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    Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology. 2014 Oct 21. pii: 1055-9965.EPI-14-0532. doi: 10.1158/1055-9965.EPI-14-0532. pmc: PMC4294951. mid: NIHMS644448
    Candidate genetic modifiers for breast and ovarian cancer risk in BRCA1 and BRCA2 mutation carriers.
    Peterlongo P1,  Chang-Claude J2,  Moysich KB3,  Rudolph A4,  Schmutzler RK5,  Simard J6,  Soucy P7,  Eeles RA8,  Easton DF9,  Hamann U10,  Wilkening S11,  Chen B12,  Rookus MA13,  Schmidt MK14,  van der Baan FH15,  Spurdle AB16,  Walker LC17,  Lose F18,  Maia AT19,  Montagna M20,  Matricardi L21,  Lubinski J22,  Jakubowska A23,  Gómez Garcia EB24,  Olopade OI25,  Nussbaum RL26,  Nathanson KL27,  Domchek SM28,  Rebbeck TR29,  Arun BK30,  Karlan BY31,  Orsulic S32,  Lester J33,  Chung WK34,  Miron A35,  Southey MC36,  Goldgar DE37,  Buys SS38,  Janavicius R39,  Dorfling CM40,  van Rensburg EJ41,  Ding YC42,  Neuhausen SL43,  Hansen TV44,  Gerdes AM45,  Ejlertsen B46,  Jønson L47,  Osorio A48,  Martínez-Bouzas C49,  Benitez J50,  Conway EE51,  Blazer KR52,  Weitzel JN53,  Manoukian S54,  Peissel B55,  Zaffaroni D56,  Scuvera G57,  Barile M58,  Ficarazzi F59,  Mariette F60,  Fortuzzi S61,  Viel A62,  Giannini G63,  Papi L64,  Martayan A65,  Tibiletti MG66,  Radice P67,  Vratimos A68,  Fostira F69,  Garber JE70,  Donaldson A71,  Brewer C72,  Foo C73,  Evans DG74,  Frost D75,  Eccles D76,  Brady A77,  Cook J78,  Tischkowitz M79,  Adlard J80,  Barwell J81,  Walker L82,  Izatt L83,  Side LE84,  Kennedy MJ85,  Rogers MT86,  Porteous ME87,  Morrison PJ88,  Platte R89,  Davidson R90,  Hodgson SV91,  Ellis S92,  Cole T93,  Godwin AK94,  Claes K95,  Van Maerken T96,  Meindl A97,  Gehrig A98,  Sutter C99,  Engel C100,  Niederacher D101,  Steinemann D102,  Plendl H103,  Kast K104,  Rhiem K105,  Ditsch N106,  Arnold N107,  Varon-Mateeva R108,  Wappenschmidt B109,  Wang-Gohrke S110,  Bressac-de Paillerets B111,  Buecher B112,  Delnatte C113,  Houdayer C114,  Stoppa-Lyonnet D115,  Damiola F116,  Coupier I117,  Barjhoux L118,  Venat-Bouvet L119,  Golmard L120,  Boutry-Kryza N121,  Sinilnikova OM122,  Caron O123,  Pujol P124,  Mazoyer S125,  Belotti M126,  Piedmonte M127,  Friedlander ML128,  Rodriguez GC129,  Copeland LJ130,  de la Hoya M131,  Segura PP132,  Nevanlinna H133,  Aittomäki K134,  van Os TA135,  Meijers-Heijboer HE136,  van der Hout AH137,  Vreeswijk MP138,  Hoogerbrugge N139,  Ausems MG140,  van Doorn HC141,  Collée JM142,  Olah E143,  Diez O144,  Blanco I145,  Lazaro C146,  Brunet J147,  Feliubadalo L148,  Cybulski C149,  Gronwald J150,  Durda K151,  Jaworska-Bieniek K152,  Sukiennicki G153,  Arason A154,  Chiquette J155,  Teixeira MR156,  Olswold C157,  Couch FJ158,  Lindor NM159,  Wang X160,  Szabo CI161,  Offit K162,  Corines M163,  Jacobs L164,  Robson ME165,  Zhang L166,  Joseph V167,  Berger A168,  Singer CF169,  Rappaport C170,  Kaulich DG171,  Pfeiler G172,  Tea MK173,  Phelan CM174,  Greene MH175,  Mai PL176,  Rennert G177,  Mulligan AM178,  Glendon G179,  Tchatchou S180,  Andrulis IL181,  Toland AE182,  Bojesen A183,  Pedersen IS184,  Thomassen M185,  Jensen UB186,  Laitman Y187,  Rantala J188,  von Wachenfeldt A189,  Ehrencrona H190,  Askmalm MS191,  Borg Å192,  Kuchenbaecker KB193,  McGuffog L194,  Barrowdale D195,  Healey S196,  Lee A197,  Pharoah PD198,  Chenevix-Trench G199,  Antoniou AC200,  Friedman E201
