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Height and Body Mass Index as Modifiers of Breast Cancer Risk in BRCA1/2 Mutation Carriers: A Mendelian Randomization Study

F. Qian, S. Wang, J. Mitchell, L. McGuffog, D. Barrowdale, G. Leslie, JC. Oosterwijk, WK. Chung, DG. Evans, C. Engel, K. Kast, CM. Aalfs, MA. Adank, J. Adlard, BA. Agnarsson, K. Aittomäki, E. Alducci, IL. Andrulis, BK. Arun, MGEM. Ausems, J....

. 2019 ; 111 (4) : 350-364. [pub] 20190401

Jazyk angličtina Země Spojené státy americké

Typ dokumentu časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc20006759

Grantová podpora
U10 CA180868 NCI NIH HHS - United States
203477/Z/16/Z Wellcome Trust - United Kingdom
UL1 TR001863 NCATS NIH HHS - United States
P50 CA116201 NCI NIH HHS - United States
UG1 CA233191 NCI NIH HHS - United States
10118 Cancer Research UK - United Kingdom
UG1 CA233290 NCI NIH HHS - United States
UG1 CA189867 NCI NIH HHS - United States

BACKGROUND: BRCA1/2 mutations confer high lifetime risk of breast cancer, although other factors may modify this risk. Whether height or body mass index (BMI) modifies breast cancer risk in BRCA1/2 mutation carriers remains unclear. METHODS: We used Mendelian randomization approaches to evaluate the association of height and BMI on breast cancer risk, using data from the Consortium of Investigators of Modifiers of BRCA1/2 with 14 676 BRCA1 and 7912 BRCA2 mutation carriers, including 11 451 cases of breast cancer. We created a height genetic score using 586 height-associated variants and a BMI genetic score using 93 BMI-associated variants. We examined both observed and genetically determined height and BMI with breast cancer risk using weighted Cox models. All statistical tests were two-sided. RESULTS: Observed height was positively associated with breast cancer risk (HR = 1.09 per 10 cm increase, 95% confidence interval [CI] = 1.0 to 1.17; P = 1.17). Height genetic score was positively associated with breast cancer, although this was not statistically significant (per 10 cm increase in genetically predicted height, HR = 1.04, 95% CI = 0.93 to 1.17; P = .47). Observed BMI was inversely associated with breast cancer risk (per 5 kg/m2 increase, HR = 0.94, 95% CI = 0.90 to 0.98; P = .007). BMI genetic score was also inversely associated with breast cancer risk (per 5 kg/m2 increase in genetically predicted BMI, HR = 0.87, 95% CI = 0.76 to 0.98; P = .02). BMI was primarily associated with premenopausal breast cancer. CONCLUSION: Height is associated with overall breast cancer and BMI is associated with premenopausal breast cancer in BRCA1/2 mutation carriers. Incorporating height and BMI, particularly genetic score, into risk assessment may improve cancer management.

Cancer Genetics and Prevention Program University of California San Francisco San Francisco CA

Cancer Research Malaysia Subang Jaya Selangor Malaysia Breast Cancer Research Unit Cancer Research Institute University Malaya Medical Centre Kuala Lumpur Malaysia

Cancer Risk and Prevention Clinic Dana Farber Cancer Institute Boston MA

Cancer Risk and Prevention Clinic Dana Farber Cancer Institute Boston MA Institute of Genetic Medicine Centre for Life Newcastle Upon Tyne Hospitals NHS Trust Newcastle upon Tyne UK

Center for Clinical Cancer Genetics The University of Chicago Chicago IL Department of Epidemiology and Biostatistics School of Public Health Peking University Health Science Center Beijing China

Center for Genomic Medicine Rigshospitalet Copenhagen University Hospital Copenhagen Denmark

Center for Medical Genetics NorthShore University HealthSystem Evanston IL

Center for Medical Genetics NorthShore University HealthSystem Evanston IL The University of Chicago Pritzker School of Medicine Chicago IL

Centers for Hereditary Breast and Ovarian Cancer Integrated Oncology and Molecular Medicine University Hospital of Cologne Cologne Germany Molecular Genetics of Breast Cancer German Cancer Research Center Heidelberg Germany

Centre for Cancer Research and Cell Biology Queens University Belfast Belfast UK

Centre for Epidemiology and Biostatistics Melbourne School of Population and Global Health The University of Melbourne Melbourne Victoria Australia

Centre for Medical Genetics Ghent University Ghent Belgium

Centro de Investigación en Red de Enfermedades Raras Valencia Spain Department of Obstetrics and Gynecology Medical University of Vienna Vienna Austria

City of Hope Clinical Cancer Genetics Community Research Network Duarte CA

Clinical Cancer Genetics City of Hope Duarte CA

Clinical Genetics Branch Division of Cancer Epidemiology and Genetics National Cancer Institute Rockville MD

Clinical Genetics Department St Michael's Hospital Bristol UK

Clinical Genetics Guy's and St Thomas' NHS Foundation Trust London UK

Clinical Genetics Karolinska Institutet Stockholm Sweden

Clinical Genetics Research Laboratory Department of Cancer Biology and Genetics Memorial Sloan Kettering Cancer Center New York NY

Clinical Genetics Research Laboratory Department of Cancer Biology and Genetics Memorial Sloan Kettering Cancer Center New York NY Clinical Genetics Service Department of Medicine Memorial Sloan Kettering Cancer Center New York NY

