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Alcohol Consumption, Cigarette Smoking, and Risk of Breast Cancer for BRCA1 and BRCA2 Mutation Carriers: Results from The BRCA1 and BRCA2 Cohort Consortium
H. Li, MB. Terry, AC. Antoniou, KA. Phillips, K. Kast, TM. Mooij, C. Engel, C. Noguès, D. Stoppa-Lyonnet, C. Lasset, P. Berthet, V. Mari, O. Caron, GENEPSO study, D. Barrowdale, D. Frost, C. Brewer, DG. Evans, L. Izatt, L. Side, L. Walker, M....
Language English Country United States
Document type Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't
Grant support
CRN-87521
CIHR - Canada
C12292/A20861
Cancer Research UK - United Kingdom
C1287/A11990
Cancer Research UK - United Kingdom
UM1 CA164920
NCI NIH HHS - United States
10118
Cancer Research UK - United Kingdom
C12292/A11174
Cancer Research UK - United Kingdom
NLK
Free Medical Journals
from 1991 to 1 year ago
Freely Accessible Science Journals
from 1991 to 12 months ago
Open Access Digital Library
from 1991-11-01
Open Access Digital Library
from 1991-11-01
- MeSH
- Adult MeSH
- Genetic Predisposition to Disease MeSH
- Heterozygote MeSH
- Cigarette Smoking epidemiology MeSH
- Middle Aged MeSH
- Humans MeSH
- Mutation MeSH
- Breast Neoplasms epidemiology genetics prevention & control MeSH
- Alcohol Drinking epidemiology MeSH
- Prospective Studies MeSH
- BRCA1 Protein genetics MeSH
- BRCA2 Protein genetics MeSH
- Reproductive History MeSH
- Retrospective Studies MeSH
- Risk Factors MeSH
- Life Style * MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Research Support, N.I.H., Extramural MeSH
BACKGROUND: Tobacco smoking and alcohol consumption have been intensively studied in the general population to assess their effects on the risk of breast cancer, but very few studies have examined these effects in BRCA1 and BRCA2 mutation carriers. Given the high breast cancer risk for mutation carriers and the importance of BRCA1 and BRCA2 in DNA repair, better evidence on the associations of these lifestyle factors with breast cancer risk is essential. METHODS: Using a large international pooled cohort of BRCA1 and BRCA2 mutation carriers, we conducted retrospective (5,707 BRCA1 mutation carriers and 3,525 BRCA2 mutation carriers) and prospective (2,276 BRCA1 mutation carriers and 1,610 BRCA2 mutation carriers) analyses of alcohol and tobacco consumption using Cox proportional hazards models. RESULTS: For both BRCA1 and BRCA2 mutation carriers, none of the smoking-related variables was associated with breast cancer risk, except smoking for more than 5 years before a first full-term pregnancy (FFTP) when compared with parous women who never smoked. For BRCA1 mutation carriers, the HR from retrospective analysis (HRR) was 1.19 [95% confidence interval (CI), 1.02-1.39] and the HR from prospective analysis (HRP) was 1.36 (95% CI, 0.99-1.87). For BRCA2 mutation carriers, smoking for more than 5 years before an FFTP showed an association of a similar magnitude, but the confidence limits were wider (HRR = 1.25; 95% CI, 1.01-1.55 and HRP = 1.30; 95% CI, 0.83-2.01). For both carrier groups, alcohol consumption was not associated with breast cancer risk. CONCLUSIONS: The finding that smoking during the prereproductive years increases breast cancer risk for mutation carriers warrants further investigation. IMPACT: This is the largest prospective study of BRCA mutation carriers to assess these important risk factors.
