Analysis of a rare PMS1 variant identified in discordant sibling pairs from hereditary breast cancer families

Authors: Landry KK, Dragon JA, Seward D, McKinnon WC, Colello L, Wallace SS, Cuke M, Wood ME

Category: Molecular Epidemiology & Environment
Conference Year: 2020

Abstract Body:
Background: Additional genes associated with hereditary breast cancer likely exist. We previously identified a rare and potentially pathogenic PMS1 variant in two affected sisters from hereditary breast cancer families. This variant was not present in the unaffected sister-pair. Published in silico analyses previously predicted that this variant may have functional clinical significance. Objectives: 1.) To determine the genotype-phenotype correlation within the two families wi with the rare PMS1 variant. 2.) To sequence PMS1 mRNA from cell lines with and wi without the c.605G>A variant to test the hypothesis that the PMS1 c.605G>A germline va variant disrupts PMS1 mRNA splicing. Methods: 1.) Germline DNA from extended family members were collected and analyzed to determine if the PMS1 c.605G>A variant tracks with affected family members. 2.) Using NCI-H441 lung cancer cells heterozygous for the PMS1 c.605G>A variant we s sequenced PMS1 mRNA and compared the results with cell lines harboring WT PMS1 to d determine whether PMS1 c.605G>A impacts exon 6 utilization. Results: The PMS1 c.605G>A variant did not track with cancer in either family. No PMS1 c.605G>A variant-dependent differences in exon 6 utilization were detected between PMS1 WT cell lines and the NCI-H441 cells. Conclusions: Given the PMS1 c.605G>A variant did not segregate with disease and there was no variant-dependent impact on splicing; the PMS1 c.605G>A variant is likely b benign. This information can help others investigating functional significance of either s somatic or germline mutations.

Keywords: hereditary breast cancer, family based design, genotype-phenotype correlation phenotype correlation