    Author information
    1IFOM, Fondazione Istituto FIRC di Oncologia Molecolare, Milan, Italy. Unit of Molecular Bases of Genetic Risk and Genetic Testing, Department of Preventive and Predictive Medicine, Fondazione IRCCS Istituto Nazionale Tumori (INT), Milan, Italy. paolo.peterlongo@ifom.eu eitan.friedman@sheba.health.gov.il feitan@post.tau.ac.il.
    2Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
    3Department of Cancer Prevention and Control, Roswell Park Cancer Institute, Buffalo, New York.
    4Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
    5Center for Hereditary Breast and Ovarian Cancer, Medical Faculty, University Hospital Cologne, Germany. Center for Integrated Oncology (CIO), Medical Faculty, University Hospital Cologne, Germany. Center for Molecular Medicine Cologne (CMMC), University of Cologne, Germany, on behalf of the German Consortium of Hereditary Breast and Ovarian Cancer (GC-HBOC).
    6Centre Hospitalier Universitaire de Québec Research Center and Laval University, Quebec City, Canada.
    7Centre Hospitalier Universitaire de Québec Research Center and Laval University, Quebec City, Canada.
    8Oncogenetics Team, The Institute of Cancer Research and Royal Marsden NHS Foundation Trust, Surrey, United Kingdom.
    9Centre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom.
    10Molecular Genetics of Breast Cancer, German Cancer Research Center (DKFZ), Heidelberg, Germany.
    11Genomic Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
    12Molecular Genetic Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
    13Department of Epidemiology, Netherlands Cancer Institute, Amsterdam, the Netherlands.
    14Division of Psychosocial Research and Epidemiology, Netherlands Cancer Institute, Amsterdam, the Netherlands.
    15Department of Epidemiology, Netherlands Cancer Institute, Amsterdam, the Netherlands.
    16Department of Genetics and Computational Biology, QIMR Berghofer, Brisbane, Australia.
    17Department of Pathology, University of Otago, Christchurch, New Zealand.
    18Department of Genetics and Computational Biology, QIMR Berghofer, Brisbane, Australia.
    19Department of Biomedical Sciences and Medicine, Gambelas Campus, University of Algarve, Portugal.
    20Immunology and Molecular Oncology Unit, Istituto Oncologico Veneto IOV - IRCCS, Padua, Italy.
    21Immunology and Molecular Oncology Unit, Istituto Oncologico Veneto IOV - IRCCS, Padua, Italy.
    22Department of Genetics and Pathology, Pomeranian Medical University, Szczecin, Poland.
    23Department of Genetics and Pathology, Pomeranian Medical University, Szczecin, Poland.
    24Department of Clinical Genetics, MUMC, Maastricht, the Netherlands.
    25Center for Clinical Cancer Genetics, Department of Medicine and Human Genetics, University of Chicago Medical Center, Chicago, Illinois.
    26Department of Medicine and Institute for Human Genetics, University of California, San Francisco, San Francisco, California.
    27Department of Medicine, Abramson Cancer Center, Perelman School of Medicine at the University of Pennsylvania, Philadephia, Pennsylvania.
