Common germline polymorphisms associated with breast cancer-specific survival
Ailith Pirie1, Qi Guo2, Peter Kraft3,4
1Centre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, 2 Wort's Causeway, Cambridge, CB1 8RN, UK. ap736@medschl.cam.ac.uk.
This study evaluated common germline variants for breast cancer survival. While no variants reached genome-wide significance, some showed nominal association with breast cancer prognosis, particularly in ER-positive cases.
Area of Science:
- Genetics
- Oncology
- Epidemiology
Background:
- Previous studies identified common germline variants linked to breast cancer survival, but these findings lacked replication.
- Genome-wide association studies (GWAS) are crucial for identifying genetic factors influencing cancer outcomes.
Purpose of the Study:
- To evaluate previously reported single nucleotide polymorphisms (SNPs) for association with breast cancer-specific survival.
- To validate findings using a large pooled analysis from multiple breast cancer GWAS.
Main Methods:
- Conducted a literature review to identify SNPs nominally associated (P <0.05) with breast cancer survival outcomes.
- Evaluated 56 candidate SNPs in a pooled analysis of over 37,000 breast cancer cases.
- Utilized one-sided tests based on reported effect directions for association analysis.
Main Results:
- Five variants showed nominal significance (P <0.05) in the pooled GWAS data, exceeding the number expected by chance.
- Seven additional variants were nominally associated with estrogen receptor-positive (ER-positive) breast cancer prognosis.
- No variants achieved genome-wide significance (P <5 x 10(-8)).
Conclusions:
- Suggests potential evidence linking common germline variants to breast cancer prognosis.
- Highlights the need for larger, multinational collaborative studies to increase statistical power.
- Further research is required to confirm associations at more stringent significance levels.
Related Concept Videos
Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase
Cancer-Critical Genes I: Proto-oncogenes
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
Cancer-Critical Genes II: Tumor Suppressor Genes
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
Cancer-Critical Genes II: Tumor Suppressor Genes
Pharmacogenetics of Drug Transporters: P-Glycoprotein and Solute Carrier Transporters


