Skip to main content

CORRECTION article

Front. Oncol., 17 August 2021
Sec. Cancer Genetics

Corrigendum: Exome Sequencing in BRCA1-2 Candidate Familias: The Contribution of Other Cancer Susceptibility Genes

Gabriella Doddato,&#x;Gabriella Doddato1,2†Floriana Valentino,&#x;Floriana Valentino1,2†Annarita Giliberti,Annarita Giliberti1,2Filomena Tiziana Papa,Filomena Tiziana Papa1,2Rossella TitaRossella Tita3Lucia Pia Bruno,Lucia Pia Bruno1,2Sara Resciniti,Sara Resciniti1,2Chiara Fallerini,Chiara Fallerini1,2Elisa BenettiElisa Benetti2Maria Palmieri,Maria Palmieri1,2Maria Antonietta MencarelliMaria Antonietta Mencarelli3Alessandra Fabbiani,,Alessandra Fabbiani1,2,3Mirella Bruttini,Mirella Bruttini1,3Alfredo OrricoAlfredo Orrico4Margherita Baldassarri,Margherita Baldassarri1,2Francesca Fava,,Francesca Fava1,2,3Diego Lopergolo,,Diego Lopergolo1,2,3Caterina Lo RizzoCaterina Lo Rizzo3Vittoria Lamacchia,,Vittoria Lamacchia1,2,3Sara Mannucci,,Sara Mannucci1,2,3Anna Maria PintoAnna Maria Pinto3Aurora Curr,,Aurora Currò1,2,3Virginia ManciniVirginia Mancini5Oncologic Multidisciplinary Team Oncologic Multidisciplinary TeamAzienda Ospedaliera Universitaria Senese Azienda Ospedaliera Universitaria SeneseOncologic Multidisciplinary Team Oncologic Multidisciplinary TeamAzienda Usl Toscana Sud Est Azienda Usl Toscana Sud EstFrancesca Mari,,Francesca Mari1,2,3Alessandra Renieri,,Alessandra Renieri1,2,3Francesca Ariani,,*Francesca Ariani1,2,3*
  • 1Medical Genetics, University of Siena, Siena, Italy
  • 2Med Biotech Hub and Competence Center, Department of Medical Biotechnologies, University of Siena Italy, Siena, Italy
  • 3Genetica Medica, Azienda Ospedaliera Universitaria Senese, Siena, Italy
  • 4Molecular Diagnosis and Characterization of Pathogenic Mechanisms of Rare Genetic Diseases, Azienda Ospedaliera Universitaria Senese and Clinical Genetics, ASL Toscana SudEst. Ospedale della Misericordia, Grosseto, Italy
  • 5Unit of Pathology, Department of Medical Biotechnology, University of Siena, Siena, Italy

A Corrigendum on
Exome Sequencing in BRCA1-2 Candidate Familias: The Contribution of Other Cancer Susceptibility Genes

By Doddato G, Valentino F, Giliberti A, Papa FT, Tita R, Bruno LP, Resciniti S, Fallerini C, Benetti E, Palmieri M, Mencarelli MA, Fabbiani A, Bruttini M, Orrico A, Baldassarri M, Fava F, Lopergolo D, Lo Rizzo C, Lamacchia V, Mannucci S, Pinto AM, Currò A, Mancini V, Oncologic Multidisciplinary Team, Azienda Ospedaliera Universitaria Senese, Oncologic Multidisciplinary Team, Azienda Usl Toscana Sud Est, Mari F, Renieri A and Ariani F (2021). Front. Oncol. 11:649435. doi: 10.3389/fonc.2021.649435

In the original article, there was an error. Instead of “Whole Exome Sequencing” we want to change to “Exome Sequencing” throughout the manuscript.

A correction has been made to the Title:

Exome sequencing in BRCA1-2 candidate familias: the contribution of other cancer susceptibility genes

A correction has been made to the Abstract, phrase 3:

By Exome Sequencing (ES) we analyzed a series of 200 individuals selected for genetic testing in BRCA1-2 genes according to the updated National Comprehensive Cancer Network (NCCN) guidelines.

