TY - JOUR
T1 - A role for XRCC2 gene polymorphisms in breast cancer risk and survival
AU - Lin, Wei-Yu
AU - Camp, Nicola J
AU - Cannon-Albright, Lisa A
AU - Allen-Brady, Kristina
AU - Balasubramanian, Sabapathy
AU - Reed, Malcolm W R
AU - Hopper, John L
AU - Apicella, Carmel
AU - Giles, Graham G
AU - Southey, Melissa C
AU - Milne, Roger L
AU - Arias-Pérez, Jose I
AU - Menéndez-Rodríguez, Primitiva
AU - Benítez, Javier
AU - Grundmann, Magdalena
AU - Dubrowinskaja, Natalia
AU - Park-Simon, Tjoung-Won
AU - Dörk, Thilo
AU - Garcia-Closas, Montserrat
AU - Figueroa, Jonine
AU - Sherman, Mark
AU - Lissowska, Jolanta
AU - Easton, Douglas F
AU - Dunning, Alison M
AU - Rajaraman, Preetha
AU - Sigurdson, Alice J
AU - Doody, Michele M
AU - Linet, Martha S
AU - Pharoah, Paul D
AU - Schmidt, Marjanka K
AU - Cox, Angela
PY - 2011/7
Y1 - 2011/7
N2 - BACKGROUND: The XRCC2 gene is a key mediator in the homologous recombination repair of DNA double strand breaks. It is hypothesised that inherited variants in the XRCC2 gene might also affect susceptibility to, and survival from, breast cancer.METHODS: The study genotyped 12 XRCC2 tagging single nucleotide polymorphisms (SNPs) in 1131 breast cancer cases and 1148 controls from the Sheffield Breast Cancer Study (SBCS), and examined their associations with breast cancer risk and survival by estimating ORs and HRs, and their corresponding 95% CIs. Positive findings were further investigated in 860 cases and 869 controls from the Utah Breast Cancer Study (UBCS) and jointly analysed together with available published data for breast cancer risk. The survival findings were further confirmed in studies (8074 cases) from the Breast Cancer Association Consortium (BCAC).RESULTS: The most significant association with breast cancer risk in the SBCS dataset was the XRCC2 rs3218408 SNP (recessive model p=2.3×10(-4), minor allele frequency (MAF)=0.23). This SNP yielded an OR(rec) of 1.64 (95% CI 1.25 to 2.16) in a two-site analysis of SBCS and UBCS, and a meta-OR(rec) of 1.33 (95% CI 1.12 to 1.57) when all published data were included. This SNP may mark a rare risk haplotype carried by two in 1000 of the control population. Furthermore, the XRCC2 coding R188H SNP (rs3218536, MAF=0.08) was significantly associated with poor survival, with an increased per-allele HR of 1.58 (95% CI 1.01 to 2.49) in a multivariate analysis. This effect was still evident in a pooled meta-analysis of 8781 breast cancer patients from the BCAC (HR 1.19, 95% CI 1.05 to 1.36; p=0.01).CONCLUSIONS: These findings suggest that XRCC2 SNPs may influence breast cancer risk and survival.
AB - BACKGROUND: The XRCC2 gene is a key mediator in the homologous recombination repair of DNA double strand breaks. It is hypothesised that inherited variants in the XRCC2 gene might also affect susceptibility to, and survival from, breast cancer.METHODS: The study genotyped 12 XRCC2 tagging single nucleotide polymorphisms (SNPs) in 1131 breast cancer cases and 1148 controls from the Sheffield Breast Cancer Study (SBCS), and examined their associations with breast cancer risk and survival by estimating ORs and HRs, and their corresponding 95% CIs. Positive findings were further investigated in 860 cases and 869 controls from the Utah Breast Cancer Study (UBCS) and jointly analysed together with available published data for breast cancer risk. The survival findings were further confirmed in studies (8074 cases) from the Breast Cancer Association Consortium (BCAC).RESULTS: The most significant association with breast cancer risk in the SBCS dataset was the XRCC2 rs3218408 SNP (recessive model p=2.3×10(-4), minor allele frequency (MAF)=0.23). This SNP yielded an OR(rec) of 1.64 (95% CI 1.25 to 2.16) in a two-site analysis of SBCS and UBCS, and a meta-OR(rec) of 1.33 (95% CI 1.12 to 1.57) when all published data were included. This SNP may mark a rare risk haplotype carried by two in 1000 of the control population. Furthermore, the XRCC2 coding R188H SNP (rs3218536, MAF=0.08) was significantly associated with poor survival, with an increased per-allele HR of 1.58 (95% CI 1.01 to 2.49) in a multivariate analysis. This effect was still evident in a pooled meta-analysis of 8781 breast cancer patients from the BCAC (HR 1.19, 95% CI 1.05 to 1.36; p=0.01).CONCLUSIONS: These findings suggest that XRCC2 SNPs may influence breast cancer risk and survival.
KW - Aged
KW - Breast Neoplasms
KW - Case-Control Studies
KW - DNA-Binding Proteins
KW - Female
KW - Gene Expression Regulation, Neoplastic
KW - Gene Frequency
KW - Genetic Predisposition to Disease
KW - Haplotypes
KW - Humans
KW - Inheritance Patterns
KW - Middle Aged
KW - Polymorphism, Single Nucleotide
KW - Risk
KW - Survival Analysis
U2 - 10.1136/jmedgenet-2011-100018
DO - 10.1136/jmedgenet-2011-100018
M3 - Article
C2 - 21632523
SN - 0022-2593
VL - 48
SP - 477
EP - 484
JO - Journal of Medical Genetics
JF - Journal of Medical Genetics
IS - 7
ER -