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Common variants in breast cancer risk loci predispose to distinct tumor subtypes.

Published version
Peer-reviewed

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Authors

Zhang, Haoyu 
Michailidou, Kyriaki 
Milne, Roger L 
Bolla, Manjeet K 

Abstract

BACKGROUND: Genome-wide association studies (GWAS) have identified multiple common breast cancer susceptibility variants. Many of these variants have differential associations by estrogen receptor (ER) status, but how these variants relate with other tumor features and intrinsic molecular subtypes is unclear. METHODS: Among 106,571 invasive breast cancer cases and 95,762 controls of European ancestry with data on 173 breast cancer variants identified in previous GWAS, we used novel two-stage polytomous logistic regression models to evaluate variants in relation to multiple tumor features (ER, progesterone receptor (PR), human epidermal growth factor receptor 2 (HER2) and grade) adjusting for each other, and to intrinsic-like subtypes. RESULTS: Eighty-five of 173 variants were associated with at least one tumor feature (false discovery rate < 5%), most commonly ER and grade, followed by PR and HER2. Models for intrinsic-like subtypes found nearly all of these variants (83 of 85) associated at p < 0.05 with risk for at least one luminal-like subtype, and approximately half (41 of 85) of the variants were associated with risk of at least one non-luminal subtype, including 32 variants associated with triple-negative (TN) disease. Ten variants were associated with risk of all subtypes in different magnitude. Five variants were associated with risk of luminal A-like and TN subtypes in opposite directions. CONCLUSION: This report demonstrates a high level of complexity in the etiology heterogeneity of breast cancer susceptibility variants and can inform investigations of subtype-specific risk prediction.

Description

Funder: Genome Canada and the Canadian Institutes of Health Research


Funder: Génome Québec; doi: http://dx.doi.org/10.13039/100013062


Funder: Foundation for the National Institutes of Health; doi: http://dx.doi.org/10.13039/100000009


Funder: Center for Inherited Disease Research


Funder: Cancer Research UK


Funder: Odense University Hospital Research Foundation


Funder: National R&D Program for Cancer Control–Ministry of Health and Welfare


Funder: Italian Association for Cancer Research


Funder: Carol M. Baldwin Breast Cancer Research Fund; doi: http://dx.doi.org/10.13039/100002645


Funder: National Health and Medical Research Council


Funder: Deutsche Kinderkrebsstiftung; doi: http://dx.doi.org/10.13039/501100007311


Funder: European Union


Funder: National Institutes of Health; doi: http://dx.doi.org/10.13039/100000002


Funder: National Cancer Institute


Funder: Canadian Institutes of Health Research; doi: http://dx.doi.org/10.13039/501100000024


Funder: Susan G. Komen for the Cure, Komen Wyoming Affiliate; doi: http://dx.doi.org/10.13039/100005987


Funder: Ovarian Cancer Research Fund; doi: http://dx.doi.org/10.13039/100001282


Funder: National Cancer Institute (NCI)

Keywords

Research Article, Breast cancer, Etiologic heterogeneity, Genetic predisposition, Common breast cancer susceptibility variants

Journal Title

Breast Cancer Res

Conference Name

Journal ISSN

1465-5411
1465-542X

Volume Title

24

Publisher

Springer Science and Business Media LLC
Sponsorship
Cancer Research UK (CRUK-A16563)