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BRCA1 R1699Q variant displaying ambiguous functional abrogation confers intermediate breast and ovarian cancer risk

Identifieur interne : 005552 ( Main/Exploration ); précédent : 005551; suivant : 005553

BRCA1 R1699Q variant displaying ambiguous functional abrogation confers intermediate breast and ovarian cancer risk

Auteurs : Amanda B. Spurdle [Australie] ; Phillip J. Whiley [Australie] ; Bryony Thompson [Australie] ; Bingjian Feng [États-Unis] ; Sue Healey [Australie] ; Melissa A. Brown [Australie] ; Christopher Pettigrew [Australie] ; Christi J. Van Asperen [Pays-Bas] ; Margreet G E M. Ausems [Pays-Bas] ; Anna A. Kattentidt-Mouravieva [Pays-Bas] ; Ans M W. Van Den Ouweland [Pays-Bas] ; Dutch Belgium Uv Consortium [Pays-Bas] ; Annika Lindblom [Suède] ; Maritta H. Pigg [Suède] ; Rita K. Schmutzler [Allemagne] ; Christoph Engel [Allemagne] ; Alfons Meindl [Allemagne] ; Sandrine Caputo [France] ; Olga M. Sinilnikova [France] ; Rosette Lidereau [France] ; Fergus J. Couch [États-Unis] ; Lucia Guidugli [États-Unis] ; Thomas Van Overeem Hansen [Danemark] ; Mads Thomassen [Danemark] ; Diana M. Eccles [Royaume-Uni] ; Kathy Tucker [Australie] ; Javier Benitez [Espagne] ; Susan M. Domchek [États-Unis] ; Amanda E. Toland [États-Unis] ; Elizabeth J. Van Rensburg [Afrique du Sud] ; Barbara Wappenschmidt [Allemagne] ; Ke Borg [Suède] ; Maaike P G. Vreeswijk [Pays-Bas] ; David E. Goldgar [États-Unis]

Source :

RBID : ISTEX:C65EA938DABF3F7A9F8DF99CC59CACF97643BDE1

Descripteurs français

English descriptors

Abstract

Background Clinical classification of rare sequence changes identified in the breast cancer susceptibility genes BRCA1 and BRCA2 is essential for appropriate genetic counselling of individuals carrying these variants. We previously showed that variant BRCA1 c.5096G>A p.Arg1699Gln in the BRCA1 transcriptional transactivation domain demonstrated equivocal results from a series of functional assays, and proposed that this variant may confer low to moderate risk of cancer. Methods Measures of genetic risk (report of family history, segregation) were assessed for 68 BRCA1 c.5096G>A p.Arg1699Gln (R1699Q) families recruited through family cancer clinics, comparing results with 34 families carrying the previously classified pathogenic BRCA1 c.5095C>T p.Arg1699Trp (R1699W) mutation at the same residue, and to 243 breast cancer families with no BRCA1 pathogenic mutation (BRCA-X). Results Comparison of BRCA1 carrier prediction scores of probands using the BOADICEA risk prediction tool revealed that BRCA1 c.5096G>A p.Arg1699Gln variant carriers had family histories that were less ‘BRCA1-like’ than BRCA1 c.5095C>T p.Arg1699Trp mutation carriers (p<0.00001), but more ‘BRCA1-like’ than BRCA-X families (p=0.0004). Further, modified segregation analysis of the subset of 30 families with additional genotyping showed that BRCA1 c.5096G >A p.Arg1699Gln had reduced penetrance compared with the average truncating BRCA1 mutation penetrance (p=0.0002), with estimated cumulative risks to age 70 of breast or ovarian cancer of 24%. Conclusions Our results provide substantial evidence that the BRCA1 c.5096G>A p.Arg1699Gln (R1699Q) variant, demonstrating ambiguous functional deficiency across multiple assays, is associated with intermediate risk of breast and ovarian cancer, highlighting challenges for risk modelling and clinical management of patients of this and other potential moderate-risk variants.

Url:
DOI: 10.1136/jmedgenet-2012-101037


Affiliations:


Links toward previous steps (curation, corpus...)


