Serveur d'exploration sur les relations entre la France et l'Australie

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Common Breast Cancer-Predisposition Alleles Are Associated with Breast Cancer Risk in BRCA1 and BRCA2 Mutation Carriers

Identifieur interne : 000359 ( Ncbi/Merge ); précédent : 000358; suivant : 000360

Common Breast Cancer-Predisposition Alleles Are Associated with Breast Cancer Risk in BRCA1 and BRCA2 Mutation Carriers

Auteurs : Antonis C. Antoniou ; Amanda B. Spurdle ; Olga M. Sinilnikova ; Sue Healey ; Karen A. Pooley ; Rita K. Schmutzler ; Beatrix Versmold ; Christoph Engel ; Alfons Meindl ; Norbert Arnold ; Wera Hofmann ; Christian Sutter ; Dieter Niederacher ; Helmut Deissler ; Trinidad Caldes ; Kati K Mpj Rvi ; Heli Nevanlinna ; Jacques Simard ; Jonathan Beesley ; Xiaoqing Chen ; Susan L. Neuhausen ; Timothy R. Rebbeck ; Theresa Wagner ; Henry T. Lynch ; Claudine Isaacs ; Jeffrey Weitzel ; Patricia A. Ganz ; Mary B. Daly ; Gail Tomlinson ; Olufunmilayo I. Olopade ; Joanne L. Blum ; Fergus J. Couch ; Paolo Peterlongo ; Siranoush Manoukian ; Monica Barile ; Paolo Radice ; Csilla I. Szabo ; Lutecia H. Mateus Pereira ; Mark H. Greene ; Gad Rennert ; Flavio Lejbkowicz ; Ofra Barnett-Griness ; Irene L. Andrulis ; Hilmi Ozcelik ; Anne-Marie Gerdes ; Maria A. Caligo ; Yael Laitman ; Bella Kaufman ; Roni Milgrom ; Eitan Friedman ; Susan M. Domchek ; Katherine L. Nathanson ; Ana Osorio ; Gemma Llort ; Roger L. Milne ; Javier Benítez ; Ute Hamann ; Frans B. L. Hogervorst ; Peggy Manders ; Marjolijn J. L. Ligtenberg ; Ans M. W. Van Den Ouweland ; Susan Peock ; Margaret Cook ; Radka Platte ; D. Gareth Evans ; Rosalind Eeles ; Gabriella Pichert ; Carol Chu ; Diana Eccles ; Rosemarie Davidson ; Fiona Douglas ; Andrew K. Godwin ; Laure Barjhoux ; Sylvie Mazoyer ; Hagay Sobol ; Violaine Bourdon ; François Eisinger ; Agnès Chompret ; Corinne Capoulade ; Brigitte Bressac-De Paillerets ; Gilbert M. Lenoir ; Marion Gauthier-Villars ; Claude Houdayer ; Dominique Stoppa-Lyonnet ; Georgia Chenevix-Trench ; Douglas F. Easton

Source :

RBID : PMC:2427217

Abstract

Germline mutations in BRCA1 and BRCA2 confer high risks of breast cancer. However, evidence suggests that these risks are modified by other genetic or environmental factors that cluster in families. A recent genome-wide association study has shown that common alleles at single nucleotide polymorphisms (SNPs) in FGFR2 (rs2981582), TNRC9 (rs3803662), and MAP3K1 (rs889312) are associated with increased breast cancer risks in the general population. To investigate whether these loci are also associated with breast cancer risk in BRCA1 and BRCA2 mutation carriers, we genotyped these SNPs in a sample of 10,358 mutation carriers from 23 studies. The minor alleles of SNP rs2981582 and rs889312 were each associated with increased breast cancer risk in BRCA2 mutation carriers (per-allele hazard ratio [HR] = 1.32, 95% CI: 1.20–1.45, ptrend = 1.7 × 10−8 and HR = 1.12, 95% CI: 1.02–1.24, ptrend = 0.02) but not in BRCA1 carriers. rs3803662 was associated with increased breast cancer risk in both BRCA1 and BRCA2 mutation carriers (per-allele HR = 1.13, 95% CI: 1.06–1.20, ptrend = 5 × 10−5 in BRCA1 and BRCA2 combined). These loci appear to interact multiplicatively on breast cancer risk in BRCA2 mutation carriers. The differences in the effects of the FGFR2 and MAP3K1 SNPs between BRCA1 and BRCA2 carriers point to differences in the biology of BRCA1 and BRCA2 breast cancer tumors and confirm the distinct nature of breast cancer in BRCA1 mutation carriers.


Url:
DOI: 10.1016/j.ajhg.2008.02.008
PubMed: 18355772
PubMed Central: 2427217

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PMC:2427217

Le document en format XML

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<name sortKey="Chu, Carol" sort="Chu, Carol" uniqKey="Chu C" first="Carol" last="Chu">Carol Chu</name>
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<name sortKey="Eccles, Diana" sort="Eccles, Diana" uniqKey="Eccles D" first="Diana" last="Eccles">Diana Eccles</name>
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<name sortKey="Godwin, Andrew K" sort="Godwin, Andrew K" uniqKey="Godwin A" first="Andrew K." last="Godwin">Andrew K. Godwin</name>
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<name sortKey="Mazoyer, Sylvie" sort="Mazoyer, Sylvie" uniqKey="Mazoyer S" first="Sylvie" last="Mazoyer">Sylvie Mazoyer</name>
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<nlm:aff id="aff61"></nlm:aff>
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<nlm:aff id="aff62"></nlm:aff>
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<nlm:aff id="aff63"></nlm:aff>
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<author>
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<nlm:aff id="aff63"></nlm:aff>
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<nlm:aff id="aff63"></nlm:aff>
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<nlm:aff id="aff64"></nlm:aff>
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<nlm:aff id="aff64"></nlm:aff>
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<nlm:aff id="aff64"></nlm:aff>
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<nlm:aff id="aff1"></nlm:aff>
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<title xml:lang="en" level="a" type="main">Common Breast Cancer-Predisposition Alleles Are Associated with Breast Cancer Risk in
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and
<italic>BRCA2</italic>
Mutation Carriers</title>
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<affiliation>
<nlm:aff id="aff4"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mazoyer, Sylvie" sort="Mazoyer, Sylvie" uniqKey="Mazoyer S" first="Sylvie" last="Mazoyer">Sylvie Mazoyer</name>
<affiliation>
<nlm:aff id="aff4"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Sobol, Hagay" sort="Sobol, Hagay" uniqKey="Sobol H" first="Hagay" last="Sobol">Hagay Sobol</name>
<affiliation>
<nlm:aff id="aff61"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bourdon, Violaine" sort="Bourdon, Violaine" uniqKey="Bourdon V" first="Violaine" last="Bourdon">Violaine Bourdon</name>
<affiliation>
<nlm:aff id="aff61"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Eisinger, Francois" sort="Eisinger, Francois" uniqKey="Eisinger F" first="François" last="Eisinger">François Eisinger</name>
<affiliation>
<nlm:aff id="aff61"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Chompret, Agnes" sort="Chompret, Agnes" uniqKey="Chompret A" first="Agnès" last="Chompret">Agnès Chompret</name>
<affiliation>
<nlm:aff id="aff62"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Capoulade, Corinne" sort="Capoulade, Corinne" uniqKey="Capoulade C" first="Corinne" last="Capoulade">Corinne Capoulade</name>
<affiliation>
<nlm:aff id="aff63"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bressac De Paillerets, Brigitte" sort="Bressac De Paillerets, Brigitte" uniqKey="Bressac De Paillerets B" first="Brigitte" last="Bressac-De Paillerets">Brigitte Bressac-De Paillerets</name>
<affiliation>
<nlm:aff id="aff63"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Lenoir, Gilbert M" sort="Lenoir, Gilbert M" uniqKey="Lenoir G" first="Gilbert M." last="Lenoir">Gilbert M. Lenoir</name>
<affiliation>
<nlm:aff id="aff63"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gauthier Villars, Marion" sort="Gauthier Villars, Marion" uniqKey="Gauthier Villars M" first="Marion" last="Gauthier-Villars">Marion Gauthier-Villars</name>
<affiliation>
<nlm:aff id="aff64"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Houdayer, Claude" sort="Houdayer, Claude" uniqKey="Houdayer C" first="Claude" last="Houdayer">Claude Houdayer</name>
<affiliation>
<nlm:aff id="aff64"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Stoppa Lyonnet, Dominique" sort="Stoppa Lyonnet, Dominique" uniqKey="Stoppa Lyonnet D" first="Dominique" last="Stoppa-Lyonnet">Dominique Stoppa-Lyonnet</name>
<affiliation>
<nlm:aff id="aff64"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Chenevix Trench, Georgia" sort="Chenevix Trench, Georgia" uniqKey="Chenevix Trench G" first="Georgia" last="Chenevix-Trench">Georgia Chenevix-Trench</name>
<affiliation>
<nlm:aff id="aff2"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Easton, Douglas F" sort="Easton, Douglas F" uniqKey="Easton D" first="Douglas F." last="Easton">Douglas F. Easton</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">American Journal of Human Genetics</title>
<idno type="ISSN">0002-9297</idno>
<idno type="eISSN">1537-6605</idno>
<imprint>
<date when="2008">2008</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>Germline mutations in
<italic>BRCA1</italic>
and
<italic>BRCA2</italic>
