BRCA Research Clinic Hopes To Revolutionise Cancer Prevention For Those With Gene Mutation

BRCA Mutation Gene Carriers Usually Undergo Major Preventative Surgery - Meet The Lab Hoping To Change That
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Everyone has the BRCA gene but when the gene becomes faulty, the risk of breast cancer and ovarian cancer for women dramatically increases.

Women with a BRCA1 mutation have an 85% risk of developing breast cancer and a 65% risk of ovarian cancer.

For BRCA2 mutation carriers, the risk of ovarian cancer is 35% and 45% will develop breast cancer by age 70 according to Cancer Research UK.

Men with BRCA1 or 2 mutations are also at increased risk of developing breast cancer, but at a much lower rate. However for men, a genetic mutation in both genes has been shown to triple the risk of prostate cancer.

At present, the only available treatment to reduce this risk is surgery, which may include the removal of both ovaries and fallopian tubes, and/or both breasts and a proctectomy for men.

But while medical experts are available to treat cancer - which these people don't have - where is the support for those with a genetic mutation who still have to undergo major surgery?

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"I suddenly felt terrified and extremely vulnerable," explained Caroline Presho, 41, to who found out she had a BRCA2 mutation in 2007.

"Every moment of my day was taken up reading about my risks and chatting to others that I found online who understood how I felt.

"I had a mammogram and an MRI and they showed shadows on both breasts - I was absolutely terrified that I was going to die."

Dan Reisel, clinical research fellow at the Institute for Women's Health at UCL is hoping to bridge the gap to support those with gene mutations.

Reisel is currently working with the team at the UCL Translational Research Centre, led by Professor Martin Widschwendter, towards the launch of a BRCA Research Clinic - BRCA PROTECT - in November, the goal of which is to broaden the range of therapeutic options for people with BRCA mutations.

The clinic aims to understand the causes of cancer development in women with inherited risk, in order to test new, less drastic preventative strategies.

Reisel told HuffPost UK Parents: "Initial work on this project began in 1985. This project is funded by The Eve Appeal and the European Union.

"As the clinic coordinator, I have been working on this for the last two years. There is a whole team involved and the research behind it has involved many dozens of people."

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Dan Reisel

Reisel explained the confusion and inevitable errors about the BRCA gene are often found in the media and beyond.

He explained: "BRCA is a gene that all of us have. It is part of the safety mechanisms that the body has to prevent errors when cells grow and replicate.

"A mutation in the BRCA gene is like an error in the spell check software of the cell. With the mutation, the gene works less well, and over time, copy errors can creep in.

"Yes, a BRCA1 mutation leads to a 85% lifetime risk of breast cancer and a 65% risk of ovarian cancer but what's more, they often get the kinds of breast and ovarian cancers that are the most difficult to treat.

"This is a big issue," he continued. "Mutations in the BRCA gene occur in about 1/800 people in Britain."

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Work in the clinic

A key person in the research for this clinic is Caroline Presho. Presho has four children, Jack, 12, Rachael, 10, Toby, eight, and Kitty, two.

She told HuffPost UK Parents: "I was originally turned down for genetic testing by my GP who said that he didn't think I would have a BRCA mutation and that I should go home and stop worrying about it... which I did.

"It was only after my dad's death that we got a phone call from a geneticist who told us that my dad had gone for testing (in secret) and had tested positive for a BRCA2 mutation and it all surfaced again.

"He recommended that my dad's four daughters get tested. I went with my younger sister - we both tested positive for a BRCA2 mutation.

"I didn't really feel anything about carrying a BRCA mutation at the time as I didn't understand the implications as in 2007 nobody was talking about it."

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Presho was 33 when she received the results and was told from the age of 35, she would be screened.

However, having read up on the internet about the risks of having this gene mutation Presho said she wanted the risk-reducing surgery straight away.

"I was referred for an ultrasound and the time I had to wait for it seemed like an eternity. The shadows were due to the time the tests were done in my menstrual cycle," she said.