Clinical Genetics Service Department of Medicine Memorial Sloan Kettering Cancer Center New York NY

Department of Breast Medical Oncology University of Texas MD Anderson Cancer Center Houston TX

Department of Cancer Biology and Genetics Comprehensive Cancer Center The Ohio State University Columbus OH

Department of Cancer Epidemiology Moffitt Cancer Center Tampa FL

Department of Clinical Genetics Academic Medical Center Amsterdam the Netherlands

Department of Clinical Genetics Academic Medical Center Amsterdam the Netherlands Center for Medical Genetics NorthShore University HealthSystem Evanston IL The University of Chicago Pritzker School of Medicine Chicago IL

Department of Clinical Genetics and GROW School for Oncology and Developmental Biology Maastricht University Medical Center Maastricht the Netherlands

Department of Clinical Genetics and GROW School for Oncology and Developmental Biology Maastricht University Medical Center Maastricht the Netherlands Women's Cancer Program at the Samuel Oschin Comprehensive Cancer Institute Cedars Sinai Medical Center Los Angeles CA Department of Surgery Soonchunhyang University College of Medicine and Soonchunhyang University Hospital Seoul Korea

Department of Clinical Genetics Erasmus University Medical Center Rotterdam the Netherlands

Department of Clinical Genetics Fox Chase Cancer Center Philadelphia PA

Department of Clinical Genetics Helsinki University Hospital University of Helsinki Helsinki Finland

Department of Clinical Genetics Leiden University Medical Center Leiden the Netherlands

Department of Clinical Genetics Odense University Hospital Odense C Denmark

Department of Clinical Genetics South Glasgow University Hospitals Glasgow UK

Department of Clinical Genetics VU University Medical Center Amsterdam the Netherlands

Department of Dermatology Huntsman Cancer Institute University of Utah School of Medicine Salt Lake City UT

Department of Epidemiology Mailman School of Public Health Columbia University New York NY

Department of Epidemiology Netherlands Cancer Institute Amsterdam the Netherlands

Department of Genetics and Computational Biology QIMR Berghofer Medical Research Institute Brisbane Queensland Australia

Department of Genetics and Pathology Pomeranian Medical University Szczecin Poland

Department of Genetics Portuguese Oncology Institute Porto Portugal Biomedical Sciences Institute University of Porto Porto Portugal

Department of Genetics University Medical Center Groningen University of Groningen Groningen the Netherlands

Department of Genetics University of Pretoria Arcadia South Africa

Department of Genetics University of Pretoria Arcadia South Africa City of Hope Clinical Cancer Genetics Community Research Network Duarte CA

Department of Gynaecology and Obstetrics University of Ulm Ulm Germany

Department of Gynecology and Obstetrics Technical University of Dresden Dresden Germany Department of Clinical Genetics and GROW School for Oncology and Developmental Biology Maastricht University Medical Center Maastricht the Netherlands

Department of Gynecology and Obstetrics University Hospital Düsseldorf Heinrich Heine University Düsseldorf Düsseldorf Germany

Department of Human Genetics Radboud University Medical Center Nijmegen the Netherlands

Department of Laboratory Medicine and Pathology Mayo Clinic Rochester MN

Department of Medical Genetics University Medical Center Utrecht the Netherlands

Department of Medical Oncology Beth Israel Deaconess Medical Center Boston MA

Department of Medicine Abramson Cancer Center Perelman School of Medicine at the University of Pennsylvania Philadelphia PA

Department of Medicine Huntsman Cancer Institute at the University of Utah Salt Lake City UT

Department of Medicine The University of Chicago Chicago IL

Department of Medicine The University of Chicago Chicago IL Department of Public Health Sciences The University of Chicago Chicago IL

Department of Molecular Genetics National Institute of Oncology Budapest Hungary

Department of Molecular Medicine University La Sapienza Rome Italy

Department of Obstetrics and Gynecology and Comprehensive Cancer Center Medical University of Vienna Vienna Austria

Department of Obstetrics and Gynecology Helsinki University Hospital University of Helsinki Helsinki Finland

Department of Oncology Lund University and Skåne University Hospital Lund Sweden

Department of Pathology and Laboratory Medicine Kansas University Medical Center Kansas City KS

Department of Pathology National Institute of Oncology Budapest Hungary School of Medicine University of Iceland Reykjavik Iceland

Department of Population Sciences Beckman Research Institute of City of Hope Duarte CA

Department of Public Health and Primary Care Centre for Cancer Genetic Epidemiology University of Cambridge Cambridge UK

Department of Public Health and Primary Care Centre for Cancer Genetic Epidemiology University of Cambridge Cambridge UK Centre for Cancer Genetic Epidemiology Department of Oncology University of Cambridge Cambridge UK

Department of Surgery Daerim Saint Mary's Hospital Seoul Korea

Department of Surgery Seoul National University Bundang Hospital Seongnam Korea

Department of Surgery Soonchunhyang University College of Medicine and Soonchunhyang University Hospital Seoul Korea

Department of Surgery Soonchunhyang University Hospital Bucheon Bucheon Korea

Department of Surgery Ulsan University College of Medicine and Asan Medical Center Seoul Korea

Department of Tumour Biology Institut Curie INSERM U830 Paris France Université Paris Descartes Paris France

Department of Urology Medical University of Vienna Vienna Austria

Departments of Pediatrics and Medicine Columbia University New York NY

Departments of Preventive Medicine and Biomedical Sciences and Cancer Research Institute Seoul National University Seoul Korea