    28Department of Medicine, Abramson Cancer Center, Perelman School of Medicine at the University of Pennsylvania, Philadephia, Pennsylvania.
    29Department of Epidemiology and Biostatistics, Abramson Cancer Center, Perelman School of Medicine at the University of Pennsylvania, Philadephia, Pennsylvania.
    30University of Texas MD Anderson Cancer Center, Houston, Texas.
    31Women's Cancer Program at the Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, California.
    32Women's Cancer Program at the Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, California.
    33Women's Cancer Program at the Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, California.
    34Departments of Pediatrics and Medicine, Columbia University, New York, New York.
    35Department of Genetics and Genomics at Case Western Reserve Medical School, Cleveland, Ohio.
    36Genetic Epidemiology Laboratory, Department of Pathology, University of Melbourne, Parkville, Australia.
    37Department of Dermatology, University of Utah School of Medicine, Salt Lake City, Utah.
    38Department of Oncological Sciences, Huntsman Cancer Institute, University of Utah School of Medicine, Salt Lake City, Utah.
    39Vilnius University Hospital Santariskiu Clinics, Hematology, Oncology, and Transfusion Medicine Center, Dept. of Molecular and Regenerative Medicine; State Research Institute Centre for Innovative Medicine, Vilnius, Lithuania.
    40Department of Genetics, University of Pretoria, Pretoria, South Africa.
    41Department of Genetics, University of Pretoria, Pretoria, South Africa.
    42Department of Population Sciences, Beckman Research Institute of City of Hope, Duarte, California.
    43Department of Population Sciences, Beckman Research Institute of City of Hope, Duarte, California.
    44Center for Genomic Medicine, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
    45Department of Clinical Genetics, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
    46Department of Oncology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
    47Center for Genomic Medicine, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
    48Biomedical Network on Rare Diseases (CIBERER), Madrid, Spain. Human Genetics Group, Spanish National Cancer Centre (CNIO), Madrid, Spain.
    49Molecular Genetics Laboratory, Department of Biochemistry, Cruces Hospital Barakaldo, 48903-Barakaldo-Bizkaia, Spain.
    50Biomedical Network on Rare Diseases (CIBERER), Madrid, Spain. Human Genetics Group and Genotyping Unit, Spanish National Cancer Centre (CNIO), Madrid, Spain.
    51Saint Alphonsus Regional Medical Center, care of City of Hope Clinical Cancer Genetics Community Research Network, Duarte, California.
    52Clinical Cancer Genetics, City of Hope, Duarte, California.
    53Clinical Cancer Genetics, City of Hope, Duarte, California (for the City of Hope Clinical Cancer Genetics Community Research Network).
    54Unit of Medical Genetics, Department of Preventive and Predictive Medicine, Fondazione IRCCS Istituto Nazionale Tumori (INT), Milan, Italy.
    55Unit of Medical Genetics, Department of Preventive and Predictive Medicine, Fondazione IRCCS Istituto Nazionale Tumori (INT), Milan, Italy.
    56Unit of Medical Genetics, Department of Preventive and Predictive Medicine, Fondazione IRCCS Istituto Nazionale Tumori (INT), Milan, Italy.
    57Unit of Medical Genetics, Department of Preventive and Predictive Medicine, Fondazione IRCCS Istituto Nazionale Tumori (INT), Milan, Italy.
    58Division of Cancer Prevention and Genetics, Istituto Europeo di Oncologia, Milan, Italy.
    59IFOM, Fondazione Istituto FIRC di Oncologia Molecolare, Milan, Italy. Cogentech Cancer Genetic Test Laboratory, Milan, Italy.
    60IFOM, Fondazione Istituto FIRC di Oncologia Molecolare, Milan, Italy. Cogentech Cancer Genetic Test Laboratory, Milan, Italy.
    61IFOM, Fondazione Istituto FIRC di Oncologia Molecolare, Milan, Italy. Cogentech Cancer Genetic Test Laboratory, Milan, Italy.
