Risk for contralateral breast cancer among carriers of the CHEK21100delCCHEK2*1100delC mutation in the WECARE Study View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2008-02

AUTHORS

L Mellemkjær, C Dahl, J H Olsen, L Bertelsen, P Guldberg, J Christensen, A-L Børresen-Dale, M Stovall, B Langholz, L Bernstein, C F Lynch, K E Malone, R W Haile, M Andersson, D C Thomas, P Concannon, M Capanu, J D Boice, , J L Bernstein

ABSTRACT

The protein encoded by the CHEK2 gene is involved in cellular repair of DNA damage. The truncating mutation, CHEK2*1100delC, seems to increase the risk for breast cancer. We investigated whether the CHEK2*1100delC mutation carrier status increases the risk for asynchronous contralateral breast cancer (CBC) and whether it interacts with radiation therapy (RT) or chemotherapy in regard to CBC risk. The germline mutation frequency was assessed in 708 women with CBC and 1395 women with unilateral breast cancer (UBC) in the Women's Environment, Cancer and Radiation Epidemiology (WECARE) Study whose first primary breast cancer was diagnosed before age 55 years and during 1985--1999. Seven women with CBC (1.0%) and 10 women with UBC (0.7%) were CHEK2*1100delC variant carriers (rate ratio (RR)=1.8, 95% confidence interval (CI)=0.6-5.4 for CBC vs UBC). Carriers who received RT for their first breast cancer, compared with non-carriers not treated with RT, had an RR of developing CBC of 2.6 (95% CI=0.8-8.7). We found no significant associations between the CHEK2*1100delC mutation and CBC overall or among those treated with RT. However, the sampling variability was such that modest increases in risk could not be excluded. Nonetheless, because this is a rare mutation, it is unlikely to explain a major fraction of CBC in the population. More... »

PAGES

728

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/sj.bjc.6604228

DOI

http://dx.doi.org/10.1038/sj.bjc.6604228

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1001202098

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/18253122


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