"This only hardened my resolve to have a risk-reducing mastectomy and the healthcare professionals were very supportive of this and recommended this course of action."

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Caroline Presho

In 2009, Presho had a risk-reducing bilateral mastectomy with immediate reconstruction with permanent silicone implants, saying her decision left her feeling "empowered".

After her surgery, she found an online forum - BRCA Umbrella - where she met other women also going through the same experiences as her.

She said: "I became very active on the BRCA Umbrella forums. In 2011, the founder of BRCA Umbrella decided she wanted to go back to 'normal' life and put her mutation behind her and I stepped in and took over."

In early 2015, Presho found out about the launch of the research clinic and has since dedicated her time to being part of the research team.

She wants those with the gene mutation to feel better supported, which is why she has joined Reisel during his presentations of the clinic as well as being an advocate.

"This is something dedicated to the high risk community that will provide answers for future generations - it may offer alternatives to surgery for my daughters so that they don't have to follow the same path I have," she added.

"It gives us hope that our children and grandchildren will have more palatable choices rather than having to remove healthy body parts."

Researchers are currently encouraging women to participate in the pioneering cancer research.

Women with a known gene mutation (for example, a BRCA1, BRCA2 or a Lynch Syndrome mutation), as well as those without any known genetic risk, are invited to take part in the study.

The aim is to recruit a total of 1500 women with BRCA1/2 mutations and 3000 women without such mutations.

Reisel explained: "Additionally, we are seeking their mothers, sisters, daughters and female cousins who have tested negative for the gene mutation, as well as women from the general population.

"Their contribution is absolutely vital if we are to understand who is at risk from these deadly cancers."

