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Cancer Risks Associated With Germline PALB2 Pathogenic Variants: An International Study of 524 Families
X. Yang, G. Leslie, A. Doroszuk, S. Schneider, J. Allen, B. Decker, AM. Dunning, J. Redman, J. Scarth, I. Plaskocinska, C. Luccarini, M. Shah, K. Pooley, L. Dorling, A. Lee, MA. Adank, J. Adlard, K. Aittomäki, IL. Andrulis, P. Ang, J. Barwell,...
Language English Country United States
Document type Journal Article, Research Support, Non-U.S. Gov't
Grant support
203477/Z/16/Z
Wellcome Trust - United Kingdom
P30 CA008748
NCI NIH HHS - United States
R01 ES027121
NIEHS NIH HHS - United States
K08 CA234394
NCI NIH HHS - United States
L60 MD014321
NIMHD NIH HHS - United States
10124
Cancer Research UK - United Kingdom
NV16-29959A
MZ0
CEP Register
Digital library NLK
Full text - Article
NLK
Free Medical Journals
from 2004 to 1 year ago
Open Access Digital Library
from 1999-01-01
PubMed
31841383
DOI
10.1200/jco.19.01907
Knihovny.cz E-resources
- MeSH
- Adult MeSH
- Genetic Predisposition to Disease MeSH
- Internationality MeSH
- Middle Aged MeSH
- Humans MeSH
- Breast Neoplasms, Male genetics MeSH
- Pancreatic Neoplasms genetics MeSH
- Ovarian Neoplasms genetics MeSH
- Neoplasms genetics MeSH
- Fanconi Anemia Complementation Group N Protein genetics MeSH
- Risk MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Age Factors MeSH
- Germ-Line Mutation MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
PURPOSE: To estimate age-specific relative and absolute cancer risks of breast cancer and to estimate risks of ovarian, pancreatic, male breast, prostate, and colorectal cancers associated with germline PALB2 pathogenic variants (PVs) because these risks have not been extensively characterized. METHODS: We analyzed data from 524 families with PALB2 PVs from 21 countries. Complex segregation analysis was used to estimate relative risks (RRs; relative to country-specific population incidences) and absolute risks of cancers. The models allowed for residual familial aggregation of breast and ovarian cancer and were adjusted for the family-specific ascertainment schemes. RESULTS: We found associations between PALB2 PVs and risk of female breast cancer (RR, 7.18; 95% CI, 5.82 to 8.85; P = 6.5 × 10-76), ovarian cancer (RR, 2.91; 95% CI, 1.40 to 6.04; P = 4.1 × 10-3), pancreatic cancer (RR, 2.37; 95% CI, 1.24 to 4.50; P = 8.7 × 10-3), and male breast cancer (RR, 7.34; 95% CI, 1.28 to 42.18; P = 2.6 × 10-2). There was no evidence for increased risks of prostate or colorectal cancer. The breast cancer RRs declined with age (P for trend = 2.0 × 10-3). After adjusting for family ascertainment, breast cancer risk estimates on the basis of multiple case families were similar to the estimates from families ascertained through population-based studies (P for difference = .41). On the basis of the combined data, the estimated risks to age 80 years were 53% (95% CI, 44% to 63%) for female breast cancer, 5% (95% CI, 2% to 10%) for ovarian cancer, 2%-3% (95% CI females, 1% to 4%; 95% CI males, 2% to 5%) for pancreatic cancer, and 1% (95% CI, 0.2% to 5%) for male breast cancer. CONCLUSION: These results confirm PALB2 as a major breast cancer susceptibility gene and establish substantial associations between germline PALB2 PVs and ovarian, pancreatic, and male breast cancers. These findings will facilitate incorporation of PALB2 into risk prediction models and optimize the clinical cancer risk management of PALB2 PV carriers.
Ambry Genetics Aliso Viejo CA Department of Epidemiology University of California Irvine Irvine CA
Biopathologie Centre Léon Bérard Lyon France
Cancer Research Malaysia Subang Jaya Selangor Malaysia
Center for Clinical Cancer Genetics The University of Chicago Chicago IL
Centre for Medical Genetics Ghent University Ghent Belgium
City of Hope National Medical Center Duarte CA
Clinical Cancer Genomics Community Research Network City of Hope Duarte CA
Department of Clinical Genetics Aarhus University Hospital Aarhus Denmark
Department of Clinical Genetics Helsinki University Hospital University of Helsinki Helsinki Finland
Department of Epidemiology and Biostatistics Memorial Sloan Kettering Cancer Center New York NY
Department of Genetics Centre Hospitalier de l'Université de Montréal Montreal Quebec Canada
Department of Genetics University of MiamiMiller School of Medicine Miami FL
Department of Gynecology and Obstetrics Ludwig Maximilians University of Munich Munich Germany
Department of Health Sciences Research Mayo Clinic Rochester MN
Department of Human Genetics Hannover Medical School Hannover Germany
Department of Molecular Medicine University La Sapienza Rome Italy
Department of Oncology Helsinki University Hospital University of Helsinki Helsinki Finland
Department of Population Sciences Beckman Research Institute City of Hope Duarte CA
Division of Evolution and Genomic Sciences University of Manchester
Division of Oncology and Pathology Department of Clinical Sciences Lund Lund University Lund Sweden
Familial Cancer Program The University of Vermont Cancer Center Burlington VT
Genome Diagnostics Program IFOM The FIRC Institute for Molecular Oncology Milan Italy
INSERM U900 Institut Curie PSL University Mines ParisTech Paris France
Institute for Medical Informatics Statistics and Epidemiology University of Leipzig Leipzig Germany
Lawrence S Bloomberg Faculty of Nursing University of Toronto Toronto Ontario Canada
Lunenfeld Tanenbaum Research Institute of Mount Sinai Hospital Toronto Ontario Canada
Manchester Academic Health Science Centre Manchester United Kingdom
Service de Génétique Institut Curie Paris France
University of Florida Genetics Institute University of Florida Gainesville FL
Wessex Clinical Genetics Service Princess Anne Hospital Southampton United Kingdom
Yorkshire Regional Genetics Service Chapel Allerton Hospital Leeds United Kingdom
References provided by Crossref.org
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