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Review
. 2016 Jan 19;114(2):125-33.
doi: 10.1038/bjc.2015.439. Epub 2016 Jan 12.

Gene-environment interaction and risk of breast cancer

Affiliations
Review

Gene-environment interaction and risk of breast cancer

Anja Rudolph et al. Br J Cancer. .

Abstract

Hereditary, genetic factors as well as lifestyle and environmental factors, for example, parity and body mass index, predict breast cancer development. Gene-environment interaction studies may help to identify subgroups of women at high-risk of breast cancer and can be leveraged to discover new genetic risk factors. A few interesting results in studies including over 30,000 breast cancer cases and healthy controls indicate that such interactions exist. Explorative gene-environment interaction studies aiming to identify new genetic or environmental factors are scarce and still underpowered. Gene-environment interactions might be stronger for rare genetic variants, but data are lacking. Ongoing initiatives to genotype larger sample sets in combination with comprehensive epidemiologic databases will provide further opportunities to study gene-environment interactions in breast cancer. However, based on the available evidence, we conclude that associations between the common genetic variants known today and breast cancer risk are only weakly modified by environmental factors, if at all.

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Figures

Figure 1
Figure 1
Proportions of familial risk of breast cancer explained by hereditary variants.
Figure 2
Figure 2
Power for detecting gene–environment interaction given different allele frequencies. Power was calculated with Quanto 1.2.4, assuming a log-additive inheritance mode, a population prevalence of disease of 1%, an OR of 1.10 for the marginal association between SNP and disease, an OR of 1.20 for the marginal association between environmental factor and disease, a prevalence of the environmental factor of 0.15, a sample of 10 000 unmatched case–control pairs and an two-sided alpha of 5 × 10−6.

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