Table 2.
BRCA1 heterozygotes (ER-negative PRS313) | BRCA2 heterozygotes (ER-positive PRS313) | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
UBC cases, n | CBC cases, n | HRa | 95% CI | P | UBC cases, n | CBC cases, n | HRa | 95% CI | P | ||
PRS continuous | All CBC | 5,189 | 1,402 | 1.12 | 1.06–1.18 | 5.98×10-5 | 3,561 | 647 | 1.15 | 1.07–1.25 | 1.94×10-4 |
Invasive CBC | 5,324 | 1,267 | 1.13 | 1.07–1.20 | 3.15×10-5 | 3,663 | 545 | 1.15 | 1.06–1.25 | 6.02×10-4 | |
Categorical PRS percentiles | 0–5 | 260 | 48 | 0.81 | 0.59–1.11 | 0.188 | 166 | 28 | 1.06 | 0.71–1.58 | 0.782 |
5–10 | 259 | 54 | 0.77 | 0.57–1.03 | 0.082 | 198 | 26 | 0.68 | 0.44–1.04 | 0.074 | |
10–20 | 519 | 131 | 0.94 | 0.76–1.15 | 0.544 | 355 | 51 | 0.91 | 0.66–1.25 | 0.554 | |
20–40 | 1,038 | 230 | 0.83 | 0.70–0.98 | 0.031 | 697 | 108 | 0.87 | 0.68–1.13 | 0.295 | |
40–60 (reference) | 1,037 | 282 | 1.00 | 695 | 123 | 1.00 | |||||
60–80 | 1,038 | 313 | 1.04 | 0.88–1.22 | 0.664 | 734 | 128 | 0.96 | 0.75–1.23 | 0.748 | |
80–90 | 519 | 170 | 1.11 | 0.92–1.34 | 0.255 | 358 | 90 | 1.35 | 1.03–1.77 | 0.030 | |
90–95 | 259 | 82 | 1.18 | 0.92–1.51 | 0.185 | 178 | 46 | 1.35 | 0.96–1.90 | 0.082 | |
95–100 | 260 | 92 | 1.24 | 0.98–1.56 | 0.074 | 180 | 47 | 1.31 | 0.94–1.82 | 0.116 | |
PRS*age BC1 continuous | Main effect | 5,189 | 1,402 | 1.48 | 1.15–1.89 | 2.03×10-3 | 3,561 | 647 | 1.53 | 1.11–2.12 | 0.010 |
Interaction effect | 0.99 | 0.99–1.00 | 0.025 | 0.99 | 0.99–1.00 | 0.089 | |||||
PRS effect per age group | <40 | 2,339 | 815 | 1.22 | 1.14–1.31 | 4.79×10-8 | 1,238 | 268 | 1.23 | 1.09–1.38 | 5.78×10-4 |
40–50 | 1,821 | 456 | 0.99 | 0.90–1.09 | 0.785 | 1,306 | 261 | 1.19 | 1.05–1.34 | 6.91×10-3 | |
≥50 | 1,029 | 131 | 1.03 | 0.86–1.24 | 0.715 | 1,017 | 118 | 0.97 | 0.81–1.15 | 0.698 | |
Variant classb | Class I | 3,354 | 904 | 1.11 | 1.03–1.18 | 4.32×10-3 | 3,207 | 570 | 1.16 | 1.07–1.26 | 1.99×10-4 |
Class II | 1,345 | 374 | 1.15 | 1.04–1.28 | 4.75×10-3 | 125 | 25 | 0.91 | 0.65–1.28 | 0.594 |
BC1 first primary breast cancer, CBC contralateral breast cancer, CI confidence interval, HR hazard ratio, PRS polygenic risk score, UBC unilateral breast cancer.
aHRs for association with breast cancer and the continuous PRS313 are reported per standard deviation of the PRS in population-based controls.
bClass I pathogenic variants result in an unstable or no protein. Class II pathogenic variants yield stable mutant proteins.