Cited by 170Genetic Associations and EpidemiologyEstrogen and related hormone effectsBRCA gene mutations in cancer

Breast cancer risk variants at 6q25 display different phenotype associations and regulate ESR1, RMND1 and CCDC170

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EMBRACE, Dunning, Alison M, GEMO Study Collaborators, HEBON, kConFab Investigators, Michailidou, Kyriaki, Kuchenbaecker, Karoline B, Thompson, Deborah +244 more·2016·Nature Genetics

Abstract

We analyzed 3,872 common genetic variants across the ESR1 locus (encoding estrogen receptor α) in 118,816 subjects from three international consortia. We found evidence for at least five independent causal variants, each associated with different phenotype sets, including estrogen receptor (ER(+) or ER(-)) and human ERBB2 (HER2(+) or HER2(-)) tumor subtypes, mammographic density and tumor grade. The best candidate causal variants for ER(-) tumors lie in four separate enhancer elements, and their risk alleles reduce expression of ESR1, RMND1 and CCDC170, whereas the risk alleles of the strongest candidates for the remaining independent causal variant disrupt a silencer element and putatively increase ESR1 and RMND1 expression.

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Authors
EMBRACE, Dunning, A. M., Collaborators, G. S., HEBON, kConFab Investigators, Michailidou, K., Kuchenbaecker, K. B., Thompson, D., French, J. D., Beesley, J., Healey, C. S., Kar, S., Pooley, K. A., Lopez-Knowles, E., Dicks, E., Barrowdale, D., Sinnott-Armstrong, N. A., Sallari, R. C., Hillman, K. M., Kaufmann, S., Sivakumaran, H., Marjaneh, M. M., Lee, J. S., Hills, M., Jarosz, M., Drury, S., Canisius, S., Bolla, M. K., Dennis, J., Wang, Q., Hopper, J. L., Southey, M. C., Broeks, A., Schmidt, M. K., Lophatananon, A., Muir, K., Beckmann, M. W., Fasching, P. A., dos-Santos-Silva, I., Peto, J., Sawyer, E. J., Tomlinson, I., Burwinkel, B., Marme, F., Guénel, P., Truong, T., Bojesen, S. E., Flyger, H., González-Neira, A., Perez, J. I. A., Anton-Culver, H., Eunjung, L., Arndt, V., Brenner, H., Meindl, A., Schmutzler, R. K., Brauch, H., Hamann, U., Aittomäki, K., Blomqvist, C., Ito, H., Matsuo, K., Bogdanova, N., Dörk, T., Lindblom, A., Margolin, S., Kosma, V.-M., Mannermaa, A., Tseng, C.-C., Wu, A. H., Lambrechts, D., Wildiers, H., Chang-Claude, J., Rudolph, A., Peterlongo, P., Radice, P., Olson, J. E., Giles, G. G., Milne, R. L., Haiman, C. A., Henderson, B. E., Goldberg, M. S., Teo, S. H., Yip, C. H., Nord, S., Borresen-Dale, A.-L., Kristensen, V., Long, J., Zheng, W., Pylkäs, K., Winqvist, R., Andrulis, I. L., Knight, J. A., Devilee, P., Seynaeve, C., Figueroa, J., Sherman, M. E., Czene, K., Darabi, H., Hollestelle, A., van den Ouweland, A. M. W., Humphreys, K., Gao, Y.-T., Shu, X.-O., Cox, A., Cross, S. S., Blot, W., Cai, Q., Ghoussaini, M., Perkins, B. J., Shah, M., Choi, J.-Y., Kang, D., Lee, S. C., Hartman, M., Kabisch, M., Torres, D., Jakubowska, A., Lubinski, J., Brennan, P., Sangrajrang, S., Ambrosone, C. B., Toland, A. E., Shen, C.-Y., Wu, P.-E., Orr, N., Swerdlow, A., McGuffog, L., Healey, S., Lee, A., Kapuscinski, M., John, E. M., Terry, M. B., Daly, M. B., Goldgar, D. E., Buys, S. S., Janavicius, R., Tihomirova, L., Tung, N., Dorfling, C. M., van Rensburg, E. J., Neuhausen, S. L., Ejlertsen, B., Hansen, T. V. O., Osorio, A., Benitez, J., Rando, R., Weitzel, J. N., Bonanni, B., Peissel, B., Manoukian, S., Papi, L., Ottini, L., Konstantopoulou, I., Apostolou, P., Garber, J., Rashid, M. U., Frost, D., Izatt, L., Ellis, S., Godwin, A. K., Arnold, N., Niederacher, D., Rhiem, K., Bogdanova-Markov, N., Sagne, C., Stoppa-Lyonnet, D., Damiola, F., Sinilnikova, O. M., Mazoyer, S., Isaacs, C., Claes, K. B. M., De Leeneer, K., de la Hoya, M., Caldes, T., Nevanlinna, H., Khan, S., Mensenkamp, A. R., Hooning, M. J., Rookus, M. A., Kwong, A., Olah, E., Diez, O., Brunet, J., Pujana, M. A., Gronwald, J., Huzarski, T., Barkardottir, R. B., Laframboise, R., Soucy, P., Montagna, M., Agata, S., Teixeira, M. R., Park, S. K., Lindor, N., Couch, F. J., Tischkowitz, M., Foretova, L., Vijai, J., Offit, K., Singer, C. F., Rappaport, C., Phelan, C. M., Greene, M. H., Mai, P. L., Rennert, G., Imyanitov, E. N., Hulick, P. J., Phillips, K.