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Table 2 Characteristics of Chinese breast CA patients (no chemo/radiotherapy received before genetic test) identified with germline TP53 mutation

From: Mutation screening of germline TP53 mutations in high-risk Chinese breast cancer patients

Patient ID

Nucleotide alteration

Clin-var

Number of cases in IARC TP53

(Asian/All)

VAF (%)

Germline

Germline evidence(s)

C/R

Tumor types

Age at Dx

Mutation type

Stage of disease

Vital status

Family history

LFS/

LFL

Classifi-cation

FM

HF

BS

PT

F01

c.96 + 1G > T;

Del of exon3 r.75_96del p.Leu26Profs*11

P/LP

0/0

51.5

Confirmed germline

–

+

+

NA

Y

Breast CA

Breast CA

18

43

Splice-Site Mutation

Stage I

Stage 0

Alive

Breast CA, Colorectal CA, Brain and CNS Tumors

LFL

Chompret

F02

c.422G > A; p.Cys141Tyr

P

5/11

56.9

Confirmed Germline;

DeNovo

–

+

+

Y

N

Breast CA,

Breast CA,

Thyroid CA

30

34

32

Missense Mutation

Stage II

Stage 0

Alive

Colorectal CA, Lung CA

LFL

Chompret

F03

c.473G > A; p.Arg158His

P/LP

2/23

51.4

Suspected germlineb

–

NA

NA

NA

Y

Breast CA

47

Missense Mutation

Stage III

Deceased

Multiple Lung CAs,

Colorectal CA, Brain and CNS Tumor

LFL

N

F04

c.490A > G; p.Lys164Glu

VUS

0/0

54.3

Confirmed germline

+

/

/

/

N

Breast CA

24

Missense Mutation

Stage 0

Alive

Osteosarcoma,

Soft Tissue Tumor,

NPC

LFS

Chompret

F05

c.527G > T; p.Cys176Phe

LP

0/1

36.9

Suspected germlineb

NA

NA

NA

NA

Y

Breast CA,

Breast CA

Ovarian CA

Lung CA

22

31

38

38

Missense Mutation

Stage II

Stage 0

Alive

Liver CA,

Stomach CA

N

Chompret

F06

c.529_546del; p.Pro177Cys182del

NI

Novel

33.1

Confirmed Germline;

DeNovo

–

+

+

Y

N

Breast CA

30

Missense Mutation

Stage II

Alive

Multiple Lung CAs,

Stomach CA,

Laryngeal CA

Prostate CA

LFL

Chompret

F07

c.536A > G; p.His179Arg

VUS

2/2

48.5

Confirmed germline

+

/

/

/

Y

Breast CA,

Breast CA

33

33

Missense Mutation

Stage II Stage I

Deceased

Esophageal CAs,

Stomach CA,

Lung CA,

Stomach CA, Bone CA, Breast CA, Connective Tissue CA

LFS

Chompret

F08

c.541C > T; Arg181Cys

P/LP/

VUS

17/21

55.1

Suspected germlineb

NA

NA

NA

NA

Y

Breast CA,

Breast CA

36

42

Missense Mutation

Stage II Stage I

Alive

Lung CA, Testicular CA

Ovarian CA

LFL

N

F09

c.626_627dupGA; p.Asn210Glufs*38

NI

0/3

35.0

Confirmed

Germline;

Likely DeNovo

–

+

+

NA

N

Breast CA,

Breast CA

Thyroid CA

30

46

53

Insertion

Stage 0Stage 0

Alive

/

N

Chompret

F10

c.638G > A;

