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WCLC 2025 | Understanding the interaction of gene & environment in mesothelioma

Michele Carbone, MD, PhD, University of Hawaii Cancer Center, Honolulu, HI, discusses the increased susceptibility of individuals carrying germline mutations in DNA repair genes to environmental carcinogens in mesothelioma. These mutations impair the body’s ability to repair DNA damage, making individuals more vulnerable to the effects of environmental carcinogens. This increased susceptibility is particularly relevant for individuals carrying mutations in genes such as BAP1, TP53, and BRCA1. This interview took place at 2025 World Conference on Lung Cancer (WCLC) in Barcelona, Spain.

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Transcript

Well, of course, if you carry a germline mutation of BAP1 or of any other gene, you are going to be, these are DNA repair genes. So you’re more susceptible to DNA damage. Carcinogens, such as environmental carcinogens, cause DNA damage. So you’re more susceptible to the carcinogenic effect of the carcinogens because you cannot fix your DNA. So people who can carry, for example, a BAP1 mutation or mutations of TP53 or BRCA1 and so on, their level of susceptibility to an environmental carcinogen is higher than for most of us...

Well, of course, if you carry a germline mutation of BAP1 or of any other gene, you are going to be, these are DNA repair genes. So you’re more susceptible to DNA damage. Carcinogens, such as environmental carcinogens, cause DNA damage. So you’re more susceptible to the carcinogenic effect of the carcinogens because you cannot fix your DNA. So people who can carry, for example, a BAP1 mutation or mutations of TP53 or BRCA1 and so on, their level of susceptibility to an environmental carcinogen is higher than for most of us.

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