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Common variants of the BRCA1 wild-type allele modify the risk of breast cancer in BRCA1 mutation carriers

  • David G. Cox
  • , Jacques Simard
  • , Daniel Sinnett
  • , Yosr Hamdi
  • , Penny Soucy
  • , Manon Ouimet
  • , Laure Barjhoux
  • , Carole Verny-Pierre
  • , Lesley McGuffog
  • , Sue Healey
  • , Csilla Szabo
  • , Mark H. Greene
  • , Phuong L. Mai
  • , Irene L. Andrulis
  • , Gord Glendon
  • , Teresa Selander
  • , Nayana Weerasooriya
  • , Mads Thomassen
  • , Anne Marie Gerdes
  • , Maria A. Caligo
  • Eitan Friedman, Yael Laitman, Bella Kaufman, Shani S. Paluch, Åke Borg, Per Karlsson, Marie Stenmark Askmalm, Gisela Barbany Bustinza, Katherine L. Nathanson, Susan M. Domchek, Timothy R. Rebbeck, Javier Benítez, Ute Hamann, Matti A. Rookus, Ans M.W. van den Ouweland, Margreet G.E.M. Ausems, Cora M. Aalfs, Christi J. van Asperen, Peter Devilee, Hans J.J.P. Gille, Susan Peock, Debra Frost, D. Gareth Evans, Ros Eeles, Louise Izatt, Loeter Devilee Adlard, Joan Paterson, Jacqueline Eason, Andrew K. Godwin, Marie Alice Remon, Virginie Moncoutier, Marion Gauthier-Villars, Christine Lasset, Sophie Giraud, Agnès Hardouin, Pascaline Berthet, Hagay Sobol, François Eisinger, Brigitte Bressac de Paillerets, Olivier Caron, Capucine Delnatte, David Goldgar, Alex Miron, Hilmi Ozcelik, Saundra Buys, Melissa C. Southey, Mary Beth Terry, Christian F. Singer, Anne Catharina Dressler, Muy Kheng Tea, Thomas V.O. Hansen, Oskar Johannsson, Marion Piedmonte, Gustavo C. Rodriguez, Jack B. Basil, Stephanie Blank, Amanda E. Toland, Marco Montagna, Claudine Isaacs, Ignacio Blanco, Simon A. Gayther, Kirsten B. Moysich, Rita K. Schmutzler, Barbara Wappenschmidt, Christoph Engel, Alfons Meindl, Nina Ditsch, Norbert Arnold, Dieter Niederacher, Christian Sutter, Dorothea Gadzicki, Britta Fiebig, Trinidad Caldes, Rachel Laframboise, Heli Nevanlinna, Xiaoqing Chen, Jonathan Beesley, Amanda B. Spurdle, Susan L. Neuhausen, Yuan C. Ding, Fergus J. Couch, Xianshu Wang, Paolo Peterlongo, Siranoush Manoukian, Loris Bernard, Paolo Radice, Douglas F. Easton, Georgia Chenevix-Trench, Antonis C. Antoniou, Dominique Stoppa-Lyonnet, Sylvie Mazoyer, Olga M. Sinilnikova, Margareta Nordling, Annika Bergman, Zakaria Einbeigi, Marie Stenmark-Askmalm, Sigrun Liedgren, Åke Borg, Niklas Loman, Håkan Olsson, Ulf Kristoffersson, Maria Soller, Helena Jernström, Katja Harbst, Karin Henriksson, Annika Lindblom, Brita Arver, Anna von Wachenfeldt, Annelie Liljegren, Gisela Barbany-Bustinza, Johanna Rantala, Beatrice Melin, Henrik Grönberg, Eva Lena Stattin, Monica Emanuelsson, Hans Ehrencrona, Richard Rosenquist Brandell, Niklas Dahl, F. B.L. Hogervorst, S. Verhoef, M. Verheus, L. J. van't Veer, F. E. van Leeuwen, M. A. Rookus, M. Collée, A. Jager, M. J. Hooning, M. M.A. Tilanus-Linthorst, C. Seynaeve, C. J. van Asperen, J. T. Wijnen, M. P. Vreeswijk, R. A. Tollenaar, M. J. Ligtenberg, N. Hoogerbrugge, M. G. Ausems, R. B. van der Luijt, C. M. Aalfs, T. A. van Os, J. J.P. Gille, Q. Waisfisz, H. E.J. Meijers-Heijboer, E. B. Gomez-Garcia, C. E. van Roozendaal, Marinus J. Blok, B. Caanen, J. C. Oosterwijk, A. H. van der Hout, M. J. Mourits, H. F. Vasen, Susan Peock, Margaret Cook, Debra Frost, Radka Platte, Zosia Miedzybrodzka, Helen Gregory, Patrick Morrison, Lisa Jeffers, Trevor Cole, Kai Ren Ong, Jonathan Hoffman, Alan Donaldson, Margaret James, Joan Paterson, Sarah Downing, Amy Taylor, Alexandra Murray, Mark T. Rogers, Emma McCann, M. John Kennedy, David Barton, Mary Porteous, Sarah Drummond, Carole Brewer, Emma Kivuva, Anne Searle, Selina Goodman, Kathryn Hill, Rosemarie Davidson, Victoria Murday, Nicola Bradshaw, Lesley Snadden, Mark Longmuir, Catherine Watt, Sarah Gibson, Eshika Haque, Ed Tobias, Alexis Duncan, Louise Izatt, Chris Jacobs, Caroline Langman, Anna Whaite, Huw Dorkins, Julian Barwell, Julian Adlard, Carol Chu, Julie Miller, Ian Ellis, Catherine Houghton, Fiona Lalloo, Jane Taylor, Lucy Side, Alison Male, Cheryl Berlin, Jacqueline Eason, Rebecca Collier, Fiona Douglas, Oonagh Claber, Irene Jobson, Lisa Walker, Diane McLeod, Dorothy Halliday, Sarah Durell, Barbara Stayner, Ros Eeles, Susan Shanley, Nazneen Rahman, Richard Houlston, Elizabeth Bancroft, Lucia D'Mello, Elizabeth Page, Audrey Ardern-Jones, Kelly Kohut, Jennifer Wiggins, Elena Castro, Anita Mitra, Lisa Robertson, Jackie Cook, Oliver Quarrell, Cathryn Bardsley, Shirley Hodgson, Sheila Goff, Glen Brice, Lizzie Winchester, Charlotte Eddy, Vishakha Tripathi, Virginia Attard, Diana Eccles, Anneke Lucassen, Gillian Crawford, Donna McBride, Sarah Smalley, Olga Sinilnikova, Laure Barjhoux, Carole Verny-Pierre, Sophie Giraud, Mélanie Léone, Sylvie Mazoyer, Dominique Stoppa-Lyonnet, Marion Gauthier-Villars, Bruno Buecher, Claude Houdayer, Virginie Moncoutier, Muriel Belotti, Carole Tirapo, Antoine de