학술논문

The predictive ability of the 313 variant-based polygenic risk score for contralateral breast cancer risk prediction in women of European ancestry with a heterozygous BRCA1 or BRCA2 pathogenic variant.
Document Type
article
Author
Lakeman, Inge MMvan den Broek, Alexandra JVos, Juliën AMBarnes, Daniel RAdlard, JulianAndrulis, Irene LArason, AdalgeirArnold, NorbertArun, Banu KBalmaña, JudithBarrowdale, DanielBenitez, JavierBorg, AkeCaldés, TrinidadCaligo, Maria AChung, Wendy KClaes, Kathleen BMGEMO Study CollaboratorsEMBRACE CollaboratorsCollée, J MargrietCouch, Fergus JDaly, Mary BDennis, JoeDhawan, MallikaDomchek, Susan MEeles, RosEngel, ChristophEvans, D GarethFeliubadaló, LidiaForetova, LenkaFriedman, EitanFrost, DebraGanz, Patricia AGarber, JudyGayther, Simon AGerdes, Anne-MarieGodwin, Andrew KGoldgar, David EHahnen, EricHake, Christopher RHamann, UteHogervorst, Frans BLHooning, Maartje JHopper, John LHulick, Peter JImyanitov, Evgeny NOCGN InvestigatorsHEBON InvestigatorsKconFab InvestigatorsIsaacs, ClaudineIzatt, LouiseJakubowska, AnnaJames, Paul AJanavicius, RamunasJensen, Uffe BirkJiao, YueJohn, Esther MJoseph, VijaiKarlan, Beth YKets, Carolien MKonstantopoulou, IreneKwong, AvaLegrand, ClémentineLeslie, GoskaLesueur, FabienneLoud, Jennifer TLubiński, JanManoukian, SiranoushMcGuffog, LesleyMiller, AustinGomes, Denise MolinaMontagna, MarcoMouret-Fourme, EmmanuelleNathanson, Katherine LNeuhausen, Susan LNevanlinna, HeliYie, Joanne Ngeow YuenOlah, EdithOlopade, Olufunmilayo IPark, Sue KParsons, Michael TPeterlongo, PaoloPiedmonte, MarionRadice, PaoloRantala, JohannaRennert, GadRisch, Harvey ASchmutzler, Rita KSharma, PriyankaSimard, JacquesSinger, Christian FStadler, ZsofiaStoppa-Lyonnet, DominiqueSutter, ChristianTan, Yen YenTeixeira, Manuel RTeo, Soo HwangTeulé, AlexThomassen, MadsThull, Darcy L
Source
Genetics in medicine : official journal of the American College of Medical Genetics. 23(9)
Subject
GEMO Study Collaborators
EMBRACE Collaborators
OCGN Investigators
HEBON Investigators
KconFab Investigators
Humans
Breast Neoplasms
Genetic Predisposition to Disease
BRCA1 Protein
BRCA2 Protein
Risk Factors
Retrospective Studies
Heterozygote
Mutation
Adult
Female
Prevention
Cancer
Aging
Breast Cancer
2.1 Biological and endogenous factors
Genetics & Heredity
Genetics
Clinical Sciences
Language
Abstract
PurposeTo evaluate the association between a previously published 313 variant-based breast cancer (BC) polygenic risk score (PRS313) and contralateral breast cancer (CBC) risk, in BRCA1 and BRCA2 pathogenic variant heterozygotes.MethodsWe included women of European ancestry with a prevalent first primary invasive BC (BRCA1 = 6,591 with 1,402 prevalent CBC cases; BRCA2 = 4,208 with 647 prevalent CBC cases) from the Consortium of Investigators of Modifiers of BRCA1/2 (CIMBA), a large international retrospective series. Cox regression analysis was performed to assess the association between overall and ER-specific PRS313 and CBC risk.ResultsFor BRCA1 heterozygotes the estrogen receptor (ER)-negative PRS313 showed the largest association with CBC risk, hazard ratio (HR) per SD = 1.12, 95% confidence interval (CI) (1.06-1.18), C-index = 0.53; for BRCA2 heterozygotes, this was the ER-positive PRS313, HR = 1.15, 95% CI (1.07-1.25), C-index = 0.57. Adjusting for family history, age at diagnosis, treatment, or pathological characteristics for the first BC did not change association effect sizes. For women developing first BC