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Martin Ledwick, head information nurse at Cancer Research UK, said: "The choices that women face when diagnosed with breast cancer, who are also found to be carriers of a BRCA1 or BRCA2 gene fault, are very difficult.
Now there you have a clear distinction – there is benefit to both the child without the gene fault and to the child with the gene fault.
Most cases of breast cancer are not caused by inherited genes, but about one in 500 people carries a BRCA gene fault that puts them at high risk.
3/3 If you have a life-threatening gene fault, do blood relatives have a right to know? 2/3 The dilemmas faced by couples and medical teams when a baby stops growing in the womb.
And that has to be balanced against the fact that you're going to have different outcomes in the four children – you're going to have maybe two children without the gene fault, two with – they won't be treated the same.
There is the possibility of pre-implantation genetic diagnosis which is having embryos created outside the womb by IVF treatment and then when the embryo grows to the eight cell stage, so eight building blocks of the new embryo, you can then take one of those cells away and test it specifically for the gene fault that you know in that family.
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Unsurprisingly, some of the newly discovered gene faults affect the biological circuitry that governs hormones in the body.
While the studies transform what is known about the genetics underpinning the three cancers, in each case they account for only 40% of the gene faults that must be involved.
"Genetic testing for BRCA1 or 2 gene faults is usually undertaken if there is a strong family history of young-onset breast or ovarian cancer in the family, which is the case for Jolie.
He said it was important to remember that BRCA gene faults were rare and in most cases linked to family history.
Lead researcher, Prof Ian Tomlinson from the University of Oxford, said: "There are some families where large numbers of relatives develop bowel cancer, but who don't have any of the known gene faults that raise the risk of developing the disease.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com