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Research ArticleOriginal Article

Cancer risk in relatives of BRCA1/2 pathogenic variant carriers in a large series of unselected patients with breast cancer

Jiaming Liu, Lu Yao, Jie Sun, Li Hu, Jiuan Chen, Juan Zhang, Ye Xu and Yuntao Xie
Cancer Biology & Medicine February 2023, 20 (2) 147-154; DOI: https://doi.org/10.20892/j.issn.2095-3941.2022.0593
Jiaming Liu
Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Familial & Hereditary Cancer Center, Peking University Cancer Hospital & Institute, Beijing 100142, China
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Lu Yao
Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Familial & Hereditary Cancer Center, Peking University Cancer Hospital & Institute, Beijing 100142, China
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Jie Sun
Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Familial & Hereditary Cancer Center, Peking University Cancer Hospital & Institute, Beijing 100142, China
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Li Hu
Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Familial & Hereditary Cancer Center, Peking University Cancer Hospital & Institute, Beijing 100142, China
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Jiuan Chen
Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Familial & Hereditary Cancer Center, Peking University Cancer Hospital & Institute, Beijing 100142, China
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Juan Zhang
Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Familial & Hereditary Cancer Center, Peking University Cancer Hospital & Institute, Beijing 100142, China
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Ye Xu
Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Familial & Hereditary Cancer Center, Peking University Cancer Hospital & Institute, Beijing 100142, China
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Yuntao Xie
Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Familial & Hereditary Cancer Center, Peking University Cancer Hospital & Institute, Beijing 100142, China
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  • ORCID record for Yuntao Xie
  • For correspondence: zlxyt2{at}bjmu.edu.cn
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Article Figures & Data

Tables

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    Table 1

    Demographics of patients with breast cancer and distributions of cancers in their relatives according to BRCA status

    VariablesBRCA1 (n = 209)BRCA2 (n = 329)Non-carriers (n = 9,365)P1 valueP2 valueP3 value
    Gender
     Male1 (0.5)1 (0.3)19 (0.2)0.357†0.499†1.000†
     Female208 (99.5)328 (99.7)9,346 (99.8)
    Age, years (mean ± SD)44.7 ± 10.147.8 ± 10.551.3 ± 11.6<0.001‡<0.001‡0.001‡
    Cancer types
     076 (36.4)146 (44.4)6,529 (69.7)<0.001§<0.001§0.063§
     187 (41.6)124 (37.7)2,071 (23.1)
     235 (16.8)45 (13.7)574 (6.1)
     ≥311 (5.3)14 (4.3)191 (1.3)
    Affected members
     076 (36.4)146 (44.4)6,529 (69.7)<0.001§<0.001§0.094§
     176 (36.4)109 (33.1)2,071 (22.1)
     240 (19.1)42 (12.8)574 (6.1)
     ≥317 (8.1)32 (9.7)191 (2.0)

    P1, BRCA1 vs. non-carriers; P2, BRCA2 vs. non-carriers; P3, BRCA1 vs. BRCA2. †Data comparison between two groups using the Fisher’s exact test. ‡Data comparison between two groups using the Student’s t-test. §Data comparison between two groups using the Wilcoxon rank-sum test. Data are shown as n (%), unless otherwise specified, which refers to patients with breast cancer.

      • View popup
      Table 2

      Cancer risks in female relatives of germline BRCA1 and BRCA2 pathogenic variant carriers