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<name sortKey="Couch, Fergus J" sort="Couch, Fergus J" uniqKey="Couch F" first="Fergus J" last="Couch">Fergus J. Couch</name>
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<wicri:regionArea>Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota</wicri:regionArea>
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</placeName>
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<author>
<name sortKey="Guidugli, Lucia" sort="Guidugli, Lucia" uniqKey="Guidugli L" first="Lucia" last="Guidugli">Lucia Guidugli</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota</wicri:regionArea>
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</placeName>
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<author>
<name sortKey="Hansen, Thomas Van Overeem" sort="Hansen, Thomas Van Overeem" uniqKey="Hansen T" first="Thomas Van Overeem" last="Hansen">Thomas Van Overeem Hansen</name>
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<country xml:lang="fr">Danemark</country>
<wicri:regionArea>Center for Genomic Medicine, Rigshospitalet, Copenhagen University hospital, Copenhagen</wicri:regionArea>
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<settlement type="city">Copenhague</settlement>
<region type="région" nuts="2">Hovedstaden</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Thomassen, Mads" sort="Thomassen, Mads" uniqKey="Thomassen M" first="Mads" last="Thomassen">Mads Thomassen</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Danemark</country>
<wicri:regionArea>Department of Clinical Genetics, Odense University Hospital, Odense</wicri:regionArea>
<wicri:noRegion>Odense</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Eccles, Diana M" sort="Eccles, Diana M" uniqKey="Eccles D" first="Diana M" last="Eccles">Diana M. Eccles</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Faculty of Medicine, University of Southampton, Southampton University Hospital NHS Trust MP824, Southampton</wicri:regionArea>
<wicri:noRegion>Southampton</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Tucker, Kathy" sort="Tucker, Kathy" uniqKey="Tucker K" first="Kathy" last="Tucker">Kathy Tucker</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Hereditary Cancer Clinic, Prince of Wales Hospital, Randwick</wicri:regionArea>
<wicri:noRegion>Randwick</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Benitez, Javier" sort="Benitez, Javier" uniqKey="Benitez J" first="Javier" last="Benitez">Javier Benitez</name>
<affiliation wicri:level="3">
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Spanish National Cancer Centre, Madrid</wicri:regionArea>
<placeName>
<settlement type="city">Madrid</settlement>
<region nuts="2" type="region">Communauté de Madrid</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Domchek, Susan M" sort="Domchek, Susan M" uniqKey="Domchek S" first="Susan M" last="Domchek">Susan M. Domchek</name>
<affiliation wicri:level="2">
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Abramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania</wicri:regionArea>
<placeName>
<region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Toland, Amanda E" sort="Toland, Amanda E" uniqKey="Toland A" first="Amanda E" last="Toland">Amanda E. Toland</name>
<affiliation wicri:level="2">
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Human Cancer Genetics, Departments of Internal Medicine and Molecular Virology, Immunology and Medical Genetics, OSU Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio</wicri:regionArea>
<placeName>
<region type="state">Ohio</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Van Rensburg, Elizabeth J" sort="Van Rensburg, Elizabeth J" uniqKey="Van Rensburg E" first="Elizabeth J" last="Van Rensburg">Elizabeth J. Van Rensburg</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Department of Genetics, University of Pretoria, Hatfield</wicri:regionArea>
<wicri:noRegion>Hatfield</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Wappenschmidt, Barbara" sort="Wappenschmidt, Barbara" uniqKey="Wappenschmidt B" first="Barbara" last="Wappenschmidt">Barbara Wappenschmidt</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Gynaecology and Obstetrics, Centre of Familial Breast and Ovarian Cancer and Centre for Molecular Medicine Cologne, University of Cologne, Cologne</wicri:regionArea>