Division of Evolution and Genomic Sciences Genomic Medicine Manchester Academic Health Sciences Centre University of Manchester Central Manchester University Hospitals NHS Foundation Trust Manchester UK

Division of Gastroenterology Department of Hepatology and Nutrition Children's Hospital of Philadelphia Philadelphia PA

Division of Gynaecology and Obstetrics Technische Universität München Munich Germany

Division of Gynaecology and Obstetrics Technische Universität München Munich Germany NRG Oncology Statistics and Data Management Center Roswell Park Cancer Institute Buffalo NY

Division of Gynecologic Oncology NorthShore University HealthSystem University of Chicago Evanston IL

Family Cancer Clinic Netherlands Cancer Institute Antoni van Leeuwenhoek Hospital Amsterdam the Netherlands

Fred A Litwin Center for Cancer Genetics Lunenfeld Tanenbaum Research Institute of Mount Sinai Hospital Toronto ON Canada

Fred A Litwin Center for Cancer Genetics Lunenfeld Tanenbaum Research Institute of Mount Sinai Hospital Toronto ON Canada Department of Molecular Genetics University of Toronto Toronto ON Canada

Genetic Counseling Unit Hereditary Cancer Program IDIBGI Catalan Institute of Oncology CIBERONC Girona Spain

Genetic Epidemiology of Cancer team Institut Curie Paris France U900 INSERM Paris France PSL University Paris France Mines ParisTech Fontainebleau France

Genomics Center Centre Hospitalier Universitaire de Québec Research Center Laval University Québec City QC Canada

Harvard T H Chan School of Public Health Boston MA Dana Farber Cancer Institute Harvard Medical School Boston MA

Hong Kong Hereditary Breast Cancer Family Registry Happy Valley Hong Kong Department of Surgery The University of Hong Kong Pok Fu Lam Hong Kong Department of Surgery Hong Kong Sanatorium and Hospital Happy Valley Hong Kong

IFOM The FIRC Institute of Molecular Oncology Milan Italy

Immunology and Molecular Oncology Unit Veneto Institute of Oncology IOV IRCCS Padua Italy Department of Clinical Genetics and GROW School for Oncology and Developmental Biology Maastricht University Medical Center Maastricht the Netherlands

Institute for Medical Informatics Statistics and Epidemiology University of Leipzig Leipzig Germany LIFE Leipzig Research Centre for Civilization Diseases University of Leipzig Leipzig Germany

Institute of Genetic Medicine Centre for Life Newcastle Upon Tyne Hospitals NHS Trust Newcastle upon Tyne UK

Institute of Human Genetics University Hospital Heidelberg Heidelberg Germany

Laboratoire de génétique médicale Nancy Université Centre Hospitalier Régional et Universitaire Vandoeuvre les Nancy France

Leicestershire Clinical Genetics Service University Hospitals of Leicester NHS Trust Leicester UK Genetic Counseling Unit Hereditary Cancer Program IDIBGI Catalan Institute of Oncology CIBERONC Girona Spain

Leicestershire Clinical Genetics Service University Hospitals of Leicester NHS Trust Leicester UK Service de Génétique Institut Curie Paris France

Lombardi Comprehensive Cancer Center Georgetown University Washington DC

Molecular Diagnostic Unit Hereditary Cancer Program ICO IDIBELL CIBERONC Barcelona Spain Department of Cancer Epidemiology and Genetics Masaryk Memorial Cancer Institute Brno Czech Republic

Molecular Diagnostics Laboratory INRASTES National Centre for Scientific Research 'Demokritos' Athens Greece

Molecular Oncology Laboratory Hospital Clinico San Carlos IdISSC CIBERONC Madrid Spain

N N Petrov Institute of Oncology St Petersburg Russia

Ocogenetics Team The Institute of Cancer Research and Royal Marsden NHS Foundation Trust London UK

Oncogenetics Group Clinical and Molecular Genetics Area Vall d'Hebron Institute of Oncology

Oncogénétique Institut Bergonié Bordeaux France Department of Pathology and Laboratory Medicine Kansas University Medical Center Kansas City KS

Peter MacCallum Cancer Center Melbourne Victoria Australia Sir Peter MacCallum Department of Oncology The University of Melbourne Melbourne Victoria Australia

Program in Cancer Genetics Departments of Human Genetics and Oncology McGill University Montréal QC Canada Department of Medical Genetics Addenbrooke's Hospital Cambridge UK

School of Medicine University of New South Wales Sydney New South Wales Australia Hereditary Cancer Centre Prince of Wales Hospital Sydney New South Wales Australia

School of Women's and Children's Health University of New South Wales Sydney New South Wales Australia The Kinghorn Cancer Centre Garvan Institute of Medical Research Sydney New South Wales Australia

Schools of Medicine and Public Health Division of Cancer Prevention and Control Research Jonsson Comprehensive Cancer Center University of California Los Angeles CA

Section of Genetic Oncology Department of Laboratory Medicine University and University Hospital of Pisa Pisa Italy

Service de Génétique Institut Curie Paris France

Service de Génétique Institut Curie Paris France Human Cancer Genetics Program Spanish National Cancer Research Centre Madrid Spain Centro de Investigación en Red de Enfermedades Raras Valencia Spain Department of Obstetrics and Gynecology Medical University of Vienna Vienna Austria

The Ohio State University Columbus Cancer Council Columbus OH

The Susanne Levy Gertner Oncogenetics Unit Chaim Sheba Medical Center Ramat Gan Israel