    62Division of Experimental Oncology 1, CRO Aviano National Cancer Institute, Aviano (PN), Italy.
    63Department of Molecular Medicine, Sapienza University, Rome, Italy.
    64Unit of Medical Genetics, Department of Biomedical, Experimental, and Clinical Sciences, University of Florence, Florence, Italy.
    65Unit of Genetic Counseling, Medical Oncology Department, Istituto Nazionale Tumori Regina Elena, Rome, Italy.
    66UO Anatomia Patologica Ospedale di Circolo e Fondazione Macchi, Polo Universitario Varese, Italy.
    67Unit of Molecular Bases of Genetic Risk and Genetic Testing, Department of Preventive and Predictive Medicine, Fondazione IRCCS Istituto Nazionale Tumori (INT), Milan, Italy.
    68Molecular Diagnostics Laboratory, INRASTES, National Centre for Scientific Research "Demokritos", Aghia Paraskevi Attikis, Athens, Greece.
    69Molecular Diagnostics Laboratory, INRASTES, National Centre for Scientific Research "Demokritos", Aghia Paraskevi Attikis, Athens, Greece.
    70Dana-Farber Cancer Institute, Boston, Massachuestts.
    71Clinical Genetics Department, St. Michael's Hospital, Bristol, United Kingdom.
    72Department of Clinical Genetics, Royal Devon & Exeter Hospital, Exeter, United Kingdom.
    73Cheshire & Merseyside Clinical Genetics Service, Liverpool Women's NHS Foundation Trust, Liverpool, United Kingdom.
    74Genetic Medicine, Manchester Academic Health Sciences Centre, Central Manchester University Hospitals NHS Foundation Trust, Manchester, United Kingdom.
    75Centre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom.
    76University of Southampton, Faculty of Medicine, Southampton University Hospitals NHS Trust, Southampton, United Kingdom.
    77North West Thames Regional Genetics Service, Kennedy-Galton Centre, Harrow, United Kingdom.
    78Sheffield Clinical Genetics Service, Sheffield Children's Hospital, Sheffield, United Kingdom.
    79Department of Clinical Genetics, East Anglian Regional Genetics Service, Addenbrookes Hospital, Cambridge, United Kingdom.
    80Yorkshire Regional Genetics Service, Leeds, United Kingdom.
    81Leicestershire Clinical Genetics Service, University Hospitals of Leicester NHS Trust, Leicester, United Kingdom.
    82Oxford Regional Genetics Service, Churchill Hospital, Oxford, United Kingdom.
    83Clinical Genetics, Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom.
    84North East Thames Regional Genetics Service, Great Ormond Street Hospital for Children NHS Trust, London, United Kingdom.
    85Academic Unit of Clinical and Molecular Oncology, Trinity College Dublin, Ireland. St. James's Hospital, Dublin, Ireland.
    86All Wales Medical Genetics Services, University Hospital of Wales, Cardiff, United Kingdom.
    87South East of Scotland Regional Genetics Service, Western General Hospital, Edinburgh, United Kingdom.
    88Centre for Cancer Research and Cell Biology, Queens University of Belfast, Department of Medical Genetics, Belfast HSC Trust, Belfast, United Kingdom.
    89Centre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom.
    90West of Scotland Regional Genetics Service, Southern General Hospital, Glasgow, United Kingdom.
    91Medical Genetics Unit, St. George's, University of London, London, United Kingdom.
    92Centre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom.
    93West Midlands Regional Genetics Service, Birmingham Women's Hospital Healthcare NHS Trust, Edgbaston, Birmingham, United Kingdom.
    94Department of Pathology and Laboratory Medicine, University of Kansas Medical Center, Kansas City, Missouri.
    95Center for Medical Genetics, Ghent University, Ghent, Belgium.
    96Center for Medical Genetics, Ghent University, Ghent, Belgium.
    97Department of Gynaecology and Obstetrics, Division of Tumor Genetics, Klinikum rechts der Isar, Technical University Munich, Germany.
    98Institute of Human Genetics, University Würzburg, Wurzburg, Germany.