confer high risks of breast cancer. However, evidence suggests that these risks are modified by other genetic or environmental factors that cluster in families. A recent genome-wide association study has shown that common alleles at single nucleotide polymorphisms (SNPs) in
<italic>FGFR2</italic>
(rs2981582),
<italic>TNRC9</italic>
(rs3803662), and
<italic>MAP3K1</italic>
(rs889312) are associated with increased breast cancer risks in the general population. To investigate whether these loci are also associated with breast cancer risk in
<italic>BRCA1</italic>
and
<italic>BRCA2</italic>
mutation carriers, we genotyped these SNPs in a sample of 10,358 mutation carriers from 23 studies. The minor alleles of SNP rs2981582 and rs889312 were each associated with increased breast cancer risk in
<italic>BRCA2</italic>
mutation carriers (per-allele hazard ratio [HR] = 1.32, 95% CI: 1.20–1.45, p
<sub>trend</sub>
= 1.7 × 10
<sup>−8</sup>
and HR = 1.12, 95% CI: 1.02–1.24, p
<sub>trend</sub>
= 0.02) but not in
<italic>BRCA1</italic>
carriers. rs3803662 was associated with increased breast cancer risk in both
<italic>BRCA1</italic>
and
<italic>BRCA2</italic>
mutation carriers (per-allele HR = 1.13, 95% CI: 1.06–1.20, p
<sub>trend</sub>
= 5 × 10
<sup>−5</sup>
in
<italic>BRCA1</italic>
and BRCA2 combined). These loci appear to interact multiplicatively on breast cancer risk in
<italic>BRCA2</italic>
mutation carriers. The differences in the effects of the
<italic>FGFR2</italic>
and
<italic>MAP3K1</italic>
SNPs between
<italic>BRCA1</italic>
and
<italic>BRCA2</italic>
carriers point to differences in the biology of
<italic>BRCA1</italic>
and
<italic>BRCA2</italic>
breast cancer tumors and confirm the distinct nature of breast cancer in
<italic>BRCA1</italic>
mutation carriers.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-comment>/tmp/28271.pmc.28271/meta_AJHG106.xml</pmc-comment>
<pmc-comment>ARTICLE</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Am J Hum Genet</journal-id>
<journal-title>American Journal of Human Genetics</journal-title>
<issn pub-type="ppub">0002-9297</issn>
<issn pub-type="epub">1537-6605</issn>
<publisher>
<publisher-name>American Society of Human Genetics</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">18355772</article-id>
<article-id pub-id-type="pmc">2427217</article-id>
<article-id pub-id-type="publisher-id">AJHG106</article-id>
<article-id pub-id-type="doi">10.1016/j.ajhg.2008.02.008</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Common Breast Cancer-Predisposition Alleles Are Associated with Breast Cancer Risk in
<italic>BRCA1</italic>
and
<italic>BRCA2</italic>
Mutation Carriers</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Antoniou</surname>
<given-names>Antonis C.</given-names>
</name>
<email>antonis@srl.cam.ac.uk</email>
<xref rid="aff1" ref-type="aff">1</xref>
<xref rid="cor1" ref-type="corresp"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Spurdle</surname>
<given-names>Amanda B.</given-names>
</name>
<xref rid="aff2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sinilnikova</surname>
<given-names>Olga M.</given-names>
</name>
<xref rid="aff3" ref-type="aff">3</xref>
<xref rid="aff4" ref-type="aff">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Healey</surname>
<given-names>Sue</given-names>
</name>
<xref rid="aff2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pooley</surname>
<given-names>Karen A.</given-names>
</name>
<xref rid="aff1" ref-type="aff">1</xref>
<xref rid="aff5" ref-type="aff">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Schmutzler</surname>
<given-names>Rita K.</given-names>
</name>
<xref rid="aff6" ref-type="aff">6</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Versmold</surname>
<given-names>Beatrix</given-names>
</name>
<xref rid="aff6" ref-type="aff">6</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Engel</surname>
<given-names>Christoph</given-names>
</name>
<xref rid="aff7" ref-type="aff">7</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Meindl</surname>
<given-names>Alfons</given-names>
</name>
<xref rid="aff8" ref-type="aff">8</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Arnold</surname>
<given-names>Norbert</given-names>
</name>
<xref rid="aff9" ref-type="aff">9</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hofmann</surname>
<given-names>Wera</given-names>
</name>
<xref rid="aff10" ref-type="aff">10</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sutter</surname>
<given-names>Christian</given-names>
</name>
<xref rid="aff11" ref-type="aff">11</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Niederacher</surname>
<given-names>Dieter</given-names>
</name>
<xref rid="aff12" ref-type="aff">12</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Deissler</surname>
<given-names>Helmut</given-names>
</name>
<xref rid="aff13" ref-type="aff">13</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Caldes</surname>
<given-names>Trinidad</given-names>
</name>
<xref rid="aff14" ref-type="aff">14</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kämpjärvi</surname>
<given-names>Kati</given-names>
</name>
<xref rid="aff15" ref-type="aff">15</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Nevanlinna</surname>
<given-names>Heli</given-names>
</name>
<xref rid="aff15" ref-type="aff">15</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Simard</surname>
<given-names>Jacques</given-names>
</name>
<xref rid="aff16" ref-type="aff">16</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Beesley</surname>
<given-names>Jonathan</given-names>
</name>
<xref rid="aff2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chen</surname>
<given-names>Xiaoqing</given-names>
</name>
<xref rid="aff2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author">
<collab>the Kathleen Cuningham Consortium for Research into Familial Breast Cancer</collab>
<xref rid="aff17" ref-type="aff">17</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Neuhausen</surname>
<given-names>Susan L.</given-names>
</name>
<xref rid="aff18" ref-type="aff">18</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rebbeck</surname>
<given-names>Timothy R.</given-names>
</name>
<xref rid="aff19" ref-type="aff">19</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wagner</surname>
<given-names>Theresa</given-names>
</name>
<xref rid="aff20" ref-type="aff">20</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lynch</surname>
<given-names>Henry T.</given-names>
</name>
<xref rid="aff21" ref-type="aff">21</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Isaacs</surname>
<given-names>Claudine</given-names>
</name>
<xref rid="aff22" ref-type="aff">22</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Weitzel</surname>
<given-names>Jeffrey</given-names>
</name>
<xref rid="aff23" ref-type="aff">23</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ganz</surname>
<given-names>Patricia A.</given-names>
</name>
<xref rid="aff24" ref-type="aff">24</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Daly</surname>
<given-names>Mary B.</given-names>
</name>
<xref rid="aff25" ref-type="aff">25</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tomlinson</surname>
<given-names>Gail</given-names>
</name>
<xref rid="aff26" ref-type="aff">26</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Olopade</surname>
<given-names>Olufunmilayo I.</given-names>
</name>
<xref rid="aff27" ref-type="aff">27</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Blum</surname>
<given-names>Joanne L.</given-names>
</name>
<xref rid="aff28" ref-type="aff">28</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Couch</surname>
<given-names>Fergus J.</given-names>
</name>
<xref rid="aff29" ref-type="aff">29</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Peterlongo</surname>
<given-names>Paolo</given-names>
</name>
<xref rid="aff30" ref-type="aff">30</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Manoukian</surname>
<given-names>Siranoush</given-names>
</name>
<xref rid="aff31" ref-type="aff">31</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Barile</surname>
<given-names>Monica</given-names>
</name>
<xref rid="aff32" ref-type="aff">32</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Radice</surname>
<given-names>Paolo</given-names>
</name>
<xref rid="aff30" ref-type="aff">30</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Szabo</surname>
<given-names>Csilla I.</given-names>
</name>
<xref rid="aff33" ref-type="aff">33</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pereira</surname>
<given-names>Lutecia H. Mateus</given-names>
</name>
<xref rid="aff34" ref-type="aff">34</xref>
<xref rid="fn1" ref-type="fn">65</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Greene</surname>
<given-names>Mark H.</given-names>
</name>
<xref rid="aff35" ref-type="aff">35</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rennert</surname>
<given-names>Gad</given-names>
