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Assessment of Interactions Between 205 Breast Cancer Susceptibility Loci and 13 Established Risk Factors in Relation to Breast Cancer Risk, in the Breast Cancer Association Consortium

International journal of epidemiology(2020)SCI 1区

German Canc Res Ctr | Univ Washington | Univ Cambridge | Antoni van Leeuwenhoek Hosp | Harvard TH Chan Sch Publ Hlth | NCI | Canc Council Victoria

Cited 27|Views54
Abstract
Abstract Background Previous gene-environment interaction studies of breast cancer risk have provided sparse evidence of interactions. Using the largest available dataset to date, we performed a comprehensive assessment of potential effect modification of 205 common susceptibility variants by 13 established breast cancer risk factors, including replication of previously reported interactions. Methods Analyses were performed using 28 176 cases and 32 209 controls genotyped with iCOGS array and 44 109 cases and 48 145 controls genotyped using OncoArray from the Breast Cancer Association Consortium (BCAC). Gene-environment interactions were assessed using unconditional logistic regression and likelihood ratio tests for breast cancer risk overall and by estrogen-receptor (ER) status. Bayesian false discovery probability was used to assess the noteworthiness of the meta-analysed array-specific interactions. Results Noteworthy evidence of interaction at ≤1% prior probability was observed for three single nucleotide polymorphism (SNP)-risk factor pairs. SNP rs4442975 was associated with a greater reduction of risk of ER-positive breast cancer [odds ratio (OR)int = 0.85 (0.78-0.93), Pint = 2.8 x 10–4] and overall breast cancer [ORint = 0.85 (0.78-0.92), Pint = 7.4 x 10–5) in current users of estrogen-progesterone therapy compared with non-users. This finding was supported by replication using OncoArray data of the previously reported interaction between rs13387042 (r2 = 0.93 with rs4442975) and current estrogen-progesterone therapy for overall disease (Pint = 0.004). The two other interactions suggested stronger associations between SNP rs6596100 and ER-negative breast cancer with increasing parity and younger age at first birth. Conclusions Overall, our study does not suggest strong effect modification of common breast cancer susceptibility variants by established risk factors.
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Gene-environment interaction,breast cancer,single nucleotide polymorphism,epidemiology,risk factors,Europeans
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要点】:该研究通过分析最大规模的基因数据集,探讨了205个乳腺癌易感位点和13个已确立的乳腺癌风险因素之间的相互作用,发现仅有三个SNP-风险因素对存在显著的交互作用。

方法】:研究使用无条件逻辑回归和似然比检验对乳腺癌风险及其雌激素受体状态进行基因环境交互作用评估。

实验】:实验使用了来自乳腺癌协会联盟(BCAC)的28,176个病例和32,209个对照使用iCOGS阵列进行基因分型,以及44,109个病例和48,145个对照使用OncoArray进行基因分型,发现SNP rs4442975与当前使用雌激素-孕激素治疗的乳腺癌风险存在交互作用,并在OncoArray数据中复制了rs13387042与当前雌激素-孕激素治疗的交互作用。