Table 1.

Breast cancer PRS associations with breast cancer risk for BRCA1 and BRCA2 carriers

PRS investigated and outcomeBRCA1 carriers
BRCA2 carriers
No. of controlsNo. of casesOR (95% CI)PaNo. of controlsNo. of casesOR (95% CI)Pa
PRSBC
 PRSBC association with breast cancer risk
  Continuousb380331.40 (1.06 to 1.85).029332441.32 (1.15 to 1.52)<.001
  Continuous: adjusted for male relative breast cancer FHc380331.39 (1.05 to 1.84).029332441.33 (1.15 to 1.52)<.001
  Continuous: adjusted for female relative breast cancer FHc380331.44 (1.07 to 1.95).029332441.36 (1.18 to 1.57)<.001
 PRSBC association with grade-specific breast cancer riskd
  Controls3801.00 (referent)9331.00 (referent)
  Grade 111.03 (0.63 to 1.67)g.92111.33 (0.74 to 2.36).34
  Grade 26681.29 (1.04 to 1.60).02
  Grade 3121.56 (1.03 to 2.37).04981.23 (1.00 to 1.50).05
  Grade unknown141.47 (0.93 to 2.32).10671.51 (1.18 to 1.93).001
  Case-only: grade 1 + 2 vs grade 3e7126.30 (0.88 to 44.87).0779980.95 (0.71 to 1.27).73
PRSER-
 PRSER- association with breast cancer risk
  Continuousb380331.12 (0.79 to 1.59).529332441.23 (1.07 to 1.41).004
  Continuous: adjusted for male relative breast cancer FHc380331.12 (0.79 to 1.59).539332441.23 (1.07 to 1.42).004
  Continuous: adjusted for female relative breast cancer FHc380331.14 (0.80 to 1.63).489332441.25 (1.09 to 1.45).002
 PRSER- association with ER-specific breast cancer riskf
  Controls3801.00 (referent)9331.00 (referent)
  ER negative20.38 (0.06 to 2.29).2970.51 (0.27 to 0.98).04
  ER positive211.47 (0.97 to 2.24).071781.26 (1.08 to 1.47).004
  ER status unknown100.78 (0.46 to 1.30).34591.24 (0.94 to 1.64).13
PRSER+
 PRSER+ association with breast cancer risk
  Continuousb380331.40 (1.07 to 1.83).019332441.33 (1.16 to 1.52)<.001
  Continuous: adjusted for male relative breast cancer FHc380331.39 (1.06 to 1.82).029332441.33 (1.16 to 1.53)<.001
  Continuous: adjusted for female relative breast cancer FHc380331.46 (1.09 to 1.94).019332441.36 (1.18 to 1.57)<.001
 PRSER+ association with ER-specific breast cancer riskf
  Controls3801.00 (referent)9331.00 (referent)
  ER negative20.35 (0.03 to 3.59).3770.68 (0.38 to 1.22).20
  ER positive211.79 (1.30 to 2.48)<.0011781.30 (1.11 to 1.52)<.001
  ER status unknown101.00 (0.68 to 1.47)1.00591.52 (1.18 to 1.94).001
 PRSER+ association with grade-specific breast cancer riskd
  Controls3801.00 (referent)9331.00 (referent)
  Grade 111.03 (0.65 to 1.65)g.89111.31 (0.76 to 2.27).34
  Grade 26681.29 (1.05 to 1.59).02
  Grade 3121.51 (1.04 to 2.19).03981.23 (1.01 to 1.51).04
  Grade unknown141.51 (0.96 to 2.38).07671.51 (1.19 to 1.92)<.001
  Case-only: grade 1 + 2 vs grade 3e7125.41 (0.79 to 37.20).0979980.95 (0.71 to 1.28).75
PRS investigated and outcomeBRCA1 carriers
BRCA2 carriers
No. of controlsNo. of casesOR (95% CI)PaNo. of controlsNo. of casesOR (95% CI)Pa
PRSBC
 PRSBC association with breast cancer risk
  Continuousb380331.40 (1.06 to 1.85).029332441.32 (1.15 to 1.52)<.001
  Continuous: adjusted for male relative breast cancer FHc380331.39 (1.05 to 1.84).029332441.33 (1.15 to 1.52)<.001
  Continuous: adjusted for female relative breast cancer FHc380331.44 (1.07 to 1.95).029332441.36 (1.18 to 1.57)<.001
 PRSBC association with grade-specific breast cancer riskd
  Controls3801.00 (referent)9331.00 (referent)
  Grade 111.03 (0.63 to 1.67)g.92111.33 (0.74 to 2.36).34
  Grade 26681.29 (1.04 to 1.60).02
  Grade 3121.56 (1.03 to 2.37).04981.23 (1.00 to 1.50).05
  Grade unknown141.47 (0.93 to 2.32).10671.51 (1.18 to 1.93).001
  Case-only: grade 1 + 2 vs grade 3e7126.30 (0.88 to 44.87).0779980.95 (0.71 to 1.27).73
PRSER-
 PRSER- association with breast cancer risk
  Continuousb380331.12 (0.79 to 1.59).529332441.23 (1.07 to 1.41).004
  Continuous: adjusted for male relative breast cancer FHc380331.12 (0.79 to 1.59).539332441.23 (1.07 to 1.42).004
  Continuous: adjusted for female relative breast cancer FHc380331.14 (0.80 to 1.63).489332441.25 (1.09 to 1.45).002
 PRSER- association with ER-specific breast cancer riskf
  Controls3801.00 (referent)9331.00 (referent)
  ER negative20.38 (0.06 to 2.29).2970.51 (0.27 to 0.98).04
  ER positive211.47 (0.97 to 2.24).071781.26 (1.08 to 1.47).004
  ER status unknown100.78 (0.46 to 1.30).34591.24 (0.94 to 1.64).13
PRSER+
 PRSER+ association with breast cancer risk
  Continuousb380331.40 (1.07 to 1.83).019332441.33 (1.16 to 1.52)<.001
  Continuous: adjusted for male relative breast cancer FHc380331.39 (1.06 to 1.82).029332441.33 (1.16 to 1.53)<.001
  Continuous: adjusted for female relative breast cancer FHc380331.46 (1.09 to 1.94).019332441.36 (1.18 to 1.57)<.001
 PRSER+ association with ER-specific breast cancer riskf
  Controls3801.00 (referent)9331.00 (referent)
  ER negative20.35 (0.03 to 3.59).3770.68 (0.38 to 1.22).20
  ER positive211.79 (1.30 to 2.48)<.0011781.30 (1.11 to 1.52)<.001
  ER status unknown101.00 (0.68 to 1.47)1.00591.52 (1.18 to 1.94).001
 PRSER+ association with grade-specific breast cancer riskd
  Controls3801.00 (referent)9331.00 (referent)
  Grade 111.03 (0.65 to 1.65)g.89111.31 (0.76 to 2.27).34
  Grade 26681.29 (1.05 to 1.59).02
  Grade 3121.51 (1.04 to 2.19).03981.23 (1.01 to 1.51).04
  Grade unknown141.51 (0.96 to 2.38).07671.51 (1.19 to 1.92)<.001
  Case-only: grade 1 + 2 vs grade 3e7125.41 (0.79 to 37.20).0979980.95 (0.71 to 1.28).75
a