    99University Heidelberg, Heidelberg, Germany.
    100Institute for Medical Informatics, Statistics, and Epidemiology, University of Leipzig, Leipzig, Germany.
    101University Düsseldorf, Dusseldorf, Germany.
    102Hannover Medical School, Hanover, Germany.
    103Institute of Human Genetics, University Hospital of Schleswig-Holstein/University Kiel, Kiel, Germany.
    104Department of Gynecology and Obstetrics, University Hospital Carl Gustav Carus, Technische Universität Dresden, Germany.
    105Center for Hereditary Breast and Ovarian Cancer, Medical Faculty, University Hospital Cologne, Germany. Center for Integrated Oncology (CIO), Medical Faculty, University Hospital Cologne, Germany. Center for Molecular Medicine Cologne (CMMC), University of Cologne, Germany.
    106Department of Gynaecology and Obstetrics, University Munich, Munich, Germany.
    107Department of Gynecology and Obstetrics, University Hospital of Schleswig-Holstein/University Kiel, Kiel, Germany.
    108Institute of Human Genetics, Charite Berlin, Germany.
    109Center for Hereditary Breast and Ovarian Cancer, Medical Faculty, University Hospital Cologne, Germany. Center for Integrated Oncology (CIO), Medical Faculty, University Hospital Cologne, Germany. Center for Molecular Medicine Cologne (CMMC), University of Cologne, Germany.
    110Department of Gynaecology and Obstetrics, University Hospital Ulm, Germany.
    111INSERM U946, Fondation Jean Dausset, Paris, France. Service de Génétique, Institut de Cancérologie Gustave Roussy, Villejuif, France.
    112Institut Curie, Department of Tumour Biology, Paris, France.
    113Centre René Gauducheau, Nantes, France.
    114Institut Curie, Department of Tumour Biology, Paris, France. Université Paris Descartes, Sorbonne Paris Cité, France.
    115Institut Curie, Department of Tumour Biology, Paris, France. Université Paris Descartes, Sorbonne Paris Cité, France. Institut Curie, INSERM U830, Paris, France.
    116INSERM U1052, CNRS UMR5286, Université Lyon 1, Centre de Recherche en Cancérologie de Lyon, Lyon, France.
    117Unité d'Oncogénétique, CHU Arnaud de Villeneuve, Montpellier, France. Unité d'Oncogénétique, CRLCC Val d'Aurelle, Montpellier, France.
    118Unité d'Oncogénétique, CRLCC Val d'Aurelle, Montpellier, France.
    119Department of Medical Oncology, Centre Hospitalier Universitaire Dupuytren, Limoges, France.
    120Institut Curie, Department of Tumour Biology, Paris, France.
    121Unité Mixte de Génétique Constitutionnelle des Cancers Fréquents, Hospices Civils de Lyon - Centre Léon Bérard, Lyon, France.
    122INSERM U1052, CNRS UMR5286, Université Lyon 1, Centre de Recherche en Cancérologie de Lyon, Lyon, France. Unité Mixte de Génétique Constitutionnelle des Cancers Fréquents, Hospices Civils de Lyon - Centre Léon Bérard, Lyon, France. IFOM, Fondazione Istituto FIRC di Oncologia Molecolare, Milan, Italy.
    123Consultation de Génétique, Département de Médecine, Institut de Cancérologie Gustave Roussy, Villejuif, France.
    124Unité d'Oncogénétique, CHU Arnaud de Villeneuve, Montpellier, France. INSERM 896, CRCM Val d'Aurelle, Montpellier, France.
    125INSERM U1052, CNRS UMR5286, Université Lyon 1, Centre de Recherche en Cancérologie de Lyon, Lyon, France.
    126Institut Curie, Department of Tumour Biology, Paris, France.
    127Gynecologic Oncology Group Statistical and Data Center, Roswell Park Cancer Institute, Buffalo, New York.
    128Australia New Zealand Gynaecological Oncology Group (ANZGOG), Coordinating Centre, Camperdown, Australia.