-A., Piedmonte, M., Mulligan, A. M., Glendon, G., Bojesen, A., Thomassen, M., Caligo, M. A., Yoon, S.-Y., Friedman, E., Laitman, Y., Borg, A., von Wachenfeldt, A., Ehrencrona, H., Rantala, J., Olopade, O. I., Ganz, P. A., Nussbaum, R. L., Gayther, S. A., Nathanson, K. L., Domchek, S. M., Arun, B. K., Mitchell, G., Karlan, B. Y., Lester, J., Maskarinec, G., Woolcott, C., Scott, C., Stone, J., Apicella, C., Tamimi, R., Luben, R., Khaw, K.-T., Helland, Å., Haakensen, V., Dowsett, M., Pharoah, P. D. P., Simard, J., Hall, P., García-Closas, M., Vachon, C., Chenevix-Trench, G., Antoniou, A. C., Easton, D. F., & Edwards, S. L.
Affiliations
  • University of Cambridge (GB)
  • QIMR Berghofer Medical Research Institute (AU)
  • The University of Melbourne (AU)
  • Friedrich-Alexander-Universität Erlangen-Nürnberg (DE)
  • University of Warwick (GB)
  • University of Manchester (GB)
  • Guy's Hospital (GB)
  • Centre for Human Genetics (GB)
  • Heidelberg University (DE)
  • Université Paris-Sud (FR)
  • University of Copenhagen (DK)
  • University of Southern California (US)
  • German Cancer Research Center (DE)
  • Helsinki University Hospital (FI)
  • University of Helsinki (FI)
  • Karolinska Institutet (SE)
  • Karolinska University Hospital (SE)
  • University of Eastern Finland (FI)
  • IFOM (IT)
  • Universitair Ziekenhuis Leuven (BE)
  • Mayo Clinic (US)
  • Cancer Council Victoria (AU)
  • University Malaya Medical Centre (MY)
  • Oslo University Hospital (NO)
  • Mount Sinai Hospital (CA)
  • Oulu University Hospital (FI)
  • Leiden University Medical Center (NL)
  • Erasmus MC (NL)
  • Vanderbilt University (US)
  • Seoul National University (KR)
  • National University of Singapore (SG)
  • Roswell Park Comprehensive Cancer Center (US)
  • China Medical University (TW)
  • Institute of Biomedical Sciences, Academia Sinica (TW)
  • Institute of Cancer Research (GB)
  • Cancer Prevention Institute of California (US)
  • Fox Chase Cancer Center (US)
  • State Research Institute Centre for Innovative Medicine (LT)
  • Beth Israel Deaconess Medical Center (US)
  • University of Utah (US)
  • Latvian Biomedical Research and Study Centre (LV)
  • Copenhagen University Hospital (DK)
  • Spanish National Cancer Research Centre (ES)
  • City Of Hope National Medical Center (US)
  • European Institute of Oncology (IT)
  • National Centre of Scientific Research "Demokritos" (GR)
  • Dana-Farber Cancer Institute (US)
  • Shaukat Khanum Memorial Cancer Hospital and Research Center (PK)
  • National Health Service (GB)
  • University of Münster (DE)
  • Centre National de la Recherche Scientifique (FR)
  • Sorbonne Paris Cité (FR)
  • Georgetown University (US)
  • Radboud University Medical Center (NL)
  • The Netherlands Cancer Institute (NL)
  • Institut d'Investigació Biomédica de Bellvitge (ES)
  • University of Iceland (IS)
  • Centre hospitalier universitaire de Québec (CA)
  • Istituto Oncologico Veneto (IT)
  • Universidade do Porto (PT)
  • Comprehensive Cancer Center Vienna (AT)
  • Memorial Sloan Kettering Cancer Center (US)
  • National Institutes of Health (US)
  • Moffitt Cancer Center (US)
  • University Health Network (CA)
  • Peter MacCallum Cancer Centre (AU)
  • University of Pisa (IT)
  • Sheba Medical Center (IL)
  • Uppsala University (SE)
  • University of Chicago Medical Center (US)
  • University of California, Los Angeles (US)
  • The University of Texas MD Anderson Cancer Center (US)
  • Cedars-Sinai Medical Center (US)
  • Dalhousie University (CA)
  • Brigham and Women's Hospital (US)
  • The University of Western Australia (AU)
Corresponding author
  • Dunning, Alison M
  • Easton, Douglas F
  • Edwards, Stacey L
ORCID
Venue
Nature Genetics
Published
2016-02-29
Volume
48
Issue
4
Pages
374-386
ISSN
  • 1061-4036 (ISSN-L)
  • 1546-1718
OpenAlex
W2291123596
Cited by
161
References
47
Citations by year
2026: 7 · 2025: 12 · 2024: 17 · 2023: 14 · 2022: 14 · 2021: 18 · 2020: 19 · 2019: 21 · 2018: 16 · 2017: 15 · 2016: 8
FWCI
2.68
Type
journal article
Language
en
Open access
Locations
  • Nature Genetics (publishedVersion)
  • University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion)
  • PubMed (publishedVersion)
