Breast Cancer Risk Genes — Association Analysis in More than 113,000 Women

Autor: Dorling, L., Carvalho, S., Allen, J., Gonzalez-Neira, A., Luccarini, C., Wahlstrom, C., Pooley, K.A., Parsons, M.T., Fortuno, C., Wang, Q., Bolla, M.K., Dennis, J., Keeman, R., Alonso, M.R., Alvarez, N., Herraez, B., Fernandez, V., Nunez-Torres, R., Osorio, A., Valcich, J., Li, M., Torngren, T., Harrington, P.A., Baynes, C., Conroy, D.M., Decker, B., Fachal, L., Mavaddat, N., Ahearn, T., Aittomaki, K., Antonenkova, N.N., Arnold, N., Arveux, P., Ausems, M.G.E.M., Auvinen, P., Becher, H., Beckmann, M.W., Behrens, S., Bermisheva, M., Bialkowska, K., Blomqvist, C., Bogdanova, N.V., Bogdanova-Markov, N., Bojesen, S.E., Bonanni, B., Borresen-Dale, A.L., Brauch, H., Bremer, M., Briceno, I., Bruning, T., Burwinkel, B., Cameron, D.A., Camp, N.J., Campbell, A., Carracedo, A., Castelao, J.E., Cessna, M.H., Chanock, S.J., Christiansen, H., Collee, J.M., Cordina-Duverger, E., Cornelissen, S., Czene, K., Dork, T., Ekici, A.B., Engel, C., Eriksson, M., Fasching, P.A., Figueroa, J., Flyger, H., Forsti, A., Gabrielson, M., Gago-Dominguez, M., Georgoulias, V., Gil, F., Giles, G.G., Glendon, G., Garcia, E.B.G., Alnaes, G.I.G., Guenel, P., Hadjisavvas, A., Haeberle, L., Hahnen, E., Hall, P., Hamann, U., Harkness, E.F., Hartikainen, J.M., Hartman, M., He, W., Heemskerk-Gerritsen, B.A.M., Hillemanns, P., Hogervorst, F.B.L., Hollestelle, A., Ho, W.K., Hooning, M.J., Howell, A., Humphreys, K., Idris, F., Jakubowska, A., Jung, A., Kapoor, P.M., Kerin, M.J., Khusnutdinova, E., Kim, S.W., Ko, Y.D., Kosma, V.M., Kristensen, V.N., Kyriacou, K., Lakeman, I.M.M., Lee, J.W., Lee, M.H., Li, J.M., Lindblom, A., W.Y. lo, Loizidou, M.A., Lophatananon, A., Lubinski, J., MacInnis, R.J., Madsen, M.J., Mannermaa, A., Manoochehri, M., Manoukian, S., Margolin, S., Martinez, M.E., Maurer, T., Mavroudis, D., McLean, C., Meindl, A., Mensenkamp, A.R., Michailidou, K., Miller, N., Taib, N.A.M., Muir, K., Mulligan, A.M., Nevanlinna, H., Newman, W.G., Nordestgaard, B.G., Ng, P.S., Oosterwijk, J.C., Park, S.K., Park-Simon, T.W., Perez, J.I.A., Peterlongo, P., Porteous, D.J., Prajzendanc, K., Prokofyeva, D., Radice, P., Rashid, M.U., Rhenius, V., Rookus, M.A., Rudiger, T., Saloustros, E., Sawyer, E.J., Schmutzler, R.K., Schneeweiss, A., Schurmann, P., Shah, M., Sohn, C., Southey, M.C., Surowy, H., Suvanto, M., Thanasitthichai, S., Tomlinson, I., Torres, D., Truong, T., Tzardi, M., Valova, Y., Asperen, C.J. van, Dam, R.M. van, Ouweland, A.M.W. van den, Kolk, L.E. van der, Veen, E.M. van, Wendt, C., Williams, J.A., Yang, X.H.R., Yoon, S.Y., Zamora, M.P., Evans, D.G., Hoya, M. de la, Simard, J., Antoniou, A.C., Borg, A., Andrulis, I.L., Chang-Claude, J., Garcia-Closas, M., Chenevix-Trench, G., Milne, R.L., Pharoah, P.D.P., Schmidt, M.K., Spurdle, A.B., Vreeswijk, M.P.G., Benitez, J., Dunning, A.M., Kvist, A., Teo, S.H., Devilee, P., Easton, D.F., Breast Canc Assoc Consortium
Přispěvatelé: Erasmus MC other, Medical Oncology, Clinical Genetics, Keeman, Renske [0000-0002-5452-9933], Decker, Brennan [0000-0003-4516-7421], Eriksson, Mikael [0000-0001-8135-4270], Martinez, Maria Elena [0000-0002-6728-1834], Surowy, Harald [0000-0002-3595-9188], Pharoah, Paul DP [0000-0001-8494-732X], Apollo - University of Cambridge Repository, Damage and Repair in Cancer Development and Cancer Treatment (DARE), Targeted Gynaecologic Oncology (TARGON), RS: GROW - R4 - Reproductive and Perinatal Medicine, MUMC+: DA KG Polikliniek (9), Klinische Genetica
Rok vydání: 2021
Předmět:
Adult
Risk
Oncology
medicine.medical_specialty
Adolescent
PALB2
Genetic counseling
Genes
BRCA2
Mutation
Missense
Genes
BRCA1
Estrogen receptor
Breast Neoplasms
030204 cardiovascular system & hematology
OVARIAN-CANCER
Article
Young Adult
03 medical and health sciences
0302 clinical medicine
Breast cancer
SDG 3 - Good Health and Well-being
Internal medicine
Odds Ratio
medicine
Humans
Genetic Predisposition to Disease
030212 general & internal medicine
skin and connective tissue diseases
CHEK2
Aged
Genetic testing
Genetic association
Aged
80 and over
