PURPOSE: The association between established risk factors for breast cancer and subtypes or prognosis of the disease is not well known. We analyzed whether the Tyrer-Cuzick-predicted 10-year breast cancer risk score (TCRS), mammographic density (MD), and a 77-single nucleotide polymorphism polygenic risk score (PRS) were associated with breast cancer tumor prognosticators and risk of distant metastasis. PATIENTS AND METHODS: We used a case-only design in a population-based cohort of 5,500 Swedish patients with breast cancer. Logistic and multinomial logistic regression of outcomes, estrogen receptor (ER) status, lymph node involvement, tumor size, and grade was performed with TCRS, PRS, and percent MD as exposures. Cox proportional hazard models were used to estimate hazard ratios (HRs) of distant metastasis. RESULTS: Women at high risk for breast cancer based on PRS and/or TCRS were significantly more likely to be diagnosed with favorable prognosticators, such as ER-positive and low-grade tumors. In contrast, PRS weighted on ER-negative disease was associated with ER-negative tumors. When stratifying by age, the associations of TCRS with favorable prognosticators were restricted to women younger than age 50. Women scoring high in both TCRS and PRS had a lower risk of distant metastasis (HR, 0.69; 95% CI, 0.49 to 0.98). MD was not associated with any of the examined prognosticators. CONCLUSION: Women at high risk for breast cancer based on genetic and lifestyle factors were significantly more likely to be diagnosed with breast cancers with a favorable prognosis. Better knowledge of subtype-specific risk factors could be vital for the success of prevention programs aimed at lowering mortality.
PURPOSE: The association between established risk factors for breast cancer and subtypes or prognosis of the disease is not well known. We analyzed whether the Tyrer-Cuzick-predicted 10-year breast cancer risk score (TCRS), mammographic density (MD), and a 77-single nucleotide polymorphism polygenic risk score (PRS) were associated with breast cancer tumor prognosticators and risk of distant metastasis. PATIENTS AND METHODS: We used a case-only design in a population-based cohort of 5,500 Swedish patients with breast cancer. Logistic and multinomial logistic regression of outcomes, estrogen receptor (ER) status, lymph node involvement, tumor size, and grade was performed with TCRS, PRS, and percent MD as exposures. Cox proportional hazard models were used to estimate hazard ratios (HRs) of distant metastasis. RESULTS:Women at high risk for breast cancer based on PRS and/or TCRS were significantly more likely to be diagnosed with favorable prognosticators, such as ER-positive and low-grade tumors. In contrast, PRS weighted on ER-negative disease was associated with ER-negative tumors. When stratifying by age, the associations of TCRS with favorable prognosticators were restricted to women younger than age 50. Women scoring high in both TCRS and PRS had a lower risk of distant metastasis (HR, 0.69; 95% CI, 0.49 to 0.98). MD was not associated with any of the examined prognosticators. CONCLUSION:Women at high risk for breast cancer based on genetic and lifestyle factors were significantly more likely to be diagnosed with breast cancers with a favorable prognosis. Better knowledge of subtype-specific risk factors could be vital for the success of prevention programs aimed at lowering mortality.
Authors: Huan Zhao; Bing Han; Xuan Li; Chengtao Sun; Yufei Zhai; Man Li; Mi Jiang; Weiping Zhang; Yi Liang; Guoyin Kai Journal: Front Pharmacol Date: 2022-05-05 Impact factor: 5.988
Authors: Yiwey Shieh; Donglei Hu; Lin Ma; Scott Huntsman; Charlotte C Gard; Jessica W T Leung; Jeffrey A Tice; Celine M Vachon; Steven R Cummings; Karla Kerlikowske; Elad Ziv Journal: Breast Cancer Res Treat Date: 2016-08-26 Impact factor: 4.872