P value was calculated using a 2-sided Wald test. CI = confidence interval; ER = estrogen receptor; FH = family history; OR = odds ratio per PRS standard deviation, estimated from a multinomial logistic regression (unless otherwise stated); PRS = polygenic risk scores PRSBC = overall breast cancer PRS; PRSER- = ER-negative breast cancer PRS; PRSER+ = ER-positive breast cancer PRS.

b

The continuous test shows the per PRS standard deviation associations, estimated from a multinomial logistic regression model assuming a continuous PRS.

c

Association estimates adjusted for family history of (male and female) breast cancer in first- and second-degree relatives. FH was coded as no family history, 1 or more relatives diagnosed with breast cancer, unknown FH or missing FH. Supplementary Table 8 (available online; male breast cancer FH adjusted) and Supplementary Table 9 (available online; female breast cancer FH adjusted) describe the breast cancer FH adjusted analyses in greater detail.

d

The breast cancer grade specific odds ratios were estimated by partitioning breast cancer status into multinomial outcomes for grade 1, grade 2, grade 3, or grade unknown.

e

The case-only breast cancer grade analysis was a logistic regression considering grade 1 and grade 2 breast cancers combined as controls and grade 3 breast cancers as cases.

f

The ER-specific breast cancer odds ratios were estimated by partitioning breast cancer status into distinct multinomial outcomes for ER negative, ER positive, or ER status unknown.

g

Grade 1 and grade 2 combined for BRCA1 carriers (to ensure adequate sample size to estimate associations).

