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Feng, Xiaodong_ Xie, Hong-Guang - Applying pharmacogenomics in therapeutics-CRC Press (2016)

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122 Applying Pharmacogenomics in Therapeutics

TABLE 5.3

Examples of Inherited Cancer Susceptibility Syndromes

Cancer Hereditary Syndrome

Breast and

ovary

Hereditary breast and ovarian

cancer

Major

Genes Gene Function

BRCA1,

BRCA2

Mode of

Inheritance

Tumor suppressor Dominant High-penetrance

mutations

Li–Fraumeni syndrome P53 Tumor suppressor Dominant

Cowden syndrome (breast) PTEN Tumor suppressor Dominant

HNPCC/Lynch syndrome

(ovary)

Ataxia telangiectasia (breast

and ovary)

Peutz–Jeghers syndrome

(breast)

Colorectal HNPCC/Lynch syndrome

(ovary)

MLH1,

MSH2,

MSH6,

PMS2

DNA repair Dominant High-penetrance

mutations

ATM DNA repair Recessive

STK11 Tumor suppressor Dominant

CHEK2 Tumor suppressor Dominant CHEK2 c.1100delC

(intermediatepenetrance

mutations)

MLH1,

MSH2,

MSH6,

PMS2

DNA repair Dominant High-penetrance

mutations

Penetrance of Example

Variants Intervention

Mammography, MRI

screening, riskreducing

surgery

None proven

Endoscopy,

prophylactic

colectomy after

diagnosis of

malignancy

(Continued)

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