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. 2011 Aug 15;20(16):3304-21.
doi: 10.1093/hmg/ddr226. Epub 2011 May 18.

Common alleles at 6q25.1 and 1p11.2 are associated with breast cancer risk for BRCA1 and BRCA2 mutation carriers

Antonis C Antoniou  1 Christiana KartsonakiOlga M SinilnikovaPenny SoucyLesley McGuffogSue HealeyAndrew LeePaolo PeterlongoSiranoush ManoukianBernard PeisselDaniela ZaffaroniElisa CattaneoMonica BarileValeria PensottiBarbara PasiniRiccardo DolcettiGiuseppe GianniniAnna Laura PutignanoLiliana VarescoPaolo RadicePhuong L MaiMark H GreeneIrene L AndrulisGord GlendonHilmi OzcelikMads ThomassenAnne-Marie GerdesTorben A KruseUffe Birk JensenDorthe G CrügerMaria A CaligoYael LaitmanRoni MilgromBella KaufmanShani Paluch-ShimonEitan FriedmanNiklas LomanKatja HarbstAnnika LindblomBrita ArverHans EhrencronaBeatrice MelinSWE-BRCAKatherine L NathansonSusan M DomchekTimothy RebbeckAnia JakubowskaJan LubinskiJacek GronwaldTomasz HuzarskiTomasz ByrskiCezary CybulskiBohdan GorskiAna OsorioTeresa Ramón y CajalFlorentia FostiraRaquel AndrésJavier BenitezUte HamannFrans B HogervorstMatti A RookusMaartje J HooningMarcel R NelenRob B van der LuijtTheo A M van OsChristi J van AsperenPeter DevileeHanne E J Meijers-HeijboerEncarna B Gómez GarciaHEBONSusan PeockMargaret CookDebra FrostRadka PlatteJean LeylandD Gareth EvansFiona LallooRos EelesLouise IzattJulian AdlardRosemarie DavidsonDiana EcclesKai-ren OngJackie CookFiona DouglasJoan PatersonM John KennedyZosia MiedzybrodzkaEMBRACEAndrew GodwinDominique Stoppa-LyonnetBruno BuecherMuriel BelottiCarole TirapoSylvie MazoyerLaure BarjhouxChristine LassetDominique LerouxLaurence FaivreMyriam BronnerFabienne PrieurCatherine NoguesEtienne RouleauPascal PujolIsabelle CoupierMarc FrénayCEMO Study CollaboratorsJohn L HopperMary B DalyMary B TerryEsther M JohnSaundra S BuysYosuf YassinAlexander MironDavid GoldgarBreast Cancer Family RegistryChristian F SingerMuy-Kheng TeaGeorg PfeilerAnne Catharina DresslerThomas v O HansenLars JønsonBent EjlertsenRosa Bjork BarkardottirTomas KirchhoffKenneth OffitMarion PiedmonteGustavo RodriguezLaurie SmallJohn BoggessStephanie BlankJack BasilMasoud AzodiAmanda Ewart TolandMarco MontagnaSilvia TognazzoSimona AgataEvgeny ImyanitovRamunas JanaviciusConxi LazaroIgnacio BlancoPaul D P PharoahLara SuchestonBeth Y KarlanChristine S WalshEdith OlahAniko BozsikSoo-Hwang TeoJoyce L SeldonMary S BeattieElizabeth J van RensburgMichelle D SluiterOrland DiezRita K SchmutzlerBarbara WappenschmidtChristoph EngelAlfons MeindlIna RuehlRaymonda Varon-MateevaKarin KastHelmut DeisslerDieter NiederacherNorbert ArnoldDorothea GadzickiInes SchönbuchnerTrinidad CaldesMiguel de la HoyaHeli NevanlinnaKristiina AittomäkiMartine DumontJocelyne ChiquetteMarc TischkowitzXiaoqing ChenJonathan BeesleyAmanda B SpurdlekConFab investigatorsSusan L NeuhausenYuan Chun DingZachary FredericksenXianshu WangVernon S PankratzFergus CouchJacques SimardDouglas F EastonGeorgia Chenevix-TrenchCIMBA
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Common alleles at 6q25.1 and 1p11.2 are associated with breast cancer risk for BRCA1 and BRCA2 mutation carriers

Antonis C Antoniou et al. Hum Mol Genet. .

Abstract

Two single nucleotide polymorphisms (SNPs) at 6q25.1, near the ESR1 gene, have been implicated in the susceptibility to breast cancer for Asian (rs2046210) and European women (rs9397435). A genome-wide association study in Europeans identified two further breast cancer susceptibility variants: rs11249433 at 1p11.2 and rs999737 in RAD51L1 at 14q24.1. Although previously identified breast cancer susceptibility variants have been shown to be associated with breast cancer risk for BRCA1 and BRCA2 mutation carriers, the involvement of these SNPs to breast cancer susceptibility in mutation carriers is currently unknown. To address this, we genotyped these SNPs in BRCA1 and BRCA2 mutation carriers from 42 studies from the Consortium of Investigators of Modifiers of BRCA1/2. In the analysis of 14 123 BRCA1 and 8053 BRCA2 mutation carriers of European ancestry, the 6q25.1 SNPs (r(2) = 0.14) were independently associated with the risk of breast cancer for BRCA1 mutation carriers [hazard ratio (HR) = 1.17, 95% confidence interval (CI): 1.11-1.23, P-trend = 4.5 × 10(-9) for rs2046210; HR = 1.28, 95% CI: 1.18-1.40, P-trend = 1.3 × 10(-8) for rs9397435], but only rs9397435 was associated with the risk for BRCA2 carriers (HR = 1.14, 95% CI: 1.01-1.28, P-trend = 0.031). SNP rs11249433 (1p11.2) was associated with the risk of breast cancer for BRCA2 mutation carriers (HR = 1.09, 95% CI: 1.02-1.17, P-trend = 0.015), but was not associated with breast cancer risk for BRCA1 mutation carriers (HR = 0.97, 95% CI: 0.92-1.02, P-trend = 0.20). SNP rs999737 (RAD51L1) was not associated with breast cancer risk for either BRCA1 or BRCA2 mutation carriers (P-trend = 0.27 and 0.30, respectively). The identification of SNPs at 6q25.1 associated with breast cancer risk for BRCA1 mutation carriers will lead to a better understanding of the biology of tumour development in these women.

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Figures

Figure 1.
Figure 1.
Study-specific per-allele HR estimates for BRCA1 and BRCA2 mutation carriers for SNP rs2046210 at 6q25.1 near ESR1. The area of the square is proportional to the inverse of the variance of the estimate. Horizontal lines indicate 95% CIs.
Figure 2.
Figure 2.
Country-specific per-allele HR estimates for BRCA1 and BRCA2 mutation carriers for SNP rs9397435 at 6q25.1. The area of the square is proportional to the inverse of the variance of the estimate. Horizontal lines indicate 95% CIs. Due to the low minor allele frequency at this SNP and small study sample we were unable to obtain study-specific estimates for all studies. Studies were therefore grouped by country of origin.
Figure 3.
Figure 3.
Study-specific per-allele HR estimates for BRCA1 and BRCA2 mutation carriers for SNP rs11249433 at 1p11.2. The area of the square is proportional to the inverse of the variance of the estimate. Horizontal lines indicate 95% CIs.

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