    129Division of Gynecologic Oncology, NorthShore University HealthSystem, Evanston, Illinois.
    130Ohio State University, Department of Obstetrics and Gynecology, Hilliard, Ohio.
    131Molecular Oncology Laboratory, Hospital Clinico San Carlos, IdISSC, Madrid, Spain.
    132Department of Oncology, Hospital Clinico San Carlos, IdISSC, Madrid, Spain.
    133Department of Obstetrics and Gynecology, Helsinki University Central Hospital, Helsinki, Finland. University of Helsinki, Helsinki, Finland.
    134Department of Clinical Genetics, Helsinki University Central Hospital, Helsinki, Finland.
    135Department of Clinical Genetics, Academic Medical Center, Amsterdam, the Netherlands.
    136Department of Clinical Genetics, VU University Medical Centre, Amsterdam, the Netherlands.
    137Department of Genetics, University Medical Center, Groningen University, Groningen, the Netherlands.
    138Department of Human Genetics, Leiden University Medical Center (LUMC), Leiden, the Netherlands.
    139Department of Human Genetics, Radboud University Medical Centre, Nijmegen, the Netherlands.
    140Department of Medical Genetics, University Medical Center Utrecht, Utrecht, the Netherlands.
    141Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Erasmus University MC Cancer Institute, Rotterdam, the Netherlands.
    142Department of Clinical Genetics, Family Cancer Clinic, Erasmus University Medical Center, Rotterdam, the Netherlands.
    143Department of Molecular Genetics, National Institute of Oncology, Budapest, Hungary.
    144Oncogenetics Group, University Hospital Vall d'Hebron, Barcelona, Spain. Universitat Autònoma de Barcelona, Barcelona, Spain. Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain. Vall d'Hebron Research Institute (VHIR), Barcelona, Spain.
    145Genetic Counseling Unit, Hereditary Cancer Program, IDIBELL-Catalan Institute of Oncology, Barcelona, Spain.
    146Molecular Diagnostic Unit, Hereditary Cancer Program, IDIBELL-Catalan Institute of Oncology, Barcelona, Spain.
    147Genetic Counseling Unit, Hereditary Cancer Program, IDIBGI-Catalan Institute of Oncology, Girona, Spain.
    148BMC, Faculty of Medicine, University of Iceland, Reykjavik, Iceland.
    149Department of Genetics and Pathology, Pomeranian Medical University, Szczecin, Poland.
    150Department of Genetics and Pathology, Pomeranian Medical University, Szczecin, Poland.
    151Department of Genetics and Pathology, Pomeranian Medical University, Szczecin, Poland.
    152Department of Genetics and Pathology, Pomeranian Medical University, Szczecin, Poland.
    153Department of Genetics and Pathology, Pomeranian Medical University, Szczecin, Poland.
    154BMC, Faculty of Medicine, University of Iceland, Reykjavik, Iceland. Department of Pathology, Landspitali University Hospital, Reykjavik, Iceland.
    155Unité de Recherche en Santé des Populations, Centre des Maladies du Sein Deschênes-Fabia, Centre de Recherche FRSQ du Centre Hospitalier Affilié Universitaire de Québec, Québec, Canada.
    156Biomedical Sciences Institute (ICBAS), Porto University, Porto, Portugal. Department of Genetics, Portuguese Oncology Institute, Porto, Portugal.
    157Department of Health Sciences Research, Mayo Clinic, Rochester, Minnessotta.
    158Department of Laboratory Medicine and Pathology, and Health Sciences Research, Mayo Clinic, Rochester, Minnessotta.
    159Health Sciences Research, Mayo Clinic, Scottsdale, Arizona.
    160Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnessotta.
    161National Human Genome Research Institute, NIH, Bethesda, Maryland.
    162Clinical Genetics Research Laboratory, Memorial Sloan-Kettering Cancer Center, New York, New York.
    163Clinical Genetics Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York.
    164Clinical Genetics Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York.
    165Clinical Genetics Research Laboratory, Memorial Sloan-Kettering Cancer Center, New York, New York.