Pauw, Brigitte Bressac-de-Paillerets, Audrey Remenieras, Véronique Byrde, Olivier Caron, Gilbert Lenoir, Yves Jean Bignon, Nancy Uhrhammer, Valérie Bonadona, Agnès Hardouin, Pascaline Berthet, Hagay Sobol, Violaine Bourdon, Tetsuro Noguchi, François Eisinger, Florence Coulet, Chrystelle Colas, Florent Soubrier, Isabelle Coupier, Pascal Pujol, Jean Philippe Peyrat, Joëlle Fournier, Françoise Révillion, Philippe Vennin, Claude Adenis, Etienne Rouleau, Rosette Lidereau, Liliane Demange, Catherine Nogues, Danièle Muller, Jean Pierre Fricker, Michel Longy, Nicolas Sevenet, Christine Toulas, Rosine Guimbaud, Laurence Gladieff, Viviane Feillel, Dominique Leroux, Hélène Dreyfus, Christine Rebischung, Fanny Coron, Laurence Faivre, Fabienne Prieur, Marine Lebrun, Sandra Fert Ferrer, Marc Frénay, Laurence Vénat-Bouvet
  • Universite Claude Bernard Lyon 1
  • Imperial College London
  • Centre de Recherche du Centre Hospitalier de l'Université Laval (CRCHUL)
  • Sainte-Justine Hospital University Center
  • University of Montreal
  • University of Cambridge
  • Queensland Institute of Medical Research
  • University of Delaware
  • National Institutes of Health
  • University of Toronto
  • Cancer Care Ontario
  • University of Southern Denmark
  • University of Copenhagen
  • University and University Hospital of Pisa
  • The Gertner Institute
  • Tel Aviv University
  • Sheba Medical Center at Tel Hashomer
  • Lund University
  • Sahlgrenska University Hospital
  • Université Paris Cité
  • Linköping University
  • Karolinska Institutet
  • University of Pennsylvania
  • Spanish National Cancer Research Centre (CNIO)
  • German Cancer Research Center
  • Netherlands Cancer Institute
  • Erasmus University Rotterdam
  • Utrecht University
  • Amsterdam University Medical Center
  • Leiden University
  • VU University
  • Manchester University NHS Foundation Trust
  • Manchester Regional Genetics Service
  • The Institute of Cancer Research
  • Guy's and St Thomas' NHS Foundation Trust
  • Yorkshire Regional Genetics Service
  • Cambridge University Hospitals NHS Foundation Trust
  • Nottingham University Hospitals NHS Trust
  • Fox Chase Cancer Center
  • Institut Curie
  • Centre Léon Bérard
  • Hospices civils de Lyon
  • Centre Georges-François Leclerc
  • Aix-Marseille Université
  • Institut Paoli Calmettes
  • Institut Gustave Roussy
  • Institut national de la santé et de la recherche médicale
  • University of Utah
  • Dana-Farber Cancer Institute
  • University of Melbourne
  • Columbia University
  • Medical University of Vienna
  • Landspitali University Hospital
  • Roswell Park Cancer Institute
  • NorthShore University HealthSystem
  • Good Samaritan Hospital Cincinnati
  • New York University
  • Ohio State University
  • IRCCS Istituto Oncologico Veneto - Padova
  • Georgetown University
  • Institute Catala Oncologia
  • University of Southern California
  • University of Cologne
  • Leipzig University
  • Technical University of Munich
  • Ludwig Maximilian University of Munich
  • Universitätsklinikum Kiel
  • Heinrich Heine University Düsseldorf
  • Heidelberg University 
  • Hannover Medical School
  • University of Regensburg
  • Hospital Clínico San Carlos de Madrid
  • Helsinki University Hospital
  • City of Hope National Med Center
  • Mayo Clinic Rochester, MN
  • IRCCS Fondazione Istituto Nazionale per lo studio e la cura dei tumori - Milano
  • FIRC Institute of Molecular Oncology
  • IRCCS Istituto Europeo di Oncologia - Milano
  • Department of Tumour Biology
  • Umeå University
  • Uppsala University
  • Radboud University Nijmegen
  • Maastricht University
  • University of Groningen
  • The Netherlands Foundation for the Detection of Hereditary Tumours
  • Coordinating Centre
  • North of Scotland Regional Genetics Service
  • Northern Ireland Regional Genetics Service
  • West Midlands Regional Clinical Genetics Service
  • South West Regional Genetics Service
  • East Anglian Regional Genetics Service
  • Medical Genetics Services for Wales
  • St James’s Hospital
  • South East of Scotland Regional Genetics Service
  • Peninsula Clinical Genetics Service
  • West of Scotland Regional Genetics Service
  • North West Thames Regional Genetics Service
  • Leicestershire Clinical Genetics Service
  • Merseyside and Cheshire Clinical Genetics Service
  • NE Thames Region
  • Northern Clinical Genetics Service
  • Oxford Regional Genetics Service
  • North Trent Clinical Genetics Service
  • South West Thames Regional Genetics Service
  • University Hospital Southampton NHS Foundation Trust
  • Centre Jean Perrin
  • Sorbonne Université
  • CHU Montpellier
  • Centre Oscar Lambret
  • Institut Claudius Regaud
  • CHU de Grenoble
  • Université de Bourgogne
  • CHU de Saint-Étienne
  • Hôtel Dieu Centre Hospitalier
  • Centre Antoine Lacassagne
  • CHU de Limoges

