The BRCA genes, or breast cancer susceptibility genes, are a set of genes that help suppress tumor growth in the body. When BRCA genes are functioning well, they prevent the development of cancer.
However, when they develop mutations, they can actually increase the likelihood of certain cancers developing, most commonly breast and ovarian cancer. Understanding the link between BRCA gene defects and cancer rates is essential to mitigating the risk of cancer in those at high risk for these conditions.
What are BRCA Genes?
BRCA genes are actually two genes, BRCA1 and BRCA2, that help keep DNA stable and prevent gene mutations. When functioning properly, these genes repair damage to DNA and maintain healthy cell growth.
When a person has a change in either the BRCA1 or BRCA2 gene, the body is less able to prevent the growth of certain cancers and can lead to a higher risk for cancer development. As a result, individuals with BRCA gene mutations are at a significantly higher risk for breast and ovarian cancers than the general population.
BRCA Gene Defects and Cancer Rates
Individuals who inherit a BRCA gene mutation from their parents have a higher cancer risk than those who do not have these mutations.
Studies show that women with the BRCA1 or BRCA2 mutations have a 45-65% lifetime risk of developing breast cancer, compared to the 12% risk for women in the general population. They also have a 11-39% lifetime risk of developing ovarian cancer, compared to a 1.3% risk for women in the general population.
It’s important to note that while these mutations increase the risk of cancer, they do not guarantee the development of cancer.
How are BRCA Gene Mutations Inherited?
BRCA gene mutations are generally inherited from a parent who has the mutation. Each parent gives one gene to their offspring, so if one parent has a mutation, there is a 50% chance their offspring will inherit that mutation.
It’s important to note that while inherited mutations are the most common, it is also possible for mutations to occur spontaneously. In these cases, there is no family history of the mutations.
Who is at Risk for Inheriting BRCA Gene Mutations?
BRCA gene mutations are more commonly found in people who have a significant family history of breast and/or ovarian cancer, particularly if multiple family members have been affected and if family members are diagnosed at an earlier age.
Both men and women can inherit BRCA gene mutations, although the risks are generally higher for women. Women who have undergone genetic testing and found to have these mutations should consider more frequent screenings for cancer, including mammograms and ultrasounds.
Screening and Prevention for BRCA Gene Mutations
People with a family history of BRCA gene mutations, or those who are concerned that they may have inherited a mutation, can undergo genetic testing to determine whether or not they have a mutation.
This testing can be done through blood or saliva samples and is usually covered by insurance for those who meet certain criteria. If a person is found to have a mutation, they may choose to undergo prophylactic surgery to remove the breasts or ovaries as a preventative measure.
They may also choose to undergo more frequent cancer screenings to detect any signs of cancer early on and treat them promptly.
Treatment for BRCA Gene-Related Cancers
If a person is diagnosed with breast or ovarian cancer and has a BRCA gene mutation, their treatment options may be different than those without a mutation.
For example, women with breast cancer who have a BRCA1 or BRCA2 mutation may consider removing both breasts to reduce their chances of developing cancer again in the future. Women with ovarian cancer and a BRCA gene mutation may consider removal of the ovaries as well. In addition to surgery, chemotherapy and radiation therapy may also be utilized to treat these cancers, as they would be in non-BRCA related cases.
The Future of BRCA Gene Research
Currently, there is a lot of research being conducted to better understand the connection between BRCA gene mutations and cancer.
Researchers are looking for new and more effective ways to detect these mutations, as well as exploring novel treatments specific to these mutations. It is hoped that continued research will lead to more successful treatments and prevention strategies for those with BRCA gene mutations and those at high risk for these types of cancers.
Conclusion
BRCA gene mutations have been linked to increased rates of breast and ovarian cancer. While these mutations do not guarantee the development of cancer, they do increase the likelihood of it occurring.
Understanding the link between BRCA gene defects and cancer rates can help individuals make informed decisions about cancer screening and preventative measures, as well as guide their treatment options if they are diagnosed with cancer.