Families with BAP1-Tumor Predisposition Syndrome in The Netherlands: Path to Identification and a Proposal for Genetic Screening Guidelines

Germline pathogenic variants in the BRCA1-associated protein-1 (<i>BAP1</i>) gene cause the BAP1-tumor predisposition syndrome (BAP1-TPDS, OMIM 614327). BAP1-TPDS is associated with an increased risk of developing uveal melanoma (UM), cutaneous melanoma (CM), malignant mesothelioma (MMe)...

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Main Authors: Cindy Chau, Remco van Doorn, Natasha M. van Poppelen, Nienke van der Stoep, Arjen R. Mensenkamp, Rolf H. Sijmons, Barbara W. van Paassen, Ans M. W. van den Ouweland, Nicole C. Naus, Annemieke H. van der Hout, Thomas P. Potjer, Fonnet E. Bleeker, Marijke R. Wevers, Liselotte P. van Hest, Marjolijn C. J. Jongmans, Marina Marinkovic, Jaco C. Bleeker, Martine J. Jager, Gregorius P. M. Luyten, Maartje Nielsen
Format: Article
Language:English
Published: MDPI AG 2019-08-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/11/8/1114
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language English
format Article
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author Cindy Chau
Remco van Doorn
Natasha M. van Poppelen
Nienke van der Stoep
Arjen R. Mensenkamp
Rolf H. Sijmons
Barbara W. van Paassen
Ans M. W. van den Ouweland
Nicole C. Naus
Annemieke H. van der Hout
Thomas P. Potjer
Fonnet E. Bleeker
Marijke R. Wevers
Liselotte P. van Hest
Marjolijn C. J. Jongmans
Marina Marinkovic
Jaco C. Bleeker
Martine J. Jager
Gregorius P. M. Luyten
Maartje Nielsen
spellingShingle Cindy Chau
Remco van Doorn
Natasha M. van Poppelen
Nienke van der Stoep
Arjen R. Mensenkamp
Rolf H. Sijmons
Barbara W. van Paassen
Ans M. W. van den Ouweland
Nicole C. Naus
Annemieke H. van der Hout
Thomas P. Potjer
Fonnet E. Bleeker
Marijke R. Wevers
Liselotte P. van Hest
Marjolijn C. J. Jongmans
Marina Marinkovic
Jaco C. Bleeker
Martine J. Jager
Gregorius P. M. Luyten
Maartje Nielsen
Families with BAP1-Tumor Predisposition Syndrome in The Netherlands: Path to Identification and a Proposal for Genetic Screening Guidelines
Cancers
<i>BAP1</i>
BAP1 tumor predisposition syndrome
germline
referral guidelines
author_facet Cindy Chau
Remco van Doorn
Natasha M. van Poppelen
Nienke van der Stoep
Arjen R. Mensenkamp
Rolf H. Sijmons
Barbara W. van Paassen
Ans M. W. van den Ouweland
Nicole C. Naus
Annemieke H. van der Hout
Thomas P. Potjer
Fonnet E. Bleeker
Marijke R. Wevers
Liselotte P. van Hest
Marjolijn C. J. Jongmans
Marina Marinkovic
Jaco C. Bleeker
Martine J. Jager
Gregorius P. M. Luyten
Maartje Nielsen
author_sort Cindy Chau
title Families with BAP1-Tumor Predisposition Syndrome in The Netherlands: Path to Identification and a Proposal for Genetic Screening Guidelines
title_short Families with BAP1-Tumor Predisposition Syndrome in The Netherlands: Path to Identification and a Proposal for Genetic Screening Guidelines
title_full Families with BAP1-Tumor Predisposition Syndrome in The Netherlands: Path to Identification and a Proposal for Genetic Screening Guidelines
title_fullStr Families with BAP1-Tumor Predisposition Syndrome in The Netherlands: Path to Identification and a Proposal for Genetic Screening Guidelines
title_full_unstemmed Families with BAP1-Tumor Predisposition Syndrome in The Netherlands: Path to Identification and a Proposal for Genetic Screening Guidelines
title_sort families with bap1-tumor predisposition syndrome in the netherlands: path to identification and a proposal for genetic screening guidelines
publisher MDPI AG
series Cancers
issn 2072-6694
publishDate 2019-08-01
description Germline pathogenic variants in the BRCA1-associated protein-1 (<i>BAP1</i>) gene cause the BAP1-tumor predisposition syndrome (BAP1-TPDS, OMIM 614327). BAP1-TPDS is associated with an increased risk of developing uveal melanoma (UM), cutaneous melanoma (CM), malignant mesothelioma (MMe), renal cell carcinoma (RCC), meningioma, cholangiocarcinoma, multiple non-melanoma skin cancers, and <i>BAP1</i>-inactivated nevi. Because of this increased risk, it is important to identify patients with BAP1-TPDS. The associated tumors are treated by different medical disciplines, emphasizing the need for generally applicable guidelines for initiating genetic analysis. In this study, we describe the path to identification of BAP1-TPDS in 21 probands found in the Netherlands and the family history at the time of presentation. We report two cases of de novo <i>BAP1</i> germline mutations (2/21, 9.5%). Findings of this study combined with previously published literature, led to a proposal of guidelines for genetic referral. We recommend genetic analysis in patients with &#8805;2 BAP1-TPDS-associated tumors in their medical history and/or family history. We also propose to test germline <i>BAP1</i> in patients diagnosed with UM &lt;40 years, CM &lt;18 years, MMe &lt;50 years, or RCC &lt;46 years. Furthermore, other candidate susceptibility genes for tumor types associated with BAP1-TPDS are discussed, which can be included in gene panels when testing patients.
