The Role of Genetics in Cancer: Hereditary Factors and Genetic Testing

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Having a cancer diagnosis can leave a lot of questions unanswered regarding its cause. This could be due to the presence of specific genes one possesses, certain habits, the environment present, and more. What matters most is that we can do more within our lifetime to understand how our genes may influence cancer. There are specific hereditary genes that some people might inherit from their parents, which increase the possibility of acquiring cancer to be high. For instance, BRCA1 and BRCA2 family genes, if mutated, can lead to an uptick in the chances of getting ovarian and breast cancer, respectively.

The blog “The Role of Genetics in Cancer: Hereditary Factors and Genetic Testing” states that only 5-10% of families have a history of cancer. Moreover, those with these inherited gene alterations will likely acquire it early or reappear. Even though these figures are quite small, they are quite worrying.

Preventative measures preventive testing can be carried out by genetic testing, which is used to confirm, diagnose, or explore these gene changes. A simple specimen of blood or spit is usually employed in this test. If a gene mutation is present, the individual may be able to carry out sufficient measures to either monitor the condition or prevent the condition from developing. Understanding cancer allows individuals to plan better for their health and their family members.

Genetic Changes and Cancer Risk: What’s The Link?

A tiny fraction of cancers, about 5% to 10%, are due to hereditary genetic information passed down from ancestors, known as germline mutation. Most such mutations arise in either the egg or the sperm during conception; therefore, they are found in every cell of an individual.

Most cancers appear due to new factors which can be acquired throughout a lifetime. Still, exposure to a harmful gene alteration increases the probability of developing cancer in selected areas: breast, ovarian, or colon. However, women who possess the BRCA1 or BRCA2 gene mutation have an astonishingly high likelihood–60%–of developing breast cancer, which is much higher than average; by the age of 70, Bailey estimates that these women have an extreme likelihood of developing breast cancer in at least 60% of them.

By knowing about these genetic factors, doctors can devise means of screening and safeguarding those at increased cancer risk.

Key Genetic Mutations Associated with Cancer

Genetic abnormalities are sometimes inherent in human beings as they are born with them in their DNA. Such abnormalities may lead to complications later in life, more specifically, cancer. There are a few noteworthy genes that are of relevance:

  • BRCA1 and BRCA2: These genes assist in offering some prevention from breast and ovarian cancer. If someone carries a mutation in these species of genes, women are at an increased risk of developing breast and ovarian cancer, whereas males may be at risk of developing breast and prostate cancer.
  • TP53: This gene controls the mechanisms of cell growth, and its changes lead to Li-Fraumeni syndrome, which supports the idea of malignant development at a younger age.
  • APC: Mutations in this gene cause FAP (Familial Adenomatous Polyposis), a condition which significantly increases the risk of developing Colon Cancer.

These cases emphasize again the role of definite oncogenes in the pathogenesis of such cancers and underline the role of cancer family history as an integral due to the findings above.

Hereditary Cancer Syndromes

It is feasible for one to think of hereditary cancer syndromes as compilations of diseases. These disorders are caused by inherited genetic factors, making the possessor of such genes more vulnerable to developing specific cancers. Therefore, knowledge of such syndromes will significantly enable practitioners to diagnose and treat cancer from its initial stages.

Such can be termed as the hereditary causes for cancer syndromes; these include:

  • HBOD: The BRCA1 and BRCA2 genes are the most commonly associated with HBOD, with an alias “Hereditary Breast and Ovarian Cancer Syndrome.”
  • Lynch Syndrome: Alterations in DNA repair genes are related to an elevated chance of acquiring a few kinds of cancer. Moreover, this condition raises the likelihood of developing endometrial cancer and colon and rectum cancer, which is commonly referred to as CAC.
  • Cowden Syndrome: Different gene PTEN mutations help in improving the prognosis and development of breast, thyroid, and endometrial cancer.

If a substantial risk exists or someone is a descendant of these syndromes, genetic counseling and testing may be requested to evaluate one’s risk.

The Importance of Family History

Another massive lesson about cancer is that family history plays a considerable role in the assessment of the cancer risk level. A high-risk genetic cancer might be suggested if many persons in the family were affected by the same type of cancer or if a person was diagnosed when still young.

