학술논문

Genetic variation at CYP3A is associated with age at menarche and breast cancer risk: a case-control study.
Document Type
article
Author
Johnson, NicholaDudbridge, FrankOrr, NickGibson, LornaJones, Michael ESchoemaker, Minouk JFolkerd, Elizabeth JHaynes, Ben PHopper, John LSouthey, Melissa CDite, Gillian SApicella, CarmelSchmidt, Marjanka KBroeks, AnnegienVan't Veer, Laura JAtsma, FemkeMuir, KennethLophatananon, ArtitayaFasching, Peter ABeckmann, Matthias WEkici, Arif BRenner, Stefan PSawyer, ElinorTomlinson, IanKerin, MichaelMiller, NicolaBurwinkel, BarbaraMarme, FrederikSchneeweiss, AndreasSohn, ChristofGuénel, PascalTruong, ThereseCordina, EmilieMenegaux, FlorenceBojesen, Stig ENordestgaard, Børge GFlyger, HenrikMilne, RogerZamora, M PilarArias Perez, Jose IgnacioBenitez, JavierBernstein, LeslieAnton-Culver, HodaZiogas, ArgyriosClarke Dur, ChristinaBrenner, HermannMüller, HeikoArndt, VolkerDieffenbach, Aida KarinaMeindl, AlfonsHeil, JoergBartram, Claus RSchmutzler, Rita KBrauch, HiltrudJustenhoven, ChristinaKo, Yon-DschunGENICA (Gene Environment Interaction and Breast Cancer in Germany) NetworkNevanlinna, HeliMuranen, Taru AAittomäki, KristiinaBlomqvist, CarlMatsuo, KeitaroDörk, ThiloBogdanova, Natalia VAntonenkova, Natalia NLindblom, AnnikaMannermaa, ArtoKataja, VesaKosma, Veli-MattiHartikainen, Jaana MChenevix-Trench, GeorgiaBeesley, JonathankConFab InvestigatorsAustralian Ovarian Cancer Study GroupWu, Anna HVan den Berg, DavidTseng, Chiu-ChenLambrechts, DietherSmeets, DominiekNeven, PatrickWildiers, HansChang-Claude, JennyRudolph, AnjaNickels, StefanFlesch-Janys, DieterRadice, PaoloPeterlongo, PaoloBonanni, BernardoPensotti, ValeriaCouch, Fergus JOlson, Janet EWang, XianshuFredericksen, ZacharyPankratz, Vernon SGiles, Graham GSeveri, GianlucaBaglietto, LauraHaiman, ChrisSimard, JacquesGoldberg, Mark S
Source
Breast cancer research : BCR. 16(3)
Subject
GENICA (Gene Environment Interaction and Breast Cancer in Germany) Network
kConFab Investigators
Australian Ovarian Cancer Study Group
Humans
Breast Neoplasms
Genetic Predisposition to Disease
Reproductive History
Risk Factors
Age Factors
Age of Onset
Premenopause
Menarche
Genotype
Polymorphism
Single Nucleotide
Adult
Aged
Middle Aged
European Continental Ancestry Group
Female
Cytochrome P-450 CYP3A
Genetic Association Studies
Human Genome
Aging
Clinical Research
Cancer
Genetics
Breast Cancer
Oncology & Carcinogenesis
Oncology and Carcinogenesis
Language
Abstract
IntroductionWe have previously shown that a tag single nucleotide polymorphism (rs10235235), which maps to the CYP3A locus (7q22.1), was associated with a reduction in premenopausal urinary estrone glucuronide levels and a modest reduction in risk of breast cancer in women age ≤50 years.MethodsWe further investigated the association of rs10235235 with breast cancer risk in a large case control study of 47,346 cases and 47,570 controls from 52 studies participating in the Breast Cancer Association Consortium. Genotyping of rs10235235 was conducted using a custom Illumina Infinium array. Stratified analyses were conducted to determine whether this association was modified by age at diagnosis, ethnicity, age at menarche or tumor characteristics.ResultsWe confirmed the association of rs10235235 with breast cancer risk for women of European ancestry but found no evidence that this association differed with age at diagnosis. Heterozygote and homozygote odds ratios (ORs) were OR = 0.98 (95% CI 0.94, 1.01; P = 0.2) and OR = 0.80 (95% CI 0.69, 0.93; P = 0.004), respectively (P(trend) = 0.02). There was no evidence of effect modification by tumor characteristics. rs10235235 was, however, associated with age at menarche in controls (P(trend) = 0.005) but not cases (P(trend) = 0.97). Consequently the association between rs10235235 and breast cancer risk differed according to age at menarche (P(het) = 0.02); the rare allele of rs10235235 was associated with a reduction in breast cancer risk for women who had their menarche age ≥15 years (OR(het) = 0.84, 95% CI 0.75, 0.94; OR(hom) = 0.81, 95% CI 0.51, 1.30; P(trend) = 0.002) but not for those who had their menarche age ≤11 years (OR(het) = 1.06, 95% CI 0.95, 1.19, OR(hom) = 1.07, 95% CI 0.67, 1.72; P(trend) = 0.29).ConclusionsTo our knowledge rs10235235 is the first single nucleotide polymorphism to be associated with both breast cancer risk and age at menarche consistent with the well-documented association between later age at menarche and a reduction in breast cancer risk. These associations are likely mediated via an effect on circulating hormone levels.