<wicri:noRegion>Cologne</wicri:noRegion>
<wicri:noRegion>Cologne</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Borg, Ke" sort="Borg, Ke" uniqKey="Borg " first=" Ke" last="Borg"> Ke Borg</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Åke Borg, Department of Oncology, Lund University, Lund</wicri:regionArea>
<wicri:noRegion>Lund</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Vreeswijk, Maaike P G" sort="Vreeswijk, Maaike P G" uniqKey="Vreeswijk M" first="Maaike P G" last="Vreeswijk">Maaike P G. Vreeswijk</name>
<affiliation wicri:level="3">
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Human Genetics, Center for Human and Clinical Genetics, Leiden University Medical Center, Leiden</wicri:regionArea>
<placeName>
<settlement type="city">Leyde</settlement>
<region nuts="2" type="province">Hollande-Méridionale</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Goldgar, David E" sort="Goldgar, David E" uniqKey="Goldgar D" first="David E" last="Goldgar">David E. Goldgar</name>
<affiliation wicri:level="2">
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Dermatology, University of Utah School of Medicine, Salt Lake City, Utah</wicri:regionArea>
<placeName>
<region type="state">Utah</region>
</placeName>
</affiliation>
<affiliation></affiliation>
<affiliation wicri:level="2">
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Huntsman Cancer Institute, Salt Lake City, Utah</wicri:regionArea>
<placeName>
<region type="state">Utah</region>
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<series>
<title level="j">Journal of Medical Genetics</title>
<title level="j" type="abbrev">J Med Genet</title>
<idno type="ISSN">0022-2593</idno>
<idno type="eISSN">1468-6244</idno>
<imprint>
<publisher>BMJ Publishing Group Ltd</publisher>
<date type="published" when="2012-08">2012-08</date>
<biblScope unit="volume">49</biblScope>
<biblScope unit="issue">8</biblScope>
<biblScope unit="page" from="525">525</biblScope>
</imprint>
<idno type="ISSN">0022-2593</idno>
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<idno type="ISSN">0022-2593</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Additional genotyping</term>
<term>Antoniou</term>
<term>Assay</term>
<term>Boadicea</term>
<term>Boadicea model</term>
<term>Brca1</term>
<term>Brca1 mutation</term>
<term>Brca1 mutation carriers</term>
<term>Brca1 variant</term>
<term>Brca2</term>
<term>Brca2 genes</term>
<term>Brca2 mutations</term>
<term>Brca2 variants</term>
<term>Brct</term>
<term>Breast</term>
<term>Breast cancer</term>
<term>Breast cancer risk</term>
<term>Breast cancer susceptibility genes brca1</term>
<term>Breast cancers</term>
<term>Cancer</term>
<term>Cancer genetics</term>
<term>Cancer risk</term>
<term>Cancer risks</term>
<term>Cause steric clashes</term>
<term>Cell line</term>
<term>Center utrecht</term>
<term>Centre</term>
<term>Classical mutations</term>
<term>Clinical genetics</term>
<term>Clinical genetics service</term>
<term>Clinical management</term>
<term>Comprehensive cancer center</term>
<term>Consortium</term>
<term>Copenhagen university hospital</term>
<term>Cosegregation</term>
<term>Cosegregation data</term>
<term>Cumulative risks</term>
<term>Data collection</term>
<term>Dutch belgium</term>
<term>Easton</term>
<term>Enigma collaborators</term>
<term>Equivocal results</term>
<term>Familial breast</term>
<term>Family cancer clinics</term>
<term>Family histories</term>
<term>Family history</term>
<term>Family history penetrance</term>
<term>Foundation trust</term>
<term>Functional assays</term>
<term>Future studies</term>
<term>General population</term>
<term>Genet</term>
<term>Genetic studies</term>
<term>Genetic susceptibility</term>
<term>Genetics</term>
<term>Genetics laboratory</term>
<term>Genetics service</term>
<term>Genomic medicine</term>
<term>Goldgar</term>
<term>Gomez garcia</term>
<term>Grantham deviation</term>
<term>Healey</term>
<term>Hereditary breast</term>
<term>Hospices civils</term>
<term>Human genetics</term>
<term>Institut</term>
<term>Institut curie</term>
<term>Intermediate function</term>
