CHEK2*1100delC Heterozygosity in Women With Breast Cancer Associated With Early Death, Breast Cancer-Specific Death, and Increased Risk of a Second Breast Cancer

M Weischer, BG Nordestgaard, P Pharoah, MK Bolla, H Nevanlinna, LJ (Laura) van 't Veer, M Garcia-Closas, JL Hopper, P Hall, IL Andrulis, P Devilee, PA Fasching, H Anton-Culver, D Lambrechts, M Hooning, A Cox, GG Giles, B Burwinkel, A Lindblom, FJ CouchA Mannermaa, GG Alnaes, EM John, T Dork, H Flyger, AM Dunning, Q (Qing) Wang, TA Muranen, R van Hien, J Figueroa, MC Southey, K Czene, JA Knight, RAEM Tollenaar, MW Beckmann, A Ziogas, MR Christiaens, Margriet Collee, MWR Reed, G Severi, F Marme, S Margolin, JE Olson, VM Kosma, VN Kristensen, A Miron, N Bogdanova, M Shah, C Blomqvist, A Broeks, M Sherman, KA Phillips, JM Li, JJ Liu, G Glendon, Caroline Seynaeve, AB Ekici, K Leunen, Mieke Kriege, SS Cross, L Baglietto, C Sohn, XS Wang, V Kataja, AL Borresen-Dale, A Meyer, DF Easton, Marjanka K Schmidt, SE Bojesen

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Abstract

Purpose We tested the hypotheses that CHEK2*1100delC heterozygosity is associated with increased risk of early death, breast cancer-specific death, and risk of a second breast cancer in women with a first breast cancer. Patients and Methods From 22 studies participating in the Breast Cancer Association Consortium, 25,571 white women with invasive breast cancer were genotyped for CHEK2*1100delC and observed for up to 20 years (median, 6.6 years). We examined risk of early death and breast cancer-specific death by estrogen receptor status and risk of a second breast cancer after a first breast cancer in prospective studies. Results CHEK2*1100delC heterozygosity was found in 459 patients (1.8%). In women with estrogen receptor-positive breast cancer, multifactorially adjusted hazard ratios for heterozygotes versus noncarriers were 1.43 (95% CI, 1.12 to 1.82; log-rank P = .004) for early death and 1.63 (95% CI, 1.24 to 2.15; log-rank P < .001) for breast cancer-specific death. In all women, hazard ratio for a second breast cancer was 2.77 (95% CI, 2.00 to 3.83; log-rank P < .001) increasing to 3.52 (95% CI, 2.35 to 5.27; log Conclusion Among women with estrogen receptor-positive breast cancer, CHEK2*1100delC heterozygosity was associated with a 1.4-fold risk of early death, a 1.6-fold risk of breast cancer-specific death, and a 3.5-fold risk of a second breast cancer. This is one of the few examples of a genetic factor that influences long-term prognosis being documented in an extensive series of women with breast cancer. J Clin Oncol 30: 4308-4316. (C) 2012 by American Society of Clinical Oncology
Original languageUndefined/Unknown
Pages (from-to)4308-4316
Number of pages9
JournalJournal of Clinical Oncology
Volume30
Issue number35
DOIs
Publication statusPublished - 2012

Research programs

  • EMC MGC-02-96-01
  • EMC MM-03-86-01

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