Association of breast cancer risk loci with breast cancer survival

Myrto Barrdahl, Federico Canzian, Sara Lindström, Irene Shui, Amanda Black, Robert N. Hoover, Regina G. Ziegler, Julie E. Buring, Stephen J. Chanock, W. Ryan Diver, Susan M. Gapstur, Mia M. Gaudet, Graham G. Giles, Christopher Haiman, Brian E. Henderson, Susan Hankinson, David J. Hunter, Amit D. Joshi, Peter Kraft, I. Min LeeLoic Le Marchand, Roger L. Milne, Melissa C. Southey, Walter Willett, Marc Gunter, Salvatore Panico, Malin Sund, Elisabete Weiderpass, María José Sánchez, Kim Overvad, Laure Dossus, Petra H. Peeters, Kay Tee Khaw, Dimitrios Trichopoulos, Rudolf Kaaks, Daniele Campa

Research output: Contribution to journalArticlepeer-review

25 Scopus citations


The survival of breast cancer patients is largely influenced by tumor characteristics, such as TNM stage, tumor grade and hormone receptor status. However, there is growing evidence that inherited genetic variation might affect the disease prognosis and response to treatment. Several lines of evidence suggest that alleles influencing breast cancer risk might also be associated with breast cancer survival. We examined the associations between 35 breast cancer susceptibility loci and the disease over-all survival (OS) in 10,255 breast cancer patients from the National Cancer Institute Breast and Prostate Cancer Cohort Consortium (BPC3) of which 1,379 died, including 754 of breast cancer. We also conducted a meta-analysis of almost 35,000 patients and 5,000 deaths, combining results from BPC3 and the Breast Cancer Association Consortium (BCAC) and performed in silico analyses of SNPs with significant associations. In BPC3, the C allele of LSP1-rs3817198 was significantly associated with improved OS (HRper-allele=0.70; 95% CI: 0.58-0.85; ptrend=2.84 × 10-4; HRheterozygotes=0.71; 95% CI: 0.55-0.92; HRhomozygotes=0.48; 95% CI: 0.31-0.76; p2DF=1.45 × 10-3). In silico, the C allele of LSP1-rs3817198 was predicted to increase expression of the tumor suppressor cyclin-dependent kinase inhibitor 1C (CDKN1C). In the meta-analysis, TNRC9-rs3803662 was significantly associated with increased death hazard (HRMETA =1.09; 95% CI: 1.04-1.15; ptrend=6.6 × 10-4; HRheterozygotes=0.96 95% CI: 0.90-1.03; HRhomozygotes=1.21; 95% CI: 1.09-1.35; p2DF=1.25 × 10-4). In conclusion, we show that there is little overlap between the breast cancer risk single nucleotide polymorphisms (SNPs) identified so far and the SNPs associated with breast cancer prognosis, with the possible exceptions of LSP1-rs3817198 and TNRC9-rs3803662.

Original languageEnglish (US)
Pages (from-to)2837-2845
Number of pages9
JournalInternational Journal of Cancer
Issue number12
StatePublished - Dec 15 2015


  • BPC3
  • SNP
  • breast cancer
  • meta-analysis
  • survival

ASJC Scopus subject areas

  • Oncology
  • Cancer Research


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