</name>
<xref rid="aff36" ref-type="aff">36</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lejbkowicz</surname>
<given-names>Flavio</given-names>
</name>
<xref rid="aff36" ref-type="aff">36</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Barnett-Griness</surname>
<given-names>Ofra</given-names>
</name>
<xref rid="aff36" ref-type="aff">36</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Andrulis</surname>
<given-names>Irene L.</given-names>
</name>
<xref rid="aff37" ref-type="aff">37</xref>
<xref rid="aff38" ref-type="aff">38</xref>
<xref rid="aff39" ref-type="aff">39</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ozcelik</surname>
<given-names>Hilmi</given-names>
</name>
<xref rid="aff38" ref-type="aff">38</xref>
<xref rid="aff39" ref-type="aff">39</xref>
</contrib>
<contrib contrib-type="author">
<collab>OCGN</collab>
<xref rid="aff37" ref-type="aff">37</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gerdes</surname>
<given-names>Anne-Marie</given-names>
</name>
<xref rid="aff40" ref-type="aff">40</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Caligo</surname>
<given-names>Maria A.</given-names>
</name>
<xref rid="aff41" ref-type="aff">41</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Laitman</surname>
<given-names>Yael</given-names>
</name>
<xref rid="aff42" ref-type="aff">42</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kaufman</surname>
<given-names>Bella</given-names>
</name>
<xref rid="aff43" ref-type="aff">43</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Milgrom</surname>
<given-names>Roni</given-names>
</name>
<xref rid="aff42" ref-type="aff">42</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Friedman</surname>
<given-names>Eitan</given-names>
</name>
<xref rid="aff42" ref-type="aff">42</xref>
<xref rid="aff43" ref-type="aff">43</xref>
</contrib>
<contrib contrib-type="author">
<collab>The Swedish
<italic>BRCA1</italic>
and
<italic>BRCA2</italic>
study collaborators</collab>
<xref rid="aff44" ref-type="aff">44</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Domchek</surname>
<given-names>Susan M.</given-names>
</name>
<xref rid="aff45" ref-type="aff">45</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Nathanson</surname>
<given-names>Katherine L.</given-names>
</name>
<xref rid="aff45" ref-type="aff">45</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Osorio</surname>
<given-names>Ana</given-names>
</name>
<xref rid="aff46" ref-type="aff">46</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Llort</surname>
<given-names>Gemma</given-names>
</name>
<xref rid="aff47" ref-type="aff">47</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Milne</surname>
<given-names>Roger L.</given-names>
</name>
<xref rid="aff48" ref-type="aff">48</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Benítez</surname>
<given-names>Javier</given-names>
</name>
<xref rid="aff46" ref-type="aff">46</xref>
<xref rid="aff48" ref-type="aff">48</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hamann</surname>
<given-names>Ute</given-names>
</name>
<xref rid="aff49" ref-type="aff">49</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hogervorst</surname>
<given-names>Frans B.L.</given-names>
</name>
<xref rid="aff50" ref-type="aff">50</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Manders</surname>
<given-names>Peggy</given-names>
</name>
<xref rid="aff51" ref-type="aff">51</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ligtenberg</surname>
<given-names>Marjolijn J.L.</given-names>
</name>
<xref rid="aff52" ref-type="aff">52</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>van den Ouweland</surname>
<given-names>Ans M.W.</given-names>
</name>
<xref rid="aff53" ref-type="aff">53</xref>
</contrib>
<contrib contrib-type="author">
<collab>The DNA-HEBON collaborators</collab>
<xref rid="aff44" ref-type="aff">44</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Peock</surname>
<given-names>Susan</given-names>
</name>
<xref rid="aff1" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cook</surname>
<given-names>Margaret</given-names>
</name>
<xref rid="aff1" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Platte</surname>
<given-names>Radka</given-names>
</name>
<xref rid="aff1" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Evans</surname>
<given-names>D. Gareth</given-names>
</name>
<xref rid="aff54" ref-type="aff">54</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Eeles</surname>
<given-names>Rosalind</given-names>
</name>
<xref rid="aff55" ref-type="aff">55</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pichert</surname>
<given-names>Gabriella</given-names>
</name>
<xref rid="aff56" ref-type="aff">56</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chu</surname>
<given-names>Carol</given-names>
</name>
<xref rid="aff57" ref-type="aff">57</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Eccles</surname>
<given-names>Diana</given-names>
</name>
<xref rid="aff58" ref-type="aff">58</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Davidson</surname>
<given-names>Rosemarie</given-names>
</name>
<xref rid="aff59" ref-type="aff">59</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Douglas</surname>
<given-names>Fiona</given-names>
</name>
<xref rid="aff60" ref-type="aff">60</xref>
</contrib>
<contrib contrib-type="author">
<collab>EMBRACE</collab>
<xref rid="aff1" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Godwin</surname>
<given-names>Andrew K.</given-names>
</name>
<xref rid="aff25" ref-type="aff">25</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Barjhoux</surname>
<given-names>Laure</given-names>
</name>
<xref rid="aff3" ref-type="aff">3</xref>
<xref rid="aff4" ref-type="aff">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mazoyer</surname>
<given-names>Sylvie</given-names>
</name>
<xref rid="aff4" ref-type="aff">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sobol</surname>
<given-names>Hagay</given-names>
</name>
<xref rid="aff61" ref-type="aff">61</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bourdon</surname>
<given-names>Violaine</given-names>
</name>
<xref rid="aff61" ref-type="aff">61</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Eisinger</surname>
<given-names>François</given-names>
</name>
<xref rid="aff61" ref-type="aff">61</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chompret</surname>
<given-names>Agnès</given-names>
</name>
<xref rid="aff62" ref-type="aff">62</xref>
<xref rid="fn2" ref-type="fn">66</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Capoulade</surname>
<given-names>Corinne</given-names>
</name>
<xref rid="aff63" ref-type="aff">63</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bressac-de Paillerets</surname>
<given-names>Brigitte</given-names>
</name>
<xref rid="aff63" ref-type="aff">63</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lenoir</surname>
<given-names>Gilbert M.</given-names>
</name>
<xref rid="aff63" ref-type="aff">63</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gauthier-Villars</surname>
<given-names>Marion</given-names>
</name>
<xref rid="aff64" ref-type="aff">64</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Houdayer</surname>
<given-names>Claude</given-names>
</name>
<xref rid="aff64" ref-type="aff">64</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Stoppa-Lyonnet</surname>
<given-names>Dominique</given-names>
</name>
<xref rid="aff64" ref-type="aff">64</xref>
</contrib>
<contrib contrib-type="author">
<collab>GEMO</collab>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chenevix-Trench</surname>
<given-names>Georgia</given-names>
</name>
<xref rid="aff2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Easton</surname>
<given-names>Douglas F.</given-names>
</name>
<xref rid="aff1" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author">
<collab>on behalf of CIMBA</collab>
</contrib>
</contrib-group>
<aff id="aff1">
<addr-line>
<sup>1</sup>
Cancer Research UK, Genetic Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, UK</addr-line>
</aff>
<aff id="aff2">
<addr-line>
<sup>2</sup>
Queensland Institute of Medical Research, Brisbane, Australia</addr-line>
</aff>
<aff id="aff3">
<addr-line>
<sup>3</sup>
Unité Mixte de Génétique Constitutionnelle des Cancers Fréquents, Hospices Civils de Lyon/Centre Léon Bérard, Lyon, France</addr-line>
</aff>
<aff id="aff4">
<addr-line>
<sup>4</sup>
Laboratoire de Génétique Moléculaire, Signalisation et Cancer, UMR5201 CNRS, Université Lyon 1, Lyon, France</addr-line>
</aff>
<aff id="aff5">
<addr-line>
<sup>5</sup>
Cancer Research UK, Human Cancer Genetics Group, Department of Oncology, University of Cambridge, UK</addr-line>
</aff>
<aff id="aff6">
<addr-line>
<sup>6</sup>
Department of Obstetrics and Gynaecology, Division of Molecular Gynaeco-Oncology, University of Cologne, Germany</addr-line>
