BMC Cancer (Mar 2018)

Reproductive risk factors in breast cancer and genetic hormonal pathways: a gene-environment interaction in the MCC-Spain project

  • Trinidad Dierssen-Sotos,
  • Camilo Palazuelos-Calderón,
  • José-Juan Jiménez-Moleón,
  • Nuria Aragonés,
  • Jone M. Altzibar,
  • Gemma Castaño-Vinyals,
  • Vicente Martín-Sanchez,
  • Inés Gómez-Acebo,
  • Marcela Guevara,
  • Adonina Tardón,
  • Beatriz Pérez-Gómez,
  • Pilar Amiano,
  • Victor Moreno,
  • Antonio J. Molina,
  • Jéssica Alonso-Molero,
  • Conchi Moreno-Iribas,
  • Manolis Kogevinas,
  • Marina Pollán,
  • Javier Llorca

DOI
https://doi.org/10.1186/s12885-018-4182-3
Journal volume & issue
Vol. 18, no. 1
pp. 1 – 9

Abstract

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Abstract Background Reproductive factors are well known risk factors for breast cancer; however, little is known about how genetic variants in hormonal pathways interact with that relationship. Methods One thousand one hundred thirty nine cases of breast cancer in women and 1322 frequency-matched controls were compared. Genetic variants in hormonal pathways (identified in the Kyoto Encyclopedia of Genes and Genomes) were screened according to their relationship with breast cancer using the Cochran-Armitage statistic. Information on reproductive factors was obtained using a face-to-face questionnaire. The interaction among the selected genetic variants and reproductive factors was tested with logistic regression. Results Concerning C allele in rs2229712, compared to nulliparity in non-carriers the ORs for 1–2 and > 2 deliveries were 0.48 (0.28–0.81) and 0.34 (0.19–0.59), and in C carriers they were 0.92 (0.42–1.98) and 0.71 (0.31–1.61). Similar results were found in women carrying the C allele in rs1269851. Carriers of Allele T in rs35652107 and allele C in rs6018027 had the delivery number effect more pronounced. Conclusions The number of deliveries had a dose-response protective effect on breast cancer; women carrying C allele in rs2229712 did not benefit from this protective effect.

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