We examined the associations between germline variants and breast cancer mortality using a large meta-analysis of women of European ancestry.
Meta-analyses included summary estimates based on Cox models of twelve datasets using ~10.4 million variants for 96,661 women with breast cancer and 7697 events (breast cancer-specific deaths). Oestrogen receptor (ER)-specific analyses were based on 64,171 ER-positive (4116) and 16,172 ER-negative (2125) patients. We evaluated the probability of a signal to be a true positive using the Bayesian false discovery probability (BFDP).
We did not find any variant associated with breast cancer-specific mortality at P¿<¿5¿×¿10-8. For ER-positive disease, the most significantly associated variant was chr7:rs4717568 (BFDP¿=¿7%, P¿=¿1.28¿×¿10-7, hazard ratio [HR]¿=¿0.88, 95% confidence interval [CI]¿=¿0.84-0.92); the closest gene is AUTS2. For ER-negative disease, the most significant variant was chr7:rs67918676 (BFDP¿=¿11%, P¿=¿1.38¿×¿10-7, HR¿=¿1.27, 95% CI¿=¿1.16-1.39); located within a long intergenic non-coding RNA gene (AC004009.3), close to the HOXA gene cluster.
We uncovered germline variants on chromosome 7 at BFDP¿<¿15% close to genes for which there is biological evidence related to breast cancer outcome. However, the paucity of variants associated with mortality at genome-wide significance underpins the challenge in providing genetic-based individualised prognostic information for breast cancer patients.