H., Nhan V.T., Thanh L.Q et al. (2020) Preliminary study of BRCA1 and BRCA2 mutations among Vietnamese ovarian carcinomas population by using ion personal genome machine platforms. Hue University Journal of Science: Natural Science, 129(1A), 49-60. https://doi.org/10.26459/hueuni-jns.v129i1A.5471
Obeagu E. I., and Obeagu G. U. (2024). Breast cancer: A review of risk factors and diagnosis. Medicine, 103(3), e36905. https://doi.org/10.1097/MD.0000000000036905
Pereira B., Chin S.-F., Rueda O. M., Vollan H.-K. M., Provenzano E., Bardwell H. A., et al. (2016). The somatic mutation profiles of 2,433 breast cancers refine their genomic and transcriptomic landscapes. Nature Communi- cations, 7(1), 11479. https://doi.org/10.1038/ncomms11479
Pham T., Bui L., Kim G., Hoang D., Tran T., and Hoang M. (2019). Cancers in Vietnam—burden and control efforts: a narrative scoping review. Cancer Control: Journal of the Moffitt Cancer Center, 26(1), 1073274819863802. https://doi.org/10.1177/1073274819863802
Sherry S. T., Ward M. H., Kholodov M., Baker J., Phan L., Smigielski E. M., et al. (2001). dbSNP: The NCBI database of genetic variation. Nucleic Acids Research, 29(1), 308–311. https://doi.org/10.1093/nar/29.1.308
Stephens P. J., Tarpey P. S., Davies H., Van Loo P., Greenman C., Wedge D. C., et al. (2012). The landscape of cancer genes and mutational processes in breast cancer. Nature, 486(7403), 400–404. https://doi.org/10.1038/nature11017
Sun J., Meng H., Yao L., Lv M., Bai J., Zhang, J., et al (2017). Germline mutations in cancer susceptibility genes in a large series of unselected breast cancer patients. Clinical Cancer Research: An Official Journal of the American Association for Cancer Research, 23(20), 6113–6119. https://doi.org/10.1158/1078-0432.CCR-16-3227
Suszynska M., Kluzniak W., Wokolorczyk D., Jakubowska A., Huzarski T., Gronwald J., et al (2019). BARD1 is a low/moderate breast cancer risk gene: evidence based on an association study of the central European p.Q564X recurrent mutation. Cancers, 11(6), 740. https://doi.org/10.3390/cancers11060740
Tarsounas M., and Sung, P. (2020). The antitumorigenic roles of BRCA1–BARD1 in DNA repair and replication. Nature Reviews Molecular Cell Biology, 21(5), 284–299. https://doi.org/10.1038/s41580-020-0218-z
Thirthagiri E., Lee S., Kang P., Lee D., Toh G., Selamat S., et al (2008). Evaluation of BRCA1 and BRCA2 mutations and risk-prediction models in a typical Asian country (Malaysia) with a relatively low incidence of breast cancer. Breast Cancer Research: BCR, 10(4), R59. https://doi.org/10.1186/bcr2118
Trieu, P. D. (Yun), Mello-Thoms, C., and Brennan, P. C. (2015). Female breast cancer in Vietnam: A comparison across Asian specific regions. Cancer Biology and Medicine, 12(3), 238–245. https://doi.org/10.7497/j.issn.2095-3941.2015.0034
Tung N. V., Huan L. D., Hien D. M., Mai B. B., Phuong P. C., Lien N. T. K., et al. (2023). A nonsense mutation in BRCA1 gene in a Vietnamese patient with breast cancer. Vietnam Journal of Biotechnology, 21(2), Article 2. https://doi.org/10.15625/1811-4989/18036
Tung N. V., Lien N. T. K., and Hoang N. H. (2021). A comparison of three variant calling pipelines using simulated data. Academia Journal of Biology, 43(2), Article 2. https://doi.org/10.15625/2615-9023/16006
Ugo T., Germana C., and Elvira P. (2020). Breast Cancer: A molecularly heterogenous disease needing subtype-specific treatments. Medical Sciences (Basel, Switzerland), 8(1). https://doi.org/10.3390/medsci8010018
Van der Auwera G. A., Carneiro M. O., Hartl C., Poplin R., del Angel G., Levy-Moonshine A., et al. (2013). From FastQ data to high-confidence variant calls: the genome analysis toolkit best practices pipeline. Current Protocols in Bioinformatics, 43(1), 11.10.1-11.10.33. https://doi.org/10.1002/0471250953.bi1110s43
Westermark U. K., Reyngold M., Olshen A. B., Baer R., Jasin M., and Moynahan M. E. (2003). BARD1 participates with BRCA1 in homology-directed repair of chromosome breaks. Molecular and Cellular Biology, 23(21), 7926–7936. https://doi.org/10.1128/MCB.23.21.7926-7936.2003
Zhang S., Royer R., Li S., McLaughlin J. R., Rosen B., Risch H. A., et al. (2011). Frequencies of BRCA1 and BRCA2 mutations among 1,342 unselected patients with invasive ovarian cancer. Gynecologic Oncology, 121(2), 353–357. https://doi.org/10.1016/j.ygyno.2011.01.020
Zhang Y., Ji Y., Liu S., Li J., Wu J., Jin Q., et al. (2025). Global burden of female breast cancer: New estimates in 2022, temporal trend and future projections up to 2050 based on the latest release from GLOBOCAN. Journal of the National Cancer Center, 5(3), 287–296. https://doi.org/10.1016/j.jncc.2025.02.002
Zhao W., Steinfeld J. B., Liang F., Chen X., Maranon D. G., Jian Ma C., et al. (2017). BRCA1-BARD1 promotes RAD51-mediated homologous DNA pairing. Nature, 550(7676), 360–365. https://doi.org/10.1038/nature24060
Zhong X., Dong Z., Dong H., Li J., Peng Z., Deng L., et al. (2016). Prevalence and prognostic role of brca1/2 variants in unselected chinese breast cancer patients. PLoS ONE, 11(6), e0156789. https://doi.org/10.1371/journal.pone.0156789
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Vietnam Journal of Biotechnology is a peer-reviewed, open access journal dedicated to the dissemination of scientific knowledge and research findings in the field of biotechnology. All published articles are freely accessible and downloadable by readers worldwide without any subscription or access fees.
All articles published in Vietnam Journal of Biotechnology are distributed under the terms of the Creative Commons Attribution-ShareAlike 4.0 International (CC BY-SA 4.0) License. This license allows users to share, copy, redistribute, adapt, and reproduce the material in any medium or format, provided that appropriate credit is given to the original author(s) and source, and that any derivative works are distributed under the same license terms.
The copyright of each published article remains with the respective author(s) without restriction. By submitting and granting permission for publication through the journal’s submission system or other communication channels, authors authorize Vietnam Journal of Biotechnology to publish and identify itself as the original publisher of the work. Authors also acknowledge and agree to comply with the terms and conditions of the CC BY-SA 4.0 License and the policies established by the journal.
Funding data
-
Ministry of Science and Technology
Grant numbers KC-4.0-37/19-25