</aff>
<aff id="aff7">
<addr-line>
<sup>7</sup>
Institute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Germany</addr-line>
</aff>
<aff id="aff8">
<addr-line>
<sup>8</sup>
Department of Obstetrics and Gynaecology, Technical University, Munich, Germany</addr-line>
</aff>
<aff id="aff9">
<addr-line>
<sup>9</sup>
Department of Obstetrics and Gynaecology, University of Schleswig-Holstein, Campus Kiel, Germany</addr-line>
</aff>
<aff id="aff10">
<addr-line>
<sup>10</sup>
Institute of Human Genetics, Charite-University Medical Centre, Berlin, Germany</addr-line>
</aff>
<aff id="aff11">
<addr-line>
<sup>11</sup>
Institute of Human Genetics, University of Heidelberg, Germany</addr-line>
</aff>
<aff id="aff12">
<addr-line>
<sup>12</sup>
Molecular Genetics Laboratory, Department of Obstetrics and Gynaecology, University of Düsseldorf, Germany</addr-line>
</aff>
<aff id="aff13">
<addr-line>
<sup>13</sup>
Department of Obstetrics and Gynaecology, University of Ulm, Germany</addr-line>
</aff>
<aff id="aff14">
<addr-line>
<sup>14</sup>
Hospital Clinico San Carlos, Madrid, Spain</addr-line>
</aff>
<aff id="aff15">
<addr-line>
<sup>15</sup>
Department of Obstetrics and Gynaecology, Helsinki University Central Hospital, Helsinki, Finland</addr-line>
</aff>
<aff id="aff16">
<addr-line>
<sup>16</sup>
Canada Research Chair in Oncogenetics, Cancer Genomics Laboratory, Centre Hospitalier Universitaire de Quebec and Laval University</addr-line>
</aff>
<aff id="aff17">
<addr-line>
<sup>17</sup>
Peter MacCallum Cancer Institute, Melbourne, Australia</addr-line>
</aff>
<aff id="aff18">
<addr-line>
<sup>18</sup>
Department of Epidemiology, University of California, Irvine, CA, USA</addr-line>
</aff>
<aff id="aff19">
<addr-line>
<sup>19</sup>
Center for Clinical Epidemiology and Biostatistics, The University of Pennsylvania School of Medicine, Philadelphia, PA, USA</addr-line>
</aff>
<aff id="aff20">
<addr-line>
<sup>20</sup>
University of Vienna, Vienna, Austria</addr-line>
</aff>
<aff id="aff21">
<addr-line>
<sup>21</sup>
Creighton University, Omaha, NE, USA</addr-line>
</aff>
<aff id="aff22">
<addr-line>
<sup>22</sup>
Fisher Center for Familial Cancer Research, Lombardi Cancer Center, Georgetown University, Washington, DC, USA</addr-line>
</aff>
<aff id="aff23">
<addr-line>
<sup>23</sup>
City of Hope National Medical Center, Duarte, CA, USA</addr-line>
</aff>
<aff id="aff24">
<addr-line>
<sup>24</sup>
UCLA Schools of Medicine & Public Health, and the UCLA Familial Cancer Registry of the Jonsson Comprehensive Cancer Center at UCLA, Los Angeles, CA, USA</addr-line>
</aff>
<aff id="aff25">
<addr-line>
<sup>25</sup>
Fox Chase Cancer Center, Philadelphia, PA, USA</addr-line>
</aff>
<aff id="aff26">
<addr-line>
<sup>26</sup>
University of Texas, Southwestern, Dallas, TX, USA</addr-line>
</aff>
<aff id="aff27">
<addr-line>
<sup>27</sup>
University of Chicago, Chicago, IL, USA</addr-line>
</aff>
<aff id="aff28">
<addr-line>
<sup>28</sup>
Baylor-Sammons Cancer Center, Dallas, Texas, USA</addr-line>
</aff>
<aff id="aff29">
<addr-line>
<sup>29</sup>
Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA</addr-line>
</aff>
<aff id="aff30">
<addr-line>
<sup>30</sup>
Unit of Genetic Susceptibility to Cancer, Department of Experimental Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori and IFOM, Fondazione Istituto FIRC di Oncologia Molecolare, Milan, Italy</addr-line>
</aff>
<aff id="aff31">
<addr-line>
<sup>31</sup>
Medical Genetics Service, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy</addr-line>
</aff>
<aff id="aff32">
<addr-line>
<sup>32</sup>
Division of Cancer Prevention and Genetics, Istituto Europeo di Oncologia, Milan, Italy</addr-line>
</aff>
<aff id="aff33">
<addr-line>
<sup>33</sup>
Department of Laboratory Medicine and Experimental Pathology, Mayo Clinic College of Medicine, Rochester, MN, USA</addr-line>
</aff>
<aff id="aff34">
<addr-line>
<sup>34</sup>
Laboratory of Population Genetics, US National Cancer Institute, National Institutes of Health, Rockville, MD, USA</addr-line>
</aff>
<aff id="aff35">
<addr-line>
<sup>35</sup>
Clinical Genetics Branch, National Cancer Institute, Rockville, MD, USA</addr-line>
</aff>
<aff id="aff36">
<addr-line>
<sup>36</sup>
CHS National Cancer Control Center and Department of Community Medicine and Epidemiology, Carmel Medical Center and B. Rappaport Faculty of Medicine, Technion, Haifa, Israel</addr-line>
</aff>
<aff id="aff37">
<addr-line>
<sup>37</sup>
Ontario Cancer Genetics Network, Cancer Care Ontario, and Department of Molecular Genetics, University of Toronto, Ontario, Canada</addr-line>
</aff>
<aff id="aff38">
<addr-line>
<sup>38</sup>
Department of Laboratory Medicine and Pathobiology, University of Toronto, Canada</addr-line>
</aff>
<aff id="aff39">
<addr-line>
<sup>39</sup>
Samuel Lunenfeld Research Institute, Mount Sinai Hospital, University of Toronto, Canada</addr-line>
</aff>
<aff id="aff40">
<addr-line>
<sup>40</sup>
Department of Biochemistry, Pharmacology and Genetics, Odense University Hospital, Denmark</addr-line>
</aff>
<aff id="aff41">
<addr-line>
<sup>41</sup>
Division of Surgical, Molecular and Ultrastructural Pathology, Department of Oncology, University of Pisa and Pisa University Hospital, Pisa, Italy</addr-line>
</aff>
<aff id="aff42">
<addr-line>
<sup>42</sup>
The Susanne Levy Gertner Oncogenetics Unit, Sheba Medical center, Tel-Hashomer, Israel</addr-line>
</aff>
<aff id="aff43">
<addr-line>
<sup>43</sup>
Oncology Institute, Sheba Medical Center, Tel-Hashomer, Israel</addr-line>
</aff>
<aff id="aff44">
<addr-line>
<sup>44</sup>
See Acknowledgments</addr-line>
</aff>
<aff id="aff45">
<addr-line>
<sup>45</sup>
Department of Medicine, Abramson Cancer Center, University of Pennsylvania School of Medicine, Philadelphia, PA, USA</addr-line>
</aff>
<aff id="aff46">
<addr-line>
<sup>46</sup>
Human Genetics Group, Human Cancer Genetics Programme, Spanish National Cancer Centre, Madrid, Spain</addr-line>
</aff>
<aff id="aff47">
<addr-line>
<sup>47</sup>
Genetic Counselling Unit, Prevention and Cancer Control Service, Institut Català d'Oncologia, Barcelona, Spain</addr-line>
</aff>
<aff id="aff48">
<addr-line>
<sup>48</sup>
Genotyping Unit, Human Cancer Genetics Programme, Spanish National Cancer Centre, Madrid, Spain</addr-line>
</aff>
<aff id="aff49">
<addr-line>
<sup>49</sup>
Deutsches Krebsforschungszentrum, Heidelberg, Germany</addr-line>
</aff>
<aff id="aff50">
<addr-line>
<sup>50</sup>
Family Cancer Clinic, Department of Pathology, The Netherlands Cancer Institute, Amsterdam, The Netherlands</addr-line>
</aff>
<aff id="aff51">
<addr-line>
<sup>51</sup>
Department of Epidemiology, The Netherlands Cancer Institute, Amsterdam, The Netherlands</addr-line>
</aff>
<aff id="aff52">
<addr-line>
<sup>52</sup>
Department of Human Genetics and Department of Pathology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands</addr-line>
</aff>
<aff id="aff53">
<addr-line>
<sup>53</sup>
Department of Clinical Genetics, Erasmus MC, Rotterdam, The Netherlands</addr-line>
</aff>
<aff id="aff54">
<addr-line>
<sup>54</sup>
Academic Unit of Medical Genetics and Regional Genetics Service, St Mary's Hospital, Manchester, UK</addr-line>
</aff>
<aff id="aff55">
<addr-line>
<sup>55</sup>
Translational Cancer Genetics Team, The Institute of Cancer Research and Royal Marsden NHS Foundation Trust, United Kingdom</addr-line>
</aff>
<aff id="aff56">
<addr-line>
<sup>56</sup>
Clinical Genetics, Guy's Hospital, London, UK</addr-line>
</aff>
<aff id="aff57">
<addr-line>
<sup>57</sup>
Yorkshire Regional Genetics Service, Leeds, UK</addr-line>
</aff>
<aff id="aff58">
<addr-line>
<sup>58</sup>
Wessex Clinical Genetics Service, Princess Anne Hospital, Southampton, UK</addr-line>
</aff>
<aff id="aff59">
<addr-line>
<sup>59</sup>
Ferguson-Smith Centre for Clinical Genetics, Glasgow, UK</addr-line>
</aff>
<aff id="aff60">
<addr-line>
<sup>60</sup>
Institute of Human Genetics, Centre for Life, Newcastle upon Tyne, UK</addr-line>
</aff>
<aff id="aff61">
<addr-line>
<sup>61</sup>
INSERM UMR599, Institut Paoli-Calmettes, Département d'Oncologie Génétique, Marseille 13275, France</addr-line>
</aff>
<aff id="aff62">
<addr-line>
<sup>62</sup>
Oncological Genetics, Department of Medicine, Institut Gustave Roussy, Villejuif, France</addr-line>
</aff>
<aff id="aff63">
<addr-line>
<sup>63</sup>
CNRS FRE2939, Department of Genetics, Institut Gustave Roussy, Villejuif, France</addr-line>
</aff>
<aff id="aff64">
<addr-line>
<sup>64</sup>
Institut Curie, Genetics Department, Université Paris-Descartes, France</addr-line>
</aff>
<author-notes>
<corresp id="cor1">
<label></label>
Corresponding author
<email>antonis@srl.cam.ac.uk</email>
</corresp>
<fn id="fn1">
<label>65</label>
<p>Present address: University of Miami, Sylvester Cancer Center, Miami, FL, USA.</p>