The Susanne Levy Gertner Oncogenetics Unit Chaim Sheba Medical Center Ramat Gan Israel Sackler Faculty of Medicine Tel Aviv University Ramat Aviv Israel

Unit of Medical Genetics Department of Medical Oncology and Hematology Fondazione IRCCS Milan Italy

Unit of Molecular Bases of Genetic Risk and Genetic Testing Department of Research Fondazione IRCCS Milan Italy

Unité d'Oncogénétique CHU Arnaud de Villeneuve Montpellier France

Unité de Prévention et d'Epidémiologie Génétique Centre Léon Bérard Lyon France

Unité de recherche en santé des populations Centre des maladies du sein Deschênes Fabia Hôpital du Saint Sacrement Québec QC Canada

West Midlands Regional Genetics Service Birmingham Women's Hospital Healthcare NHS Trust Birmingham UK

Women's Cancer Program at the Samuel Oschin Comprehensive Cancer Institute Cedars Sinai Medical Center Los Angeles CA

Yorkshire Regional Genetics Service Chapel Allerton Hospital Leeds UK Department of Clinical Genetics and GROW School for Oncology and Developmental Biology Maastricht University Medical Center Maastricht the Netherlands

Citace poskytuje Crossref.org

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$a BACKGROUND: BRCA1/2 mutations confer high lifetime risk of breast cancer, although other factors may modify this risk. Whether height or body mass index (BMI) modifies breast cancer risk in BRCA1/2 mutation carriers remains unclear. METHODS: We used Mendelian randomization approaches to evaluate the association of height and BMI on breast cancer risk, using data from the Consortium of Investigators of Modifiers of BRCA1/2 with 14 676 BRCA1 and 7912 BRCA2 mutation carriers, including 11 451 cases of breast cancer. We created a height genetic score using 586 height-associated variants and a BMI genetic score using 93 BMI-associated variants. We examined both observed and genetically determined height and BMI with breast cancer risk using weighted Cox models. All statistical tests were two-sided. RESULTS: Observed height was positively associated with breast cancer risk (HR = 1.09 per 10 cm increase, 95% confidence interval [CI] = 1.0 to 1.17; P = 1.17). Height genetic score was positively associated with breast cancer, although this was not statistically significant (per 10 cm increase in genetically predicted height, HR = 1.04, 95% CI = 0.93 to 1.17; P = .47). Observed BMI was inversely associated with breast cancer risk (per 5 kg/m2 increase, HR = 0.94, 95% CI = 0.90 to 0.98; P = .007). BMI genetic score was also inversely associated with breast cancer risk (per 5 kg/m2 increase in genetically predicted BMI, HR = 0.87, 95% CI = 0.76 to 0.98; P = .02). BMI was primarily associated with premenopausal breast cancer. CONCLUSION: Height is associated with overall breast cancer and BMI is associated with premenopausal breast cancer in BRCA1/2 mutation carriers. Incorporating height and BMI, particularly genetic score, into risk assessment may improve cancer management.
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$a Wang, Shengfeng $u Center for Clinical Cancer Genetics, The University of Chicago, Chicago, IL. Department of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center, Beijing, China.
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$a Mitchell, Jonathan $u Division of Gastroenterology, Department of Hepatology and Nutrition, Children's Hospital of Philadelphia, Philadelphia, PA.
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$a McGuffog, Lesley $u Department of Public Health and Primary Care, Centre for Cancer Genetic Epidemiology, University of Cambridge, Cambridge, UK.
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700    1_
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700    1_
$a Oosterwijk, Jan C $u Department of Genetics, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
700    1_
$a Chung, Wendy K $u Departments of Pediatrics and Medicine, Columbia University, New York, NY.
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$a Evans, D Gareth $u Division of Evolution and Genomic Sciences, Genomic Medicine, Manchester Academic Health Sciences Centre, University of Manchester, Central Manchester University Hospitals, NHS Foundation Trust, Manchester, UK.
700    1_
$a Engel, Christoph $u Institute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Leipzig, Germany. LIFE - Leipzig Research Centre for Civilization Diseases, University of Leipzig, Leipzig, Germany.
700    1_
$a Kast, Karin $u Department of Gynecology and Obstetrics, Technical University of Dresden, Dresden, Germany. Department of Clinical Genetics and GROW, School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, the Netherlands.
700    1_
$a Aalfs, Cora M $u Department of Clinical Genetics, Academic Medical Center, Amsterdam, the Netherlands. Center for Medical Genetics, NorthShore University HealthSystem, Evanston, IL. The University of Chicago Pritzker School of Medicine, Chicago, IL.
700    1_
$a Adank, Muriel A $u Family Cancer Clinic, Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands.
700    1_
