1. Fumarate hydratase variant prevalence and manifestations among individuals receiving germline testing
- Author
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Lu, Eric, Hatchell, Kathryn E, Nielsen, Sarah M, Esplin, Edward D, Ouyang, Karen, Nykamp, Keith, Zavoshi, Shirin, Li, Shantao, Zhang, Liying, Wilde, Blake R, Christofk, Heather R, Boutros, Paul C, and Shuch, Brian
- Subjects
Health Services and Systems ,Biomedical and Clinical Sciences ,Health Sciences ,Oncology and Carcinogenesis ,Clinical Research ,Genetic Testing ,Prevention ,Kidney Disease ,Cancer ,Genetics ,Rare Diseases ,2.1 Biological and endogenous factors ,Carcinoma ,Renal Cell ,Female ,Fumarate Hydratase ,Germ Cells ,Germ-Line Mutation ,Humans ,Kidney Neoplasms ,Leiomyomatosis ,Neoplastic Syndromes ,Hereditary ,Prevalence ,Skin Neoplasms ,Uterine Neoplasms ,fumarate hydratase ,genetic testing ,hereditary leiomyomatosis and renal cell cancer ,kidney neoplasms ,Public Health and Health Services ,Oncology & Carcinogenesis ,Oncology and carcinogenesis ,Public health - Abstract
BackgroundGermline variants in fumarate hydratase (FH) are associated with autosomal dominant (AD) hereditary leiomyomatosis and renal cell cancer (HLRCC) and autosomal recessive (AR) fumarase deficiency (FMRD). The prevalence and cancer penetrance across different FH variants remain unclear.MethodsA database containing 120,061 records from individuals undergoing cancer germline testing was obtained. FH variants were classified into 3 categories: AD HLRCC variants, AR FMRD variants, and variants of unknown significance (VUSs). Individuals with variants from these categories were compared with those with negative genetic testing.ResultsFH variants were detected in 1.3% of individuals (AD HLRCC, 0.3%; AR FMRD, 0.4%; VUS, 0.6%). The rate of AD HLRCC variants discovered among reportedly asymptomatic individuals without a clear indication for HLRCC testing was 1 in 2668 (0.04%). In comparison with those with negative genetic testing, the renal cell carcinoma (RCC) prevalence was elevated with AD HLRCC variants (17.0% vs 4.5%; P
- Published
- 2022