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Use of expression data and the CGEMS genome-wide breast cancer association study to identify genes that may modify risk in BRCA1/2 mutation carriers

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Abstract

Germline mutations in BRCA1 or BRCA2 confer an increased lifetime risk of developing breast or ovarian cancer, but variable penetrance suggests that cancer susceptibility is influenced in part by modifier genes. Microarray expression profiling was conducted for 69 irradiated lymphoblastoid cell lines derived from healthy controls, or from cancer-affected women with a strong family history of breast and ovarian cancer carrying pathogenic mutations in BRCA1 or BRCA2, or with no BRCA1/2 mutations (BRCAX). Genes discriminating between BRCA1, BRCA2 or BRCAX and controls were stratified based on irradiation response and/or cell cycle involvement. Gene lists were aligned against genes tagged with single nucleotide polymorphisms (SNPs) determined by the Cancer Genetic Markers of Susceptibility (CGEMS) Breast Cancer Whole Genome Association Scan to be nominally associated with breast cancer risk. Irradiation responsive genes whose expression correlated with BRCA1 and/or BRCA2 mutation status were more likely to be tagged by risk-associated SNPs in the CGEMS dataset (BRCA1, P = 0.0005; BRCA2, P = 0.01). In contrast, irradiation responsive genes correlating with BRCAX status were not enriched in the CGEMS dataset. Classification of expression data by involvement in cell cycle processes did not enrich for genes tagged by risk-associated SNPs, for BRCA1, BRCA2 or BRCAX groups. Using a novel combinatorial approach, we have identified a subset of irradiation responsive genes as high priority candidate BRCA1/2 modifier genes. Similar approaches may be used to identify genes and underlying genetic risk factors that interact with exogenous stimulants to cause or modify any disease, without a priori knowledge of the pathways involved.

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Acknowledgements

We thank Sue Healey for providing assistance with BIC nomenclature and classifications, and David Hunter and Jonathan Beesley for helpful comments. We would like to thank all the Australian Red Cross Blood Services donors who participated as healthy controls in this study, Rachelle Morris and the staff at the Australian Red Cross Blood Services for their assistance with the collection of risk factor information and blood samples, and Helene Holland for data management, Mary-Anne Kedda, Joanne Young, Melanie Higgins, Kimberly Hinze, Robert Smith, Judith Clements, Melissa Barker, Rebecca Magson, Genevieve Birney and other members of the Molecular Cancer Epidemiology Laboratory, for their assistance with collection and processing of Australian Red Cross Blood Services blood samples. We thank Denis Moss for access to LCLs from controls recruited through the QIMR. We also wish to thank Heather Thorne, Eveline Niedermayr, Jan Groves, Amber Williams, the kConFab mutation review committee, kConFab research nurses and staff, the heads and staff of the Family Cancer Clinics, and the Clinical Follow Up Study (funded by NHMRC grants 145684 and 288704) for their contributions to this resource, and the many families who contribute to kConFab. kConFab is supported by grants from the National Breast Cancer Foundation, the National Health and Medical Research Council (NHMRC) and by the Queensland Cancer Fund, the Cancer Councils of New South Wales, Victoria, Tasmania and South Australia, and the Cancer Foundation of Western Australia. This research was supported by a grant from the Susan G. Komen Breast Cancer Foundation, and the NHMRC. LCW was supported by funding from NHMRC, NW was supported by funding from the National Breast Cancer Foundation, SMG is an NMHRC Senior Research Fellow, and ABS is a recipient of an NHMRC Career Development Award.

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Correspondence to Amanda B. Spurdle.

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Walker, L.C., Waddell, N., Ten Haaf, A. et al. Use of expression data and the CGEMS genome-wide breast cancer association study to identify genes that may modify risk in BRCA1/2 mutation carriers. Breast Cancer Res Treat 112, 229–236 (2008). https://doi.org/10.1007/s10549-007-9848-5

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