Women's cancers Radboud Institute for Molecular Life Sciences [Radboudumc 17]
medicine.diagnostic_test
MUTATIONS
business.industry
Age Factors
Genetic Variation
Sequence Analysis
DNA
General Medicine
Odds ratio
Middle Aged
BRCA1
medicine.disease
3. Good health
Logistic Models
Female
business
Zdroj: New England Journal of Medicine, 384(5), 428-439. MASSACHUSETTS MEDICAL SOC
Dorling, L, Carvalho, S, Allen, J, González-Neira, A, Luccarini, C, Wahlström, C, A. Pooley, K, T. Parsons, M, Fortuno, C, Wang, Q, K. Bolla, M, Dennis, J, Keeman, R, Alonso, M R, Álvarez, N, Herraez, B, Fernandez, V, Núñez-Torres, R, Osario, A, Valchich, J, Li, M, Törngren, T, A. Harrington, P, Baynes, C, M. Conroy, D, Decker, B, Fachal, L, Mavaddat, N, Ahearn, T, Aittomäki, K, N. Antonenkova, N, Arnold, N, Arveux, P, G.E.M Ausems, M, Auvinen, P, Becher, H, W. Beckmann, M, Behrens, S, Bermisheva, M, Białkowska, K, Blomqvist, C, V. Bogdanova, N, Bogdanova-Markov, N, E. Bojesen, S, Bonanni, B, Børresen-Dale, A-L, Brauch, H, Bremer, M, Briceno, I, Brüning, T, Burwinkel, B & Cameron, D A 2021, ' Breast cancer risk genes: association analysis in more than 113,000 women ', New England Journal of Medicine . https://doi.org/10.1056/NEJMoa1913948
N Engl J Med
New England Journal of Medicine, 384(5), 428-439. Massachussetts Medical Society
Breast Cancer Association Consortium 2021, ' Breast Cancer Risk Genes — Association Analysis in More than 113,000 Women ', New England Journal of Medicine, vol. 384, no. 5, pp. 428-439 . https://doi.org/10.1056/NEJMoa1913948
The New England Journal of Medicine, 384, 5, pp. 428-439
New England Journal of Medicine
New England Journal of Medicine, 384(5), 428-439. MASSACHUSETTS MEDICAL SOCIETY
The New England Journal of Medicine, 384, 428-439
ISSN: 1533-4406
0028-4793
DOI: 10.1056/nejmoa1913948
Popis: BACKGROUNDGenetic testing for breast cancer susceptibility is widely used, but for many genes,evidence of an association with breast cancer is weak, underlying risk estimatesare imprecise, and reliable subtype-specific risk estimates are lacking.METHODSWe used a panel of 34 putative susceptibility genes to perform sequencing onsamples from 60,466 women with breast cancer and 53,461 controls. In separateanalyses for protein-truncating variants and rare missense variants in these genes,we estimated odds ratios for breast cancer overall and tumor subtypes. We evaluatedmissense-variant associations according to domain and classification of pathogenicity.RESULTSProtein-truncating variants in 5 genes (ATM, BRCA1, BRCA2, CHEK2, and PALB2)were associated with a risk of breast cancer overall with a P value of less than0.0001. Protein-truncating variants in 4 other genes (BARD1, RAD51C, RAD51D,and TP53) were associated with a risk of breast cancer overall with a P value ofless than 0.05 and a Bayesian false-discovery probability of less than 0.05. Forprotein-truncating variants in 19 of the remaining 25 genes, the upper limit ofthe 95% confidence interval of the odds ratio for breast cancer overall was lessthan 2.0. For protein-truncating variants in ATM and CHEK2, odds ratios werehigher for estrogen receptor (ER)–positive disease than for ER-negative disease;for protein-truncating variants in BARD1, BRCA1, BRCA2, PALB2, RAD51C, andRAD51D, odds ratios were higher for ER-negative disease than for ER-positivedisease. Rare missense variants (in aggregate) in ATM, CHEK2, and TP53 wereassociated with a risk of breast cancer overall with a P value of less than 0.001.For BRCA1, BRCA2, and TP53, missense variants (in aggregate) that would be classified as pathogenic according to standard criteria were associated with a riskof breast cancer overall, with the risk being similar to that of protein-truncatingvariants.CONCLUSIONSThe results of this study define the genes that are most clinically useful for inclusion on panels for the prediction of breast cancer risk, as well as provide estimatesof the risks associated with protein-truncating variants, to guide genetic counseling. (Funded by European Union Horizon 2020 programs and others.)
Databáze: OpenAIRE
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