$a Adlard, Julian $u Yorkshire Regional Genetics Service, Chapel Allerton Hospital, Leeds, UK. Department of Clinical Genetics and GROW, School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, the Netherlands.
700    1_
$a Agnarsson, Bjarni A $u Department of Pathology, National Institute of Oncology, Budapest, Hungary. School of Medicine, University of Iceland, Reykjavik, Iceland.
700    1_
$a Aittomäki, Kristiina $u Department of Clinical Genetics, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
700    1_
$a Alducci, Elisa $u Immunology and Molecular Oncology Unit, Veneto Institute of Oncology IOV - IRCCS, Padua, Italy. Department of Clinical Genetics and GROW, School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, the Netherlands.
700    1_
$a Andrulis, Irene L $u Fred A. Litwin Center for Cancer Genetics, Lunenfeld-Tanenbaum Research Institute of Mount Sinai Hospital, Toronto, ON, Canada. Department of Molecular Genetics, University of Toronto, Toronto, ON, Canada.
700    1_
$a Arun, Banu K $u Department of Breast Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX.
700    1_
$a Ausems, Margreet G E M $u Department of Medical Genetics, University Medical Center, Utrecht, the Netherlands.
700    1_
$a Azzollini, Jacopo $u Unit of Medical Genetics, Department of Medical Oncology and Hematology, Fondazione IRCCS (Istituto Di Ricovero e Cura a Carattere Scientifico) Istituto Nazionale dei Tumori (INT), Milan, Italy.
700    1_
$a Barouk-Simonet, Emmanuelle $u Oncogénétique, Institut Bergonié, Bordeaux, France. Department of Pathology and Laboratory Medicine, Kansas University Medical Center, Kansas City, KS.
700    1_
$a Barwell, Julian $u Leicestershire Clinical Genetics Service, University Hospitals of Leicester NHS Trust, Leicester, UK. Genetic Counseling Unit, Hereditary Cancer Program, IDIBGI (Institut d'Investigació Biomèdica de Girona), Catalan Institute of Oncology, CIBERONC, Girona, Spain.
700    1_
$a Belotti, Muriel $u Service de Génétique, Institut Curie, Paris, France.
700    1_
$a Benitez, Javier $u Schools of Medicine and Public Health, Division of Cancer Prevention & Control Research, Jonsson Comprehensive Cancer Center, University of California Los Angeles, CA.
700    1_
$a Berger, Andreas $u Department of Oncology, Lund University and Skåne University Hospital, Lund, Sweden.
700    1_
$a Borg, Ake $u Cancer Risk and Prevention Clinic, Dana-Farber Cancer Institute, Boston, MA. Institute of Genetic Medicine, Centre for Life, Newcastle Upon Tyne Hospitals NHS Trust, Newcastle upon Tyne, UK.
700    1_
$a Bradbury, Angela R $u Department of Medicine, Abramson Cancer Center, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
700    1_
$a Brunet, Joan $u Service de Génétique, Institut Curie, Paris, France. Human Cancer Genetics Program, Spanish National Cancer Research Centre, Madrid, Spain. Centro de Investigación en Red de Enfermedades Raras (CIBERER), Valencia, Spain, Department of Obstetrics and Gynecology, Medical University of Vienna, Vienna, Austria.
700    1_
$a Buys, Saundra S $u Department of Medicine, Huntsman Cancer Institute at the University of Utah, Salt Lake City, UT.
700    1_
$a Caldes, Trinidad $u Molecular Oncology Laboratory, Hospital Clinico San Carlos, IdISSC, CIBERONC, Madrid, Spain.
700    1_
$a Caligo, Maria A $u Section of Genetic Oncology, Department of Laboratory Medicine, University and University Hospital of Pisa, Pisa, Italy.
700    1_
$a Campbell, Ian $u Peter MacCallum Cancer Center, Melbourne, Victoria, Australia. Sir Peter MacCallum Department of Oncology, The University of Melbourne, Melbourne, Victoria, Australia.
700    1_
$a Caputo, Sandrine M $u Leicestershire Clinical Genetics Service, University Hospitals of Leicester NHS Trust, Leicester, UK. Service de Génétique, Institut Curie, Paris, France.
700    1_
$a Chiquette, Jocelyne $u Unité de recherche en santé des populations, Centre des maladies du sein Deschênes-Fabia, Hôpital du Saint-Sacrement, Québec, QC, Canada.
700    1_
$a Claes, Kathleen B M $u Centre for Medical Genetics, Ghent University, Ghent, Belgium.
700    1_
$a Margriet Collée, J $u Department of Clinical Genetics, Erasmus University Medical Center, Rotterdam, the Netherlands.
700    1_
$a Couch, Fergus J $u Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.
700    1_
$a Coupier, Isabelle $u Unité d'Oncogénétique, CHU Arnaud de Villeneuve, Montpellier, France.
700    1_
$a Daly, Mary B $u Department of Clinical Genetics, Fox Chase Cancer Center, Philadelphia, PA.
700    1_
$a Davidson, Rosemarie $u Department of Clinical Genetics, South Glasgow University Hospitals, Glasgow, UK.
700    1_
$a Diez, Orland $u N.N. Petrov Institute of Oncology, St. Petersburg, Russia.
700    1_
$a Domchek, Susan M $u Department of Medicine, Abramson Cancer Center, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
700    1_
$a Donaldson, Alan $u Oncogenetics Group, Clinical and Molecular Genetics Area, Vall d'Hebron Institute of Oncology (VHIO), University Hospital, Vall d'Hebron, Barcelona, Spain (OD); Clinical Genetics Department, St Michael's Hospital, Bristol, UK.
700    1_