A correction has been made to Keywords:

BRCA1, BRCA2, cancer susceptibility genes, HBOC, ES (Exome Sequencing)

A correction has been made to Introduction, paragraph 3:

It is now estimated that more than one-half of individuals who meet the National Comprehensive Cancer Network (NCCN) testing criteria for HBOC carry PVs in genes other than BRCA1 or BRCA2. Most of these genes encode proteins sharing the same homologous recombination DNA repair function with BRCA1-2 ATM, BRIP1, CHEK2, NBN, PALB2, RAD50, RAD51C, and RAD51D (14–22). In addition, PVs in genes involved in the overlapping Fanconi anemia (FA) pathway and in the mismatch repair (MMR) pathway have been also found in BC and OC patients (23). Finally, several other genes beyond BRCA1-2, often with a not yet fully cleared clinical significance, have been found to be mutated and involved in HBOC cases by exome sequencing (ES) studies over the last years (24, 25).

A correction has been made to Introduction, paragraph 4:

The objective of the current study was to analyze by ES a series of 200 individuals who meet the National Comprehensive Cancer Network (NCCN) testing criteria for HBOC. This study allowed to go further beyond BRCA1-2 genes and identify in additional 21 patients with PVs in canonical (ATM, BRIP1, CDH1, PALB2, PTEN, RAD51C, and TP53) and candidate non-canonical (DPYD, ERBB3, ERCC2, MUTYH, NQO2, NTHL1, PARK2, RAD54L, and RNASEL) HBOC genes.

A correction has been made to Materials and Methods:

Selection of Patients and DNA Samples’ Preparation,Paragraph 1: Two hundred patients were selected at the Medical Genetics Unit (A.O.U.S, Siena, Italy) between 2019 and 2020 for Exome Sequencing (ES) according to the updated National Comprehensive Cancer Network (NCCN) guidelines (26)

EXOME SEQUENCING: Exome Sequencing

Paragraph 1:

Sample preparation was performed following the Nextera Flex for Enrichment manufacturer protocol. The workflow uses a bead-based transposome complex to tagment genomic DNA, which is a process that fragments DNA and then tags the DNA with adapter sequences in one step. After saturation with input DNA, the bead-based transposome complex fragments a set number of DNA molecules. This fragmentation provides flexibility to use a wide DNA input range to generate normalized libraries of consistent tight fragment size distribution. Following tagmentation, a limited-cycle PCR adds adapter sequences to the ends of a DNA fragment. A subsequent target enrichment workflow is then applied. Following pooling, the double stranded DNA libraries are denatured and biotinylated TruSight One Expanded Oligonucleotide probes are hybridized to the denatured library fragments. After hybridization, Streptavidin Magnetic Beads (SMB) then capture the targeted library fragments within the regions of interest. The captured and indexed libraries are eluted from beads and further amplified before sequencing. The exome sequencing analysis was performed on the Illumina NovaSeq6000 System (Illumina San Diego, CA, USA) according to the NovaSeq6000 System Guide. Reads were mapped against the hg19 reference genome by using the Burrow-Wheeler aligner BWA (27). Variant calling was obtained using an in-house pipeline which takes advantage of the GATK Best Practices workflow (28).

Paragraph 2:

ES data were filtered using eVai (enGenome) software. Variants’ prioritization was obtained by using increasingly enlarged filters: i) genes (BRCA1 and BRCA2); ii) phenotype (using HPO terms: Breast and ovarian neoplasms); iii) phenotype (using HPO terms: Neoplasms). In order to find PVs we focused our attention on rare variants (minor allele frequency, MAF <0,01). Frameshift, stopgain, and splice site variants were prioritized as pathogenic. Missense variants were predicted to be damaging by CADDphred prediction tools (score ≥25) and splice site variants by MaxEntScan tool.

A correction has been made to Result:

Phrase 2: Exome sequencing (ES) followed by a virtual panel focusing on BRCA1 and BRCA2 genes were firstly performed. We obtained a mean coverage depth of 120× for targeted sequenced regions (range, 50–180×).

A correction has been made to Result:

Pathogenic Variants in Canonical HBOC Genes

Paragraph 1: Beyond BRCA1-2 genes, ES data analysis revealed 10 pathogenic variants in 7 HBOC-related genes (canonical genes): ATM, BRIP1, CDH1, PALB2, PTEN, RAD51C, and TP53. Among these variants, six were nonsense, three were missense, and one splicing variant. Eight variants were already reported in literature or in ClinVar database (Table 3) (36–43).

Uncertain Variants in Cancer Genes Beyond BRCA1-2

Paragraph 1: In the analysis of ES data, 74 variants were classified as VUS (class 3) on the basis of the IARC recommendations (Table S3). Most VUS were located in ATM and PALB2 genes (Table S3). Fourteen patients carried more than one VUS on different genes. As regards to mutation types, most were missense variants and the remaining were duplications or deletions. Combined Annotation Dependent Depletion (CADD) was considered to predict the effect of the missense variants.

