Table 2. Studies on breast cancer risk models incorporating PRS in Asia.
| Study | Year | Method | Target population | Risk factors | Discriminatory accuracy (AUC) |
|---|---|---|---|---|---|
| Lee et al. [58] | 2014 | Case-control | Singapore Chinese, age 45–74 years, 1,212 controls and 411 cases | vGail* (age at menarche, age at first live birth, number of 1st degree relatives with breast cancer), BMI, PRS (51 SNPs) | -† |
| Lee et al. [59] | 2015 | Prospective cohort, 17 years follow-up | Singapore, age 50–64 years, 24,161 women | vGail (age at menarche, age at first live birth, number of 1st degree relatives with breast cancer), BMI, mean breast dense area, PRS (75 SNPs) | vGail + BMI: 0.62 (95% CI, 0.60–0.64) |
| vGail + BMI + Density: 0.65 (95% CI, 0.63–0.66) | |||||
| vGail + BMI + Density + GRS: 0.66 (95% CI, 0.65–0.68) | |||||
| Wen et al. [56] | 2016 | Case-control | East Asians participating in nine studies in the BCAC that were conducted in China, Japan, South Korea, Thailand, and Malaysia, any age, 11,612 controls and 11,760 cases | 44 SNPs | 0.606 (SD, 0.38) |
| Hsieh et al. [60] | 2017 | Case-control | Taiwanese, age 20–90 years in 4 hospitals, 514 controls and 446 cases | Age, BMI, age at menarche, parity, menopausal status, PRS (6 SNPs) | Without PRS: 0.63 |
| With PRS: 0.67 | |||||
| PRS only: 0.60 | |||||
| Chan et al. [61] | 2018 | Case-control | Singapore Chinese, any age, 243 controls and 301 cases | PRS model 1: 46 SNPs | 0.566 (95% CI, 0.517–0.614) |
| PRS model 2: 11 SNPs | 0.565 (95% CI, 0.516–0.613) | ||||
| PRS model 3: 9 SNPs | 0.557 (95% CI, 0.508–0.606) |
PRS = polygenic risk scores; AUC = area under the curve; BMI = body mass index; SNP = single nucleotide polymorphism; CI = confidence interval; BCAC = Breast Cancer Association Consortium; SD = standard deviation.
*Variables of Gail model; †This study showed that addition of a Genetic Risk Score with risk factors reclassified 6.2% women for their absolute risk of breast cancer in the next 5 years.