For instance, while exercising a breast self-exam, the determining factor is that one has a higher risk of contracting the disease if other family members have, including if the mother, sister, or daughter had breast cancer, then other members of the family are at double risk. That might mean some people are seen more often than others because of genes or other things in their families.

This assists in establishing cancers in their early stage when they are very easy to manage. It can also help you and your doctor decide how to prevent or treat illnesses and catch them before they get too serious. Discussing the family’s medical history is an excellent approach to staying healthy.

Genetic Testing: What Is It?

Genetic testing can occasionally calculate the odds that a family will contract specific cancers. Such tests target the DNA isolated from blood or saliva specimens and look for particular changes in the genetic structure, known as mutations.

In general, there are several types of genetic testing:

  • Predictive Genetic Testing: This focuses on whether a mutation has been acquired that makes an individual vulnerable to some cancer developing.
  • Carrier Testing: This is suitable for couples wishing to conceive and aims to establish whether one partner is a carrier of a mutation relevant to children.
  • Prenatal Testing: Used for fetuses, this helps in determining whether a congenital disability is likely to be present in the infant while still in the womb.

Since such mutations significantly contribute to potential cancer development or tearing of the body, it is crucial to act accordingly by getting frequent check-ups or opting for preventive surgery when possible.

Benefits and Limitations of Genetic Testing

It is clear that the testing might yield rewarding results; however, people must be aware of all the risks associated with this type of testing.

With this kind of testing, certain precautions can be taken before potential problems arise, such as disease or cancer. Other people can strengthen their defenses against cancer by undergoing consistent check-ups. Another advantage comes from the fact that once a person knows their genetic trends, they can make adequate decisions regarding their health plans. Knowing what you carry in your family can also benefit couples wanting to have children in the future; it will help them decide if passing the genes is worth it.

Every coin has two sides; the same is the case with genetic testing. Some women develop stress that can lead them to depression due to the anxiety of knowing how predisposed they are to develop breast cancer. Even when people test positive, which suggests they have a high likelihood of developing cancer, it does not mean that they will for sure develop cancer; the same goes for people who test negative. Last but not least, genetic testing may lead to insurance refusal or coverage denial based on the results, a controversial issue.

Conclusion

Studying the connection between genetics and cancer is noteworthy and worthy of attention. Researchers have compared human genes to miniature blueprints that determine how our cells should grow and function. At other times, the genes cause cell divisions that are more frequent than necessary, producing cancer. Others get them from their parents; this can help put one at a higher risk of being diagnosed with some types of cancer.

However, there are ways to determine if a person has these inherited gene changes, including genetic testing. If a person knows they are in a high-risk category, it is recommended that they keep fit, perhaps through annual medical examinations and tests. The information they get assists them while choosing matters related to their health.

It is also appropriate to discuss their familial history of cancer with physicians. If there are many cases in the family, the doctors may recommend genetic counseling. This means receiving information about available ways to be informed about cancer-associated health risks. More knowledge of genetics helps people take personal responsibility for themselves and make correct choices.

Sources:

https://cancer.ca/en/cancer-information/what-is-cancer/genes-and-cancer/genetic-changes-and-cancer-risk

https://www.ncbi.nlm.nih.gov/books/NBK65761/

https://www.cancerresearchuk.org/about-cancer/causes-of-cancer/inherited-cancer-genes-and-increased-cancer-risk/family-history-and-inherited-cancer-genes

https://www.cancer.gov/about-cancer/causes-prevention/genetics/genetic-testing-fact-sheet

https://www.cancersupportcommunity.org/article/cancer-hereditary

https://aiio.asterhospitals.in/blogs-events-news/role-of-genetics-cancer-hereditary-factors-and-genetic-testing

https://pmc.ncbi.nlm.nih.gov/articles/PMC3934208/

https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/cancer-and-heredity

https://www.cancer.gov/about-cancer/causes-prevention/genetics

https://my.clevelandclinic.org/health/diagnostics/23972-genetic-testing-cancer-risk