A correction has been made to Discussion:

Paragraph 1: Multigene panel genetic tests are increasingly employed for the screening of patients presenting HBOC (14–22). However, multigene panel allows a limited gene analysis while Exome Sequencing (ES) allows the simultaneous assessment of virtually an unlimited number of genes. Previous studies on ES employed for the analysis of HBOC patients demonstrated that it is a powerful tool for the identification of PVs in known HBOC-related genes (canonical) and for the discovery of novel disease factors (non-canonical) (24, 25). However, ES analysis has the limit of not identifying Copy Number Variants (CNVs) and PVs in intronic regulatory elements. Here, we analyzed by ES a cohort of 200 patients with a diagnosis of HBOC according to the updated NCCN guidelines (26). ES data analysis allowed us to identify 11 cases with pathogenic variants (4 in BRCA1 and 7 in BRCA2) (5,5%) and 12 with uncertain variants (7 in BRCA1 and 5 in BRCA2). Only one case was found with a large BRCA1 deletion. The relatively low diagnostic yield in BRCA1-2 genes is probably due to the enlarged updated diagnostic NCCN guidelines. ES analysis allowed to identify PVs in additional 21 individuals: 10 with PVs in genes already associated to breast and ovarian cancer (ATM, BRIP1, CDH1, PALB2, PTEN, RAD51C, and TP53) and 11 in other candidate cancer susceptibility genes (DYPD, ERBB3, ERCC2, MUTYH, NTHL1, NQO2, PARK2, RAD54L, and RNASEL).

Paragraph 4: In conclusion, ES analysis in a cohort of HBOC suspected patients allowed a diagnostic yield of a further −5% in non BRCA1-2 genes. Canonical genes would have been included in a multigene panel for diagnostic purposes while mutations in candidate non-canonical genes would not have emerged if a ES approach had not been carried out, overlapping the boundaries of clinical conditions, often simplistically separated. However, to make a diagnosis other experiments such as segregation analysis should be performed and these genes remains candidates. Variants in DPYD, MUTYH (c.536A>G and c.933+3A>C), NTHL1, and RNASEL genes were also found in controls, suggesting that these variants are probably low–penetrance risk alleles. Finally although it is true that this strategy increases the level of complication of the analysis and the number of VUS per sample, their identification appears to be essential for future definitive classification pooling together the data of different studies.

The authors apologize for this error and state that this does not change the scientific conclusions of the article in any way. The original article has been updated.

Publisher’s Note

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

Keywords: BRCA1, BRCA2, cancer susceptibility genes, HBOC, ES (Exome Sequencing)

Citation: Doddato G, Valentino F, Giliberti A, Papa FT, Tita R, Bruno LP, Resciniti S, Fallerini C, Benetti E, Palmieri M, Mencarelli MA, Fabbiani A, Bruttini M, Orrico A, Baldassarri M, Fava F, Lopergolo D, Rizzo CL, Lamacchia V, Mannucci S, Pinto AM, Currò A, Mancini V, Oncologic Multidisciplinary Team, Azienda Ospedaliera Universitaria Senese, Oncologic Multidisciplinary Team, Azienda Usl Toscana Sud Est, Mari F, Renieri A and Ariani F (2021) Corrigendum: Exome Sequencing in BRCA1-2 Candidate Familias: The Contribution of Other Cancer Susceptibility Genes. Front. Oncol. 11:740860. doi: 10.3389/fonc.2021.740860

Received: 13 July 2021; Accepted: 27 July 2021;
Published: 17 August 2021.

Edited and reviewed by:

Paola Parrella, Casa Sollievo della Sofferenza (IRCCS), Italy

Copyright © 2021 Doddato, Valentino, Giliberti, Papa, Tita, Bruno, Resciniti, Fallerini, Benetti, Palmieri, Mencarelli, Fabbiani, Bruttini, Orrico, Baldassarri, Fava, Lopergolo, Rizzo, Lamacchia, Mannucci, Pinto, Currò, Mancini, Oncologic Multidisciplinary Team, Azienda Ospedaliera Universitaria Senese, Oncologic Multidisciplinary Team, Azienda Usl Toscana Sud Est, Mari, Renieri and Ariani. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Francesca Ariani, francesca.ariani@unisi.it

These authors have contributed equally to this work

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.