      CancersBRCA1 (n = 209)BRCA2 (n = 329)Non-carriers (n = 9,365)RR1 (95% CI, P value)RR2 (95% CI, P value)RR3 (95% CI, P value)
      Breast cancer69 (33.0)106 (32.2)720 (7.7)4.29 (3.50-5.27, <0.001†)4.19 (3.53-4.98, <0.001†)1.02 (0.80-1.31, 0.848†)
      Ovarian cancer24 (11.5)8 (2.4)49 (0.5)21.95 (13.73-35.07, <0.001‡)4.65 (2.22-9.73, 0.001‡)4.72 (2.16-10.31, <0.001†)
      Lung cancer5 (2.4)12 (3.7)244 (2.6)0.92 (0.38-2.20, 0.848†)1.40 (0.79-2.47, 0.247†)0.66 (0.23-1.83, 0.417†)
      Liver cancer8 (3.8)2 (0.6)96 (1.0)3.73 (1.84-7.58, 0.002‡)0.59 (0.15-2.40, 0.775‡)6.30 (1.35-29.36, 0.016‡)
      Cervical cancer5 (2.4)5 (1.5)75 (0.8)2.99 (1.22-7.31, 0.030‡)1.90 (0.77-4.66, 0.198‡)1.57 (0.46-5.37, 0.521‡)
      Gastric cancer3 (1.4)4 (1.2)113 (1.2)1.19 (0.38-3.71, 0.742‡)1.01 (0.37-2.71, 1.000‡)1.18 (0.27-5.22, 1.000‡)
      Pancreatic cancer2 (1.0)5 (1.5)56 (0.6)1.60 (0.39-6.51, 0.362‡)2.54 (1.02-6.30, 0.055‡)0.63 (0.12-3.22, 0.711‡)
      Endometrial adenocarcinoma4 (1.9)2 (0.6)86 (0.9)2.08 (0.77-5.63, 0.134‡)0.66 (0.16-2.68, 0.771‡)3.15 (0.58-17.04, 0.214‡)
      Lymphoma1 (0.5)4 (1.2)36 (0.4)1.24 (0.17-9.04, 0.559‡)3.16 (1.13-8.83, 0.046‡)0.39 (0.04-3.50, 0.653‡)
      Esophageal cancer4 (1.9)1 (0.3)117 (1.3)1.53 (0.57-4.11, 0.340‡)0.24 (0.03-1.74, 0.192‡)6.30 (0.71-55.95, 0.078‡)
      Colorectal cancer2 (1.0)2 (0.6)174 (1.9)0.52 (0.13-2.06, 0.596‡)0.33 (0.08-1.31, 0.135‡)1.57 (0.22-11.09, 0.644‡)
      Kidney cancer0 (0.0)3 (0.9)21 (0.2)0 (-, 1.000‡)4.07 (1.22-13.56, 0.046‡)0 (-, 0.286‡)
      Urothelial carcinoma0 (0.0)1 (0.3)23 (0.3)0 (-, 1.000‡)1.24 (0.17-9.14, 0.564‡)0 (-, 1.000‡)
      Other cancers4 (1.9)9 (2.7)157 (1.7)1.14 (0.43-3.05, 0.781‡)1.63 (0.84-3.17, 0.146†)0.70 (0.22-2.24, 0.545†)
      Any cancer110 (52.6)142 (43.2)1,746 (18.6)2.82 (2.47-3.23, <0.001†)2.32 (2.03-2.64, <0.001†)1.22 (1.02-1.46, 0.032†)

      RR1, BRCA1 vs. non-carriers; RR2, BRCA2 vs. non-carriers; RR3, BRCA1 vs. BRCA2. †Data comparison between two groups using the Pearson Chi square test. ‡Data comparison between two groups using the Fisher’s exact test. Data are shown as n (%), unless otherwise specified, which refers to the number of patients with a family history of cancers.

        • View popup
        Table 3

        Cancer risks in male relatives of germline BRCA1 and BRCA2 pathogenic variant carriers

