TY - JOUR AU - Zheng, Guoqiao AU - Catalano, Calogerina AU - Bandapalli, Obul Reddy AU - Paramasivam, Nagarajan AU - Chattopadhyay, Subhayan AU - Schlesner, Matthias AU - Sijmons, Rolf AU - Hemminki, Akseli AU - Dymerska, Dagmara AU - Lubinski, Jan AU - Hemminki, Kari AU - Försti, Asta TI - Cancer Predisposition Genes in Cancer-Free Families. JO - Cancers VL - 12 IS - 10 SN - 2072-6694 CY - Basel PB - MDPI M1 - DKFZ-2020-02078 SP - 2770 PY - 2020 N1 - #EA:C050#LA:B062#LA:C050#LA:C020# AB - Familial clustering, twin concordance, and identification of high- and low-penetrance cancer predisposition variants support the idea that there are families that are at a high to moderate excess risk of cancer. To what extent there may be families that are protected from cancer is unknown. We wanted to test genetically whether cancer-free families share fewer breast, colorectal, and prostate cancer risk alleles than the population at large. We addressed this question by whole-genome sequencing (WGS) of 51 elderly cancer-free individuals whose numerous (ca. 1000) family members were found to be cancer-free ('cancer-free families', CFFs) based on face-to-face interviews. The average coverage of the 51 samples in the WGS was 42x. We compared cancer risk allele frequencies in cancer-free individuals with those in the general population available in public databases. The CFF members had fewer loss-of-function variants in suggested cancer predisposition genes compared to the ExAC data, and for high-risk cancer predisposition genes, no pathogenic variants were found in CFFs. For common low-penetrance breast, colorectal, and prostate cancer risk alleles, the results were not conclusive. The results suggest that, in line with twin and family studies, random environmental causes are so dominant that a clear demarcation of cancer-free populations using genetic data may not be feasible. LB - PUB:(DE-HGF)16 C6 - pmid:32992489 DO - DOI:10.3390/cancers12102770 UR - https://inrepo02.dkfz.de/record/163838 ER -