@article{3b946e1ba51b444982c2d148cc6ff455,
title = "Identification of a BRCA2-specific modifier locus at 6p24 related to breast cancer risk",
abstract = "Common genetic variants contribute to the observed variation in breast cancer risk for BRCA2 mutation carriers; those known to date have all been found through population-based genome-wide association studies (GWAS). To comprehensively identify breast cancer risk modifying loci for BRCA2 mutation carriers, we conducted a deep replication of an ongoing GWAS discovery study. Using the ranked P-values of the breast cancer associations with the imputed genotype of 1.4 M SNPs, 19,029 SNPs were selected and designed for inclusion on a custom Illumina array that included a total of 211,155 SNPs as part of a multi-consortial project. DNA samples from 3,881 breast cancer affected and 4,330 unaffected BRCA2 mutation carriers from 47 studies belonging to the Consortium of Investigators of Modifiers of BRCA1/2 were genotyped and available for analysis. We replicated previously reported breast cancer susceptibility alleles in these BRCA2 mutation carriers and for several regions (including FGFR2, MAP3K1, CDKN2A/B, and PTHLH) identified SNPs that have stronger evidence of association than those previously published. We also identified a novel susceptibility allele at 6p24 that was inversely associated with risk in BRCA2 mutation carriers (rs9348512; per allele HR = 0.85, 95% CI 0.80-0.90, P = 3.9 × 10(-8)). This SNP was not associated with breast cancer risk either in the general population or in BRCA1 mutation carriers. The locus lies within a region containing TFAP2A, which encodes a transcriptional activation protein that interacts with several tumor suppressor genes. This report identifies the first breast cancer risk locus specific to a BRCA2 mutation background. This comprehensive update of novel and previously reported breast cancer susceptibility loci contributes to the establishment of a panel of SNPs that modify breast cancer risk in BRCA2 mutation carriers. This panel may have clinical utility for women with BRCA2 mutations weighing options for medical prevention of breast cancer.",
keywords = "Adult, Aged, Alleles, BRCA1 Protein, BRCA2 Protein, Breast Neoplasms, Chromosomes, Human, Pair 6, Female, Genetic Predisposition to Disease, Genome-Wide Association Study, Genotype, Heterozygote, Humans, Middle Aged, Mutation, Polymorphism, Single Nucleotide, Risk Factors",
author = "Gaudet, {Mia M} and Kuchenbaecker, {Karoline B} and Joseph Vijai and Klein, {Robert J} and Tomas Kirchhoff and Lesley McGuffog and Daniel Barrowdale and Dunning, {Alison M} and Lee, {Andrew Roger} and Joe Dennis and Sue Healey and Ed Dicks and Penny Soucy and Sinilnikova, {Olga M} and Pankratz, {Vernon S} and Xianshu Wang and Eldridge, {Ronald C} and Tessier, {Daniel C} and Daniel Vincent and Francois Bacot and Hogervorst, {Frans B L} and Susan Peock and Dominique Stoppa-Lyonnet and Paolo Peterlongo and Schmutzler, {Rita K} and Nathanson, {Katherine L} and Marion Piedmonte and Singer, {Christian F} and Mads Thomassen and Hansen, {Thomas v O} and Neuhausen, {Susan L} and Ignacio Blanco and Greene, {Mark H} and Judith Garber and Weitzel, {Jeffrey N} and Andrulis, {Irene L} and Goldgar, {David E} and Emma D'Andrea and Trinidad Caldes and Heli Nevanlinna and Ana Osorio and {van Rensburg}, {Elizabeth J} and Adalgeir Arason and Gad Rennert and {van den Ouweland}, {Ans M W} and {van der Hout}, {Annemarie H} and Kets, {Carolien M} and Aalfs, {Cora M} and Wijnen, {Juul T} and Ausems, {Margreet G E M} and {kConFab Investigators}",
year = "2013",
doi = "10.1371/journal.pgen.1003173",
language = "English",
volume = "9",
journal = "PLOS Genetics",
issn = "1553-7390",
publisher = "Public Library of Science",
number = "3",
}