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Cancer Epidemiology Biomarkers & Prevention Vol. 8, 843-854, October 1999
© 1999 American Association for Cancer Research


Review

A Systematic Review Of Genetic Polymorphisms and Breast Cancer Risk1

Alison M. Dunning2, Catherine S. Healey2, Paul D. P. Pharoah2,, 3, M. Dawn Teare2, Bruce A. J. Ponder and Douglas F. Easton

Cancer Research Campaign Human Cancer Genetics Group, University Department of Oncology [A. M. D., C. S. H., P. D. P. P., B. A. J. P.], and Cancer Research Campaign Genetic Epidemiology Group, University Department of Community Medicine [M. D. T., D. F. E.], Strangeways Research Laboratories, Worts Causeway, Cambridge CB1 8RN, United Kingdom

Studies investigating the relationship between common genetic variants and cancer risk are being reported with rapidly increasing frequency. We have identified 46 published case-control studies that have examined the effect of common alleles of 18 different genes on breast cancer risk. Of these, 12 report statistically significant associations, none of which were reported by more than one study. However, many of the studies were small: 10 of the 46 had 80% power or greater to detect a rare allele homozygote relative risk <2.5. We therefore combined the results of individual studies to obtain more precise estimates of risk. Statistically significant differences in genotype frequencies were found in three case-control comparisons of unselected cases. These were for CYP19 (TTTA)n polymorphism [(TTTA)10 carrier odds ratio (OR) = 2.33; P = 0.002], the GSTP1 Ile105Val polymorphism (Val carrier OR = 1.60; P = 0.02), and the TP53 Arg72Pro polymorphism (Pro carrier OR = 1.27; P = 0.03). In addition, the GSTM1 gene deletion was found to be significantly associated with postmenopausal breast cancer (null homozygote OR = 1.33; P = 0.04). There was also some evidence that homozygotes for the PR PROGINS allele are protected against breast cancer, although this result was of borderline statistical significance. For polymorphisms in BRCA1, COMT, CYP17, CYP1A1, NAT1, and NAT2, the best estimate of risk either from the individual studies or the meta-analyses was sufficiently precise to exclude a relative risk of 1.5 or greater. For the polymorphisms in EDH17B2, ER, CYP2D6, CYP2E1, GSTT1, HSP70, and TNF{alpha}, the risk estimates, although nonsignificant, were insufficiently precise to exclude a moderate risk (>1.5). Precise estimation of the risks associated with these and other as yet untested genes, as well as investigation of more complex risks arising from gene-gene and gene-environment interactions, will require much larger studies.




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The CYP17 MspA1 polymorphism and breast cancer risk: a meta-analysis
Mutagenesis, March 1, 2002; 17(2): 119 - 126.
[Abstract] [Full Text] [PDF]


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CarcinogenesisHome page
P. F. Firozi, M. L. Bondy, A. A. Sahin, P. Chang, F. Lukmanji, E. S. Singletary, M. M. Hassan, and D. Li
Aromatic DNA adducts and polymorphisms of CYP1A1, NAT2, and GSTM1 in breast cancer
Carcinogenesis, February 1, 2002; 23(2): 301 - 306.
[Abstract] [Full Text] [PDF]


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CarcinogenesisHome page
B. L. Powell, I. L. van Staveren, P. Roosken, F. Grieu, E. M.J.J. Berns, and B. Iacopetta
Associations between common polymorphisms in TP53 and p21WAF1/Cip1 and phenotypic features of breast cancer
Carcinogenesis, February 1, 2002; 23(2): 311 - 315.
[Abstract] [Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
M. Zhao, R. Lewis, D. R. Gustafson, W.-Q. Wen, J. R. Cerhan, and W. Zheng
No Apparent Association of GSTP1 A313G Polymorphism with Breast Cancer Risk among Postmenopausal Iowa Women
Cancer Epidemiol. Biomarkers Prev., December 1, 2001; 10(12): 1301 - 1302.
[Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
K. Gudmundsdottir, L. Tryggvadottir, and J. E. Eyfjord
GSTM1, GSTT1, and GSTP1 Genotypes in Relation to Breast Cancer Risk and Frequency of Mutations in the p53 Gene
Cancer Epidemiol. Biomarkers Prev., November 1, 2001; 10(11): 1169 - 1173.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
C. B. Ambrosone, C. Sweeney, B. F. Coles, P. A. Thompson, G. Y. McClure, S. Korourian, M. Y. Fares, A. Stone, F. F. Kadlubar, and L. F. Hutchins
Polymorphisms in Glutathione S-Transferases (GSTM1 and GSTT1) and Survival after Treatment for Breast Cancer
Cancer Res., October 1, 2001; 61(19): 7130 - 7135.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
Y. Giguere, E. Dewailly, J. Brisson, P. Ayotte, N. Laflamme, A. Demers, V.-I. Forest, S. Dodin, J. Robert, and F. Rousseau
Short Polyglutamine Tracts in the Androgen Receptor Are Protective against Breast Cancer in the General Population
Cancer Res., August 1, 2001; 61(15): 5869 - 5874.
[Abstract] [Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
C. A. Haiman, M. J. Stampfer, E. Giovannucci, J. Ma, N. E. Decalo, P. W. Kantoff, and D. J. Hunter
The Relationship between a Polymorphism in CYP17 with Plasma Hormone Levels and Prostate Cancer
Cancer Epidemiol. Biomarkers Prev., July 1, 2001; 10(7): 743 - 748.
[Abstract] [Full Text] [PDF]


