BRCA Genes: Your Body's Repair Crew
BRCA1
BReast CAncer gene 1. Initiates the DNA repair process and acts as a tumor suppressor.
BRCA2
BReast CAncer gene 2. Stabilizes the enzyme that performs the repair and helps regulate cell division.
Every human carries both genes. When functioning normally, they produce proteins that repair damaged DNA and prevent cells from growing out of control. They work through a process called homologous recombination repair, the body's precise method of fixing double-strand DNA breaks.
In simpler terms: Think of your DNA as a set of instructions your cells follow. Over time, those instructions get damaged. BRCA genes act like proofreaders, catching and correcting errors before they cause harm. Without them, errors accumulate and cells can grow uncontrollably.
What Is a BRCA Mutation?
Normal BRCA Gene
Produces repair proteins. Catches DNA damage. Suppresses tumor growth. Cell stays healthy.
Mutated BRCA Gene
Produces short/nonfunctional protein. DNA damage goes unrepaired. Defects accumulate. Cancer risk rises.
Everyone has two copies of each BRCA gene (one from each parent). Having one normal copy is usually enough to protect cells. But if the remaining normal copy is lost or damaged during a person's lifetime, the cell loses its protection entirely.
Important: Having a BRCA mutation does not guarantee cancer. It significantly increases the risk, but other genetic, environmental, and lifestyle factors also play a role.
How Is It Inherited?
Either Parent
Fathers and mothers pass it on equally. Men carry and transmit it at the same rate as women.
One Copy Is Enough
Only one mutated copy (from either parent) is needed. This is called "autosomal dominant."
Can't Skip Generations
If your parents don't carry it, you don't have it. No hidden surprises from grandparents.
In Every Cell
The mutation exists in all cells from birth, which is why a simple blood or saliva test can detect it.
Who Carries BRCA Mutations at Higher Rates?
Populations with Founder Mutations
| Population | Prevalence | Notes |
|---|---|---|
| Ashkenazi Jewish | ~2.5% (1 in 40) | 3 specific founder mutations account for ~90% of cases |
| Norwegian, Dutch, Icelandic | Elevated | Distinct founder mutations in each population |
| Hispanic / Latino | Elevated | Including Mexican and other Latin American founder mutations |
| West African / African American | Elevated | Unique mutations not found in other U.S. racial/ethnic groups |
| Sephardi Jewish, Bahamian | Elevated | Population-specific founder mutations |
Are There Symptoms?
No. There are no symptoms of carrying a BRCA mutation. It is a genetic predisposition, not a disease. The only way to know is through genetic testing.
This is exactly why awareness and access to testing matter: by the time cancer symptoms appear, the disease has already developed. Knowing your status in advance allows for proactive screening and prevention.
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