Breast cancer PRS associations with breast cancer risk for BRCA1 and BRCA2 carriers
PRS investigated and outcome . | BRCA1 carriers . | BRCA2 carriers . | ||||||
---|---|---|---|---|---|---|---|---|
No. of controls . | No. of cases . | OR (95% CI) . | Pa . | No. of controls . | No. of cases . | OR (95% CI) . | Pa . | |
PRSBC | ||||||||
PRSBC association with breast cancer risk | ||||||||
Continuousb | 380 | 33 | 1.40 (1.06 to 1.85) | .02 | 933 | 244 | 1.32 (1.15 to 1.52) | <.001 |
Continuous: adjusted for male relative breast cancer FHc | 380 | 33 | 1.39 (1.05 to 1.84) | .02 | 933 | 244 | 1.33 (1.15 to 1.52) | <.001 |
Continuous: adjusted for female relative breast cancer FHc | 380 | 33 | 1.44 (1.07 to 1.95) | .02 | 933 | 244 | 1.36 (1.18 to 1.57) | <.001 |
PRSBC association with grade-specific breast cancer riskd | ||||||||
Controls | 380 | — | 1.00 (referent) | 933 | — | 1.00 (referent) | ||
Grade 1 | — | 1 | 1.03 (0.63 to 1.67)g | .92 | — | 11 | 1.33 (0.74 to 2.36) | .34 |
Grade 2 | — | 6 | — | 68 | 1.29 (1.04 to 1.60) | .02 | ||
Grade 3 | — | 12 | 1.56 (1.03 to 2.37) | .04 | — | 98 | 1.23 (1.00 to 1.50) | .05 |
Grade unknown | — | 14 | 1.47 (0.93 to 2.32) | .10 | — | 67 | 1.51 (1.18 to 1.93) | .001 |
Case-only: grade 1 + 2 vs grade 3e | 7 | 12 | 6.30 (0.88 to 44.87) | .07 | 79 | 98 | 0.95 (0.71 to 1.27) | .73 |
PRSER- | ||||||||
PRSER- association with breast cancer risk | ||||||||
Continuousb | 380 | 33 | 1.12 (0.79 to 1.59) | .52 | 933 | 244 | 1.23 (1.07 to 1.41) | .004 |
Continuous: adjusted for male relative breast cancer FHc | 380 | 33 | 1.12 (0.79 to 1.59) | .53 | 933 | 244 | 1.23 (1.07 to 1.42) | .004 |
Continuous: adjusted for female relative breast cancer FHc | 380 | 33 | 1.14 (0.80 to 1.63) | .48 | 933 | 244 | 1.25 (1.09 to 1.45) | .002 |
PRSER- association with ER-specific breast cancer riskf | ||||||||
Controls | 380 | — | 1.00 (referent) | 933 | — | 1.00 (referent) | ||
ER negative | — | 2 | 0.38 (0.06 to 2.29) | .29 | — | 7 | 0.51 (0.27 to 0.98) | .04 |
ER positive | — | 21 | 1.47 (0.97 to 2.24) | .07 | — | 178 | 1.26 (1.08 to 1.47) | .004 |
ER status unknown | — | 10 | 0.78 (0.46 to 1.30) | .34 | — | 59 | 1.24 (0.94 to 1.64) | .13 |
PRSER+ | ||||||||
PRSER+ association with breast cancer risk | ||||||||
Continuousb | 380 | 33 | 1.40 (1.07 to 1.83) | .01 | 933 | 244 | 1.33 (1.16 to 1.52) | <.001 |
Continuous: adjusted for male relative breast cancer FHc | 380 | 33 | 1.39 (1.06 to 1.82) | .02 | 933 | 244 | 1.33 (1.16 to 1.53) | <.001 |
Continuous: adjusted for female relative breast cancer FHc | 380 | 33 | 1.46 (1.09 to 1.94) | .01 | 933 | 244 | 1.36 (1.18 to 1.57) | <.001 |
PRSER+ association with ER-specific breast cancer riskf | ||||||||
Controls | 380 | — | 1.00 (referent) | 933 | — | 1.00 (referent) | ||
ER negative | — | 2 | 0.35 (0.03 to 3.59) | .37 | — | 7 | 0.68 (0.38 to 1.22) | .20 |
ER positive | — | 21 | 1.79 (1.30 to 2.48) | <.001 | — | 178 | 1.30 (1.11 to 1.52) | <.001 |
ER status unknown | — | 10 | 1.00 (0.68 to 1.47) | 1.00 | — | 59 | 1.52 (1.18 to 1.94) | .001 |
PRSER+ association with grade-specific breast cancer riskd | ||||||||
