A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä

Association of germline variation with the survival of women with BRCA1/2 pathogenic variants and breast cancer




TekijätTaru A. Muranen, Sofia Khan, Rainer Fagerholm, Kristiina Aittomäki, Julie M. Cunningham, Joe Dennis, Goska Leslie, Lesley McGuffog, Michael T. Parsons, Jacques Simard, Susan Slager, Penny Soucy, Douglas F. Easton, Marc Tischkowitz, Amanda B. Spurdle; kConFab Investigators, Rita K. Schmutzler, Barbara Wappenschmidt, Eric Hahnen, Maartje J. Hooning; HEBON Investigators, Christian F. Singer, Gabriel Wagner, Mads Thomassen, Inge Sokilde Pedersen, Susan M. Domchek, Katherine L. Nathanson, Conxi Lazaro, Caroline Maria Rossing, Irene L. Andrulis, Manuel R. Teixeira, Paul James, Judy Garber, Jeffrey N. Weitzel; SWE-BRCA Investigators, Anna Jakubowska, Drakoulis Yannoukakos, Esther M. John, Melissa C. Southey, Marjanka K. Schmidt, Antonis C. Antoniou, Georgia Chenevix-Trench, Carl Blomqvist, Heli Nevanlinna

KustantajaNATURE PUBLISHING GROUP

Julkaisuvuosi2020

Journalnpj breast cancer

Tietokannassa oleva lehden nimiNPJ BREAST CANCER

Lehden akronyymiNPJ BREAST CANCER

Artikkelin numeroARTN 44

Vuosikerta6

Numero1

Sivujen määrä13

eISSN2374-4677

DOIhttps://doi.org/10.1038/s41523-020-00185-6

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/50247166


Tiivistelmä
Germline genetic variation has been suggested to influence the survival of breast cancer patients independently of tumor pathology. We have studied survival associations of genetic variants in two etiologically unique groups of breast cancer patients, the carriers of germline pathogenic variants in BRCA1 or BRCA2 genes. We found that rs57025206 was significantly associated with the overall survival, predicting higher mortality of BRCA1 carrier patients with estrogen receptor-negative breast cancer, with a hazard ratio 4.37 (95% confidence interval 3.03-6.30, P=3.1x10(-9)). Multivariable analysis adjusted for tumor characteristics suggested that rs57025206 was an independent survival marker. In addition, our exploratory analyses suggest that the associations between genetic variants and breast cancer patient survival may depend on tumor biological subgroup and clinical patient characteristics.

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