</fn>
<fn id="fn2">
<label>66</label>
<p>Deceased.</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<day>11</day>
<month>4</month>
<year>2008</year>
</pub-date>
<pub-date pub-type="epub">
<day>04</day>
<month>4</month>
<year>2008</year>
</pub-date>
<volume>82</volume>
<issue>4</issue>
<fpage>937</fpage>
<lpage>948</lpage>
<history>
<date date-type="received">
<day>21</day>
<month>12</month>
<year>2007</year>
</date>
<date date-type="rev-recd">
<day>11</day>
<month>2</month>
<year>2008</year>
</date>
<date date-type="accepted">
<day>13</day>
<month>2</month>
<year>2008</year>
</date>
</history>
<permissions>
<copyright-statement>© 2008 The American Society of Human Genetics. Published by Elsevier Ltd. All right reserved..</copyright-statement>
<copyright-year>2008</copyright-year>
<copyright-holder>The American Society of Human Genetics</copyright-holder>
<license>
<p>This document may be redistributed and reused, subject to
<ext-link ext-link-type="uri" xlink:href="http://www.elsevier.com/wps/find/authorsview.authors/supplementalterms1.0">certain conditions</ext-link>
.</p>
</license>
</permissions>
<abstract>
<p>Germline mutations in
<italic>BRCA1</italic>
and
<italic>BRCA2</italic>
confer high risks of breast cancer. However, evidence suggests that these risks are modified by other genetic or environmental factors that cluster in families. A recent genome-wide association study has shown that common alleles at single nucleotide polymorphisms (SNPs) in
<italic>FGFR2</italic>
(rs2981582),
<italic>TNRC9</italic>
(rs3803662), and
<italic>MAP3K1</italic>
(rs889312) are associated with increased breast cancer risks in the general population. To investigate whether these loci are also associated with breast cancer risk in
<italic>BRCA1</italic>
and
<italic>BRCA2</italic>
mutation carriers, we genotyped these SNPs in a sample of 10,358 mutation carriers from 23 studies. The minor alleles of SNP rs2981582 and rs889312 were each associated with increased breast cancer risk in
<italic>BRCA2</italic>
mutation carriers (per-allele hazard ratio [HR] = 1.32, 95% CI: 1.20–1.45, p
<sub>trend</sub>
= 1.7 × 10
<sup>−8</sup>
and HR = 1.12, 95% CI: 1.02–1.24, p
<sub>trend</sub>
= 0.02) but not in
<italic>BRCA1</italic>
carriers. rs3803662 was associated with increased breast cancer risk in both
<italic>BRCA1</italic>
and
<italic>BRCA2</italic>
mutation carriers (per-allele HR = 1.13, 95% CI: 1.06–1.20, p
<sub>trend</sub>
= 5 × 10
<sup>−5</sup>
in
<italic>BRCA1</italic>
and BRCA2 combined). These loci appear to interact multiplicatively on breast cancer risk in
<italic>BRCA2</italic>
mutation carriers. The differences in the effects of the
<italic>FGFR2</italic>
and
<italic>MAP3K1</italic>
SNPs between
<italic>BRCA1</italic>
and
<italic>BRCA2</italic>
carriers point to differences in the biology of
<italic>BRCA1</italic>
and
<italic>BRCA2</italic>
breast cancer tumors and confirm the distinct nature of breast cancer in
<italic>BRCA1</italic>
mutation carriers.</p>
</abstract>
</article-meta>
</front>
<floats-wrap>
<fig id="fig1">
<label>Figure 1</label>
<caption>
<p>Study-Specific Estimates of the Per-Allele Hazard Ratio for SNP rs2981582 in
<italic>FGFR2</italic>
</p>
<p>The area of the square is proportional to the inverse of the variance of the estimate. Horizontal lines represent the 95% confidence intervals.</p>
</caption>
<graphic xlink:href="gr1"></graphic>
</fig>
<fig id="fig2">
<label>Figure 2</label>
<caption>
<p>Study-Specific Estimates of the Per-Allele Hazard Ratio for SNP rs3803662 in
<italic>TNRC9</italic>
</p>
<p>The area of the square is proportional to the inverse of the variance of the estimate. Horizontal lines represent the 95% confidence intervals.</p>
</caption>
<graphic xlink:href="gr2"></graphic>
</fig>
<fig id="fig3">
<label>Figure 3</label>
<caption>
<p>Study-Specific Estimates of the Per-Allele Hazard Ratio for SNP rs889312 in
<italic>MAP3K1</italic>
</p>
<p>The area of the square is proportional to the inverse of the variance of the estimate. Horizontal lines represent the 95% confidence intervals.</p>
</caption>
<graphic xlink:href="gr3"></graphic>
</fig>
<fig id="fig4">
<label>Figure 4</label>
<caption>
<p>Cumulative Risk of Breast Cancer among
<italic>BRCA2</italic>
Mutation Carriers by Combined
<italic>FGFR2</italic>
and
<italic>TNRC9</italic>
Genotype under a Multiplicative Model for the Joint Effects of the Loci</p>
<p>The combined
<italic>FGFR2</italic>
and
<italic>TNRC9</italic>
genotypes are as follows:
<italic>FGFR2</italic>
= GG, GA, or AA;
<italic>TNRC9</italic>
= CC, CT, or TT. “Average” represents the cumulative breast cancer risk over all possible modifying effects among
<italic>BRCA2</italic>
mutation carriers born after 1950. The minor allele frequencies for the
<italic>FGFR2</italic>
and
<italic>TNRC9</italic>
SNPs were assumed to be 0.39 and 0.26, respectively.</p>
</caption>
<graphic xlink:href="gr4"></graphic>
</fig>
<table-wrap position="float" id="tbl1">
<label>Table 1</label>
<caption>
<p>Number of
<italic>BRCA1</italic>
and
<italic>BRCA2</italic>
Mutation Carriers by Study</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th>Study</th>
<th>Country
<xref rid="tblfn1" ref-type="table-fn">a</xref>
</th>
<th>BRCA1</th>
<th>BRCA2</th>
<th>BRCA1 and BRCA2</th>
<th>Genotyping platform</th>
</tr>
</thead>
<tbody>
<tr>
<td>EMBRACE</td>
<td>U.K. and Eire</td>
<td>658</td>
<td>471</td>
<td>3</td>
<td>iPLEX
<xref rid="tblfn2" ref-type="table-fn">b</xref>
</td>
</tr>
<tr>
<td>Spanish National Cancer Centre (CNIO)</td>
<td>Spain</td>
<td>167</td>
<td>205</td>
<td>0</td>
<td>Taqman</td>
</tr>
<tr>
<td>Deutsches Krebsforschungszentrum (DKFZ)</td>
<td>Germany</td>
<td>122</td>
<td>50</td>
<td>0</td>
<td>Taqman, MALDI-TOF MS, Biplex</td>
</tr>
<tr>
<td>Fox Chase Cancer Center (FCCC)</td>
<td>U.S.A.</td>
<td>50</td>
<td>41</td>
<td>1</td>
<td>iPLEX
<xref rid="tblfn2" ref-type="table-fn">b</xref>
</td>
</tr>
<tr>
<td>Genetic Modifiers of cancer risk in BRCA1/2 mutation carriers (GEMO)</td>
<td>France</td>
<td>1102</td>
<td>554</td>
<td>0</td>
<td>Taqman</td>
</tr>
<tr>
<td>German Consortium of Hereditary Breast and Ovarian Cancer (GC-HBOC)</td>
<td>Germany</td>
<td>568</td>
<td>280</td>
<td>3</td>
<td>BIORAD iCycler</td>
</tr>
<tr>
<td>Hospital Clinico San Carlos (HCSC)</td>
<td>Spain</td>
<td>90</td>
<td>78</td>
<td>0</td>
<td>Taqman</td>
</tr>
<tr>
<td>Helsinki Breast Cancer Study (HBCS)</td>
<td>Finland</td>
<td>102</td>
<td>104</td>
<td>0</td>
<td>Taqman</td>
</tr>
<tr>
<td>
<italic>In</italic>
terdisciplinary
<italic>He</italic>
alth
<italic>R</italic>
esearch
<italic>I</italic>
nternational
<italic>T</italic>
eam
<italic>Br</italic>
east
<italic>Ca</italic>
ncer
<italic>S</italic>
usceptibility (INHERIT BRCAs)</td>
<td>Quebec-Canada</td>
<td>72</td>
<td>82</td>
<td>0</td>
<td>Taqman</td>
</tr>
<tr>
<td>kConFab</td>
<td>Australia</td>
<td>426</td>
<td>353</td>
<td>0</td>
<td>iPLEX
<xref rid="tblfn2" ref-type="table-fn">b</xref>
</td>
</tr>
<tr>
<td>Modifiers and Genetics in Cancer (MAGIC)</td>
<td>U.S.A.</td>
<td>683</td>
<td>378</td>
<td>1</td>
<td>Taqman</td>
</tr>
<tr>
<td>MAYO</td>
<td>U.S.A.</td>
<td>108</td>
<td>54</td>
<td>0</td>
<td>Taqman</td>
</tr>
<tr>
<td>Milan Breast Cancer Study Group (MBCSG)</td>
<td>Italy</td>
<td>251</td>
<td>135</td>
<td>0</td>
<td>Taqman</td>
</tr>
<tr>
<td>National Cancer Institute (NCI)</td>
<td>U.S.A.</td>
<td>147</td>
<td>50</td>
<td>0</td>
<td>Taqman</td>
</tr>
<tr>
<td>National Israeli Cancer Control Center (NICCC)</td>
<td>Israel</td>
<td>283</td>
<td>160</td>
<td>1</td>
<td>Taqman</td>
</tr>
<tr>
<td>Ontario Cancer Genetics Network (OCGN)</td>
<td>Canada</td>
<td>195</td>
<td>143</td>
<td>0</td>
<td>Taqman</td>
</tr>
<tr>
<td>Odense University Hospital(OUH)</td>
<td>Denmark</td>
<td>106</td>
<td>0</td>
<td>0</td>
<td>Taqman</td>
</tr>
<tr>
<td>Pisa Breast Cancer Study (PBCS)</td>
<td>Italy</td>
<td>54</td>
<td>30</td>
<td>0</td>
<td>iPLEX
<xref rid="tblfn2" ref-type="table-fn">b</xref>
</td>
</tr>
<tr>
<td>Sheeba Medical Centre (SMC)-Tel Hashomer</td>
<td>Israel</td>
<td>283</td>
<td>101</td>
<td>0</td>
<td>Taqman</td>
</tr>
<tr>
<td>SWE-BRCA</td>
<td>Sweden</td>
<td>426</td>
<td>127</td>
<td>0</td>
<td>iPLEX
<xref rid="tblfn2" ref-type="table-fn">b</xref>
</td>
</tr>
<tr>
<td>Mod-SQuaD</td>
<td>Czech Republic</td>
<td>138</td>
<td>37</td>
<td>0</td>
<td></td>
</tr>
<tr>
<td>University of Pennsylvania (UPENN)</td>
<td>U.S.A.</td>
<td>271</td>
<td>124</td>
<td>1</td>
<td>iPLEX
<xref rid="tblfn2" ref-type="table-fn">b</xref>
</td>
</tr>
<tr>
<td>HEriditary Breast and Ovarian study Netherlands (DNA-HEBON)</td>
<td>The Netherlands</td>
<td>489</td>
<td>0</td>
<td>0</td>
<td>iPLEX
<xref rid="tblfn2" ref-type="table-fn">b</xref>
</td>
</tr>
<tr>
<td colspan="6">
<hr></hr>
</td>
</tr>
<tr>
<td>Total</td>
<td></td>