Authors: Nasim Mavaddat; Kyriaki Michailidou; Joe Dennis; Michael Lush; Laura Fachal; Andrew Lee; Jonathan P Tyrer; Ting-Huei Chen; Qin Wang; Manjeet K Bolla; Xin Yang; Muriel A Adank; Thomas Ahearn; Kristiina Aittomäki; Jamie Allen; Irene L Andrulis; Hoda Anton-Culver; Natalia N Antonenkova; Volker Arndt; Kristan J Aronson; Paul L Auer; Päivi Auvinen; Myrto Barrdahl; Laura E Beane Freeman; Matthias W Beckmann; Sabine Behrens; Javier Benitez; Marina Bermisheva; Leslie Bernstein; Carl Blomqvist; Natalia V Bogdanova; Stig E Bojesen; Bernardo Bonanni; Anne-Lise Børresen-Dale; Hiltrud Brauch; Michael Bremer; Hermann Brenner; Adam Brentnall; Ian W Brock; Angela Brooks-Wilson; Sara Y Brucker; Thomas Brüning; Barbara Burwinkel; Daniele Campa; Brian D Carter; Jose E Castelao; Stephen J Chanock; Rowan Chlebowski; Hans Christiansen; Christine L Clarke; J Margriet Collée; Emilie Cordina-Duverger; Sten Cornelissen; Fergus J Couch; Angela Cox; Simon S Cross; Kamila Czene; Mary B Daly; Peter Devilee; Thilo Dörk; Isabel Dos-Santos-Silva; Martine Dumont; Lorraine Durcan; Miriam Dwek; Diana M Eccles; Arif B Ekici; A Heather Eliassen; Carolina Ellberg; Christoph Engel; Mikael Eriksson; D Gareth Evans; Peter A Fasching; Jonine Figueroa; Olivia Fletcher; Henrik Flyger; Asta Försti; Lin Fritschi; Marike Gabrielson; Manuela Gago-Dominguez; Susan M Gapstur; José A García-Sáenz; Mia M Gaudet; Vassilios Georgoulias; Graham G Giles; Irina R Gilyazova; Gord Glendon; Mark S Goldberg; David E Goldgar; Anna González-Neira; Grethe I Grenaker Alnæs; Mervi Grip; Jacek Gronwald; Anne Grundy; Pascal Guénel; Lothar Haeberle; Eric Hahnen; Christopher A Haiman; Niclas Håkansson; Ute Hamann; Susan E Hankinson; Elaine F Harkness; Steven N Hart; Wei He; Alexander Hein; Jane Heyworth; Peter Hillemanns; Antoinette Hollestelle; Maartje J Hooning; Robert N Hoover; John L Hopper; Anthony Howell; Guanmengqian Huang; Keith Humphreys; David J Hunter; Milena Jakimovska; Anna Jakubowska; Wolfgang Janni; Esther M John; Nichola Johnson; Michael E Jones; Arja Jukkola-Vuorinen; Audrey Jung; Rudolf Kaaks; Katarzyna Kaczmarek; Vesa Kataja; Renske Keeman; Michael J Kerin; Elza Khusnutdinova; Johanna I Kiiski; Julia A Knight; Yon-Dschun Ko; Veli-Matti Kosma; Stella Koutros; Vessela N Kristensen; Ute Krüger; Tabea Kühl; Diether Lambrechts; Loic Le Marchand; Eunjung Lee; Flavio Lejbkowicz; Jenna Lilyquist; Annika Lindblom; Sara Lindström; Jolanta Lissowska; Wing-Yee Lo; Sibylle Loibl; Jirong Long; Jan Lubiński; Michael P Lux; Robert J MacInnis; Tom Maishman; Enes Makalic; Ivana Maleva Kostovska; Arto Mannermaa; Siranoush Manoukian; Sara Margolin; John W M Martens; Maria Elena Martinez; Dimitrios Mavroudis; Catriona McLean; Alfons Meindl; Usha Menon; Pooja Middha; Nicola Miller; Fernando Moreno; Anna Marie Mulligan; Claire Mulot; Victor M Muñoz-Garzon; Susan L Neuhausen; Heli Nevanlinna; Patrick Neven; William G Newman; Sune F Nielsen; Børge G Nordestgaard; Aaron Norman; Kenneth Offit; Janet E Olson; Håkan Olsson; Nick Orr; V Shane Pankratz; Tjoung-Won Park-Simon; Jose I A Perez; Clara Pérez-Barrios; Paolo Peterlongo; Julian Peto; Mila Pinchev; Dijana Plaseska-Karanfilska; Eric C Polley; Ross Prentice; Nadege Presneau; Darya Prokofyeva; Kristen Purrington; Katri Pylkäs; Brigitte Rack; Paolo Radice; Rohini Rau-Murthy; Gad Rennert; Hedy S Rennert; Valerie Rhenius; Mark Robson; Atocha Romero; Kathryn J Ruddy; Matthias Ruebner; Emmanouil Saloustros; Dale P Sandler; Elinor J Sawyer; Daniel F Schmidt; Rita K Schmutzler; Andreas Schneeweiss; Minouk J Schoemaker; Fredrick Schumacher; Peter Schürmann; Lukas Schwentner; Christopher Scott; Rodney J Scott; Caroline Seynaeve; Mitul Shah; Mark E Sherman; Martha J Shrubsole; Xiao-Ou Shu; Susan Slager; Ann Smeets; Christof Sohn; Penny Soucy; Melissa C Southey; John J Spinelli; Christa Stegmaier; Jennifer Stone; Anthony J Swerdlow; Rulla M Tamimi; William J Tapper; Jack A Taylor; Mary Beth Terry; Kathrin Thöne; Rob A E M Tollenaar; Ian Tomlinson; Thérèse Truong; Maria Tzardi; Hans-Ulrich Ulmer; Michael Untch; Celine M Vachon; Elke M van Veen; Joseph Vijai; Clarice R Weinberg; Camilla Wendt; Alice S Whittemore; Hans Wildiers; Walter Willett; Robert Winqvist; Alicja Wolk; Xiaohong R Yang; Drakoulis Yannoukakos; Yan Zhang; Wei Zheng; Argyrios Ziogas; Alison M Dunning; Deborah J Thompson; Georgia Chenevix-Trench; Jenny Chang-Claude; Marjanka K Schmidt; Per Hall; Roger L Milne; Paul D P Pharoah; Antonis C Antoniou; Nilanjan Chatterjee; Peter Kraft; Montserrat García-Closas; Jacques Simard; Douglas F Easton Journal: Am J Hum Genet Date: 2018-12-13 Impact factor: 11.025
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