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Cancer Risks Associated With BRCA1 and BRCA2 Pathogenic Variants

  • Shuai Li
  • , Valentina Silvestri
  • , Goska Leslie
  • , Timothy R. Rebbeck
  • , Susan L. Neuhausen
  • , John L. Hopper
  • , Henriette Roed Nielsen
  • , Andrew Lee
  • , Xin Yang
  • , Lesley Mcguffog
  • , Michael T. Parsons
  • , Irene L. Andrulis
  • , Norbert Arnold
  • , Muriel Belotti
  • , Åke Borg
  • , Bruno Buecher
  • , Saundra S. Buys
  • , Sandrine M. Caputo
  • , Wendy K. Chung
  • , Chrystelle Colas
  • Sarah V. Colonna, Jackie Cook, Mary B. Daly, Miguel De La Hoya, Antoine De Pauw, Hélène Delhomelle, Jacqueline Eason, Christoph Engel, D. Gareth Evans, Ulrike Faust, Tanja N. Fehm, Florentia Fostira, George Fountzilas, Megan Frone, Vanesa Garcia-Barberan, Pilar Garre, Marion Gauthier-Villars, Andrea Gehrig, Gord Glendon, David E. Goldgar, Lisa Golmard, Mark H. Greene, Eric Hahnen, Ute Hamann, Helen Hanson, Tiara Hassan, Julia Hentschel, Judit Horvath, Louise Izatt, Ramunas Janavicius, Yue Jiao, Esther M. John, Beth Y. Karlan, Sung Won Kim, Irene Konstantopoulou, Ava Kwong, Anthony Laugé, Jong Won Lee, Fabienne Lesueur, Noura Mebirouk, Alfons Meindl, Emmanuelle Mouret-Fourme, Hannah Musgrave, Joanne Ngeow Yuen Yie, Dieter Niederacher, Sue K. Park, Inge Sokilde Pedersen, Juliane Ramser, Susan J. Ramus, Johanna Rantala, Muhammad U. Rashid, Florian Reichl, Julia Ritter, Andreas Rump, Marta Santamariña, Claire Saule, Gunnar Schmidt, Rita K. Schmutzler, Leigha Senter, Saba Shariff, Christian F. Singer, Melissa C. Southey, Dominique Stoppa-Lyonnet, Christian Sutter, Yen Tan, Soo Hwang Teo, Mary Beth Terry, Mads Thomassen, Marc Tischkowitz, Amanda E. Toland, Diana Torres, Ana Vega, Sebastian A. Wagner, Shan Wang-Gohrke, Barbara Wappenschmidt, Bernhard H.F. Weber, Drakoulis Yannoukakos, Amanda B. Spurdle, Douglas F. Easton, Georgia Chenevix-Trench, Laura Ottini, Antonis C. Antoniou
  • Centre for Epidemiology and Biostatistics
  • University of Rome La Sapienza
  • University of Cambridge
  • Harvard T.H. Chan School of Public Health
  • Dana-Farber Cancer Institute
  • City of Hope National Med Center
  • Odense University Hospital
  • Queensland Institute of Medical Research
  • University of Toronto
  • University Hospital of Schleswig-Holstein
  • Institut Curie
  • Université PSL
  • Lund University
  • University of Utah School of Medicine
  • Columbia University
  • Sheffield Children's NHS Foundation Trust
  • Fox Chase Cancer Center
  • Hospital Clinico San Carlos
  • Nottingham University Hospitals NHS Trust
  • Leipzig University
  • University of Manchester
  • Manchester University NHS Foundation Trust
  • University of Tübingen
  • University Hospital Düsseldorf
  • Demokritos National Centre for Scientific Research
  • Aristotle University of Thessaloniki
  • German Oncology Center
  • National Cancer Institute (NCI)
  • University of Würzburg
  • Huntsman Cancer Institute
  • University of Cologne
  • German Cancer Research Center
  • University of London
  • Cancer Research Malaysia
  • University of Münster
  • Guy's and St Thomas' NHS Foundation Trust
  • Vilnius University
  • State Research Institute Centre for Innovative Medicine
  • PSL Research University
  • École des mines Paris
  • Stanford University School of Medicine
  • University of California at Los Angeles
  • The Catholic University of Korea
  • Hong Kong Hereditary Breast Cancer Family Registry
  • The University of Hong Kong
  • Hong Kong Sanatorium & Hospital
  • University of Ulsan
  • Ludwig Maximilian University of Munich
  • Leeds Teaching Hospitals NHS Trust
  • National Cancer Centre Singapore
  • Nanyang Technological University
  • Seoul National University
  • Seoul National University Cancer Research Institute
  • Aalborg University
  • Klinikum Rechts der Isar
  • University of New South Wales
  • Karolinska Institutet
  • Shaukat Khanum Memorial Cancer Hospital and Research Centre
  • Medical University of Vienna
  • Charité Universitätsmedizin
  • Technische Universität Dresden
  • Centre for Biomedical Research on Rare Diseases (CIBERER)
  • Fundación Pública Galega Medicina Xenómica
  • University of Santiago de Compostela
  • Hannover Medical School
  • Ohio State University
  • Birmingham Women's and Children's NHS Foundation Trust
  • Monash University
  • University of Melbourne
  • Cancer Council Victoria
  • INSERM U830
  • Université Paris Cité
  • Heidelberg University 
  • University of Malaya
  • McGill University
  • Goethe University Frankfurt
  • Ulm University
  • University of Regensburg
  • University Hospital Regensburg

Research output: Contribution to journalArticlepeer-review

245 Scopus citations

Abstract

Purpose: To provide precise age-specific risk estimates of cancers other than female breast and ovarian cancers associated with pathogenic variants (PVs) in BRCA1 and BRCA2 for effective cancer risk management. Methods: We used data from 3,184 BRCA1 and 2,157 BRCA2 families in the Consortium of Investigators of Modifiers of BRCA1/2 to estimate age-specific relative (RR) and absolute risks for 22 first primary cancer types adjusting for family ascertainment. Results: BRCA1 PVs were associated with risks of male breast (RR = 4.30; 95% CI, 1.09 to 16.96), pancreatic (RR = 2.36; 95% CI, 1.51 to 3.68), and stomach (RR = 2.17; 95% CI, 1.25 to 3.77) cancers. Associations with colorectal and gallbladder cancers were also suggested. BRCA2 PVs were associated with risks of male breast (RR = 44.0; 95% CI, 21.3 to 90.9), stomach (RR = 3.69; 95% CI, 2.40 to 5.67), pancreatic (RR = 3.34; 95% CI, 2.21 to 5.06), and prostate (RR = 2.22; 95% CI, 1.63 to 3.03) cancers. The stomach cancer RR was higher for females than males (6.89 v 2.76; P =.04). The absolute risks to age 80 years ranged from 0.4% for male breast cancer to approximately 2.5% for pancreatic cancer for BRCA1 carriers and from approximately 2.5% for pancreatic cancer to 27% for prostate cancer for BRCA2 carriers. Conclusion: In addition to female breast and ovarian cancers, BRCA1 and BRCA2 PVs are associated with increased risks of male breast, pancreatic, stomach, and prostate (only BRCA2 PVs) cancers, but not with the risks of other previously suggested cancers. The estimated age-specific risks will refine cancer risk management in men and women with BRCA1/2 PVs.

Original languageEnglish
Pages (from-to)1529-1541
Number of pages13
JournalJournal of Clinical Oncology
Volume40
Issue number14
DOIs
StatePublished - 10 May 2022

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

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