<td>6791</td>
<td>3557</td>
<td>10</td>
<td></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tblfn1">
<label>a</label>
<p>Coordinating center.</p>
</fn>
</table-wrap-foot>
<table-wrap-foot>
<fn id="tblfn2">
<label>b</label>
<p>Indicates that samples were genotyped at a central location (Queensland Institute of Medical Research).</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap position="float" id="tbl2">
<label>Table 2</label>
<caption>
<p>Patient Characteristics</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th></th>
<th></th>
<th colspan="2">
<italic>BRCA1</italic>
<xref rid="tblfn3" ref-type="table-fn">a</xref>
<hr></hr>
</th>
<th colspan="2">
<italic>BRCA2</italic>
<hr></hr>
</th>
</tr>
<tr>
<th>Characteristic</th>
<th>Total</th>
<th>Unaffected</th>
<th>Breast Cancer</th>
<th>Unaffected</th>
<th>Breast Cancer</th>
</tr>
</thead>
<tbody>
<tr>
<td>Number</td>
<td>10,358</td>
<td>3300</td>
<td>3501</td>
<td>1574</td>
<td>1983</td>
</tr>
<tr>
<td>Person-years follow-up</td>
<td>440,252</td>
<td>140,541</td>
<td>14,2734</td>
<td>69,778</td>
<td>87,199</td>
</tr>
<tr>
<td>Median age at censure (IQR)</td>
<td>41 (34–49)</td>
<td>41 (33–50)</td>
<td>40 (34–46)</td>
<td>43 (34–52)</td>
<td>43 (37–50)</td>
</tr>
<tr>
<td colspan="6">
<hr></hr>
</td>
</tr>
<tr>
<td colspan="6">Age at Censure, N (%)</td>
</tr>
<tr>
<td colspan="6">
<hr></hr>
</td>
</tr>
<tr>
<td><30</td>
<td align="char">1222 (10.8)</td>
<td align="char">499 (15.1)</td>
<td align="char">320 (9.1)</td>
<td align="char">196 (12.5)</td>
<td align="char">107 (5.4)</td>
</tr>
<tr>
<td>30–39</td>
<td align="char">3436 (33.2)</td>
<td align="char">958 (29.0)</td>
<td align="char">1416 (40.5)</td>
<td align="char">443 (28.1)</td>
<td align="char">619 (31.2)</td>
</tr>
<tr>
<td>40–49</td>
<td align="char">3305 (31.9)</td>
<td align="char">946 (28.7)</td>
<td align="char">1200 (12.1)</td>
<td align="char">428 (27.2)</td>
<td align="char">731 (36.9)</td>
</tr>
<tr>
<td>50–59</td>
<td align="char">1683 (16.3)</td>
<td align="char">584 (17.7)</td>
<td align="char">423 (12.1)</td>
<td align="char">295 (18.7)</td>
<td align="char">381 (19.2)</td>
</tr>
<tr>
<td>60–69</td>
<td align="char">562 (5.4)</td>
<td align="char">208 (6.3)</td>
<td align="char">109 (3.1)</td>
<td align="char">135 (8.6)</td>
<td align="char">110 (5.5)</td>
</tr>
<tr>
<td>70+</td>
<td align="char">250 (2.4)</td>
<td align="char">105 (3.2)</td>
<td align="char">33 (0.9)</td>
<td align="char">77 (4.9)</td>
<td align="char">35 (1.8)</td>
</tr>
<tr>
<td colspan="6">
<hr></hr>
</td>
</tr>
<tr>
<td colspan="6">Year of Birth, N (%)</td>
</tr>
<tr>
<td colspan="6">
<hr></hr>
</td>
</tr>
<tr>
<td><1920</td>
<td align="char">92 (0.9)</td>
<td align="char">25 (0.8)</td>
<td align="char">32 (0.9)</td>
<td align="char">20 (1.3)</td>
<td align="char">15 (0.8)</td>
</tr>
<tr>
<td>1920–1929</td>
<td align="char">383 (3.7)</td>
<td align="char">93 (2.8)</td>
<td align="char">140 (4.0)</td>
<td align="char">48 (3.0)</td>
<td align="char">102 (5.1)</td>
</tr>
<tr>
<td>1930–1939</td>
<td align="char">963 (9.3)</td>
<td align="char">246 (7.4)</td>
<td align="char">335 (9.6)</td>
<td align="char">138 (8.8)</td>
<td align="char">244 (12.3)</td>
</tr>
<tr>
<td>1940–1949</td>
<td align="char">2066 (20.0)</td>
<td align="char">511 (15.5)</td>
<td align="char">836 (23.9)</td>
<td align="char">228 (14.5)</td>
<td align="char">491 (24.8)</td>
</tr>
<tr>
<td>1950–1959</td>
<td align="char">2913 (28.1)</td>
<td align="char">804 (24.4)</td>
<td align="char">1,122 (32.0)</td>
<td align="char">368 (23.4)</td>
<td align="char">619 (31.2)</td>
</tr>
<tr>
<td>1960+</td>
<td align="char">3741 (38.0)</td>
<td align="char">1,621 (49.1)</td>
<td align="char">1,036 (29.6)</td>
<td align="char">772 (49.0)</td>
<td align="char">512 (25.8)</td>
</tr>
<tr>
<td colspan="6">
<hr></hr>
</td>
</tr>
<tr>
<td colspan="6">Risk-Reducing Salpingo-Oophorectomy (RRSO)</td>
</tr>
<tr>
<td colspan="6">
<hr></hr>
</td>
</tr>
<tr>
<td>No RRSO</td>
<td align="char">6613 (63.8)</td>
<td align="char">2,032 (61.6)</td>
<td align="char">2369 (67.7)</td>
<td align="char">928 (59.0)</td>
<td align="char">1284 (64.7)</td>
</tr>
<tr>
<td>RRSO</td>
<td align="char">577 (5.6)</td>
<td align="char">318 (9.6)</td>
<td align="char">85 (2.4)</td>
<td align="char">119 (7.6)</td>
<td align="char">55 (2.8)</td>
</tr>
<tr>
<td>Missing</td>
<td align="char">3168 (30.6)</td>
<td align="char">950 (28.8)</td>
<td align="char">1047 (29.9)</td>
<td align="char">527 (33.4)</td>
<td align="char">644 (32.5)</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>IQR: Interquartile range.</p>
</fn>
</table-wrap-foot>
<table-wrap-foot>
<fn id="tblfn3">
<label>a</label>
<p>Includes the ten females who have mutations in both BRCA1 and BRCA2.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap position="float" id="tbl3">
<label>Table 3</label>
<caption>
<p>Genotype Frequencies by Mutation and Disease Status and Hazard-Ratio Estimates</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th></th>
<th></th>
<th>Unaffected (%)</th>
<th>Affected (%)</th>
<th>HR
<xref rid="tblfn4" ref-type="table-fn">a</xref>
</th>
<th>95% CI</th>
<th>p Value</th>
</tr>
</thead>
<tbody>
<tr>
<td colspan="7">
<italic>FGFR2</italic>
rs2981582</td>
</tr>
<tr>
<td colspan="7">
<hr></hr>
</td>
</tr>
<tr>
<td>
<italic>BRCA1</italic>
and
<italic>BRCA2</italic>
</td>
<td>GG</td>
<td align="char">1547 (36.0)</td>
<td align="char">1647 (33.0)</td>
<td align="char">1.00</td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td>GA</td>
<td align="char">2051 (47.7)</td>
<td align="char">2407 (48.2)</td>
<td align="char">1.10</td>
<td align="char">1.01–1.20</td>
<td></td>
</tr>
<tr>
<td></td>
<td>AA</td>
<td align="char">703 (16.3)</td>
<td align="char">936 (18.8)</td>
<td align="char">1.24</td>
<td align="char">1.11–1.38</td>
<td></td>
</tr>
<tr>
<td></td>
<td>2-df test</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>0.00045</td>
</tr>
<tr>
<td></td>
<td>Per allele</td>
<td></td>
<td></td>
<td align="char">1.11</td>
<td align="char">1.05–1.17</td>
<td>0.000095</td>
</tr>
<tr>
<td>
<italic>BRCA1</italic>
</td>
<td>GG</td>
<td align="char">1021 (35.5)</td>
<td align="char">1114 (35.3)</td>
<td align="char">1.00</td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td>GA</td>
<td align="char">1376 (47.9)</td>
<td align="char">1487 (47.2)</td>
<td align="char">0.99</td>
<td align="char">0.89–1.10</td>
<td></td>
</tr>
<tr>
<td></td>
<td>AA</td>
<td align="char">477 (16.6)</td>
<td align="char">553 (17.5)</td>
<td align="char">1.05</td>
<td align="char">0.92–1.20</td>
<td></td>
</tr>
<tr>
<td></td>
<td>2-df test</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>0.65</td>
</tr>
<tr>
<td></td>
<td>Per allele</td>
<td></td>
<td></td>
<td align="char">1.02</td>
<td align="char">0.95–1.09</td>
<td>0.60</td>
</tr>
<tr>
<td>
<italic>BRCA2</italic>
</td>
<td>GG</td>
<td align="char">526 (36.9)</td>
<td align="char">533 (29.0)</td>
<td align="char">1.00</td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td>GA</td>
<td align="char">675 (47.3)</td>
<td align="char">920 (50.1)</td>
<td align="char">1.35</td>
<td align="char">1.17–1.57</td>
<td></td>
</tr>
<tr>
<td></td>
<td>AA</td>
<td align="char">226 (15.8)</td>
<td align="char">383 (20.9)</td>
<td align="char">1.72</td>
<td align="char">1.41–2.09</td>
<td></td>
</tr>
<tr>
<td></td>
<td>2-df test</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>9.9 × 10
<sup>−8</sup>
</td>
</tr>
<tr>
<td></td>
<td>Per allele</td>
<td></td>
<td></td>
<td align="char">1.32</td>
<td align="char">1.20–1.45</td>
<td>1.7 × 10
<sup>−8</sup>
</td>
</tr>
<tr>
<td colspan="7">
<hr></hr>
</td>
</tr>
<tr>
<td colspan="7">
<italic>TNRC9</italic>
rs3803662</td>
</tr>
<tr>
<td colspan="7">
<hr></hr>
</td>
</tr>
<tr>
<td>BRCA1 and BRCA2</td>
<td>CC</td>
<td align="char">2244 (50.3)</td>
<td align="char">2422 (47.6)</td>
<td align="char">1.00</td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td>CT</td>
<td align="char">1831 (41.1)</td>
<td align="char">2173 (42.7)</td>
<td align="char">1.13</td>
<td align="char">1.04–1.22</td>
<td></td>
</tr>
<tr>
<td></td>
<td>TT</td>
<td align="char">382 (8.6)</td>
<td align="char">497 (9.7)</td>
<td align="char">1.28</td>
<td align="char">1.11–1.46</td>
<td></td>
</tr>
<tr>
<td></td>
<td>2-df test</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>0.00027</td>
</tr>
<tr>
<td></td>
<td>Per allele</td>
<td></td>
<td></td>
<td align="char">1.13</td>
<td align="char">1.06–1.20</td>
<td>5 × 10
<sup>−5</sup>
</td>
</tr>
<tr>
<td>
<italic>BRCA1</italic>
</td>
<td>CC</td>
<td align="char">1542 (50.9)</td>
<td align="char">1571 (48.2)</td>
<td align="char">1.00</td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td>CT</td>
<td align="char">1238 (40.8)</td>
<td align="char">1384 (42.4)</td>
<td align="char">1.11</td>