$a Dorfling, Cecilia M $u Department of Genetics, University of Pretoria, Arcadia, South Africa. City of Hope Clinical Cancer Genetics Community Research Network, Duarte, CA.
700    1_
$a Eeles, Ros $u Ocogenetics Team, The Institute of Cancer Research and Royal Marsden NHS Foundation Trust, London, UK.
700    1_
$a Feliubadaló, Lidia $u Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.
700    1_
$a Foretova, Lenka $u Molecular Diagnostic Unit, Hereditary Cancer Program, ICO-IDIBELL (Catalan Institute of Oncology, Bellvitge Biomedical Research Institute), CIBERONC, Barcelona, Spain. Department of Cancer Epidemiology and Genetics, Masaryk Memorial Cancer Institute, Brno, Czech Republic.
700    1_
$a Fowler, Jeffrey $u The Ohio State University, Columbus Cancer Council, Columbus, OH.
700    1_
$a Friedman, Eitan $u The Susanne Levy Gertner Oncogenetics Unit, Chaim Sheba Medical Center, Ramat Gan, Israel. Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Israel.
700    1_
$a Frost, Debra $u Department of Public Health and Primary Care, Centre for Cancer Genetic Epidemiology, University of Cambridge, Cambridge, UK.
700    1_
$a Ganz, Patricia A $u Schools of Medicine and Public Health, Division of Cancer Prevention & Control Research, Jonsson Comprehensive Cancer Center, University of California Los Angeles, CA.
700    1_
$a Garber, Judy $u Cancer Risk and Prevention Clinic, Dana-Farber Cancer Institute, Boston, MA.
700    1_
$a Garcia-Barberan, Vanesa $u Molecular Oncology Laboratory, Hospital Clinico San Carlos, IdISSC, CIBERONC, Madrid, Spain.
700    1_
$a Glendon, Gord $u Fred A. Litwin Center for Cancer Genetics, Lunenfeld-Tanenbaum Research Institute of Mount Sinai Hospital, Toronto, ON, Canada.
700    1_
$a Godwin, Andrew K $u Department of Pathology and Laboratory Medicine, Kansas University Medical Center, Kansas City, KS.
700    1_
$a Gómez Garcia, Encarna B $u Department of Clinical Genetics and GROW, School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, the Netherlands.
700    1_
$a Gronwald, Jacek $u Department of Clinical Genetics and GROW, School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, the Netherlands.
700    1_
$a Hahnen, Eric $u Centers for Hereditary Breast and Ovarian Cancer, Integrated Oncology and Molecular Medicine, University Hospital of Cologne, Cologne, Germany Molecular Genetics of Breast Cancer, German Cancer Research Center (DKFZ), Heidelberg, Germany.
700    1_
$a Hamann, Ute
700    1_
$a Henderson, Alex $u Institute of Genetic Medicine, Centre for Life, Newcastle Upon Tyne Hospitals NHS Trust, Newcastle upon Tyne, UK.
700    1_
$a Hendricks, Carolyn B $u City of Hope Clinical Cancer Genetics Community Research Network, Duarte, CA.
700    1_
$a Hopper, John L $u Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.
700    1_
$a Hulick, Peter J $u Center for Medical Genetics, NorthShore University HealthSystem, Evanston, IL. The University of Chicago Pritzker School of Medicine, Chicago, IL.
700    1_
$a Imyanitov, Evgeny N $u N.N. Petrov Institute of Oncology, St. Petersburg, Russia.
700    1_
$a Isaacs, Claudine $u Lombardi Comprehensive Cancer Center, Georgetown University, Washington, DC (CI).
700    1_
$a Izatt, Louise $u Clinical Genetics, Guy's and St Thomas' NHS Foundation Trust, London, UK.
700    1_
$a Izquierdo, Ángel $u Genetic Counseling Unit, Hereditary Cancer Program, IDIBGI (Institut d'Investigació Biomèdica de Girona), Catalan Institute of Oncology, CIBERONC, Girona, Spain.
700    1_
$a Jakubowska, Anna $u Department of Clinical Genetics and GROW, School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, the Netherlands.
700    1_
$a Kaczmarek, Katarzyna $u Department of Clinical Genetics and GROW, School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, the Netherlands.
700    1_
$a Kang, Eunyoung $u Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
700    1_
$a Karlan, Beth Y $u Women's Cancer Program at the Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, CA.
700    1_
$a Kets, Carolien M $u Department of Human Genetics, Radboud University Medical Center, Nijmegen, the Netherlands.
700    1_
$a Kim, Sung-Won $u Department of Surgery, Daerim Saint Mary's Hospital, Seoul, Korea.
700    1_
$a Kim, Zisun $u Department of Surgery, Soonchunhyang University Hospital Bucheon, Bucheon, Korea.
700    1_
$a Kwong, Ava $u Hong Kong Hereditary Breast Cancer Family Registry, Happy Valley, Hong Kong. Department of Surgery, The University of Hong Kong, Pok Fu Lam, Hong Kong. Department of Surgery, Hong Kong Sanatorium and Hospital, Happy Valley, Hong Kong.
700    1_
$a Laitman, Yael $u The Susanne Levy Gertner Oncogenetics Unit, Chaim Sheba Medical Center, Ramat Gan, Israel.
700    1_
$a Lasset, Christine $u Unité de Prévention et d'Epidémiologie Génétique, Centre Léon Bérard, Lyon, France.
700    1_
$a Hyuk Lee, Min $u Department of Surgery, Soonchunhyang University College of Medicine and Soonchunhyang University Hospital, Seoul, Korea.
700    1_
$a Won Lee, Jong $u Department of Surgery, Ulsan University College of Medicine and Asan Medical Center, Seoul, Korea.
700    1_
