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Cancer Epidemiology, Biomarkers & Prevention
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Frequency of Pathogenic Germline Variants in CDH1, BRCA2, CHEK2, PALB2, BRCA1, and TP53 in Sporadic Lobular Breast Cancer

Christos Petridis, Iteeka Arora, Vandna Shah, Charlotte L. Moss, Anca Mera, Angela Clifford, Cheryl Gillett, Sarah E. Pinder, Ian Tomlinson, Rebecca Roylance, Michael A. Simpson and Elinor J. Sawyer
Christos Petridis
1School of Cancer and Pharmaceutical Sciences, Guy's Hospital, King's College London, London, United Kingdom.
2Medical and Molecular Genetics, Guy's Hospital, King's College London, London, United Kingdom.
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Iteeka Arora
1School of Cancer and Pharmaceutical Sciences, Guy's Hospital, King's College London, London, United Kingdom.
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Vandna Shah
1School of Cancer and Pharmaceutical Sciences, Guy's Hospital, King's College London, London, United Kingdom.
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Charlotte L. Moss
1School of Cancer and Pharmaceutical Sciences, Guy's Hospital, King's College London, London, United Kingdom.
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Anca Mera
1School of Cancer and Pharmaceutical Sciences, Guy's Hospital, King's College London, London, United Kingdom.
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Angela Clifford
1School of Cancer and Pharmaceutical Sciences, Guy's Hospital, King's College London, London, United Kingdom.
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Cheryl Gillett
1School of Cancer and Pharmaceutical Sciences, Guy's Hospital, King's College London, London, United Kingdom.
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Sarah E. Pinder
1School of Cancer and Pharmaceutical Sciences, Guy's Hospital, King's College London, London, United Kingdom.
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Ian Tomlinson
3Institute of Cancer and Genomic Sciences, University of Birmingham, Edgbaston, Birmingham, United Kingdom.
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Rebecca Roylance
4Department of Oncology, UCLH Foundation Trust, London, United Kingdom.
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Michael A. Simpson
2Medical and Molecular Genetics, Guy's Hospital, King's College London, London, United Kingdom.
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Elinor J. Sawyer
1School of Cancer and Pharmaceutical Sciences, Guy's Hospital, King's College London, London, United Kingdom.
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  • For correspondence: elinor.sawyer@kcl.ac.uk
DOI: 10.1158/1055-9965.EPI-18-1102 Published July 2019
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    Figure 1.

    Position of pathogenic variants. The figure shows the position of pathogenic variants in (A) BRCA2, (B) CHEK2, (C) PALB2, and (D) CDH1.

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  • Table 1.

    Association of known pathogenic variants with ILC and LCIS in women ≤60 years of age by gene (1,434 ILC, 368 LCIS cases, and 1,611 controls)

    GenePathogenic variants in ILC casesPathogenic variants in LCIS casesPathogenic variants in controlsOR (95% CI) for ILCP value for ILCOR (95% CI) for LCISP value for LCISP value case only (ILC vs. LCIS)
    BRCA2271215.44 (3.66–65.04)1.7 × 10−72.19 (0.20–24.24)0.460.030
    CHEK2191154.31 (1.61–11.58)1.7 × 10−39.90 (3.42–28.66)1.4 × 10−50.037
    PALB2111112.45 (1.60–95.52)2.2 × 10−34.39 (0.27–70.30)0.340.48
    CDH1510—0.02—0.181.00
    BRCA1100—0.5———
    TP53000—————
    • Abbreviation: CI, confidence interval.

  • Table 2.

    Case-only analysis of pathogenic variants in ILC by age

    Carriers ≤40 vs. >40Carriers ≤50 vs. 51–60
    GeneOR (95% CI)POR (95% CI)P
    BRCA24.62 (1.74–12.23)0.0094.83 (1.95–12.01)0.0003
    CHEK20.00 (0.00–0.00)0.620.78 (0.31–1.99)0.65
    PALB20.00 (0.00–0.00)11.12 (0.34–3.68)1
    CDH113.14 (2.19–78.75)0.0222.02 (0.34–12.1)0.66
    BRCA1—0.05—0.43
    TP53————
  • Table 3.

    Case-only analysis of pathogenic variants in ILC for family history (FH) of breast cancer (BC)

    Carriers FH of BC vs. no FH in first-degree relativeCarriers FH of BC vs. no FH in any relative
    GeneOR (95% CI)POR (95% CI)P
    BRCA22.36 (1.05–5.31)0.0432.25 (1.02–4.98)0.046
    CHEK22.59 (1.02–6.60)0.0673.95 (1.42–11.01)0.008
    PALB22.94 (0.83–10.45)0.0973.26 (0.84–12.65)0.105
    CDH12.95 (0.49–17.73)0.2382.11 (0.35–12.65)0.415
    BRCA101—0.419
    TP53————

Additional Files

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    • Supplementary Table 5 - Supplementary Table 5 - details of variants and there frequency in 3 datasets and read coverage
    • Supplementary Tables 1-10 and Figure 1 - Supplementary Table 1-Targeted Sequencing Panel Supplementary Table 2- Definition of variants. Supplementary Table 3 - Age of controls and cases by histological subtype. Supplementary Table 4 - Amplicons that failed to amplify consistently Supplementary Table 6 - BRCA2 mutations in cases Supplementary Table 7 - CHEK2 mutations in cases Supplementary Table 8 - PALB2 mutations in cases Supplementary Table 9 - CDH1 mutations in cases Supplementary Table 10 - Frequency of Variants of Unknown Significance and ILC in women =/< 60 years of age by gene Supplementary Figure 1: Example of Sanger sequencing confirming CHEK2 c.1100delC variant
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Cancer Epidemiology Biomarkers & Prevention: 28 (7)
July 2019
Volume 28, Issue 7
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Frequency of Pathogenic Germline Variants in CDH1, BRCA2, CHEK2, PALB2, BRCA1, and TP53 in Sporadic Lobular Breast Cancer
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Frequency of Pathogenic Germline Variants in CDH1, BRCA2, CHEK2, PALB2, BRCA1, and TP53 in Sporadic Lobular Breast Cancer
Christos Petridis, Iteeka Arora, Vandna Shah, Charlotte L. Moss, Anca Mera, Angela Clifford, Cheryl Gillett, Sarah E. Pinder, Ian Tomlinson, Rebecca Roylance, Michael A. Simpson and Elinor J. Sawyer
Cancer Epidemiol Biomarkers Prev July 1 2019 (28) (7) 1162-1168; DOI: 10.1158/1055-9965.EPI-18-1102

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Frequency of Pathogenic Germline Variants in CDH1, BRCA2, CHEK2, PALB2, BRCA1, and TP53 in Sporadic Lobular Breast Cancer
Christos Petridis, Iteeka Arora, Vandna Shah, Charlotte L. Moss, Anca Mera, Angela Clifford, Cheryl Gillett, Sarah E. Pinder, Ian Tomlinson, Rebecca Roylance, Michael A. Simpson and Elinor J. Sawyer
Cancer Epidemiol Biomarkers Prev July 1 2019 (28) (7) 1162-1168; DOI: 10.1158/1055-9965.EPI-18-1102
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