<td align="char">1.01–1.22</td>
<td></td>
</tr>
<tr>
<td></td>
<td>TT</td>
<td align="char">251 (8.3)</td>
<td align="char">308 (9.4)</td>
<td align="char">1.24</td>
<td align="char">1.04–1.46</td>
<td></td>
</tr>
<tr>
<td></td>
<td>2-df test</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>0.017</td>
</tr>
<tr>
<td></td>
<td>Per allele</td>
<td></td>
<td></td>
<td align="char">1.11</td>
<td align="char">1.03–1.19</td>
<td>0.0043</td>
</tr>
<tr>
<td>
<italic>BRCA2</italic>
</td>
<td>CC</td>
<td align="char">702 (49.2)</td>
<td align="char">851 (46.5)</td>
<td align="char">1.00</td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td>CT</td>
<td align="char">593 (41.6)</td>
<td align="char">789 (43.2)</td>
<td align="char">1.15</td>
<td align="char">1.00–1.32</td>
<td></td>
</tr>
<tr>
<td></td>
<td>TT</td>
<td align="char">131 (9.2)</td>
<td align="char">189 (10.3)</td>
<td align="char">1.32</td>
<td>1.04-1.67</td>
<td></td>
</tr>
<tr>
<td></td>
<td>2-df test</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>0.033</td>
</tr>
<tr>
<td></td>
<td>Per allele</td>
<td></td>
<td></td>
<td align="char">1.15</td>
<td align="char">1.03–1.27</td>
<td>0.009</td>
</tr>
<tr>
<td colspan="7">
<hr></hr>
</td>
</tr>
<tr>
<td colspan="7">
<italic>MAP3K1</italic>
rs889312</td>
</tr>
<tr>
<td colspan="7">
<hr></hr>
</td>
</tr>
<tr>
<td>
<italic>BRCA1</italic>
and
<italic>BRCA2</italic>
</td>
<td>AA</td>
<td align="char">2440 (50.5)</td>
<td align="char">2711 (49.9)</td>
<td align="char">1.00</td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td>AC</td>
<td align="char">1963 (40.7)</td>
<td align="char">2195 (40.4)</td>
<td align="char">1.02</td>
<td align="char">0.94–1.10</td>
<td></td>
</tr>
<tr>
<td></td>
<td>CC</td>
<td align="char">426 (8.8)</td>
<td align="char">530 (9.8)</td>
<td align="char">1.08</td>
<td align="char">0.95–1.22</td>
<td></td>
</tr>
<tr>
<td></td>
<td>2-df test</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>0.53</td>
</tr>
<tr>
<td></td>
<td>Per allele</td>
<td></td>
<td></td>
<td align="char">1.03</td>
<td align="char">0.97–1.09</td>
<td>0.29</td>
</tr>
<tr>
<td>
<italic>BRCA1</italic>
</td>
<td>AA</td>
<td align="char">1637 (50.0)</td>
<td align="char">1743 (50.2)</td>
<td align="char">1.00</td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td>AC</td>
<td align="char">1329 (40.6)</td>
<td align="char">1394 (40.2)</td>
<td align="char">1.00</td>
<td align="char">0.91–1.09</td>
<td></td>
</tr>
<tr>
<td></td>
<td>CC</td>
<td align="char">306 (9.4)</td>
<td align="char">332 (9.6)</td>
<td align="char">0.98</td>
<td align="char">0.84–1.15</td>
<td></td>
</tr>
<tr>
<td></td>
<td>2-df test</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>0.98</td>
</tr>
<tr>
<td></td>
<td>Per allele</td>
<td></td>
<td></td>
<td align="char">0.99</td>
<td align="char">0.93–1.06</td>
<td>0.86</td>
</tr>
<tr>
<td>
<italic>BRCA2</italic>
</td>
<td>AA</td>
<td align="char">803 (51.6)</td>
<td align="char">968 (49.2)</td>
<td align="char">1.00</td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td>AC</td>
<td align="char">634 (40.7)</td>
<td align="char">801 (40.7)</td>
<td align="char">1.08</td>
<td align="char">0.94–1.24</td>
<td></td>
</tr>
<tr>
<td></td>
<td>CC</td>
<td align="char">120 (7.7)</td>
<td align="char">198 (10.1)</td>
<td align="char">1.32</td>
<td align="char">1.05–1.66</td>
<td></td>
</tr>
<tr>
<td></td>
<td>2-df test</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>0.049</td>
</tr>
<tr>
<td></td>
<td>Per allele</td>
<td></td>
<td></td>
<td align="char">1.12</td>
<td align="char">1.02–1.24</td>
<td>0.020</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tblfn4">
<label>a</label>
<p>In all cases, where significant, the effect is consistent with a multiplicative model in which each copy of the disease allele confers the estimated, per-allele HR.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap position="float" id="tbl4">
<label>Table 4</label>
<caption>
<p>HR Estimates for the Combined Genotypes of SNPs in
<italic>FGFR2</italic>
and
<italic>TNRC9</italic>
among
<italic>BRCA2</italic>
Carriers under a Multiplicative Model and under a Fully Saturated Model</p>
</caption>
<table frame="hsides" rules="groups">
<tbody>
<tr>
<td>FGFR2/TNRC9 Genotype</td>
<td>HR Multiplicative Model
<xref rid="tblfn5" ref-type="table-fn">a</xref>
</td>
<td>HR Fully Saturated Model</td>
<td>Predicted Genotype Distribution
<xref rid="tblfn6" ref-type="table-fn">b</xref>
(%)</td>
</tr>
<tr>
<td colspan="4">
<hr></hr>
</td>
</tr>
<tr>
<td>GG/CC</td>
<td align="char">1.00</td>
<td align="char">1.00</td>
<td align="char">20.4</td>
</tr>
<tr>
<td>GG/CT</td>
<td align="char">1.16</td>
<td align="char">1.05</td>
<td align="char">14.3</td>
</tr>
<tr>
<td>GG/TT</td>
<td align="char">1.35</td>
<td align="char">1.23</td>
<td align="char">2.5</td>
</tr>
<tr>
<td>GA/CC</td>
<td align="char">1.29</td>
<td align="char">1.25</td>
<td align="char">26.1</td>
</tr>
<tr>
<td>GA/CT</td>
<td align="char">1.50</td>
<td align="char">1.44</td>
<td align="char">18.3</td>
</tr>
<tr>
<td>GA/TT</td>
<td align="char">1.75</td>
<td align="char">1.72</td>
<td align="char">3.2</td>
</tr>
<tr>
<td>AA/CC</td>
<td align="char">1.67</td>
<td align="char">1.41</td>
<td align="char">8.3</td>
</tr>
<tr>
<td>AA/CT</td>
<td align="char">1.94</td>
<td align="char">2.08</td>
<td align="char">5.9</td>
</tr>
<tr>
<td>AA/TT</td>
<td align="char">2.26</td>
<td align="char">2.08</td>
<td align="char">1.0</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tblfn5">
<label>a</label>
<p>Multiplicative model, per-allele HRs.
<italic>FGFR2</italic>
: 1.29 (95%CI: 1.17–1.43);
<italic>TNRC9</italic>
: 1.16 (95%CI: 1.04–1.30).</p>
</fn>
</table-wrap-foot>
<table-wrap-foot>
<fn id="tblfn6">
<label>b</label>
<p>Assuming a minor allele frequency of 0.39 for
<italic>FGFR2</italic>
(rs rs2981582) and 0.26 for
<italic>TNRC9</italic>
(rs rs3803662).
<xref rid="bib10" ref-type="bibr">
<sup>10</sup>
</xref>
</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-wrap>
</pmc>
<affiliations>
<list></list>
<tree>
<noCountry>
<name sortKey="Andrulis, Irene L" sort="Andrulis, Irene L" uniqKey="Andrulis I" first="Irene L." last="Andrulis">Irene L. Andrulis</name>
<name sortKey="Antoniou, Antonis C" sort="Antoniou, Antonis C" uniqKey="Antoniou A" first="Antonis C." last="Antoniou">Antonis C. Antoniou</name>
<name sortKey="Arnold, Norbert" sort="Arnold, Norbert" uniqKey="Arnold N" first="Norbert" last="Arnold">Norbert Arnold</name>
<name sortKey="Barile, Monica" sort="Barile, Monica" uniqKey="Barile M" first="Monica" last="Barile">Monica Barile</name>
<name sortKey="Barjhoux, Laure" sort="Barjhoux, Laure" uniqKey="Barjhoux L" first="Laure" last="Barjhoux">Laure Barjhoux</name>
<name sortKey="Barnett Griness, Ofra" sort="Barnett Griness, Ofra" uniqKey="Barnett Griness O" first="Ofra" last="Barnett-Griness">Ofra Barnett-Griness</name>
<name sortKey="Beesley, Jonathan" sort="Beesley, Jonathan" uniqKey="Beesley J" first="Jonathan" last="Beesley">Jonathan Beesley</name>
<name sortKey="Benitez, Javier" sort="Benitez, Javier" uniqKey="Benitez J" first="Javier" last="Benítez">Javier Benítez</name>
<name sortKey="Blum, Joanne L" sort="Blum, Joanne L" uniqKey="Blum J" first="Joanne L." last="Blum">Joanne L. Blum</name>
<name sortKey="Bourdon, Violaine" sort="Bourdon, Violaine" uniqKey="Bourdon V" first="Violaine" last="Bourdon">Violaine Bourdon</name>
<name sortKey="Bressac De Paillerets, Brigitte" sort="Bressac De Paillerets, Brigitte" uniqKey="Bressac De Paillerets B" first="Brigitte" last="Bressac-De Paillerets">Brigitte Bressac-De Paillerets</name>
<name sortKey="Caldes, Trinidad" sort="Caldes, Trinidad" uniqKey="Caldes T" first="Trinidad" last="Caldes">Trinidad Caldes</name>
<name sortKey="Caligo, Maria A" sort="Caligo, Maria A" uniqKey="Caligo M" first="Maria A." last="Caligo">Maria A. Caligo</name>
<name sortKey="Capoulade, Corinne" sort="Capoulade, Corinne" uniqKey="Capoulade C" first="Corinne" last="Capoulade">Corinne Capoulade</name>
<name sortKey="Chen, Xiaoqing" sort="Chen, Xiaoqing" uniqKey="Chen X" first="Xiaoqing" last="Chen">Xiaoqing Chen</name>
<name sortKey="Chenevix Trench, Georgia" sort="Chenevix Trench, Georgia" uniqKey="Chenevix Trench G" first="Georgia" last="Chenevix-Trench">Georgia Chenevix-Trench</name>
<name sortKey="Chompret, Agnes" sort="Chompret, Agnes" uniqKey="Chompret A" first="Agnès" last="Chompret">Agnès Chompret</name>
<name sortKey="Chu, Carol" sort="Chu, Carol" uniqKey="Chu C" first="Carol" last="Chu">Carol Chu</name>
<name sortKey="Cook, Margaret" sort="Cook, Margaret" uniqKey="Cook M" first="Margaret" last="Cook">Margaret Cook</name>
<name sortKey="Couch, Fergus J" sort="Couch, Fergus J" uniqKey="Couch F" first="Fergus J." last="Couch">Fergus J. Couch</name>