$a Lee, Jihyoun $u Department of Clinical Genetics and GROW, School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, the Netherlands. Women's Cancer Program at the Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, CA. Department of Surgery, Soonchunhyang University College of Medicine and Soonchunhyang University Hospital, Seoul, Korea.
700    1_
$a Lester, Jenny $u Department of Clinical Genetics and GROW, School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, the Netherlands.
700    1_
$a Lesueur, Fabienne $u Genetic Epidemiology of Cancer team, Institut Curie, Paris, France. U900, INSERM, Paris, France. PSL University, Paris, France. Mines ParisTech, Fontainebleau, France.
700    1_
$a Loud, Jennifer T $u Clinical Genetics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD.
700    1_
$a Lubinski, Jan $u Department of Clinical Genetics and GROW, School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, the Netherlands.
700    1_
$a Mebirouk, Noura $u Genetic Epidemiology of Cancer team, Institut Curie, Paris, France. U900, INSERM, Paris, France. PSL University, Paris, France. Mines ParisTech, Fontainebleau, France.
700    1_
$a Meijers-Heijboer, Hanne E J $u Department of Clinical Genetics, VU University Medical Center, Amsterdam, the Netherlands.
700    1_
$a Meindl, Alfons $u Division of Gynaecology and Obstetrics, Technische Universität München, Munich, Germany. NRG Oncology, Statistics and Data Management Center, Roswell Park Cancer Institute, Buffalo, NY.
700    1_
$a Miller, Austin $u Division of Gynaecology and Obstetrics, Technische Universität München, Munich, Germany.
700    1_
$a Montagna, Marco $u Department of Genetics and Pathology, Pomeranian Medical University, Szczecin, Poland.
700    1_
$a Mooij, Thea M $u Department of Epidemiology, Netherlands Cancer Institute, Amsterdam, the Netherlands.
700    1_
$a Morrison, Patrick J $u Centre for Cancer Research and Cell Biology, Queens University Belfast, Belfast, UK.
700    1_
$a Mouret-Fourme, Emmanuelle $u Service de Génétique, Institut Curie, Paris, France.
700    1_
$a Nathanson, Katherine L
700    1_
$a Neuhausen, Susan L $u Department of Population Sciences, Beckman Research Institute of City of Hope, Duarte, CA.
700    1_
$a Nevanlinna, Heli $u Department of Obstetrics and Gynecology, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
700    1_
$a Niederacher, Dieter $u Department of Gynecology and Obstetrics, University Hospital Düsseldorf, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany.
700    1_
$a Nielsen, Finn C $u Center for Genomic Medicine, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
700    1_
$a Nussbaum, Robert L $u Cancer Genetics and Prevention Program, University of California San Francisco, San Francisco, CA.
700    1_
$a Offit, Kenneth $u Clinical Genetics Research Laboratory, Department of Cancer Biology and Genetics, Memorial Sloan-Kettering Cancer Center, New York, NY. Clinical Genetics Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY.
700    1_
$a Olah, Edith $u Department of Molecular Genetics, National Institute of Oncology, Budapest, Hungary.
700    1_
$a Ong, Kai-Ren $u West Midlands Regional Genetics Service, Birmingham Women's Hospital Healthcare NHS Trust, Birmingham, UK.
700    1_
$a Ottini, Laura $u Department of Molecular Medicine, University La Sapienza, Rome, Italy.
700    1_
$a Park, Sue K $u Departments of Preventive Medicine and Biomedical Sciences, and Cancer Research Institute, Seoul National University, Seoul, Korea.
700    1_
$a Peterlongo, Paolo $u IFOM, The FIRC (Italian Foundation for Cancer Research) Institute of Molecular Oncology, Milan, Italy.
700    1_
$a Pfeiler, Georg $u Department of Urology, Medical University of Vienna, Vienna, Austria.
700    1_
$a Phelan, Catherine M $u Department of Cancer Epidemiology, Moffitt Cancer Center, Tampa, FL.
700    1_
$a Poppe, Bruce $u Centre for Medical Genetics, Ghent University, Ghent, Belgium.
700    1_
$a Pradhan, Nisha $u Clinical Genetics Research Laboratory, Department of Cancer Biology and Genetics, Memorial Sloan-Kettering Cancer Center, New York, NY.
700    1_
$a Radice, Paolo $u Unit of Molecular Bases of Genetic Risk and Genetic Testing, Department of Research, Fondazione IRCCS (Istituto Di Ricovero e Cura a Carattere Scientifico) Istituto Nazionale dei Tumori (INT), Milan, Italy.
700    1_
$a Ramus, Susan J $u School of Women's and Children's Health, University of New South Wales Sydney, New South Wales, Australia. The Kinghorn Cancer Centre, Garvan Institute of Medical Research, Sydney, New South Wales, Australia.
700    1_
$a Rantala, Johanna $u Clinical Genetics, Karolinska Institutet, Stockholm, Sweden.
700    1_
$a Robson, Mark $u Clinical Genetics Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY.
700    1_
$a Rodriguez, Gustavo C $u Division of Gynecologic Oncology, NorthShore University HealthSystem, University of Chicago, Evanston, IL.
700    1_
$a Schmutzler, Rita K $u Centers for Hereditary Breast and Ovarian Cancer, Integrated Oncology and Molecular Medicine, University Hospital of Cologne, Cologne, Germany Molecular Genetics of Breast Cancer, German Cancer Research Center (DKFZ), Heidelberg, Germany.