If you want to find out more or get involved, visit brcaprotect.org

Breast Cancer Awareness Buys 2015
WonderBra Breast Cancer Awareness Bra(01 of16)
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For over 12 years, WonderBra has designed a special bra for breast cancer awareness month, for which a portion of the sales (up to $50,000) will go towards supporting the Canadian Breast Cancer Foundation's efforts to create a future without breast cancer. Delicate and feminine, this year's version offers wire-free and comfortable support for women. $42.75. Available at Hudson's Bay and Sears. (credit:Courtesy WonderBra)
Addition Elle Bras(02 of16)
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In support of Breast Cancer Awareness month, Addition Elle will donate $5 for every two bras sold to the Canadian Breast Cancer Foundation. They are working to raise $50,000. During the month of October, Addition Elle will also be inviting customers to make a dollar donation to the CBCF. Additionally, they have created a Facebook app that will convert profile pictures into emblems of awareness. (credit:Addition Elle )
Aerie Limited-Edition 2015 Bright Pink Bralette(03 of16)
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Lingerie line aerie will donate 100 per cent of the Canadian sales from its Limited-Edition 2015 Bright Pink Bralette to Rethink Breast Cancer. $24.95. Available at aerie. (credit:Courtesy Rethink Breast Cancer)
Aveda Limited-Edition Hand Relief Moisturizing Creme With Calming Shampure Aroma(04 of16)
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Aveda will donate $4 U.S. of purchase price of this limited-edition hand cream to support cruelty-free research through The Breast Cancer Research Foundation. $26. Available at Aveda. (credit:Aveda)
Precision Tools Pink Tool Kits by Apollo (05 of16)
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This fun, versatile array of tools are perfect for small household projects. With each purchase, $1 will be donated to Rethink Breast Cancer. $29.99 for 39-piece kit / $39.99 for 135-piece kit. Available at Canadian Tire stores or online. (credit:Courtesy Rethink Breast Cancer)
Harley-Davidson Pink Label Collection (06 of16)
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Inspired by riders and passengers met on the road who have been affected by breast cancer, Harley Davidson has developed pink label gear and apparel to make sure that no one "rides" alone. Roughly three per cent of all proceeds will be be donated to Rethink Breast Cancer. 35 products from $12.95 to $418.95. Available at participating authorized Harley-Davidson retailers across Canada. (credit:Courtesy Rethink Breast Cancer)
AG Hair BB Cream(07 of16)
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This multi-functional hair primer is perfect for filling, smoothing, moisturizing and protecting hair against heat styling appliances and colour fading. For every bottle sold, 50 cents will be donated to Rethink Breast Cancer. $26. Get it here. (credit:Courtesy Rethink Breast Cancer)
Leibish Pink Diamond Collection(08 of16)
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Leibish will donate $100 to Rethink Breast Cancer with every purchase of a pink diamond (both loose stones and jewelry collection) during the month of October. Get it here. (credit:Courtesy Rethink Breast Cancer)
Visage Beauty Kisses For The Cause Lip Kit(09 of16)
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A percentage of proceeds from the Kisses for the Cause Collection will help fund a $5,000 donation from Caryl Baker Visage in support of Rethink Breast Cancer. The collection includes the Sugar Kiss Lip Polish, Satin Kiss Lip Conditioner, Lipstick, and Lip Kit. The in store service offerings include a free mini Lip Treatment (15 mins) and 25 per cent off Cosmetic Teeth Whitening.Caryl Baker Visage Kisses for the Cause Sugar Kiss Lip Polish $24; Satin Kiss Lip Conditioner $23; Lipstick $18; and Lip Kit, $49. Click here to find a store. (credit:Courtesy Rethink Breast Cancer)
Mary Young (10 of16)
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Purchase any Mary Young garment in pink, including the Contrast Bra, T-strap Bra, and Swing Tank, during the month of October and 10 per cent of the proceeds will be donated back to Rethink Breast Cancer.Pictured: Mary Young T-Strap Brain Pink, $76. Get it here. (credit:Courtesy Rethink Breast Cancer)
Nuvango Trinity Tank(11 of16)
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Nuvango, a concept gallery and fashion lifestyle brand, will donate 20 per cent of the proceeds of the exclusive Nuvango x Rethink collection to Rethink Breast Cancer. Nuvango Queen West Leggings, $89; Trinity Tank, $49; Scarf, $59. Get it here. (credit:Courtesy Rethink Breast cancer)
Stolen Riches (12 of16)
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Stolen Riches will donate 15 per cent of each purchase of pink dress laces, sneaker laces or a pink cotton flower lapel pin to Rethink Breast Cancer. Stolen Riches pink dress laces, $17.50; sneaker laces, $19.50; pink cotton flower lapel pin, $33.75. Get it here. (credit:Courtesy Rethink Breast Cancer)
Rent Frock Repeat(13 of16)
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Rent Frock Repeat is proud to support Rethink & Boobyball through their Rent the Dress, Donate the Rest Program. For every dress you rent, they will donate 10 per cent back to Rethink! Use promo code BBALL2015 when processing your order.Click here to rent a dress.
Giftagram(14 of16)
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In October you can send a gift from the Rethink Pink collection through gifting app Giftagram to support Rethink. One hundred per cent of the proceeds of the sale of each Rethink partner product on Giftagram will be donated back to Rethink Breast Cancer.Click here to download the app. (credit:Courtesy Rethink Breast Cancer)
EOS 2015 Breast Cancer Awareness Collection(15 of16)
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This two-pack of eos' lip balms in their handy little spheres (in enticing flavours of strawberry and wildberry) will be giving 100 per cent of net profits to breast cancer research.$7.99. Retailers include Shoppers Drug Mart, Loblaws, Walmart, Rexall, evolutionofsmooth.com. (credit:Courtesy eos)
Ron White Shoes(16 of16)
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From Oct. 2nd to 4th, all Ron White stores will donate $25 for each pair of womens shoes sold from the Ron White collections directly to the Canadian Breast Cancer Foundation. Shop here. (credit:Courtesy)