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What does a predictive gene test tell you?
An accurate gene test will tell you if you do or do not
have a disease-related gene mutation. If you do, a variety of factors can
influence the gene's penetrance and the chances that you will actually
develop disease. Nearly everyone with the familial adenomatous polyposis
genes will - unless he or she takes effective preventive measures -
someday develop colon cancer. On the other hand, women who carry the BRCA1
breast cancer susceptibility gene have an 80-percent chance of developing
breast cancer by the age of 65; their risk is high but not absolute.
Of course, even family members who escape the inherited susceptibility
gene are not exempt from risk. Like anyone else, they could develop
mutations in that same gene during their lifetimes. Or, they could have
inherited a different, unknown susceptibility gene.
Scientists looking for a disease gene often begin by studying DNA
samples from members of 'disease families' that have numerous relatives,
over several generations, who have developed an illness.
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