topic <i>BAP1</i>
BAP1 tumor predisposition syndrome
germline
referral guidelines
url https://www.mdpi.com/2072-6694/11/8/1114
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spelling doaj-dd63a35d7b584f179e50f9f4028687262020-11-25T01:02:44ZengMDPI AGCancers2072-66942019-08-01118111410.3390/cancers11081114cancers11081114Families with BAP1-Tumor Predisposition Syndrome in The Netherlands: Path to Identification and a Proposal for Genetic Screening GuidelinesCindy Chau0Remco van Doorn1Natasha M. van Poppelen2Nienke van der Stoep3Arjen R. Mensenkamp4Rolf H. Sijmons5Barbara W. van Paassen6Ans M. W. van den Ouweland7Nicole C. Naus8Annemieke H. van der Hout9Thomas P. Potjer10Fonnet E. Bleeker11Marijke R. Wevers12Liselotte P. van Hest13Marjolijn C. J. Jongmans14Marina Marinkovic15Jaco C. Bleeker16Martine J. Jager17Gregorius P. M. Luyten18Maartje Nielsen19Department of Ophthalmology, Leiden University Medical Center, 2333 ZA Leiden, The NetherlandsDepartment of Dermatology, Leiden University Medical Center, 2333 ZA Leiden, The NetherlandsDepartment of Clinical Genetics, Erasmus Medical Center, 3015 GD Rotterdam, The NetherlandsDepartment of Clinical Genetics, Leiden University Medical Center, 2333 ZA Leiden, The NetherlandsDepartment of Clinical Genetics, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsDepartment of Genetics, University Medical Center Groningen, 9713 GZ Groningen, The NetherlandsDepartment of Clinical Genetics, Erasmus Medical Center, 3015 GD Rotterdam, The NetherlandsDepartment of Clinical Genetics, Erasmus Medical Center, 3015 GD Rotterdam, The NetherlandsDepartment of Ophthalmology, Erasmus Medical Center, 3015 GD Rotterdam, The NetherlandsDepartment of Genetics, University Medical Center Groningen, 9713 GZ Groningen, The NetherlandsDepartment of Clinical Genetics, Leiden University Medical Center, 2333 ZA Leiden, The NetherlandsDepartment of Clinical Genetics, Netherlands Cancer Institute, 1066 CX Amsterdam, The NetherlandsDepartment of Clinical Genetics, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsDepartment of Clinical Genetics, Amsterdam University Medical Centers, 1081 HV Amsterdam, The NetherlandsDepartment of Clinical Genetics, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsDepartment of Ophthalmology, Leiden University Medical Center, 2333 ZA Leiden, The NetherlandsDepartment of Ophthalmology, Leiden University Medical Center, 2333 ZA Leiden, The NetherlandsDepartment of Ophthalmology, Leiden University Medical Center, 2333 ZA Leiden, The NetherlandsDepartment of Ophthalmology, Leiden University Medical Center, 2333 ZA Leiden, The NetherlandsDepartment of Clinical Genetics, Leiden University Medical Center, 2333 ZA Leiden, The NetherlandsGermline pathogenic variants in the BRCA1-associated protein-1 (<i>BAP1</i>) gene cause the BAP1-tumor predisposition syndrome (BAP1-TPDS, OMIM 614327). BAP1-TPDS is associated with an increased risk of developing uveal melanoma (UM), cutaneous melanoma (CM), malignant mesothelioma (MMe), renal cell carcinoma (RCC), meningioma, cholangiocarcinoma, multiple non-melanoma skin cancers, and <i>BAP1</i>-inactivated nevi. Because of this increased risk, it is important to identify patients with BAP1-TPDS. The associated tumors are treated by different medical disciplines, emphasizing the need for generally applicable guidelines for initiating genetic analysis. In this study, we describe the path to identification of BAP1-TPDS in 21 probands found in the Netherlands and the family history at the time of presentation. We report two cases of de novo <i>BAP1</i> germline mutations (2/21, 9.5%). Findings of this study combined with previously published literature, led to a proposal of guidelines for genetic referral. We recommend genetic analysis in patients with &#8805;2 BAP1-TPDS-associated tumors in their medical history and/or family history. We also propose to test germline <i>BAP1</i> in patients diagnosed with UM &lt;40 years, CM &lt;18 years, MMe &lt;50 years, or RCC &lt;46 years. Furthermore, other candidate susceptibility genes for tumor types associated with BAP1-TPDS are discussed, which can be included in gene panels when testing patients.https://www.mdpi.com/2072-6694/11/8/1114<i>BAP1</i>BAP1 tumor predisposition syndromegermlinereferral guidelines