<term>Intermediate risk</term>
<term>Intermediate transcriptional transactivation activity</term>
<term>Internal medicine</term>
<term>Kconfab</term>
<term>Lakhani</term>
<term>Leiden university</term>
<term>Many families</term>
<term>Maximum likelihood estimate</term>
<term>Medical genetics</term>
<term>Medical research</term>
<term>Missense</term>
<term>Moderate risk</term>
<term>Molecular medicine cologne</term>
<term>Multifactorial</term>
<term>Multiple assays</term>
<term>Multiplier</term>
<term>Mutat</term>
<term>Mutation</term>
<term>Netherlands cancer institute</term>
<term>Null hypothesis</term>
<term>Odense university hospital</term>
<term>Ohio state university</term>
<term>Ovarian</term>
<term>Ovarian cancer</term>
<term>Ovarian cancer risk</term>
<term>Ovarian cancers</term>
<term>Pathogenic</term>
<term>Pathogenic brca1 mutation</term>
<term>Pathogenic mutation</term>
<term>Pathogenic mutations</term>
<term>Pathogenic variant</term>
<term>Pathogenicity</term>
<term>Pedigree phenotypes</term>
<term>Penetrance</term>
<term>Phosphopeptide recognition</term>
<term>Population health</term>
<term>Population rates</term>
<term>Probands</term>
<term>Queensland</term>
<term>Queensland institute</term>
<term>Rare sequence changes</term>
<term>Relative risks</term>
<term>Risk modelling</term>
<term>Risk variants</term>
<term>Salt lake city</term>
<term>Same centres</term>
<term>Same residue</term>
<term>Sequence variants</term>
<term>Single value</term>
<term>Spurdle</term>
<term>Standard model</term>
<term>Standard penetrance</term>
<term>Substitution</term>
<term>Tavtigian</term>
<term>Technical university</term>
<term>Time frame</term>
<term>Transactivation</term>
<term>Transcriptional</term>
<term>Transcriptional transactivation activity</term>
<term>Trypsin sensitivity</term>
<term>University hospital</term>
<term>Utah school</term>
<term>Variant</term>
<term>Variant brca1</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en">
<term>Additional genotyping</term>
<term>Antoniou</term>
<term>Assay</term>
<term>Boadicea</term>
<term>Boadicea model</term>
<term>Brca1</term>
<term>Brca1 mutation</term>
<term>Brca1 mutation carriers</term>
<term>Brca1 variant</term>
<term>Brca2</term>
<term>Brca2 genes</term>
<term>Brca2 mutations</term>
<term>Brca2 variants</term>
<term>Brct</term>
<term>Breast</term>
<term>Breast cancer</term>
<term>Breast cancer risk</term>
<term>Breast cancer susceptibility genes brca1</term>
<term>Breast cancers</term>
<term>Cancer</term>
<term>Cancer genetics</term>
<term>Cancer risk</term>
<term>Cancer risks</term>
<term>Cause steric clashes</term>
<term>Cell line</term>
<term>Center utrecht</term>
<term>Centre</term>
<term>Classical mutations</term>
<term>Clinical genetics</term>
<term>Clinical genetics service</term>
<term>Clinical management</term>
<term>Comprehensive cancer center</term>
<term>Consortium</term>
<term>Copenhagen university hospital</term>
<term>Cosegregation</term>
<term>Cosegregation data</term>
<term>Cumulative risks</term>
<term>Data collection</term>
<term>Dutch belgium</term>
<term>Easton</term>
<term>Enigma collaborators</term>
<term>Equivocal results</term>
<term>Familial breast</term>
<term>Family cancer clinics</term>
<term>Family histories</term>
<term>Family history</term>
<term>Family history penetrance</term>
<term>Foundation trust</term>
<term>Functional assays</term>
<term>Future studies</term>
<term>General population</term>
<term>Genet</term>
<term>Genetic studies</term>
<term>Genetic susceptibility</term>
<term>Genetics</term>
<term>Genetics laboratory</term>
<term>Genetics service</term>
<term>Genomic medicine</term>
<term>Goldgar</term>
<term>Gomez garcia</term>
<term>Grantham deviation</term>
<term>Healey</term>
<term>Hereditary breast</term>
<term>Hospices civils</term>
<term>Human genetics</term>
<term>Institut</term>
<term>Institut curie</term>
<term>Intermediate function</term>
<term>Intermediate risk</term>
<term>Intermediate transcriptional transactivation activity</term>
<term>Internal medicine</term>
<term>Kconfab</term>
<term>Lakhani</term>
<term>Leiden university</term>
<term>Many families</term>
<term>Maximum likelihood estimate</term>
<term>Medical genetics</term>
<term>Medical research</term>