  • Kölner Universitäts PublikationsServer (Universität zu Köln) (publishedVersion)
  • Dipòsit Digital de la Universitat de Barcelona (Universitat de Barcelona) (publishedVersion, cc-by-nc-sa)
  • EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
  • White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
  • Apollo (University of Cambridge) (acceptedVersion)
  • Florence Research (University of Florence) (submittedVersion, other-oa)
  • UWA Profiles and Research Repository (UWA) (submittedVersion, other-oa)
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  • EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
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  • eScholarship (California Digital Library) (submittedVersion)
  • The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
  • IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
  • Research Portal (King's College London) (submittedVersion)
  • Lirias (submittedVersion)
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Funders
  • U.S. Department of Defense (C5047/A10692, C1287/A10118, W81XWH, C1287/A10710, C8197/A16565, C1281/A12014, C5047/A8384, C12292/A11174, C5047/A15007, CA128978, W81XWH1010341, 223175)
  • Breast Cancer Research Foundation (C5047/A10692, C5047/A15007, C1287/A10118, CA116201, CA128978, W81XWH-10-1-0341, C8197/A16565, C5047/A8384, C1287/A10710, C1281/A12014, C12292/A11174, HEALTH-F2-2009-223175)
  • Ovarian Cancer Research Fund (CA116201, W81XWH-10-1-0341, C1281/A12014, C1287/A10118, C8197/A16565, C12292/A11174, CA128978, C1287/A10710, C5047/A10692, C5047/A15007, C5047/A8384, HEALTH-F2-2009-223175)
  • World Health Organization
  • McGill University
  • Francis Crick Institute (10124, 10119)
  • Génome Québec
  • Cancer Research UK (C8197/A16565’, 223175, 11174, C1281/A12014, 10119, C5047/A15007’, C1287‐A10118, HEALTHF2-2009-223175, 16561, 16565, C12292/A11174, ‘C5047/A10692, C1287, C12292, C5047/A8384, 10118, 14136, CA116201, 10124, CA128978, C1287-A10710, W81XWH-10-1-0341, C1281)
  • National Institute for Health and Care Research (C5047/A15007, W81XWH-10-1-0341, C8197/A16565, HEALTH-F2-2009-223175, 03/DHCS/03/G121/51, CA116201, CA128978, NF-SI-0512-10122, C1287/A10118, C1281/A12014, C1287/A10710, NF-SI-0512-10114, C5047/A10692, C12292/A11174, C5047/A8384)
  • Università degli Studi di Firenze
  • Ministero dell'Università e della Ricerca
  • National Institutes of Health (C1281/A12014, CA11620 1, 223175, W81XWH-10-1-0341, C8197/A16565, 5r01ca132839-03, C12292/A11174, W81XWH, C1287/A10118, C1287/A10710, C5047/A10692, HEALTH-F2-2009-223175, C5047/A15007, C5047/A8384, CA116167, CA148065, CA148112)
  • Canadian Institutes of Health Research (C1287/A10710, C5047/A8384, C5047/A15007, C5047/A10692, C1287/A10118, CA128978, C8197/A16565, C1281/A12014, C12292/A11174, CA116201, W81XWH-10-1-0341, HEALTH-F2-2009-223175, 223175)
  • Medical Research Council (MR/N003284/1)
  • Japan Society for the Promotion of Science (26253041)
  • National Cancer Institute (R01CA128978, R01CA092447, R01CA064277, R01CA097396, R01CA077398, U19CA148065, CA116167, UG1CA189867, U01CA063464, R01CA148667, R01CA116167, R37CA054281, U19CA148537, R01CA122340, UM1CA164920, CA-116201, U10CA180868, R01CA054281, R01CA192393, R01-CA132839, R01CA100374, U01CA098758, U19CA148112, CA176785, R25CA090956, CA192393, (CA128978, U01CA116167, R01CA176785, UM1CA182910, P30CA006927, P30CA008748, P30CA016056, P50CA116201)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Estrogen and related hormone effects
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › BRCA gene mutations in cancer
Keywords
breast cancer, ESR1, estrogen receptor alpha, regulatory variants, enhancers, silencers, estrogen receptor-negative tumors, HER2 status, breast density, tumor grade, gene expression regulation, causal variants
MeSH terms
Base Sequence, Breast Neoplasms, Carrier Proteins, Chromosomes, Human, Pair 6, Female, Humans, Phenotype, Protein Binding, Risk Factors, Gene Expression, Gene Expression Regulation, Neoplastic, Cell Cycle Proteins, Genetic Predisposition to Disease, Polymorphism, Single Nucleotide, Estrogen Receptor alpha, Genetic Association Studies

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