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

Mutations in the BRCA1 gene substantially increase a woman's lifetime risk of breast cancer. However, there is great variation in this increase in risk with several genetic and non-genetic modifiers identified. The BRCA1 protein plays a central role in DNA repair, a mechanism that is particularly instrumental in safeguarding cells against tumorigenesis. We hypothesized that polymorphisms that alter the expression and/or function of BRCA1 carried on the wild-type (non-mutated) copy of the BRCA1 gene would modify the risk of breast cancer in carriers of BRCA1 mutations. A total of 9874 BRCA1 mutation carriers were available in the Consortium of Investigators of Modifiers of BRCA1/2 (CIMBA) for haplotype analyses of BRCA1. Women carrying the rare allele of single nucleotide polymorphism rs16942 on the wild-type copy of BRCA1 were at decreased risk of breast cancer (hazard ratio 0.86, 95% confidence interval 0.77-0.95, P 5 0.003). Promoter in vitro assays of the major BRCA1 haplotypes showed that common polymorphisms in the regulatory region alter its activity and that this effect may be attributed to the differential binding affinity of nuclear proteins. In conclusion, variants on the wild-type copy of BRCA1 modify risk of breast cancer among carriers of BRCA1 mutations, possibly by altering the efficiency of BRCA1 transcription.

Original languageEnglish
Pages (from-to)4732-4747
Number of pages16
JournalHuman Molecular Genetics
Volume20
Issue number23
DOIs
StatePublished - Dec 1 2011

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