700    1_
$a Hutten Selkirk, Christina G $u Center for Medical Genetics, NorthShore University HealthSystem, Evanston, IL.
700    1_
$a Shah, Payal D $u Department of Medicine, Abramson Cancer Center, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
700    1_
$a Simard, Jacques $u Laboratoire de génétique médicale, Nancy Université, Centre Hospitalier Régional et Universitaire, Vandoeuvre-les-Nancy, France.
700    1_
$a Singer, Christian F $u Department of Obstetrics and Gynecology and Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
700    1_
$a Sokolowska, Johanna $u Genomics Center, Centre Hospitalier Universitaire de Québec Research Center, Laval University, Québec City, QC, Canada.
700    1_
$a Stoppa-Lyonnet, Dominique $u Department of Tumour Biology, Institut Curie, INSERM U830, Paris, France. Université Paris Descartes, Paris, France.
700    1_
$a Sutter, Christian $u Institute of Human Genetics, University Hospital Heidelberg, Heidelberg, Germany.
700    1_
$a Yen Tan, Yen $u Centro de Investigación en Red de Enfermedades Raras (CIBERER), Valencia, Spain, Department of Obstetrics and Gynecology, Medical University of Vienna, Vienna, Austria.
700    1_
$a Teixeira, R Manuel $u Department of Genetics, Portuguese Oncology Institute, Porto, Portugal. Biomedical Sciences Institute (ICBAS), University of Porto, Porto, Portugal.
700    1_
$a Teo, Soo H $u Cancer Research Malaysia, Subang Jaya, Selangor, Malaysia. Breast Cancer Research Unit, Cancer Research Institute, University Malaya Medical Centre, Kuala Lumpur, Malaysia.
700    1_
$a Terry, Mary Beth $u Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY.
700    1_
$a Thomassen, Mads $u Department of Clinical Genetics, Odense University Hospital, Odense C, Denmark.
700    1_
$a Tischkowitz, Marc $u Program in Cancer Genetics, Departments of Human Genetics and Oncology, McGill University, Montréal, QC, Canada. Department of Medical Genetics, Addenbrooke's Hospital, Cambridge, UK.
700    1_
$a Toland, Amanda E $u Department of Cancer Biology and Genetics, Comprehensive Cancer Center, The Ohio State University, Columbus, OH.
700    1_
$a Tucker, Katherine M $u School of Medicine, University of New South Wales, Sydney, New South Wales, Australia. Hereditary Cancer Centre, Prince of Wales Hospital, Sydney, New South Wales, Australia.
700    1_
$a Tung, Nadine $u Department of Medical Oncology, Beth Israel Deaconess Medical Center, Boston, MA.
700    1_
$a van Asperen, Christi J $u Department of Clinical Genetics, Leiden University Medical Center, Leiden, the Netherlands.
700    1_
$a van Engelen, Klaartje $u Department of Clinical Genetics, Academic Medical Center, Amsterdam, the Netherlands.
700    1_
$a van Rensburg, Elizabeth J $u Department of Genetics, University of Pretoria, Arcadia, South Africa.
700    1_
$a Wang-Gohrke, Shan $u Department of Gynaecology and Obstetrics, University of Ulm, Ulm, Germany.
700    1_
$a Wappenschmidt, Barbara $u Centers for Hereditary Breast and Ovarian Cancer, Integrated Oncology and Molecular Medicine, University Hospital of Cologne, Cologne, Germany Molecular Genetics of Breast Cancer, German Cancer Research Center (DKFZ), Heidelberg, Germany.
700    1_
$a Weitzel, Jeffrey N $u Clinical Cancer Genetics, City of Hope, Duarte, CA.
700    1_
$a Yannoukakos, Drakoulis $u Molecular Diagnostics Laboratory, INRASTES, National Centre for Scientific Research 'Demokritos', Athens, Greece.
700    1_
$a Greene, Mark H $u Clinical Genetics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD.
700    1_
$a Rookus, Matti A $u Department of Epidemiology, Netherlands Cancer Institute, Amsterdam, the Netherlands.
700    1_
$a Easton, Douglas F $u Department of Public Health and Primary Care, Centre for Cancer Genetic Epidemiology, University of Cambridge, Cambridge, UK. Centre for Cancer Genetic Epidemiology, Department of Oncology, University of Cambridge, Cambridge, UK.
700    1_
$a Chenevix-Trench, Georgia $u Department of Genetics and Computational Biology, QIMR Berghofer Medical Research Institute, Brisbane, Queensland, Australia.
700    1_
$a Antoniou, Antonis C $u Department of Public Health and Primary Care, Centre for Cancer Genetic Epidemiology, University of Cambridge, Cambridge, UK.
700    1_
$a Goldgar, David E $u Department of Dermatology, Huntsman Cancer Institute, University of Utah School of Medicine, Salt Lake City, UT.
700    1_
$a Olopade, Olufunmilayo I $u Department of Medicine, The University of Chicago, Chicago, IL.
700    1_
$a Rebbeck, Timothy R $u Harvard T.H. Chan School of Public Health, Boston, MA. Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA.
700    1_
$a Huo, Dezheng $u Department of Medicine, The University of Chicago, Chicago, IL. Department of Public Health Sciences, The University of Chicago, Chicago, IL (DH).
710    2_
$a GEMO Study Collaborators
710    2_
$a HEBON
710    2_
$a EMBRACE
773    0_
$w MED00003002 $t Journal of the National Cancer Institute $x 1460-2105 $g Roč. 111, č. 4 (2019), s. 350-364
856    41
$u https://pubmed.ncbi.nlm.nih.gov/30312457 $y Pubmed
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