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Multicenter Study
. 2012 Apr;33(4):690-702.
doi: 10.1002/humu.22025. Epub 2012 Feb 14.

Ovarian cancer susceptibility alleles and risk of ovarian cancer in BRCA1 and BRCA2 mutation carriers

Susan J Ramus  1 Antonis C AntoniouKaroline B KuchenbaeckerPenny SoucyJonathan BeesleyXiaoqing ChenLesley McGuffogOlga M SinilnikovaSue HealeyDaniel BarrowdaleAndrew LeeMads ThomassenAnne-Marie GerdesTorben A KruseUffe Birk JensenAnne-Bine SkytteMaria A CaligoAnnelie LiljegrenAnnika LindblomHåkan OlssonUlf KristofferssonMarie Stenmark-AskmalmBeatrice MelinSWE-BRCASusan M DomchekKatherine L NathansonTimothy R RebbeckAnna JakubowskaJan LubinskiKatarzyna JaworskaKatarzyna DurdaElżbieta ZłowockaJacek GronwaldTomasz HuzarskiTomasz ByrskiCezary CybulskiAleksandra Toloczko-GrabarekAna OsorioJavier BenitezMercedes DuranMaria-Isabel TejadaUte HamannMatti RookusFlora E van LeeuwenCora M AalfsHanne E J Meijers-HeijboerChristi J van AsperenK E P van RoozendaalNicoline HoogerbruggeJ Margriet ColléeMieke KriegeRob B van der LuijtHEBONEMBRACESusan PeockDebra FrostSteve D EllisRadka PlatteElena FinebergD Gareth EvansFiona LallooChris JacobsRos EelesJulian AdlardRosemarie DavidsonDiana EcclesTrevor ColeJackie CookJoan PatersonFiona DouglasCarole BrewerShirley HodgsonPatrick J MorrisonLisa WalkerMary E PorteousM John KennedyHarsh PathakAndrew K GodwinDominique Stoppa-LyonnetVirginie Caux-MoncoutierAntoine de PauwMarion Gauthier-VillarsSylvie MazoyerMélanie LéonéAlain CalenderChristine LassetValérie BonadonaAgnès HardouinPascaline BerthetYves-Jean BignonNancy UhrhammerLaurence FaivreCatherine LoustalotGEMOSaundra BuysMary DalyAlex MironMary Beth TerryWendy K ChungEsther M JohnMelissa SoutheyDavid GoldgarChristian F SingerMuy-Kheng TeaGeorg PfeilerAnneliese Fink-RetterThomas v O HansenBent EjlertsenOskar Th JohannssonKenneth OffitTomas KirchhoffMia M GaudetJoseph VijaiMark RobsonMarion PiedmonteKelly-Anne PhillipsLinda Van LeJames S HoffmanAmanda Ewart TolandMarco MontagnaSilvia TognazzoEvgeny ImyanitovClaudine IssacsRamunas JanaviciusConxi LazaroIganacio BlancoEva TorneroMatilde NavarroKirsten B MoysichBeth Y KarlanJenny GrossEdith OlahTibor VaszkoSoo-Hwang TeoPatricia A GanzMary S BeattieCecelia M DorflingElizabeth J van RensburgOrland DiezAva KwongRita K SchmutzlerBarbara WappenschmidtChristoph EngelAlfons MeindlNina DitschNorbert ArnoldSimone HeidemannDieter NiederacherSabine Preisler-AdamsDorotehea GadzickiRaymonda Varon-MateevaHelmut DeisslerAndrea GehrigChristian SutterKarin KastBritta FiebigDieter SchäferTrinidad CaldesMiguel de la HoyaHeli NevanlinnaKristiina AittomäkiMarie PlanteAmanda B SpurdlekConFabSusan L NeuhausenYuan Chun DingXianshu WangNoralane LindorZachary FredericksenV Shane PankratzPaolo PeterlongoSiranoush ManoukianBernard PeisselDaniela ZaffaroniBernardo BonanniLoris BernardRiccardo DolcettiLaura PapiLaura OttiniPaolo RadiceMark H GreenePhuong L MaiIrene L AndrulisGord GlendonHilmi OzcelikOCGNPaul D P PharoahSimon A GaytherJacques SimardDouglas F EastonFergus J CouchGeorgia Chenevix-TrenchConsortium of Investigators of Modifiers of BRCA1/2 (CIMBA)
Collaborators, Affiliations
Multicenter Study

Ovarian cancer susceptibility alleles and risk of ovarian cancer in BRCA1 and BRCA2 mutation carriers

Susan J Ramus et al. Hum Mutat. 2012 Apr.

Abstract

Germline mutations in BRCA1 and BRCA2 are associated with increased risks of breast and ovarian cancer. A genome-wide association study (GWAS) identified six alleles associated with risk of ovarian cancer for women in the general population. We evaluated four of these loci as potential modifiers of ovarian cancer risk for BRCA1 and BRCA2 mutation carriers. Four single-nucleotide polymorphisms (SNPs), rs10088218 (at 8q24), rs2665390 (at 3q25), rs717852 (at 2q31), and rs9303542 (at 17q21), were genotyped in 12,599 BRCA1 and 7,132 BRCA2 carriers, including 2,678 ovarian cancer cases. Associations were evaluated within a retrospective cohort approach. All four loci were associated with ovarian cancer risk in BRCA2 carriers; rs10088218 per-allele hazard ratio (HR) = 0.81 (95% CI: 0.67-0.98) P-trend = 0.033, rs2665390 HR = 1.48 (95% CI: 1.21-1.83) P-trend = 1.8 × 10(-4), rs717852 HR = 1.25 (95% CI: 1.10-1.42) P-trend = 6.6 × 10(-4), rs9303542 HR = 1.16 (95% CI: 1.02-1.33) P-trend = 0.026. Two loci were associated with ovarian cancer risk in BRCA1 carriers; rs10088218 per-allele HR = 0.89 (95% CI: 0.81-0.99) P-trend = 0.029, rs2665390 HR = 1.25 (95% CI: 1.10-1.42) P-trend = 6.1 × 10(-4). The HR estimates for the remaining loci were consistent with odds ratio estimates for the general population. The identification of multiple loci modifying ovarian cancer risk may be useful for counseling women with BRCA1 and BRCA2 mutations regarding their risk of ovarian cancer.

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Figures

Figure 1
Figure 1
Forest plots of study-specific HRs for ovarian cancer risk in (a) BRCA1 mutation carriers, (b) BRCA2 mutation carriers. Country-specific per-allele HR estimates for the SNPs rs10088218 (8q24), rs2665390 (3q25), rs717852 (2q31), and rs9303542 (17q21) in BRCA1 and BRCA2 mutation carriers. The area of the square is proportional to the inverse of the variance of the estimate. Horizontal lines indicate 95% confidence intervals. Diamonds indicate the summary HR estimates for all of the CIMBA. For BRCA2, some of the smaller studies have been combined with others from the same country. GE/AT/HU denotes the stratum for Germany, Austria, and Hungary. NL/SA denotes the stratum for the Netherlands and South Africa.

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