A nonsynonymous polymorphism in IRS1 modifies risk of developing breast and ovarian cancers in BRCA1 and ovarian cancer in BRCA2 mutation carriers Journal Article


Authors: Ding, Y. C.; McGuffog, L.; Healey, S.; Friedman, E.; Laitman, Y.; Shimon, S. P.; Kaufman, B.; Liljegren, A.; Lindblom, A.; Olsson, H.; Kristoffersson, U.; Stenmark Askmalm, M.; Melin, B.; Domchek, S. M.; Nathanson, K. L.; Rebbeck, T. R.; Jakubowska, A.; Lubinski, J.; Jaworska, K.; Durda, K.; Gronwald, J.; Huzarski, T.; Cybulski, C.; Byrski, T.; Osorio, A.; Cajal, T. R.; Stavropoulou, A. V.; Benítez, J.; Hamann, U.; Rookus, M.; Aalfs, C. M.; de Lange, J. L.; Meijers-Heijboer, H. E. J.; Oosterwijk, J. C.; van Asperen, C. J.; Gómez García, E. B.; Hoogerbrugge, N.; Jager, A.; van der Luijt, R. B.; Easton, D. F.; Peock, S.; Frost, D.; Ellis, S. D.; Platte, R.; Fineberg, E.; Evans, D. G.; Lalloo, F.; Izatt, L.; Eeles, R.; Adlard, J.; Davidson, R.; Eccles, D.; Cole, T.; Cook, J.; Brewer, C.; Tischkowitz, M.; Godwin, A. K.; Pathak, H.; Stoppa-Lyonnet, D.; Sinilnikova, O. M.; Mazoyer, S.; Barjhoux, L.; Léoné, M.; Gauthier-Villars, M.; Caux-Moncoutier, V.; De Pauw, A.; Hardouin, A.; Berthet, P.; Dreyfus, H.; Ferrer, S. F.; Collonge-Rame, M. A.; Sokolowska, J.; Buys, S.; Daly, M.; Miron, A.; Terry, M. B.; Chung, W.; John, E. M.; Southey, M.; Goldgar, D.; Singer, C. F.; Tea, M. K. M.; Gschwantler-Kaulich, D.; Fink-Retter, A.; Hansen, T. V. O.; Ejlertsen, B.; Johannsson, O. T.; Offi, K.; Sarrel, K.; Gaudet, M. M.; Vijai, J.; Robson, M.; Piedmonte, M. R.; Andrews, L.; Cohn, D.; DeMars, L. R.; DiSilvestro, P.; Rodriguez, G.; Toland, A. E.; Montagna, M.; Agata, S.; Imyanitov, E.; Isaacs, C.; Janavicius, R.; Lazaro, C.; Blanco, I.; Ramus, S. J.; Sucheston, L.; Karlan, B. Y.; Gross, J.; Ganz, P. A.; Beattie, M. S.; Schmutzler, R. K.; Wappenschmidt, B.; Meindle, A.; Arnold, N.; Niederacher, D.; Preisler-Adams, S.; Gadzicki, D.; Varon-Mateeva, R.; Deissler, H.; Gehrig, A.; Sutter, C.; Kast, K.; Nevanlinna, H.; Aittomaki, K.; Simard, J.; KConFab Investigators; Spurdle, A. B.; Beesley, J.; Chen, X.; Tomlinson, G. E.; Weitzel, J.; Garber, J. E.; Olopade, O. I.; Rubinstein, W. S.; Tung, N.; Blum, J. L.; Narod, S. A.; Brummel, S.; Gillen, D. L.; Lindor, N.; Fredericksen, Z.; Pankratz, V. S.; Couch, F. J.; Radice, P.; Peterlongo, P.; Greene, M. H.; Loud, J. T.; Mai, P. L.; Andrulis, I. L.; Glendon, G.; Ozcelik, H.; OCGN; Gerdes, A. M.; Thomassen, M.; Jensen, U. B.; Skytte, A. B.; Caligo, M. A.; Lee, A.; Chenevix-Trench, G.; Antoniou, A. C.; Neuhausen, S. L.; on behalf of Consortium of Investigators of Modifiers of BRACA1/2 (CIMBA)
Article Title: A nonsynonymous polymorphism in IRS1 modifies risk of developing breast and ovarian cancers in BRCA1 and ovarian cancer in BRCA2 mutation carriers
Abstract: Background: We previously reported significant associations between genetic variants in insulin receptor substrate 1 (IRS1) and breast cancer risk inwomen carrying BRCA1 mutations. The objectives of this study were to investigate whether the IRS1 variants modified ovarian cancer risk and were associated with breast cancer risk in a larger cohort of BRCA1 and BRCA2 mutation carriers. Methods: IRS1 rs1801123, rs1330645, and rs1801278 were genotyped in samples from 36 centers in the Consortium of Investigators of Modifiers of BRCA1/2 (CIMBA). Data were analyzed by a retrospective cohort approach modeling the associations with breast and ovarian cancer risks simultaneously. Analyses were stratified by BRCA1 and BRCA2 status and mutation class in BRCA1 carriers. Results: Rs1801278 (Gly972Arg) was associated with ovarian cancer risk for both BRCA1 (HR, 1.43; 95% confidence interval (CI), 1.06-1.92; P = 0.019) and BRCA2 mutation carriers (HR, 2.21; 95% CI, 1.39-3.52, P = 0.0008). For BRCA1 mutation carriers, the breast cancer risk was higher in carriers with class II mutations than class I mutations (class II HR, 1.86; 95% CI, 1.28-2.70; class I HR, 0.86; 95%CI, 0.69-1.09; Pdifference, 0.0006). Rs13306465 was associated with ovarian cancer risk in BRCA1 class II mutation carriers (HR, 2.42; P = 0.03). Conclusion: The IRS1 Gly972Arg single-nucleotide polymorphism, which affects insulin-like growth factor and insulin signaling, modifies ovarian cancer risk in BRCA1 and BRCA2 mutation carriers and breast cancer risk in BRCA1 class II mutation carriers. Impact: These findings may prove useful for risk prediction for breast and ovarian cancers in BRCA1 and BRCA2 mutation carriers. ©2012 AACR.
Keywords: adult; single nucleotide polymorphism; mutation; cancer risk; disease association; ovary cancer; breast cancer; genetic variability; genotype; brca1 protein; brca2 protein; retrospective study; multicenter study
Journal Title: Cancer Epidemiology Biomarkers and Prevention
Volume: 21
Issue: 8
ISSN: 1055-9965
Publisher: American Association for Cancer Research  
Date Published: 2012-08-01
Start Page: 1362
End Page: 1370
Language: English
DOI: 10.1158/1055-9965.epi-12-0229
PROVIDER: scopus
PMCID: PMC3415567
PUBMED: 22729394
DOI/URL:
Notes: --- - "Cited By (since 1996): 2" - "Export Date: 28 January 2013" - "CODEN: CEBPE" - "Source: Scopus"
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  1. Mark E Robson
    676 Robson