        CancersBRCA1 (n = 209)BRCA2 (n = 329)Non-carriers (n = 9,365)RR1 (95% CI, P value)RR2 (95% CI, P value)RR3 (95% CI, P value)
        Lung cancer15 (7.2)16 (4.9)417 (4.5)1.61 (0.98-2.65, 0.061†)1.09 (0.67-1.78, 0.723†)1.48 (0.75-2.92, 0.262†)
        Esophageal cancer13 (6.2)16 (4.9)250 (2.7)2.33 (1.36-4.00, 0.002†)1.82 (1.11-2.98, 0.017†)1.28 (0.63-2.60, 0.497†)
        Gastric cancer10 (4.8)10 (3.0)262 (2.8)1.71 (0.92-3.17, 0.087†)1.09 (0.58-2.02, 0.794†)1.57 (0.67-3.72, 0.297†)
        Liver cancer5 (2.4)14 (4.3)244 (2.6)0.92 (0.38-2.20, 0.848†)1.63 (0.96-2.77, 0.068†)0.56 (0.21-1.54, 0.254†)
        Pancreatic cancer3 (1.4)9 (2.7)59 (0.6)2.28 (0.72-7.21, 0.153‡)4.34 (2.17-8.68, 0.001‡)0.52 (0.14-1.92, 0.384‡)
        Prostatic cancer2 (1.0)7 (2.1)41 (0.4)2.19 (0.53-8.98, 0.241‡)4.86 (2.20-10.75, 0.001‡)0.45 (0.09-2.14, 0.493‡)
        Lymphoma5 (2.4)4 (1.2)47 (0.5)4.77 (1.92-11.86, 0.005‡)2.42 (0.88-6.68, 0.094‡)1.97 (0.53-7.24, 0.320‡)
        Colorectal cancer3 (1.4)5 (1.5)155 (1.7)0.87 (0.28-2.70, 1.000‡)0.92 (0.38-2.22, 1.000‡)0.94 (0.23-3.91, 1.000‡)
        Urothelial carcinoma3 (1.4)3 (0.9)42 (0.5)3.20 (1.00-10.24, 0.075‡)2.03 (0.63-6.53, 0.196‡)1.57 (0.32-7.73, 0.682‡)
        Kidney cancer0 (0.0)4 (1.2)27 (0.3)0 (-, 1.000‡)4.22 (1.48-11.98, 0.020‡)0 (-, 0.161‡)
        Breast cancer1 (0.5)2 (0.6)6 (0.1)7.47 (0.90-61.76, 0.143‡)9.49 (1.92-46.83, 0.028‡)0.79 (0.07-8.63, 1.000‡)
        Other cancers5 (2.4)9 (2.7)166 (1.8)1.35 (0.56-3.25, 0.426‡)1.54 (0.80-2.99, 0.197†)0.87 (0.30-2.57, 0.807†)
        Any cancer55 (26.3)89 (27.1)1,562 (16.7)1.58 (1.25-1.99, <0.001†)1.62 (1.35-1.95, <0.001†)0.97 (0.73-1.30, 0.851†)

        RR1, BRCA1 vs. non-carriers; RR2, BRCA2 vs. non-carriers; RR3, BRCA1 vs. BRCA2. †Data comparison between two groups using the Pearson Chi square test. ‡Data comparison between two groups using the Fisher’s exact test. Data are shown as n (%), unless otherwise specified, which refers to the number of patients with a family history of cancers.

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        Cancer risk in relatives of BRCA1/2 pathogenic variant carriers in a large series of unselected patients with breast cancer
        Jiaming Liu, Lu Yao, Jie Sun, Li Hu, Jiuan Chen, Juan Zhang, Ye Xu, Yuntao Xie
        Cancer Biology & Medicine Feb 2023, 20 (2) 147-154; DOI: 10.20892/j.issn.2095-3941.2022.0593

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        Cancer risk in relatives of BRCA1/2 pathogenic variant carriers in a large series of unselected patients with breast cancer
        Jiaming Liu, Lu Yao, Jie Sun, Li Hu, Jiuan Chen, Juan Zhang, Ye Xu, Yuntao Xie
        Cancer Biology & Medicine Feb 2023, 20 (2) 147-154; DOI: 10.20892/j.issn.2095-3941.2022.0593
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        Keywords

        • BRCA1 variant
        • BRCA2 variant
        • cancer risk in relatives
        • Chinese breast cancer patients
        • family history of cancer

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