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JAMAHome page
E. Ziv, J. Cauley, P. A. Morin, R. Saiz, and W. S. Browner
Association Between the T29->C Polymorphism in the Transforming Growth Factor {beta}1 Gene and Breast Cancer Among Elderly White Women: The Study of Osteoporotic Fractures
JAMA, June 13, 2001; 285(22): 2859 - 2863.
[Abstract] [Full Text] [PDF]


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JAMAHome page
K. Armstrong
Genetic Susceptibility to Breast Cancer: From the Roll of the Dice to the Hand Women Were Dealt
JAMA, June 13, 2001; 285(22): 2907 - 2909.
[Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
K. Mitrunen, N. Jourenkova, V. Kataja, M. Eskelinen, V.-M. Kosma, S. Benhamou, D. Kang, H. Vainio, M. Uusitupa, and A. Hirvonen
Polymorphic Catechol-O-methyltransferase Gene and Breast Cancer Risk
Cancer Epidemiol. Biomarkers Prev., June 1, 2001; 10(6): 635 - 640.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
C. A. Haiman, S. E. Hankinson, G. A. Colditz, D. J. Hunter, and I. De Vivo
A Polymorphism in CYP17 and Endometrial Cancer Risk
Cancer Res., May 1, 2001; 61(10): 3955 - 3960.
[Abstract] [Full Text]


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Hum Mol GenetHome page
K. L. Nathanson and B. L. Weber
'Other' breast cancer susceptibility genes: searching for more holy grail
Hum. Mol. Genet., April 1, 2001; 10(7): 715 - 720.
[Abstract] [Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
K. Mitrunen, N. Jourenkova, V. Kataja, M. Eskelinen, V.-M. Kosma, S. Benhamou, H. Vainio, M. Uusitupa, and A. Hirvonen
Glutathione S-Transferase M1, M3, P1, and T1 Genetic Polymorphisms and Susceptibility to Breast Cancer
Cancer Epidemiol. Biomarkers Prev., March 1, 2001; 10(3): 229 - 236.
[Abstract] [Full Text]


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CarcinogenesisHome page
S.W. Baxter, D.Y.H. Choong, D.M. Eccles, and I.G. Campbell
Polymorphic variation in CYP19 and the risk of breast cancer
Carcinogenesis, February 1, 2001; 22(2): 347 - 349.
[Abstract] [Full Text] [PDF]


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CarcinogenesisHome page
S.W. Baxter, E.J. Thomas, and I.G. Campbell
GSTM1 null polymorphism and susceptibility to endometriosis and ovarian cancer
Carcinogenesis, January 1, 2001; 22(1): 63 - 66.
[Abstract] [Full Text] [PDF]


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CarcinogenesisHome page
A. B. Spurdle, P. M. Webb, D. M. Purdie, X. Chen, A. Green, and G. Chenevix-Trench
Polymorphisms at the glutathione S-transferase GSTM1, GSTT1 and GSTP1 loci: risk of ovarian cancer by histological subtype
Carcinogenesis, January 1, 2001; 22(1): 67 - 72.
[Abstract] [Full Text] [PDF]


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Am J EpidemiolHome page
D. A. Lawlor, K. L. Beebe, R. Zaninelli, B. Trock, M. Cotterchio, and N. Kreiger
RE: "ANTIDEPRESSANT MEDICATION USE AND BREAST CANCER RISK"
Am. J. Epidemiol., December 1, 2000; 152(11): 1104 - 1016.
[Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
S. D. Stellman, M. V. Djordjevic, J. A. Britton, J. E. Muscat, M. L. Citron, M. Kemeny, E. Busch, and L. Gong
Breast Cancer Risk in Relation to Adipose Concentrations of Organochlorine Pesticides and Polychlorinated Biphenyls in Long Island, New York
Cancer Epidemiol. Biomarkers Prev., November 1, 2000; 9(11): 1241 - 1249.
[Abstract] [Full Text]


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CarcinogenesisHome page
R. Goth-Goldstein, M. R. Stampfer, C. A. Erdmann, and M. Russell
Interindividual variation in CYP1A1 expression in breast tissue and the role of genetic polymorphism
Carcinogenesis, November 1, 2000; 21(11): 2119 - 2122.
[Abstract] [Full Text] [PDF]


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JNCI J Natl Cancer InstHome page
A. B. Spurdle, J. L. Hopper, G. S. Dite, X. Chen, J. Cui, M. R. E. McCredie, G. G. Giles, M. C. Southey, D. J. Venter, D. F. Easton, et al.
CYP17 Promoter Polymorphism and Breast Cancer in Australian Women Under Age Forty Years
J Natl Cancer Inst, October 18, 2000; 92(20): 1674 - 1681.
[Abstract] [Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
A. C. Deitz, W. Zheng, M. A. Leff, M. Gross, W.-Q. Wen, M. A. Doll, G. H. Xiao, A. R. Folsom, and D. W. Hein
N-Acetyltransferase-2 Genetic Polymorphism, Well-done Meat Intake, and Breast Cancer Risk among Postmenopausal Women
Cancer Epidemiol. Biomarkers Prev., September 1, 2000; 9(9): 905 - 910.
[Abstract] [Full Text]


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Cancer Res.Home page
J. A. Williams and D. H. Phillips
Mammary Expression of Xenobiotic Metabolizing Enzymes and Their Potential Role in Breast Cancer
Cancer Res., September 1, 2000; 60(17): 4667 - 4677.
[Abstract] [Full Text]


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J Natl Cancer Inst MonogrHome page
P. A. Thompson and C. Ambrosone
Chapter 7: Molecular Epidemiology of Genetic Polymorphisms in Estrogen Metabolizing Enzymes in Human Breast Cancer
J Natl Cancer Inst Monographs, July 1, 2000; 2000(27): 125 - 134.
[Abstract] [Full Text] [PDF]




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