Controls | 380 | — | 1.00 (referent) | 933 | — | 1.00 (referent) | ||
Grade 1 | — | 1 | 1.03 (0.65 to 1.65)g | .89 | — | 11 | 1.31 (0.76 to 2.27) | .34 |
Grade 2 | — | 6 | — | 68 | 1.29 (1.05 to 1.59) | .02 | ||
Grade 3 | — | 12 | 1.51 (1.04 to 2.19) | .03 | — | 98 | 1.23 (1.01 to 1.51) | .04 |
Grade unknown | — | 14 | 1.51 (0.96 to 2.38) | .07 | — | 67 | 1.51 (1.19 to 1.92) | <.001 |
Case-only: grade 1 + 2 vs grade 3e | 7 | 12 | 5.41 (0.79 to 37.20) | .09 | 79 | 98 | 0.95 (0.71 to 1.28) | .75 |
PRS investigated and outcome . | BRCA1 carriers . | BRCA2 carriers . | ||||||
---|---|---|---|---|---|---|---|---|
No. of controls . | No. of cases . | OR (95% CI) . | Pa . | No. of controls . | No. of cases . | OR (95% CI) . | Pa . | |
PRSBC | ||||||||
PRSBC association with breast cancer risk | ||||||||
Continuousb | 380 | 33 | 1.40 (1.06 to 1.85) | .02 | 933 | 244 | 1.32 (1.15 to 1.52) | <.001 |
Continuous: adjusted for male relative breast cancer FHc | 380 | 33 | 1.39 (1.05 to 1.84) | .02 | 933 | 244 | 1.33 (1.15 to 1.52) | <.001 |
Continuous: adjusted for female relative breast cancer FHc | 380 | 33 | 1.44 (1.07 to 1.95) | .02 | 933 | 244 | 1.36 (1.18 to 1.57) | <.001 |
PRSBC association with grade-specific breast cancer riskd | ||||||||
Controls | 380 | — | 1.00 (referent) | 933 | — | 1.00 (referent) | ||
Grade 1 | — | 1 | 1.03 (0.63 to 1.67)g | .92 | — | 11 | 1.33 (0.74 to 2.36) | .34 |
Grade 2 | — | 6 | — | 68 | 1.29 (1.04 to 1.60) | .02 | ||
Grade 3 | — | 12 | 1.56 (1.03 to 2.37) | .04 | — | 98 | 1.23 (1.00 to 1.50) | .05 |
Grade unknown | — | 14 | 1.47 (0.93 to 2.32) | .10 | — | 67 | 1.51 (1.18 to 1.93) | .001 |
Case-only: grade 1 + 2 vs grade 3e | 7 | 12 | 6.30 (0.88 to 44.87) | .07 | 79 | 98 | 0.95 (0.71 to 1.27) | .73 |
PRSER- | ||||||||
PRSER- association with breast cancer risk | ||||||||
Continuousb | 380 | 33 | 1.12 (0.79 to 1.59) | .52 | 933 | 244 | 1.23 (1.07 to 1.41) | .004 |
Continuous: adjusted for male relative breast cancer FHc | 380 | 33 | 1.12 (0.79 to 1.59) | .53 | 933 | 244 | 1.23 (1.07 to 1.42) | .004 |
Continuous: adjusted for female relative breast cancer FHc | 380 | 33 | 1.14 (0.80 to 1.63) | .48 | 933 | 244 | 1.25 (1.09 to 1.45) | .002 |
PRSER- association with ER-specific breast cancer riskf | ||||||||
Controls | 380 | — | 1.00 (referent) | 933 | — | 1.00 (referent) | ||
ER negative | — | 2 | 0.38 (0.06 to 2.29) | .29 | — | 7 | 0.51 (0.27 to 0.98) | .04 |
ER positive | — | 21 | 1.47 (0.97 to 2.24) | .07 | — | 178 | 1.26 (1.08 to 1.47) | .004 |
ER status unknown | — | 10 | 0.78 (0.46 to 1.30) | .34 | — | 59 | 1.24 (0.94 to 1.64) | .13 |
PRSER+ | ||||||||
PRSER+ association with breast cancer risk | ||||||||
Continuousb | 380 | 33 | 1.40 (1.07 to 1.83) | .01 | 933 | 244 | 1.33 (1.16 to 1.52) | <.001 |
Continuous: adjusted for male relative breast cancer FHc | 380 | 33 | 1.39 (1.06 to 1.82) | .02 | 933 | 244 | 1.33 (1.16 to 1.53) | <.001 |
Continuous: adjusted for female relative breast cancer FHc | 380 | 33 | 1.46 (1.09 to 1.94) | .01 | 933 | 244 | 1.36 (1.18 to 1.57) | <.001 |