    166Diagnostic Molecular Genetics Laboratory, Department of Pathology, Memorial Sloan-Kettering Cancer Center, New York, New York.
    167Clinical Genetics Research Laboratory, Memorial Sloan-Kettering Cancer Center, New York, New York.
    168Department of OB/GYN and Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
    169Department of OB/GYN and Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
    170Department of OB/GYN and Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
    171Department of OB/GYN and Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
    172Department of OB/GYN and Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
    173Department of OB/GYN and Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
    174Department of Cancer Epidemiology, Moffitt Cancer Center, Tampa, Florida.
    175Clinical Genetics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Rockville, Maryland.
    176Clinical Genetics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Rockville, Maryland.
    177Clalit National Cancer Control Center, Haifa, Israel.
    178Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada. Laboratory Medicine Program, University Health Network, Toronto, Ontario, Canada.
    179Ontario Cancer Genetics Network: Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Ontario, Canada.
    180Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Ontario, Canada.
    181Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Ontario, Canada. Departments of Molecular Genetics and Laboratory Medicine and Pathobiology, University of Toronto, Ontario, Canada.
    182Division of Human Cancer Genetics, Departments of Internal Medicine and Molecular Virology, Immunology, and Medical Genetics, Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio.
    183Department of Clinical Genetics, Vejle Hospital, Vejle, Denmark.
    184Section of Molecular Diagnostics, Department of Biochemistry, Aalborg University Hospital, Aalborg, Denmark.
    185Department of Clinical Genetics, Odense University Hospital, Odense C, Denmark.
    186Department of Clinical Genetics, Aarhus University Hospital, Aarhus, Denmark.
    187Sheba Medical Center, Tel Aviv, Israel.
    188Department of Clinical Genetics, Karolinska University Hospital, Stockholm, Sweden.
    189Department of Oncology, Karolinska University Hospital, Stockholm, Sweden.
    190Department of Clinical Genetics, Lund University Hospital, Lund, Sweden. Department of Immunology, Genetics, and Pathology, Uppsala University, Uppsala, Sweden.
    191Division of Clinical Genetics, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
    192Department of Oncology, Lund University, Lund, Sweden.
    193Centre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom.
    194Centre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom.
    195Centre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom.
    196Department of Genetics and Computational Biology, QIMR Berghofer, Brisbane, Australia.
    197Centre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom.
    198Department of Oncology, University of Cambridge, Cambridge, United Kingdom.
    199Department of Genetics and Computational Biology, QIMR Berghofer, Brisbane, Australia.
    200Centre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom.
    201Sheba Medical Center, Tel Aviv, Israel. paolo.peterlongo@ifom.eu eitan.friedman@sheba.health.gov.il feitan@post.tau.ac.il.
    Abstract

    BACKGROUND: BRCA1 and BRCA2 mutation carriers are at substantially increased risk for developing breast and ovarian cancer. The incomplete penetrance coupled with the variable age at diagnosis in carriers of the same mutation suggests the existence of genetic and nongenetic modifying factors. In this study, we evaluated the putative role of variants in many candidate modifier genes.

    METHODS: Genotyping data from 15,252 BRCA1 and 8,211 BRCA2 mutation carriers, for known variants (n = 3,248) located within or around 445 candidate genes, were available through the iCOGS custom-designed array. Breast and ovarian cancer association analysis was performed within a retrospective cohort approach.

    RESULTS: The observed P values of association ranged between 0.005 and 1.000. None of the variants was significantly associated with breast or ovarian cancer risk in either BRCA1 or BRCA2 mutation carriers, after multiple testing adjustments.

    CONCLUSION: There is little evidence that any of the evaluated candidate variants act as modifiers of breast and/or ovarian cancer risk in BRCA1 or BRCA2 mutation carriers.

    IMPACT: Genome-wide association studies have been more successful at identifying genetic modifiers of BRCA1/2 penetrance than candidate gene studies.


    ©2014 American Association for Cancer Research.

    Publikations ID: 25336561
    Quelle: öffnen
     
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