All Wales Medical Genetics Services University Hospital of Wales Cardiff United Kingdom
Center for Molecular Medicine Cologne University of Cologne Cologne Germany
CLCC Antoine Lacassagne Département d'Hématologie Oncologie médicale Nice France
Clinical Genetics Guy's and St Thomas' NHS Foundation Trust London United Kingdom
Département de biopathologie Oncogénétique clinique Centre François Baclesse Caen France
Département de Médecine Gustave Roussy Hôpital Universitaire Villejuif France
Department of Clinical Genetics Fox Chase Cancer Center Philadelphia Pennsylvania
Department of Clinical Genetics Maastricht University Medical Center Maastricht the Netherlands
Department of Clinical Genetics Rigshospitalet Copenhagen University Hospital Copenhagen Denmark
Department of Clinical Genetics Royal Devon and Exeter Hospital Exeter United Kingdom
Department of Clinical Genetics VU University Medical Center Amsterdam the Netherlands
Department of Dermatology University of Utah School of Medicine Salt Lake City Utah
Department of Epidemiology Columbia University New York New York
Department of Epidemiology Netherlands Cancer Institute Amsterdam the Netherlands
Department of Genetics and Pathology Pomeranian Medical University Unii Lubelskiej 1 Szczecin Poland
Department of Human Genetics Radboud University Medical Center Nijmegen the Netherlands
Department of Medical Oncology Peter MacCallum Cancer Centre Melbourne Victoria Australia
Department of Medical Oncology Prince of Wales Hospital Randwick New South Wales Australia
Department of Medical Oncology St Vincent's Hospital Fitzroy Victoria Australia
Department of Molecular Genetics National Institute of Oncology Budapest Hungary
Department of Molecular Genetics University of Toronto Toronto Ontario Canada
Department of OB GYN and Comprehensive Cancer Center Medical University of Vienna Vienna Austria
Department of Oncology Lund University Hospital Lund Sweden
Division of Cancer Epidemiology and Intelligence Cancer Council Victoria Melbourne Australia
Division of Cancer Medicine Peter MacCallum Cancer Centre Melbourne Victoria Australia
German Cancer Consortium Heidelberg Germany
Herbert Irving Comprehensive Cancer Center Columbia University Medical Center New York New York
Human Genetics Group Spanish National Cancer Centre Madrid Spain
Huntsman Cancer Institute University of Utah School of Medicine Salt Lake City Utah
Inserm U830 Université Paris Descartes Paris France
Institut Curie Service de Génétique Médicale Paris France
Institute for Medical Informatics Statistics and Epidemiology University of Leipzig Germany
Lunenfeld Tanenbaum Research Institute Sinai Health System Toronto Ontario Canada
Medical Genetics Unit St George's University of London London United Kingdom
Mines Paris Tech Fontainebleau France
Molecular Oncology Laboratory Hospital Clinico San Carlos IdISSC CIBERONC Madrid Spain
National Center for Tumor Diseases Partner Site Dresden Germany
Oxford Regional Genetics Service Churchill Hospital Oxford United Kingdom
PSL Research University Paris France
South East of Scotland Regional Genetics Service Western General Hospital Edinburgh United Kingdom
The Department of Oncology and Pathology Karolinska Institute Stockholm Sweden
The Sir Peter MacCallum Department of Oncology University of Melbourne Parkville Australia
Wessex Clinical Genetics Service The Princess Anne Hospital Southampton United Kingdom
References provided by Crossref.org
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- $a Alcohol Consumption, Cigarette Smoking, and Risk of Breast Cancer for BRCA1 and BRCA2 Mutation Carriers: Results from The BRCA1 and BRCA2 Cohort Consortium / $c H. Li, MB. Terry, AC. Antoniou, KA. Phillips, K. Kast, TM. Mooij, C. Engel, C. Noguès, D. Stoppa-Lyonnet, C. Lasset, P. Berthet, V. Mari, O. Caron, GENEPSO study, D. Barrowdale, D. Frost, C. Brewer, DG. Evans, L. Izatt, L. Side, L. Walker, M. Tischkowitz, MT. Rogers, ME. Porteous, K. Snape, EMBRACE study, HEJ. Meijers-Heijboer, JJP. Gille, MJ. Blok, N. Hoogerbrugge, HEBON Investigators, MB. Daly, IL. Andrulis, SS. Buys, EM. John, SA. McLachlan, M. Friedlander, kConFab Investigators, YY. Tan, A. Osorio, T. Caldes, A. Jakubowska, J. Simard, CF. Singer, E. Olah, M. Navratilova, L. Foretova, AM. Gerdes, MJ. Roos-Blom, B. Arver, H. Olsson, RK. Schmutzler, JL. Hopper, RL. Milne, DF. Easton, FE. Van Leeuwen, MA. Rookus, N. Andrieu, DE. Goldgar
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- $a BACKGROUND: Tobacco smoking and alcohol consumption have been intensively studied in the general population to assess their effects on the risk of breast cancer, but very few studies have examined these effects in BRCA1 and BRCA2 mutation carriers. Given the high breast cancer risk for mutation carriers and the importance of BRCA1 and BRCA2 in DNA repair, better evidence on the associations of these lifestyle factors with breast cancer risk is essential. METHODS: Using a large international pooled cohort of BRCA1 and BRCA2 mutation carriers, we conducted retrospective (5,707 BRCA1 mutation carriers and 3,525 BRCA2 mutation carriers) and prospective (2,276 BRCA1 mutation carriers and 1,610 BRCA2 mutation carriers) analyses of alcohol and tobacco consumption using Cox proportional hazards models. RESULTS: For both BRCA1 and BRCA2 mutation carriers, none of the smoking-related variables was associated with breast cancer risk, except smoking for more than 5 years before a first full-term pregnancy (FFTP) when compared with parous women who never smoked. For BRCA1 mutation carriers, the HR from retrospective analysis (HRR) was 1.19 [95% confidence interval (CI), 1.02-1.39] and the HR from prospective analysis (HRP) was 1.36 (95% CI, 0.99-1.87). For BRCA2 mutation carriers, smoking for more than 5 years before an FFTP showed an association of a similar magnitude, but the confidence limits were wider (HRR = 1.25; 95% CI, 1.01-1.55 and HRP = 1.30; 95% CI, 0.83-2.01). For both carrier groups, alcohol consumption was not associated with breast cancer risk. CONCLUSIONS: The finding that smoking during the prereproductive years increases breast cancer risk for mutation carriers warrants further investigation. IMPACT: This is the largest prospective study of BRCA mutation carriers to assess these important risk factors.
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