p.Arg213Gln

P

5/16

-a

Confirmed germline

+

/

/

/

Y

Breast CA,

Thymus CA,

Adrenocortical CA

28

25

5

Missense Mutation

Stage II

Alive

Thyroid CA,

Lung CA,

Brain and CNS Tumors

LFL

Chompret

F11

c.722C > T; p.Ser241Phe

LP

3/6

65.8

Suspected germlineb

–

NA

NA

NA

Y

Breast CA,

Breast CA

25

32

Missense Mutation

Stage 0 Stage I

Deceased

Colorectal CA, Breast CA

LFL

Chompret

F12

c.743G > A; p.Arg248Gln

P/LP

14/64

50.9

Confirmed germline

+

/

/

/

Y

Breast CA,

Breast CA

44

44

Missense Mutation

Stage IIA Stage IIA

Alive

Sarcoma Multiple Breast CAs Stomach CA

LFS

Chompret

F13

c.818G > A; p.Arg273His

P/LP

23/75

48.3

Confirmed germline

NA

+

+

NA

N

Breast CA,

Breast CA

28

30

Missense Mutation

Stage 0Stage 0

Alive

Unknown CA

N

Chompret

F14

c.825 T > G;

p.Cys275Trp

LP

0/0

43.7

Germline;

Likely DeNovo

–

NA

NA

NA

N

Breast CA,

Breast CA

28

35

Missense Mutation

Stage I unknown

Deceased

/

N

Chompret

F15

c.844C > T; p.Arg282Trp

P/LP

13/52

51.7

Germline;

Likely DeNovo

NA

NA

NA

NA

N

Breast CA,

Brain and CNS Tumors

27

30

Missense Mutation

Stage II

Deceased

/

N

Chompret

F16

c.916C > T;

p.Arg306*

P

9/33

44.3

Confirmed Germline;

Likely DeNovo

–

+

+

NA

N

Breast CA

32

Nonsense Mutation

Stage I

Alive

Lung CA Oral CA Colorectal CA

LSL

Chompret

F17

c.1010G > A;

p.Arg337His

P

2/112

42.4

Confirmed germline

+

/

/

/

Y

Breast CA,

Lung CA

42

54

Missense Mutation

Stage II

Alive

Colorectal CA,

Uterus CA,

Multiple Breast CAs,

Multiple Lung CAs

LFS

Chompret

F18

c.1025G > C;

p.Arg342Pro

P/LP

2/6

51.0

Suspected germlineb

NA

NA

NA

NA

N

Breast CA,

Breast CA

23

23

Missense Mutation

Stage I

Stage II

Alive

Nasopharyngeal CA,

Liver CA

N

Chompret

  1. LFS (Classic Li-Fraumeni syndrome): an individual diagnosed age < 45 with a sarcoma AND a first degree relative diagnosed age < 45 with cancer AND an additional first or second degree relative in the same linage with cancer diagnosed age < 45 or with a sarcoma at any age [1]
  2. LFL (Li-Fraumeni-like Syndrome): an individual with two first- or second degree relatives with LFS tumors spectrum at any age, rather than the three required by the classic criteria [20] OR proband with any childhood cancer or sarcoma, brain tumor, or adrenocortical carcinoma diagnosed under 45 years of age, with one first or second degree relative with typical LFS cancer diagnosed at any age, plus one first or second degree relative in the same lineage with any cancer diagnosed under age 60 [19]
  3. Chompret: Individual with a tumor from LFS tumor spectrum diagnosed < 46 AND at least one first or second degree relative with any of the aforementioned cancers (other than breast cancer if the proband has breast cancer < 56 OR individual with multiple primaries at any age OR individual with multiple tumors (excluding multiple breast tumors), two of which belong to LFS tumors spectrum with the initial cancer occurring < 46 OR individual with adrenocortical carcinoma or choroid plexus carcinoma or rhabdomyosarcoma of embryonal anaplastic subtype at any age, regardless of family history or breast cancer diagnosed < 31 [21].
  4. Abbreviations: FM family member(s); HF: Hair follicle; BS buccal swab; PT Paternity test; C/R Chemotherapy or radiotherapy; NI No information; NA Not available; Dx Diagnosis; VAF variant allele frequency; P Pathogenic; LP Likely pathogenic; VUS Variant of unknown significance
  5. aKnown TP53 Family
  6. bSuspected germline: an individual who meet either LFS or LFL or Chompret criteria but family study or other germline layer(s) were not available