<name sortKey="Daly, Mary B" sort="Daly, Mary B" uniqKey="Daly M" first="Mary B." last="Daly">Mary B. Daly</name>
<name sortKey="Davidson, Rosemarie" sort="Davidson, Rosemarie" uniqKey="Davidson R" first="Rosemarie" last="Davidson">Rosemarie Davidson</name>
<name sortKey="Deissler, Helmut" sort="Deissler, Helmut" uniqKey="Deissler H" first="Helmut" last="Deissler">Helmut Deissler</name>
<name sortKey="Domchek, Susan M" sort="Domchek, Susan M" uniqKey="Domchek S" first="Susan M." last="Domchek">Susan M. Domchek</name>
<name sortKey="Douglas, Fiona" sort="Douglas, Fiona" uniqKey="Douglas F" first="Fiona" last="Douglas">Fiona Douglas</name>
<name sortKey="Easton, Douglas F" sort="Easton, Douglas F" uniqKey="Easton D" first="Douglas F." last="Easton">Douglas F. Easton</name>
<name sortKey="Eccles, Diana" sort="Eccles, Diana" uniqKey="Eccles D" first="Diana" last="Eccles">Diana Eccles</name>
<name sortKey="Eeles, Rosalind" sort="Eeles, Rosalind" uniqKey="Eeles R" first="Rosalind" last="Eeles">Rosalind Eeles</name>
<name sortKey="Eisinger, Francois" sort="Eisinger, Francois" uniqKey="Eisinger F" first="François" last="Eisinger">François Eisinger</name>
<name sortKey="Engel, Christoph" sort="Engel, Christoph" uniqKey="Engel C" first="Christoph" last="Engel">Christoph Engel</name>
<name sortKey="Evans, D Gareth" sort="Evans, D Gareth" uniqKey="Evans D" first="D. Gareth" last="Evans">D. Gareth Evans</name>
<name sortKey="Friedman, Eitan" sort="Friedman, Eitan" uniqKey="Friedman E" first="Eitan" last="Friedman">Eitan Friedman</name>
<name sortKey="Ganz, Patricia A" sort="Ganz, Patricia A" uniqKey="Ganz P" first="Patricia A." last="Ganz">Patricia A. Ganz</name>
<name sortKey="Gauthier Villars, Marion" sort="Gauthier Villars, Marion" uniqKey="Gauthier Villars M" first="Marion" last="Gauthier-Villars">Marion Gauthier-Villars</name>
<name sortKey="Gerdes, Anne Marie" sort="Gerdes, Anne Marie" uniqKey="Gerdes A" first="Anne-Marie" last="Gerdes">Anne-Marie Gerdes</name>
<name sortKey="Godwin, Andrew K" sort="Godwin, Andrew K" uniqKey="Godwin A" first="Andrew K." last="Godwin">Andrew K. Godwin</name>
<name sortKey="Greene, Mark H" sort="Greene, Mark H" uniqKey="Greene M" first="Mark H." last="Greene">Mark H. Greene</name>
<name sortKey="Hamann, Ute" sort="Hamann, Ute" uniqKey="Hamann U" first="Ute" last="Hamann">Ute Hamann</name>
<name sortKey="Healey, Sue" sort="Healey, Sue" uniqKey="Healey S" first="Sue" last="Healey">Sue Healey</name>
<name sortKey="Hofmann, Wera" sort="Hofmann, Wera" uniqKey="Hofmann W" first="Wera" last="Hofmann">Wera Hofmann</name>
<name sortKey="Hogervorst, Frans B L" sort="Hogervorst, Frans B L" uniqKey="Hogervorst F" first="Frans B. L." last="Hogervorst">Frans B. L. Hogervorst</name>
<name sortKey="Houdayer, Claude" sort="Houdayer, Claude" uniqKey="Houdayer C" first="Claude" last="Houdayer">Claude Houdayer</name>
<name sortKey="Isaacs, Claudine" sort="Isaacs, Claudine" uniqKey="Isaacs C" first="Claudine" last="Isaacs">Claudine Isaacs</name>
<name sortKey="K Mpj Rvi, Kati" sort="K Mpj Rvi, Kati" uniqKey="K Mpj Rvi K" first="Kati" last="K Mpj Rvi">Kati K Mpj Rvi</name>
<name sortKey="Kaufman, Bella" sort="Kaufman, Bella" uniqKey="Kaufman B" first="Bella" last="Kaufman">Bella Kaufman</name>
<name sortKey="Laitman, Yael" sort="Laitman, Yael" uniqKey="Laitman Y" first="Yael" last="Laitman">Yael Laitman</name>
<name sortKey="Lejbkowicz, Flavio" sort="Lejbkowicz, Flavio" uniqKey="Lejbkowicz F" first="Flavio" last="Lejbkowicz">Flavio Lejbkowicz</name>
<name sortKey="Lenoir, Gilbert M" sort="Lenoir, Gilbert M" uniqKey="Lenoir G" first="Gilbert M." last="Lenoir">Gilbert M. Lenoir</name>
<name sortKey="Ligtenberg, Marjolijn J L" sort="Ligtenberg, Marjolijn J L" uniqKey="Ligtenberg M" first="Marjolijn J. L." last="Ligtenberg">Marjolijn J. L. Ligtenberg</name>
<name sortKey="Llort, Gemma" sort="Llort, Gemma" uniqKey="Llort G" first="Gemma" last="Llort">Gemma Llort</name>
<name sortKey="Lynch, Henry T" sort="Lynch, Henry T" uniqKey="Lynch H" first="Henry T." last="Lynch">Henry T. Lynch</name>
<name sortKey="Manders, Peggy" sort="Manders, Peggy" uniqKey="Manders P" first="Peggy" last="Manders">Peggy Manders</name>
<name sortKey="Manoukian, Siranoush" sort="Manoukian, Siranoush" uniqKey="Manoukian S" first="Siranoush" last="Manoukian">Siranoush Manoukian</name>
<name sortKey="Mazoyer, Sylvie" sort="Mazoyer, Sylvie" uniqKey="Mazoyer S" first="Sylvie" last="Mazoyer">Sylvie Mazoyer</name>
<name sortKey="Meindl, Alfons" sort="Meindl, Alfons" uniqKey="Meindl A" first="Alfons" last="Meindl">Alfons Meindl</name>
<name sortKey="Milgrom, Roni" sort="Milgrom, Roni" uniqKey="Milgrom R" first="Roni" last="Milgrom">Roni Milgrom</name>
<name sortKey="Milne, Roger L" sort="Milne, Roger L" uniqKey="Milne R" first="Roger L." last="Milne">Roger L. Milne</name>
<name sortKey="Nathanson, Katherine L" sort="Nathanson, Katherine L" uniqKey="Nathanson K" first="Katherine L." last="Nathanson">Katherine L. Nathanson</name>
<name sortKey="Neuhausen, Susan L" sort="Neuhausen, Susan L" uniqKey="Neuhausen S" first="Susan L." last="Neuhausen">Susan L. Neuhausen</name>
<name sortKey="Nevanlinna, Heli" sort="Nevanlinna, Heli" uniqKey="Nevanlinna H" first="Heli" last="Nevanlinna">Heli Nevanlinna</name>
<name sortKey="Niederacher, Dieter" sort="Niederacher, Dieter" uniqKey="Niederacher D" first="Dieter" last="Niederacher">Dieter Niederacher</name>
<name sortKey="Olopade, Olufunmilayo I" sort="Olopade, Olufunmilayo I" uniqKey="Olopade O" first="Olufunmilayo I." last="Olopade">Olufunmilayo I. Olopade</name>
<name sortKey="Osorio, Ana" sort="Osorio, Ana" uniqKey="Osorio A" first="Ana" last="Osorio">Ana Osorio</name>
<name sortKey="Ozcelik, Hilmi" sort="Ozcelik, Hilmi" uniqKey="Ozcelik H" first="Hilmi" last="Ozcelik">Hilmi Ozcelik</name>
<name sortKey="Peock, Susan" sort="Peock, Susan" uniqKey="Peock S" first="Susan" last="Peock">Susan Peock</name>
<name sortKey="Pereira, Lutecia H Mateus" sort="Pereira, Lutecia H Mateus" uniqKey="Pereira L" first="Lutecia H. Mateus" last="Pereira">Lutecia H. Mateus Pereira</name>
<name sortKey="Peterlongo, Paolo" sort="Peterlongo, Paolo" uniqKey="Peterlongo P" first="Paolo" last="Peterlongo">Paolo Peterlongo</name>
<name sortKey="Pichert, Gabriella" sort="Pichert, Gabriella" uniqKey="Pichert G" first="Gabriella" last="Pichert">Gabriella Pichert</name>
<name sortKey="Platte, Radka" sort="Platte, Radka" uniqKey="Platte R" first="Radka" last="Platte">Radka Platte</name>
<name sortKey="Pooley, Karen A" sort="Pooley, Karen A" uniqKey="Pooley K" first="Karen A." last="Pooley">Karen A. Pooley</name>
<name sortKey="Radice, Paolo" sort="Radice, Paolo" uniqKey="Radice P" first="Paolo" last="Radice">Paolo Radice</name>
<name sortKey="Rebbeck, Timothy R" sort="Rebbeck, Timothy R" uniqKey="Rebbeck T" first="Timothy R." last="Rebbeck">Timothy R. Rebbeck</name>
<name sortKey="Rennert, Gad" sort="Rennert, Gad" uniqKey="Rennert G" first="Gad" last="Rennert">Gad Rennert</name>
<name sortKey="Schmutzler, Rita K" sort="Schmutzler, Rita K" uniqKey="Schmutzler R" first="Rita K." last="Schmutzler">Rita K. Schmutzler</name>
<name sortKey="Simard, Jacques" sort="Simard, Jacques" uniqKey="Simard J" first="Jacques" last="Simard">Jacques Simard</name>
<name sortKey="Sinilnikova, Olga M" sort="Sinilnikova, Olga M" uniqKey="Sinilnikova O" first="Olga M." last="Sinilnikova">Olga M. Sinilnikova</name>
<name sortKey="Sobol, Hagay" sort="Sobol, Hagay" uniqKey="Sobol H" first="Hagay" last="Sobol">Hagay Sobol</name>
<name sortKey="Spurdle, Amanda B" sort="Spurdle, Amanda B" uniqKey="Spurdle A" first="Amanda B." last="Spurdle">Amanda B. Spurdle</name>
<name sortKey="Stoppa Lyonnet, Dominique" sort="Stoppa Lyonnet, Dominique" uniqKey="Stoppa Lyonnet D" first="Dominique" last="Stoppa-Lyonnet">Dominique Stoppa-Lyonnet</name>
<name sortKey="Sutter, Christian" sort="Sutter, Christian" uniqKey="Sutter C" first="Christian" last="Sutter">Christian Sutter</name>
<name sortKey="Szabo, Csilla I" sort="Szabo, Csilla I" uniqKey="Szabo C" first="Csilla I." last="Szabo">Csilla I. Szabo</name>
<name sortKey="Tomlinson, Gail" sort="Tomlinson, Gail" uniqKey="Tomlinson G" first="Gail" last="Tomlinson">Gail Tomlinson</name>
<name sortKey="Van Den Ouweland, Ans M W" sort="Van Den Ouweland, Ans M W" uniqKey="Van Den Ouweland A" first="Ans M. W." last="Van Den Ouweland">Ans M. W. Van Den Ouweland</name>
<name sortKey="Versmold, Beatrix" sort="Versmold, Beatrix" uniqKey="Versmold B" first="Beatrix" last="Versmold">Beatrix Versmold</name>
<name sortKey="Wagner, Theresa" sort="Wagner, Theresa" uniqKey="Wagner T" first="Theresa" last="Wagner">Theresa Wagner</name>
<name sortKey="Weitzel, Jeffrey" sort="Weitzel, Jeffrey" uniqKey="Weitzel J" first="Jeffrey" last="Weitzel">Jeffrey Weitzel</name>
</noCountry>
</tree>
</affiliations>
</record>

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