<term>Missense</term>
<term>Moderate risk</term>
<term>Molecular medicine cologne</term>
<term>Multifactorial</term>
<term>Multiple assays</term>
<term>Multiplier</term>
<term>Mutat</term>
<term>Mutation</term>
<term>Netherlands cancer institute</term>
<term>Null hypothesis</term>
<term>Odense university hospital</term>
<term>Ohio state university</term>
<term>Ovarian</term>
<term>Ovarian cancer</term>
<term>Ovarian cancer risk</term>
<term>Ovarian cancers</term>
<term>Pathogenic</term>
<term>Pathogenic brca1 mutation</term>
<term>Pathogenic mutation</term>
<term>Pathogenic mutations</term>
<term>Pathogenic variant</term>
<term>Pathogenicity</term>
<term>Pedigree phenotypes</term>
<term>Penetrance</term>
<term>Phosphopeptide recognition</term>
<term>Population health</term>
<term>Population rates</term>
<term>Probands</term>
<term>Queensland</term>
<term>Queensland institute</term>
<term>Rare sequence changes</term>
<term>Relative risks</term>
<term>Risk modelling</term>
<term>Risk variants</term>
<term>Salt lake city</term>
<term>Same centres</term>
<term>Same residue</term>
<term>Sequence variants</term>
<term>Single value</term>
<term>Spurdle</term>
<term>Standard model</term>
<term>Standard penetrance</term>
<term>Substitution</term>
<term>Tavtigian</term>
<term>Technical university</term>
<term>Time frame</term>
<term>Transactivation</term>
<term>Transcriptional</term>
<term>Transcriptional transactivation activity</term>
<term>Trypsin sensitivity</term>
<term>University hospital</term>
<term>Utah school</term>
<term>Variant</term>
<term>Variant brca1</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Cancer</term>
<term>Consortium</term>
<term>Collecte de données</term>
<term>Génétique</term>
<term>Recherche médicale</term>
</keywords>
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<language ident="en">en</language>
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<front>
<div type="abstract">Background Clinical classification of rare sequence changes identified in the breast cancer susceptibility genes BRCA1 and BRCA2 is essential for appropriate genetic counselling of individuals carrying these variants. We previously showed that variant BRCA1 c.5096G>A p.Arg1699Gln in the BRCA1 transcriptional transactivation domain demonstrated equivocal results from a series of functional assays, and proposed that this variant may confer low to moderate risk of cancer. Methods Measures of genetic risk (report of family history, segregation) were assessed for 68 BRCA1 c.5096G>A p.Arg1699Gln (R1699Q) families recruited through family cancer clinics, comparing results with 34 families carrying the previously classified pathogenic BRCA1 c.5095C>T p.Arg1699Trp (R1699W) mutation at the same residue, and to 243 breast cancer families with no BRCA1 pathogenic mutation (BRCA-X). Results Comparison of BRCA1 carrier prediction scores of probands using the BOADICEA risk prediction tool revealed that BRCA1 c.5096G>A p.Arg1699Gln variant carriers had family histories that were less ‘BRCA1-like’ than BRCA1 c.5095C>T p.Arg1699Trp mutation carriers (p<0.00001), but more ‘BRCA1-like’ than BRCA-X families (p=0.0004). Further, modified segregation analysis of the subset of 30 families with additional genotyping showed that BRCA1 c.5096G >A p.Arg1699Gln had reduced penetrance compared with the average truncating BRCA1 mutation penetrance (p=0.0002), with estimated cumulative risks to age 70 of breast or ovarian cancer of 24%. Conclusions Our results provide substantial evidence that the BRCA1 c.5096G>A p.Arg1699Gln (R1699Q) variant, demonstrating ambiguous functional deficiency across multiple assays, is associated with intermediate risk of breast and ovarian cancer, highlighting challenges for risk modelling and clinical management of patients of this and other potential moderate-risk variants.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Afrique du Sud</li>
<li>Allemagne</li>
<li>Australie</li>
<li>Danemark</li>
<li>Espagne</li>
<li>France</li>
<li>Pays-Bas</li>
<li>Royaume-Uni</li>
<li>Suède</li>
<li>États-Unis</li>
</country>
<region>
<li>Auvergne-Rhône-Alpes</li>
<li>Bavière</li>
<li>Communauté de Madrid</li>
<li>District de Haute-Bavière</li>
<li>District de Leipzig</li>
