DNA damage repair gene mutation testing and genetic counseling in men with/without prostate cancer: a systematic review

Future Oncol. 2021 Mar;17(7):853-864. doi: 10.2217/fon-2020-0569. Epub 2020 Dec 2.

Abstract

Background: Ongoing clinical trials are investigating PARP inhibitors to target the DNA damage repair (DDR) pathway in prostate cancer. DDR mutation screening will guide treatment strategy and assess eligibility for clinical trials. Materials & methods: This systematic review estimated the rate of DDR mutation testing or genetic counseling among men with or at risk of prostate cancer. Results: From 6856 records, one study fulfilled the inclusion criteria and described men undiagnosed with prostate cancer with a family history of BRCA1/2 mutation who received DDR mutation testing. Conclusion: With only one study included in this first systematic review of DDR mutation testing or genetic counseling in men with or at risk of prostate cancer, more research is warranted.

Keywords: ATM; BRCA1; BRCA2; DDR; DNA damage repair; genetic counseling; genetic testing; mutation; prostate cancer.

Publication types

  • Systematic Review

MeSH terms

  • BRCA1 Protein / genetics
  • BRCA2 Protein / genetics
  • Consensus
  • DNA Mutational Analysis / standards
  • DNA Mutational Analysis / statistics & numerical data*
  • DNA Repair*
  • Drug Resistance, Neoplasm / genetics
  • Genetic Counseling / standards
  • Genetic Counseling / statistics & numerical data*
  • Genetic Testing / standards
  • Genetic Testing / statistics & numerical data*
  • Humans
  • Male
  • Medical History Taking
  • Mutation
  • Poly(ADP-ribose) Polymerase Inhibitors / pharmacology
  • Poly(ADP-ribose) Polymerase Inhibitors / therapeutic use
  • Practice Guidelines as Topic
  • Prostatic Neoplasms / diagnosis*
  • Prostatic Neoplasms / drug therapy
  • Prostatic Neoplasms / genetics

Substances

  • BRCA1 Protein
  • BRCA1 protein, human
  • BRCA2 Protein
  • BRCA2 protein, human
  • Poly(ADP-ribose) Polymerase Inhibitors