Copy number variants as modifiers of breast cancer risk for BRCA1/BRCA2 pathogenic variant carriers

Author:

Hakkaart Christopher,Pearson John F.ORCID,Marquart Louise,Dennis JoeORCID,Wiggins George A. R.,Barnes Daniel R.ORCID,Robinson Bridget A.,Mace Peter D.ORCID,Aittomäki Kristiina,Andrulis Irene L.ORCID,Arun Banu K.,Azzollini JacopoORCID,Balmaña Judith,Barkardottir Rosa B.,Belhadj Sami,Berger Lieke,Blok Marinus J.ORCID,Boonen Susanne E.,Borde Julika,Bradbury Angela R.,Brunet JoanORCID,Buys Saundra S.,Caligo Maria A.,Campbell IanORCID,Chung Wendy K.ORCID,Claes Kathleen B. M.ORCID,Collonge-Rame Marie-Agnès,Cook Jackie,Cosgrove Casey,Couch Fergus J.,Daly Mary B.,Dandiker SitaORCID,Davidson Rosemarie,de la Hoya MiguelORCID,de Putter RobinORCID,Delnatte Capucine,Dhawan Mallika,Diez Orland,Ding Yuan Chun,Domchek Susan M.,Donaldson Alan,Eason Jacqueline,Easton Douglas F.ORCID,Ehrencrona HansORCID,Engel Christoph,Evans D. Gareth,Faust Ulrike,Feliubadaló LidiaORCID,Fostira Florentia,Friedman Eitan,Frone Megan,Frost Debra,Garber Judy,Gayther Simon A.ORCID,Gehrig Andrea,Gesta PaulORCID,Godwin Andrew K.ORCID,Goldgar David E.,Greene Mark H.ORCID,Hahnen Eric,Hake Christopher R.,Hamann Ute,Hansen Thomas V. O.,Hauke JanORCID,Hentschel Julia,Herold Natalie,Honisch Ellen,Hulick Peter J.ORCID,Imyanitov Evgeny N.,van Engelen Klaartje,Wevers Marijke R.,Isaacs ClaudineORCID,Izatt LouiseORCID,Izquierdo AngelORCID,Jakubowska AnnaORCID,James Paul A.ORCID,Janavicius Ramunas,John Esther M.,Joseph VijaiORCID,Karlan Beth Y.ORCID,Kemp Zoe,Kirk Judy,Konstantopoulou IreneORCID,Koudijs Marco,Kwong Ava,Laitman Yael,Lalloo Fiona,Lasset Christine,Lautrup Charlotte,Lazaro ConxiORCID,Legrand Clémentine,Leslie GoskaORCID,Lesueur FabienneORCID,Mai Phuong L.,Manoukian Siranoush,Mari Véronique,Martens John W. M.ORCID,McGuffog Lesley,Mebirouk Noura,Meindl Alfons,Miller AustinORCID,Montagna Marco,Moserle Lidia,Mouret-Fourme Emmanuelle,Musgrave Hannah,Nambot SophieORCID,Nathanson Katherine L.ORCID,Neuhausen Susan L.ORCID,Nevanlinna HeliORCID,Yie Joanne Ngeow YuenORCID,Nguyen-Dumont Tu,Nikitina-Zake LieneORCID,Offit Kenneth,Olah Edith,Olopade Olufunmilayo I.ORCID,Osorio AnaORCID,Ott Claus-EricORCID,Park Sue K.ORCID,Parsons Michael T.ORCID,Pedersen Inge SokildeORCID,Peixoto Ana,Perez-Segura Pedro,Peterlongo PaoloORCID,Pocza Timea,Radice PaoloORCID,Ramser Juliane,Rantala Johanna,Rodriguez Gustavo C.,Rønlund Karina,Rosenberg Efraim H.ORCID,Rossing Maria,Schmutzler Rita K.,Shah Payal D.,Sharif Saba,Sharma Priyanka,Side Lucy E.,Simard JacquesORCID,Singer Christian F.,Snape Katie,Steinemann DorisORCID,Stoppa-Lyonnet Dominique,Sutter ChristianORCID,Tan Yen YenORCID,Teixeira Manuel R.ORCID,Teo Soo HwangORCID,Thomassen Mads,Thull Darcy L.,Tischkowitz MarcORCID,Toland Amanda E.ORCID,Trainer Alison H.,Tripathi VishakhaORCID,Tung Nadine,van Engelen Klaartje,van Rensburg Elizabeth J.ORCID,Vega AnaORCID,Viel AlessandraORCID,Walker Lisa,Weitzel Jeffrey N.ORCID,Wevers Marike R.ORCID,Chenevix-Trench Georgia,Spurdle Amanda B.ORCID,Antoniou Antonis C.,Walker Logan C.ORCID, , , , ,

Abstract

AbstractThe contribution of germline copy number variants (CNVs) to risk of developing cancer in individuals with pathogenic BRCA1 or BRCA2 variants remains relatively unknown. We conducted the largest genome-wide analysis of CNVs in 15,342 BRCA1 and 10,740 BRCA2 pathogenic variant carriers. We used these results to prioritise a candidate breast cancer risk-modifier gene for laboratory analysis and biological validation. Notably, the HR for deletions in BRCA1 suggested an elevated breast cancer risk estimate (hazard ratio (HR) = 1.21), 95% confidence interval (95% CI = 1.09–1.35) compared with non-CNV pathogenic variants. In contrast, deletions overlapping SULT1A1 suggested a decreased breast cancer risk (HR = 0.73, 95% CI 0.59-0.91) in BRCA1 pathogenic variant carriers. Functional analyses of SULT1A1 showed that reduced mRNA expression in pathogenic BRCA1 variant cells was associated with reduced cellular proliferation and reduced DNA damage after treatment with DNA damaging agents. These data provide evidence that deleterious variants in BRCA1 plus SULT1A1 deletions contribute to variable breast cancer risk in BRCA1 carriers.

Funder

Manatu Hauora | Health Research Council of New Zealand

Publisher

Springer Science and Business Media LLC

Subject

General Agricultural and Biological Sciences,General Biochemistry, Genetics and Molecular Biology,Medicine (miscellaneous)

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