Table 1.

Breast cancer PRS associations with breast cancer risk for BRCA1 and BRCA2 carriers

PRS investigated and outcomeBRCA1 carriers
BRCA2 carriers
No. of controlsNo. of casesOR (95% CI)PaNo. of controlsNo. of casesOR (95% CI)Pa
PRSBC
 PRSBC association with breast cancer risk
  Continuousb380331.40 (1.06 to 1.85).029332441.32 (1.15 to 1.52)<.001
  Continuous: adjusted for male relative breast cancer FHc380331.39 (1.05 to 1.84).029332441.33 (1.15 to 1.52)<.001
  Continuous: adjusted for female relative breast cancer FHc380331.44 (1.07 to 1.95).029332441.36 (1.18 to 1.57)<.001
 PRSBC association with grade-specific breast cancer riskd
  Controls3801.00 (referent)9331.00 (referent)
  Grade 111.03 (0.63 to 1.67)g.92111.33 (0.74 to 2.36).34
  Grade 26681.29 (1.04 to 1.60).02
  Grade 3121.56 (1.03 to 2.37).04981.23 (1.00 to 1.50).05
  Grade unknown141.47 (0.93 to 2.32).10671.51 (1.18 to 1.93).001
  Case-only: grade 1 + 2 vs grade 3e7126.30 (0.88 to 44.87).0779980.95 (0.71 to 1.27).73
PRSER-
 PRSER- association with breast cancer risk
  Continuousb380331.12 (0.79 to 1.59).529332441.23 (1.07 to 1.41).004
  Continuous: adjusted for male relative breast cancer FHc380331.12 (0.79 to 1.59).539332441.23 (1.07 to 1.42).004
  Continuous: adjusted for female relative breast cancer FHc380331.14 (0.80 to 1.63).489332441.25 (1.09 to 1.45).002
 PRSER- association with ER-specific breast cancer riskf
  Controls3801.00 (referent)9331.00 (referent)
  ER negative20.38 (0.06 to 2.29).2970.51 (0.27 to 0.98).04
  ER positive211.47 (0.97 to 2.24).071781.26 (1.08 to 1.47).004
  ER status unknown100.78 (0.46 to 1.30).34591.24 (0.94 to 1.64).13
PRSER+
 PRSER+ association with breast cancer risk
  Continuousb380331.40 (1.07 to 1.83).019332441.33 (1.16 to 1.52)<.001
  Continuous: adjusted for male relative breast cancer FHc380331.39 (1.06 to 1.82).029332441.33 (1.16 to 1.53)<.001
  Continuous: adjusted for female relative breast cancer FHc380331.46 (1.09 to 1.94).019332441.36 (1.18 to 1.57)<.001
 PRSER+ association with ER-specific breast cancer riskf
  Controls3801.00 (referent)9331.00 (referent)
  ER negative20.35 (0.03 to 3.59).3770.68 (0.38 to 1.22).20
  ER positive211.79 (1.30 to 2.48)<.0011781.30 (1.11 to 1.52)<.001
  ER status unknown101.00 (0.68 to 1.47)1.00591.52 (1.18 to 1.94).001
 PRSER+ association with grade-specific breast cancer riskd
  Controls3801.00 (referent)9331.00 (referent)
  Grade 111.03 (0.65 to 1.65)g.89111.31 (0.76 to 2.27).34
  Grade 26681.29 (1.05 to 1.59).02
  Grade 3121.51 (1.04 to 2.19).03981.23 (1.01 to 1.51).04
  Grade unknown141.51 (0.96 to 2.38).07671.51 (1.19 to 1.92)<.001
  Case-only: grade 1 + 2 vs grade 3e7125.41 (0.79 to 37.20).0979980.95 (0.71 to 1.28).75
PRS investigated and outcomeBRCA1 carriers
BRCA2 carriers
No. of controlsNo. of casesOR (95% CI)PaNo. of controlsNo. of casesOR (95% CI)Pa
PRSBC
 PRSBC association with breast cancer risk
  Continuousb380331.40 (1.06 to 1.85).029332441.32 (1.15 to 1.52)<.001
  Continuous: adjusted for male relative breast cancer FHc380331.39 (1.05 to 1.84).029332441.33 (1.15 to 1.52)<.001
  Continuous: adjusted for female relative breast cancer FHc380331.44 (1.07 to 1.95).029332441.36 (1.18 to 1.57)<.001
 PRSBC association with grade-specific breast cancer riskd
  Controls3801.00 (referent)9331.00 (referent)
  Grade 111.03 (0.63 to 1.67)g.92111.33 (0.74 to 2.36).34
  Grade 26681.29 (1.04 to 1.60).02
  Grade 3121.56 (1.03 to 2.37).04981.23 (1.00 to 1.50).05
  Grade unknown141.47 (0.93 to 2.32).10671.51 (1.18 to 1.93).001
  Case-only: grade 1 + 2 vs grade 3e7126.30 (0.88 to 44.87).0779980.95 (0.71 to 1.27).73
PRSER-
 PRSER- association with breast cancer risk
  Continuousb380331.12 (0.79 to 1.59).529332441.23 (1.07 to 1.41).004
  Continuous: adjusted for male relative breast cancer FHc380331.12 (0.79 to 1.59).539332441.23 (1.07 to 1.42).004
  Continuous: adjusted for female relative breast cancer FHc380331.14 (0.80 to 1.63).489332441.25 (1.09 to 1.45).002
 PRSER- association with ER-specific breast cancer riskf
  Controls3801.00 (referent)9331.00 (referent)
  ER negative20.38 (0.06 to 2.29).2970.51 (0.27 to 0.98).04
  ER positive211.47 (0.97 to 2.24).071781.26 (1.08 to 1.47).004
  ER status unknown100.78 (0.46 to 1.30).34591.24 (0.94 to 1.64).13
PRSER+
 PRSER+ association with breast cancer risk
  Continuousb380331.40 (1.07 to 1.83).019332441.33 (1.16 to 1.52)<.001
  Continuous: adjusted for male relative breast cancer FHc380331.39 (1.06 to 1.82).029332441.33 (1.16 to 1.53)<.001
  Continuous: adjusted for female relative breast cancer FHc380331.46 (1.09 to 1.94).019332441.36 (1.18 to 1.57)<.001
 PRSER+ association with ER-specific breast cancer riskf
  Controls3801.00 (referent)9331.00 (referent)
  ER negative20.35 (0.03 to 3.59).3770.68 (0.38 to 1.22).20
  ER positive211.79 (1.30 to 2.48)<.0011781.30 (1.11 to 1.52)<.001
  ER status unknown101.00 (0.68 to 1.47)1.00591.52 (1.18 to 1.94).001
 PRSER+ association with grade-specific breast cancer riskd
  Controls3801.00 (referent)9331.00 (referent)
  Grade 111.03 (0.65 to 1.65)g.89111.31 (0.76 to 2.27).34
  Grade 26681.29 (1.05 to 1.59).02
  Grade 3121.51 (1.04 to 2.19).03981.23 (1.01 to 1.51).04
  Grade unknown141.51 (0.96 to 2.38).07671.51 (1.19 to 1.92)<.001
  Case-only: grade 1 + 2 vs grade 3e7125.41 (0.79 to 37.20).0979980.95 (0.71 to 1.28).75
a

