Review Article

Hereditary Breast Cancer: The Era of New Susceptibility Genes

Table 2

Breast cancer susceptibility genes.

SyndromeGene or locus
(chromosomal location)
NeoplasmLifetime risk

Genes with high-penetrance mutations

Hereditary breast/ovarian cancer syndromeBRCA1 (17q12–21)Female breast, ovarian cancer40–80%
BRCA2 (13q12-13)Male and female breast, ovarian, prostate, and pancreatic cancer20–85%
Li-Fraumeni syndromeTP53 (17p13.1)Breast cancer, sarcomas, leukemia, brain tumours, adrenocortical carcinoma, lung cancers56–90%
Cowden syndromePTEN (10q23.3)Breast, thyroid, endometrial cancer
Other: benign hamartomas, macrocephaly
25–50%
Peutz-Jeghers syndromeSTK11 (19p13.3)Breast, ovarian, cervical, uterine, testicular, small bowel, and colon carcinoma
Other: Hamartomatous polyps of the small intestine, mucocutaneous pigmentation
32–54%
Hereditary gastric cancerCDH1 (16q22.1)Hereditary diffuse gastric, lobular breast, colorectal cancer60%

Moderate-penetrance mutations

ATM- relatedATM (11q22.3)Breast and ovarian cancers15–20%
CHEK2- relatedCHEK2 (22q12.1)Breast, colorectal, ovarian, bladder cancers25–37%
PALB2-relatedPALB2 (16p12.1)Breast, pancreatic, ovarian cancer, male breast cancers20–40%
Moderate risk breast/ovarian cancerBARD1 (2q34-q35), BRIP1 (17q22–q24), MRE11A (11q21), NBN (8q21), RAD50 (5q31), RAD51C  (17q25.1), XRCC2  (7q36.1), RAD51D  (17q11), ABRAXAS (4q21.23)Breast and ovarian cancersvariable