A common variant at the TERT-CLPTM1L locus is associated with estrogen receptor-negative breast cancer.

Christopher AHaiman; Gary KChen; Celine MVachon; FedericoCanzian; AlisonDunning; Robert CMillikan; XianshuWang; FolusoAdemuyiwa; ShahanaAhmed; Christine BAmbrosone; +121 more... LauraBaglietto; RosemaryBalleine; Elisa VBandera; Matthias WBeckmann; Christine DBerg; LeslieBernstein; CarlBlomqvist; William JBlot; HiltrudBrauch; Julie EBuring; Lisa ACarey; Jane ECarpenter; JennyChang-Claude; Stephen JChanock; Daniel IChasman; Christine LClarke; AngelaCox; Simon SCross; Sandra LDeming; Robert BDiasio; Athanasios MDimopoulos; W RyanDriver; ThomasDünnebier; LorraineDurcan; DianaEccles; Christopher KEdlund; Arif BEkici; Peter AFasching; Heather SFeigelson; DieterFlesch-Janys; FlorentiaFostira; AstaFörsti; GeorgeFountzilas; Susan MGerty; Gene Environment Interaction and Breast Cancer in Germany (GENIC; Graham GGiles; Andrew KGodwin; PaulGoodfellow; NikkiGraham; DarioGreco; UteHamann; Susan EHankinson; ArndtHartmann; RebeccaHein; JudithHeinz; AndreaHolbrook; Robert NHoover; Jennifer JHu; David JHunter; Sue AIngles; AstridIrwanto; JenniferIvanovich; Esther MJohn; NicolaJohnson; ArjaJukkola-Vuorinen; RudolfKaaks; Yon-DschunKo; Laurence NKolonel; IreneKonstantopoulou; Veli-MattiKosma; SwatiKulkarni; DietherLambrechts; Adam MLee; Loïc LeMarchand; TimothyLesnick; JianjunLiu; SaraLindstrom; ArtoMannermaa; SaraMargolin; Nicholas GMartin; PenelopeMiron; Grant WMontgomery; HeliNevanlinna; StephanNickels; SarahNyante; CurtisOlswold; JuliePalmer; HarshPathak; DimitriosPectasides; Charles MPerou; Julian Peto ORCID logo; Paul DPPharoah; Loreall CPooler; Michael FPress; KatriPylkäs; Timothy RRebbeck; Jorge LRodriguez-Gil; LynnRosenberg; EricRoss; ThomasRüdiger; Isabel dos SantosSilva; ElinorSawyer; Marjanka KSchmidt; RüdigerSchulz-Wendtland; FredrickSchumacher; GianlucaSeveri; XinSheng; Lisa BSignorello; Hans-PeterSinn; Kristen NStevens; Melissa CSouthey; William JTapper; IanTomlinson; Frans BLHogervorst; ElsWauters; JoEllenWeaver; HansWildiers; RobertWinqvist; DavidVan Den Berg; PeggyWan; Lucy YXia; DrakoulisYannoukakos; WeiZheng; Regina GZiegler; AfshanSiddiq; Susan LSlager; Daniel OStram; DouglasEaston; PeterKraft; Brian EHenderson; Fergus JCouch; (2011) A common variant at the TERT-CLPTM1L locus is associated with estrogen receptor-negative breast cancer. Nature genetics, 43 (12). pp. 1210-1214. ISSN 1061-4036 DOI: 10.1038/ng.985
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Estrogen receptor (ER)-negative breast cancer shows a higher incidence in women of African ancestry compared to women of European ancestry. In search of common risk alleles for ER-negative breast cancer, we combined genome-wide association study (GWAS) data from women of African ancestry (1,004 ER-negative cases and 2,745 controls) and European ancestry (1,718 ER-negative cases and 3,670 controls), with replication testing conducted in an additional 2,292 ER-negative cases and 16,901 controls of European ancestry. We identified a common risk variant for ER-negative breast cancer at the TERT-CLPTM1L locus on chromosome 5p15 (rs10069690: per-allele odds ratio (OR) = 1.18 per allele, P = 1.0 × 10(-10)). The variant was also significantly associated with triple-negative (ER-negative, progesterone receptor (PR)-negative and human epidermal growth factor-2 (HER2)-negative) breast cancer (OR = 1.25, P = 1.1 × 10(-9)), particularly in younger women (<50 years of age) (OR = 1.48, P = 1.9 × 10(-9)). Our results identify a genetic locus associated with estrogen receptor negative breast cancer subtypes in multiple populations.


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