P value was calculated using a 2-sided Wald test. CI = confidence interval; ER = estrogen receptor; FH = family history; OR = odds ratio per PRS standard deviation, estimated from a multinomial logistic regression (unless otherwise stated); PRS = polygenic risk scores PRSBC = overall breast cancer PRS; PRSER- = ER-negative breast cancer PRS; PRSER+ = ER-positive breast cancer PRS.

b

The continuous test shows the per PRS standard deviation associations, estimated from a multinomial logistic regression model assuming a continuous PRS.

c

Association estimates adjusted for family history of (male and female) breast cancer in first- and second-degree relatives. FH was coded as no family history, 1 or more relatives diagnosed with breast cancer, unknown FH or missing FH. Supplementary Table 8 (available online; male breast cancer FH adjusted) and Supplementary Table 9 (available online; female breast cancer FH adjusted) describe the breast cancer FH adjusted analyses in greater detail.

d

The breast cancer grade specific odds ratios were estimated by partitioning breast cancer status into multinomial outcomes for grade 1, grade 2, grade 3, or grade unknown.

e

The case-only breast cancer grade analysis was a logistic regression considering grade 1 and grade 2 breast cancers combined as controls and grade 3 breast cancers as cases.

f

The ER-specific breast cancer odds ratios were estimated by partitioning breast cancer status into distinct multinomial outcomes for ER negative, ER positive, or ER status unknown.

g

Grade 1 and grade 2 combined for BRCA1 carriers (to ensure adequate sample size to estimate associations).

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