PRSER+ association with ER-specific breast cancer riskf | ||||||||
Controls | 380 | — | 1.00 (referent) | 933 | — | 1.00 (referent) | ||
ER negative | — | 2 | 0.35 (0.03 to 3.59) | .37 | — | 7 | 0.68 (0.38 to 1.22) | .20 |
ER positive | — | 21 | 1.79 (1.30 to 2.48) | <.001 | — | 178 | 1.30 (1.11 to 1.52) | <.001 |
ER status unknown | — | 10 | 1.00 (0.68 to 1.47) | 1.00 | — | 59 | 1.52 (1.18 to 1.94) | .001 |
PRSER+ association with grade-specific breast cancer riskd | ||||||||
Controls | 380 | — | 1.00 (referent) | 933 | — | 1.00 (referent) | ||
Grade 1 | — | 1 | 1.03 (0.65 to 1.65)g | .89 | — | 11 | 1.31 (0.76 to 2.27) | .34 |
Grade 2 | — | 6 | — | 68 | 1.29 (1.05 to 1.59) | .02 | ||
Grade 3 | — | 12 | 1.51 (1.04 to 2.19) | .03 | — | 98 | 1.23 (1.01 to 1.51) | .04 |
Grade unknown | — | 14 | 1.51 (0.96 to 2.38) | .07 | — | 67 | 1.51 (1.19 to 1.92) | <.001 |
Case-only: grade 1 + 2 vs grade 3e | 7 | 12 | 5.41 (0.79 to 37.20) | .09 | 79 | 98 | 0.95 (0.71 to 1.28) | .75 |
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.
The continuous test shows the per PRS standard deviation associations, estimated from a multinomial logistic regression model assuming a continuous PRS.
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.
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.
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.
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.
Grade 1 and grade 2 combined for BRCA1 carriers (to ensure adequate sample size to estimate associations).
Breast cancer PRS associations with breast cancer risk for BRCA1 and BRCA2 carriers
PRS investigated and outcome . | BRCA1 carriers . | BRCA2 carriers . | ||||||
---|---|---|---|---|---|---|---|---|
No. of controls . | No. of cases . | OR (95% CI) . | Pa . | No. of controls . | No. of cases . | OR (95% CI) . | Pa . | |
PRSBC | ||||||||
PRSBC association with breast cancer risk | ||||||||
Continuousb | 380 | 33 | 1.40 (1.06 to 1.85) | .02 | 933 | 244 | 1.32 (1.15 to 1.52) | <.001 |
Continuous: adjusted for male relative breast cancer FHc | 380 | 33 | 1.39 (1.05 to 1.84) | .02 | 933 | 244 | 1.33 (1.15 to 1.52) | <.001 |
Continuous: adjusted for female relative breast cancer FHc | 380 | 33 | 1.44 (1.07 to 1.95) | .02 | 933 | 244 | 1.36 (1.18 to 1.57) | <.001 |
PRSBC association with grade-specific breast cancer riskd | ||||||||
Controls | 380 | — | 1.00 (referent) | 933 | — | 1.00 (referent) | ||
Grade 1 | — | 1 | 1.03 (0.63 to 1.67)g | .92 | — | 11 | 1.33 (0.74 to 2.36) | .34 |
Grade 2 | — | 6 | — | 68 | 1.29 (1.04 to 1.60) | .02 | ||
Grade 3 | — | 12 | 1.56 (1.03 to 2.37) | .04 | — | 98 | 1.23 (1.00 to 1.50) | .05 |
Grade unknown | — | 14 | 1.47 (0.93 to 2.32) | .10 | — | 67 | 1.51 (1.18 to 1.93) | .001 |
Case-only: grade 1 + 2 vs grade 3e | 7 | 12 | 6.30 (0.88 to 44.87) | .07 | 79 | 98 | 0.95 (0.71 to 1.27) | .73 |
PRSER- | ||||||||
PRSER- association with breast cancer risk | ||||||||
Continuousb | 380 | 33 | 1.12 (0.79 to 1.59) | .52 | 933 | 244 | 1.23 (1.07 to 1.41) | .004 |
