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Association of genetic susceptibility variants for type 2 diabetes with breast cancer risk in women of European ancestry

  • Zhiguo Zhao
  • , Wanqing Wen
  • , Kyriaki Michailidou
  • , Manjeet K. Bolla
  • , Qin Wang
  • , Ben Zhang
  • , Jirong Long
  • , Xiao Ou Shu
  • , Marjanka K. Schmidt
  • , Roger L. Milne
  • , Montserrat García-Closas
  • , Jenny Chang-Claude
  • , Sara Lindstrom
  • , Stig E. Bojesen
  • , Habibul Ahsan
  • , Kristiina Aittomäki
  • , Irene L. Andrulis
  • , Hoda Anton-Culver
  • , Volker Arndt
  • , Matthias W. Beckmann
  • Alicia Beeghly-Fadiel, Javier Benitez, Carl Blomqvist, Natalia V. Bogdanova, Anne Lise Børresen-Dale, Judith Brand, Hiltrud Brauch, Hermann Brenner, Barbara Burwinkel, Qiuyin Cai, Graham Casey, Georgia Chenevix-Trench, Fergus J. Couch, Angela Cox, Simon S. Cross, Kamila Czene, Thilo Dörk, Martine Dumont, Peter A. Fasching, Jonine Figueroa, Dieter Flesch-Janys, Olivia Fletcher, Henrik Flyger, Florentia Fostira, Marilie Gammon, Graham G. Giles, Pascal Guénel, Christopher A. Haiman, Ute Hamann, Patricia Harrington, Mikael Hartman, Maartje J. Hooning, John L. Hopper, Anna Jakubowska, Farzana Jasmine, Esther M. John, Nichola Johnson, Maria Kabisch, Sofia Khan, Muhammad Kibriya, Julia A. Knight, Veli Matti Kosma, Mieke Kriege, Vessela Kristensen, Loic Le Marchand, Eunjung Lee, Jingmei Li, Annika Lindblom, Artitaya Lophatananon, Robert Luben, Jan Lubinski, Kathleen E. Malone, Arto Mannermaa, Siranoush Manoukian, Sara Margolin, Frederik Marme, Catriona McLean, Hanne Meijers-Heijboer, Alfons Meindl, Hui Miao, Kenneth Muir, Susan L. Neuhausen, Heli Nevanlinna, Patrick Neven, Janet E. Olson, Barbara Perkins, Paolo Peterlongo, Kelly Anne Phillips, Katri Pylkäs, Anja Rudolph, Regina Santella, Elinor J. Sawyer, Rita K. Schmutzler, Minouk Schoemaker, Mitul Shah, Martha Shrubsole, Melissa C. Southey, Anthony J. Swerdlow, Amanda E. Toland, Ian Tomlinson, Diana Torres, Thérèse Truong, Giske Ursin, Rob B. Van Der Luijt, Senno Verhoef, Shan Wang-Gohrke, Alice S. Whittemore, Robert Winqvist, M. Pilar Zamora, Hui Zhao, Alison M. Dunning, Jacques Simard, Per Hall, Peter Kraft, Paul Pharoah, David Hunter, Douglas F. Easton, Wei Zheng
  • Vanderbilt University
  • University of Cambridge
  • Antoni van Leeuwenhoek Hospital
  • Cancer Council Victoria
  • University of Melbourne
  • Institute of Cancer Research
  • German Cancer Research Center
  • Ulm University
  • Harvard T.H. Chan School of Public Health
  • University of Copenhagen
  • Copenhagen University Hospital – Herlev and Gentofte
  • The University of Chicago
  • Helsinki University Hospital
  • Samuel Lunenfeld Research Institute
  • University of Toronto
  • University of California, Irvine
  • Friedrich-Alexander University Erlangen-Nürnberg
  • Centro de Investigación en Red de Enfermedades Raras
  • Hannover Medical School
  • Oslo University Hospital-Radiumhospitalet
  • University of Oslo
  • Karolinska Institutet
  • Dr. Margarete Fischer-Bosch-Institute of Clinical Pharmacology
  • University of Tübingen
  • Keck School of Medicine of USC
  • QIMR Berghofer Medical Research Institute
  • Mayo Clinic Rochester, MN
  • University of Sheffield
  • Université Laval Research Center
  • University of California at Los Angeles
  • National Cancer Institute (NCI)
  • University of Hamburg
  • Demokritos National Centre for Scientific Research
  • University of North Carolina at Chapel Hill
  • National Institute of Health Bogotá
  • APHP – Paris Saclay University
  • Strangeways Research Laboratory
  • National University of Singapore
  • Erasmus University Rotterdam
  • Pomeranian Medical University in Szczecin
  • Cancer Prevention Institute of California
  • Stanford University School of Medicine
  • University of Eastern Finland
  • Oslo University Hospital
  • University of Hawaii Cancer Center
  • University of Warwick
  • Fred Hutchinson Cancer Research Center
  • IRCCS Fondazione Istituto Nazionale per lo studio e la cura dei tumori - Milano
  • Heidelberg University 
  • Alfred Health
  • VU University Medical Center Amsterdam
  • Technical University of Munich
  • University of Manchester
  • Beckman Research Institute of City of Hope
  • KU Leuven
  • FIRC Institute of Molecular Oncology
  • University of Oulu
  • Columbia University
  • Guy’s Hospital
  • University of Cologne
  • Ohio State University
  • University of Oxford
  • Cancer Registry of Norway Institute of Population-Based Cancer Research
  • Utrecht University
  • Northern Finland Laboratory Centre NordLab
  • Hospital Universitario La Paz
  • Vesalius Research Center

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

Purpose: Type 2 diabetes (T2D) has been reported to be associated with an elevated risk of breast cancer. It is unclear, however, whether this association is due to shared genetic factors. Methods: We constructed a genetic risk score (GRS) using risk variants from 33 known independent T2D susceptibility loci and evaluated its relation to breast cancer risk using the data from two consortia, including 62,328 breast cancer patients and 83,817 controls of European ancestry. Unconditional logistic regression models were used to derive adjusted odds ratios (ORs) and 95 % confidence intervals (CIs) to measure the association of breast cancer risk with T2D GRS or T2D-associated genetic risk variants. Meta-analyses were conducted to obtain summary ORs across all studies. Results: The T2D GRS was not found to be associated with breast cancer risk, overall, by menopausal status, or for estrogen receptor positive or negative breast cancer. Three T2D associated risk variants were individually associated with breast cancer risk after adjustment for multiple comparisons using the Bonferroni method (at p < 0.001), rs9939609 (FTO) (OR 0.94, 95 % CI = 0.92–0.95, p = 4.13E−13), rs7903146 (TCF7L2) (OR 1.04, 95 % CI = 1.02–1.06, p = 1.26E−05), and rs8042680 (PRC1) (OR 0.97, 95 % CI = 0.95–0.99, p = 8.05E−04). Conclusions: We have shown that several genetic risk variants were associated with the risk of both T2D and breast cancer. However, overall genetic susceptibility to T2D may not be related to breast cancer risk.

Original languageEnglish
Pages (from-to)679-693
Number of pages15
JournalCancer Causes and Control
Volume27
Issue number5
DOIs
StatePublished - 01 May 2016
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Breast cancer
  • Epidemiology
  • GWAS
  • Genetic susceptibility
  • Type 2 diabetes

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