<li>East Middle Sweden</li>
<li>Hollande-Méridionale</li>
<li>Hollande-Septentrionale</li>
<li>Hovedstaden</li>
<li>Minnesota</li>
<li>Ohio</li>
<li>Pennsylvanie</li>
<li>Rhône-Alpes</li>
<li>Saxe (Land)</li>
<li>Svealand</li>
<li>Utah</li>
<li>Utrecht (province)</li>
</region>
<settlement>
<li>Amsterdam</li>
<li>Copenhague</li>
<li>Leipzig</li>
<li>Leyde</li>
<li>Lyon</li>
<li>Madrid</li>
<li>Munich</li>
<li>Rotterdam</li>
<li>Stockholm</li>
<li>Uppsala</li>
<li>Utrecht</li>
</settlement>
<orgName>
<li>Université Louis-et-Maximilien de Munich</li>
<li>Université d'Uppsala</li>
</orgName>
</list>
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<noRegion>
<name sortKey="Spurdle, Amanda B" sort="Spurdle, Amanda B" uniqKey="Spurdle A" first="Amanda B" last="Spurdle">Amanda B. Spurdle</name>
</noRegion>
<name sortKey="Brown, Melissa A" sort="Brown, Melissa A" uniqKey="Brown M" first="Melissa A" last="Brown">Melissa A. Brown</name>
<name sortKey="Healey, Sue" sort="Healey, Sue" uniqKey="Healey S" first="Sue" last="Healey">Sue Healey</name>
<name sortKey="Pettigrew, Christopher" sort="Pettigrew, Christopher" uniqKey="Pettigrew C" first="Christopher" last="Pettigrew">Christopher Pettigrew</name>
<name sortKey="Spurdle, Amanda B" sort="Spurdle, Amanda B" uniqKey="Spurdle A" first="Amanda B" last="Spurdle">Amanda B. Spurdle</name>
<name sortKey="Thompson, Bryony" sort="Thompson, Bryony" uniqKey="Thompson B" first="Bryony" last="Thompson">Bryony Thompson</name>
<name sortKey="Thompson, Bryony" sort="Thompson, Bryony" uniqKey="Thompson B" first="Bryony" last="Thompson">Bryony Thompson</name>
<name sortKey="Tucker, Kathy" sort="Tucker, Kathy" uniqKey="Tucker K" first="Kathy" last="Tucker">Kathy Tucker</name>
<name sortKey="Whiley, Phillip J" sort="Whiley, Phillip J" uniqKey="Whiley P" first="Phillip J" last="Whiley">Phillip J. Whiley</name>
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<name sortKey="Feng, Bingjian" sort="Feng, Bingjian" uniqKey="Feng B" first="Bingjian" last="Feng">Bingjian Feng</name>
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<name sortKey="Couch, Fergus J" sort="Couch, Fergus J" uniqKey="Couch F" first="Fergus J" last="Couch">Fergus J. Couch</name>
<name sortKey="Domchek, Susan M" sort="Domchek, Susan M" uniqKey="Domchek S" first="Susan M" last="Domchek">Susan M. Domchek</name>
<name sortKey="Goldgar, David E" sort="Goldgar, David E" uniqKey="Goldgar D" first="David E" last="Goldgar">David E. Goldgar</name>
<name sortKey="Goldgar, David E" sort="Goldgar, David E" uniqKey="Goldgar D" first="David E" last="Goldgar">David E. Goldgar</name>
<name sortKey="Guidugli, Lucia" sort="Guidugli, Lucia" uniqKey="Guidugli L" first="Lucia" last="Guidugli">Lucia Guidugli</name>
<name sortKey="Toland, Amanda E" sort="Toland, Amanda E" uniqKey="Toland A" first="Amanda E" last="Toland">Amanda E. Toland</name>
</country>
<country name="Pays-Bas">
<region name="Hollande-Méridionale">
<name sortKey="Van Asperen, Christi J" sort="Van Asperen, Christi J" uniqKey="Van Asperen C" first="Christi J" last="Van Asperen">Christi J. Van Asperen</name>
</region>
<name sortKey="Ausems, Margreet G E M" sort="Ausems, Margreet G E M" uniqKey="Ausems M" first="Margreet G E M" last="Ausems">Margreet G E M. Ausems</name>
<name sortKey="Belgium Uv Consortium, Dutch" sort="Belgium Uv Consortium, Dutch" uniqKey="Belgium Uv Consortium D" first="Dutch" last="Belgium Uv Consortium">Dutch Belgium Uv Consortium</name>
<name sortKey="Kattentidt Mouravieva, Anna A" sort="Kattentidt Mouravieva, Anna A" uniqKey="Kattentidt Mouravieva A" first="Anna A" last="Kattentidt-Mouravieva">Anna A. Kattentidt-Mouravieva</name>
<name sortKey="Van Den Ouweland, Ans M W" sort="Van Den Ouweland, Ans M W" uniqKey="Van Den Ouweland A" first="Ans M W" last="Van Den Ouweland">Ans M W. Van Den Ouweland</name>
<name sortKey="Vreeswijk, Maaike P G" sort="Vreeswijk, Maaike P G" uniqKey="Vreeswijk M" first="Maaike P G" last="Vreeswijk">Maaike P G. Vreeswijk</name>
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<name sortKey="Lindblom, Annika" sort="Lindblom, Annika" uniqKey="Lindblom A" first="Annika" last="Lindblom">Annika Lindblom</name>
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