Continuous: adjusted for male relative breast cancer FHc | 380 | 33 | 1.12 (0.79 to 1.59) | .53 | 933 | 244 | 1.23 (1.07 to 1.42) | .004 |
Continuous: adjusted for female relative breast cancer FHc | 380 | 33 | 1.14 (0.80 to 1.63) | .48 | 933 | 244 | 1.25 (1.09 to 1.45) | .002 |
PRSER- association with ER-specific breast cancer riskf | ||||||||
Controls | 380 | — | 1.00 (referent) | 933 | — | 1.00 (referent) | ||
ER negative | — | 2 | 0.38 (0.06 to 2.29) | .29 | — | 7 | 0.51 (0.27 to 0.98) | .04 |
ER positive | — | 21 | 1.47 (0.97 to 2.24) | .07 | — | 178 | 1.26 (1.08 to 1.47) | .004 |
ER status unknown | — | 10 | 0.78 (0.46 to 1.30) | .34 | — | 59 | 1.24 (0.94 to 1.64) | .13 |
PRSER+ | ||||||||
PRSER+ association with breast cancer risk | ||||||||
Continuousb | 380 | 33 | 1.40 (1.07 to 1.83) | .01 | 933 | 244 | 1.33 (1.16 to 1.52) | <.001 |
Continuous: adjusted for male relative breast cancer FHc | 380 | 33 | 1.39 (1.06 to 1.82) | .02 | 933 | 244 | 1.33 (1.16 to 1.53) | <.001 |
Continuous: adjusted for female relative breast cancer FHc | 380 | 33 | 1.46 (1.09 to 1.94) | .01 | 933 | 244 | 1.36 (1.18 to 1.57) | <.001 |
PRSER+ association with ER-specific breast cancer riskf | ||||||||
Controls | 380 | — | 1.00 (referent) | 933 | — | 1.00 (referent) | ||
ER negative | — | 2 | 0.35 (0.03 to 3.59) | .37 | — | 7 | 0.68 (0.38 to 1.22) | .20 |
ER positive | — | 21 | 1.79 (1.30 to 2.48) | <.001 | — | 178 | 1.30 (1.11 to 1.52) | <.001 |
ER status unknown | — | 10 | 1.00 (0.68 to 1.47) | 1.00 | — | 59 | 1.52 (1.18 to 1.94) | .001 |
PRSER+ association with grade-specific breast cancer riskd | ||||||||
Controls | 380 | — | 1.00 (referent) | 933 | — | 1.00 (referent) | ||
Grade 1 | — | 1 | 1.03 (0.65 to 1.65)g | .89 | — | 11 | 1.31 (0.76 to 2.27) | .34 |
Grade 2 | — | 6 | — | 68 | 1.29 (1.05 to 1.59) | .02 | ||
Grade 3 | — | 12 | 1.51 (1.04 to 2.19) | .03 | — | 98 | 1.23 (1.01 to 1.51) | .04 |
Grade unknown | — | 14 | 1.51 (0.96 to 2.38) | .07 | — | 67 | 1.51 (1.19 to 1.92) | <.001 |
Case-only: grade 1 + 2 vs grade 3e | 7 | 12 | 5.41 (0.79 to 37.20) | .09 | 79 | 98 | 0.95 (0.71 to 1.28) | .75 |
PRS investigated and outcome . | BRCA1 carriers . | BRCA2 carriers . | ||||||
---|---|---|---|---|---|---|---|---|
No. of controls . | No. of cases . | OR (95% CI) . | Pa . | No. of controls . | No. of cases . | OR (95% CI) . | Pa . | |
PRSBC | ||||||||
PRSBC association with breast cancer risk | ||||||||
Continuousb | 380 | 33 | 1.40 (1.06 to 1.85) | .02 | 933 | 244 | 1.32 (1.15 to 1.52) | <.001 |
Continuous: adjusted for male relative breast cancer FHc | 380 | 33 | 1.39 (1.05 to 1.84) | .02 | 933 | 244 | 1.33 (1.15 to 1.52) | <.001 |
Continuous: adjusted for female relative breast cancer FHc | 380 | 33 | 1.44 (1.07 to 1.95) | .02 | 933 | 244 | 1.36 (1.18 to 1.57) | <.001 |
PRSBC association with grade-specific breast cancer riskd | ||||||||
Controls | 380 | — | 1.00 (referent) | 933 | — | 1.00 (referent) | ||
Grade 1 | — | 1 | 1.03 (0.63 to 1.67)g | .92 | — | 11 | 1.33 (0.74 to 2.36) | .34 |
Grade 2 | — | 6 | — | 68 | 1.29 (1.04 to 1.60) | .02 | ||
Grade 3 | — | 12 | 1.56 (1.03 to 2.37) | .04 | — | 98 | 1.23 (1.00 to 1.50) | .05 |
Grade unknown | — | 14 | 1.47 (0.93 to 2.32) | .10 | — | 67 | 1.51 (1.18 to 1.93) | .001 |
Case-only: grade 1 + 2 vs grade 3e | 7 | 12 | 6.30 (0.88 to 44.87) | .07 | 79 | 98 | 0.95 (0.71 to 1.27) | .73 |
PRSER- | ||||||||
PRSER- association with breast cancer risk | ||||||||
Continuousb | 380 | 33 | 1.12 (0.79 to 1.59) | .52 | 933 | 244 | 1.23 (1.07 to 1.41) | .004 |
Continuous: adjusted for male relative breast cancer FHc | 380 | 33 | 1.12 (0.79 to 1.59) | .53 | 933 | 244 | 1.23 (1.07 to 1.42) | .004 |
Continuous: adjusted for female relative breast cancer FHc | 380 | 33 | 1.14 (0.80 to 1.63) | .48 | 933 | 244 | 1.25 (1.09 to 1.45) | .002 |
PRSER- association with ER-specific breast cancer riskf | ||||||||
Controls | 380 | — | 1.00 (referent) | 933 | — | 1.00 (referent) | ||
ER negative | — | 2 | 0.38 (0.06 to 2.29) | .29 | — | 7 | 0.51 (0.27 to 0.98) | .04 |
ER positive | — | 21 | 1.47 (0.97 to 2.24) | .07 | — | 178 | 1.26 (1.08 to 1.47) | .004 |
ER status unknown | — | 10 | 0.78 (0.46 to 1.30) | .34 | — | 59 | 1.24 (0.94 to 1.64) | .13 |
PRSER+ | ||||||||
PRSER+ association with breast cancer risk | ||||||||
Continuousb | 380 | 33 | 1.40 (1.07 to 1.83) | .01 | 933 | 244 | 1.33 (1.16 to 1.52) | <.001 |
Continuous: adjusted for male relative breast cancer FHc | 380 | 33 | 1.39 (1.06 to 1.82) | .02 | 933 | 244 | 1.33 (1.16 to 1.53) | <.001 |
Continuous: adjusted for female relative breast cancer FHc | 380 | 33 | 1.46 (1.09 to 1.94) | .01 | 933 | 244 | 1.36 (1.18 to 1.57) | <.001 |
PRSER+ association with ER-specific breast cancer riskf | ||||||||
Controls | 380 | — | 1.00 (referent) | 933 | — | 1.00 (referent) | ||
ER negative | — | 2 | 0.35 (0.03 to 3.59) | .37 | — | 7 | 0.68 (0.38 to 1.22) | .20 |
ER positive | — | 21 | 1.79 (1.30 to 2.48) | <.001 | — | 178 | 1.30 (1.11 to 1.52) | <.001 |
ER status unknown | — | 10 | 1.00 (0.68 to 1.47) | 1.00 | — | 59 | 1.52 (1.18 to 1.94) | .001 |
PRSER+ association with grade-specific breast cancer riskd | ||||||||
Controls | 380 | — | 1.00 (referent) | 933 | — | 1.00 (referent) | ||
Grade 1 | — | 1 | 1.03 (0.65 to 1.65)g | .89 | — | 11 | 1.31 (0.76 to 2.27) | .34 |
Grade 2 | — | 6 | — | 68 | 1.29 (1.05 to 1.59) | .02 | ||
Grade 3 | — | 12 | 1.51 (1.04 to 2.19) | .03 | — | 98 | 1.23 (1.01 to 1.51) | .04 |
Grade unknown | — | 14 | 1.51 (0.96 to 2.38) | .07 | — | 67 | 1.51 (1.19 to 1.92) | <.001 |
Case-only: grade 1 + 2 vs grade 3e | 7 | 12 | 5.41 (0.79 to 37.20) | .09 | 79 | 98 | 0.95 (0.71 to 1.28) | .75 |
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.
The continuous test shows the per PRS standard deviation associations, estimated from a multinomial logistic regression model assuming a continuous PRS.
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.
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.
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.
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.
Grade 1 and grade 2 combined for BRCA1 carriers (to ensure adequate sample size to estimate associations).
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