Table 3.
PRS interactions with age and BRCA1 and BRCA2 pathogenic variant characteristics for BRCA1 and BRCA2 carriers with breast cancer risk and prostate cancer risk.
| Model and category | Breast cancer (PRSER+)a |
Prostate cancer (PRSPC) |
||||||
|---|---|---|---|---|---|---|---|---|
|
BRCA1 carriers |
BRCA2 carriers |
BRCA1 carriers |
BRCA2 carriers |
|||||
| OR (95% CI) | P b | OR (95% CI) | P b | OR (95% CI) | P b | OR (95% CI) | P b | |
| PRS x age interactionc | ||||||||
| PRS | 1.88 (0.68 to 5.18) | .22 | 1.34 (0.71 to 2.53) | .37 | 0.64 (0.20 to 2.04) | .45 | 2.03 (0.91 to 4.52) | .08 |
| PRS x age | 1.00 (0.98 to 1.01) | .56 | 1.00 (0.99 to 1.01) | .98 | 1.02 (1.00 to 1.03) | .09 | 1.00 (0.98 to 1.01) | .55 |
| PLRTd | .90 | .86 | .43 | .79 | ||||
| Gene pathogenic variant classe | ||||||||
| Class I | 1.38 (1.03 to 1.84) | .03 | 1.31 (1.13 to 1.52) | <.001 | 1.57 (1.13 to 2.19) | .008 | 1.57 (1.31 to 1.89) | <.001 |
| Class II | 1.71 (0.72 to 4.07) | .23 | 1.39 (0.67 to 2.86) | .38 | 3.00 (1.36 to 6.60) | .006 | 2.04 (0.63 to 6.55) | .23 |
| PLRTd | .76 | .69 | .26 | .97 | ||||
| BRCA1 pathogenic variant location (OCCR) | ||||||||
| 5’ to c.2281 | 1.50 (1.00 to 2.26) | .05 | NA | NA | NA | |||
| c.2282 to c.4071 | 1.17 (0.79 to 1.72) | .44 | NA | NA | NA | |||
| c.4072 to 3’ | 1.61 (0.87 to 2.98) | .13 | NA | NA | NA | |||
| PLRTd | .85 | |||||||
| BRCA2 pathogenic variant location (OCCR) | ||||||||
| 5’ to c.2830 | NA | 1.43 (1.09 to 1.88) | .009 | NA | NA | |||
| c.2831 to c.6401 | NA | 1.24 (0.99 to 1.55) | .06 | NA | NA | |||
| c.6402 to 3’ | NA | 1.33 (1.04 to 1.70) | .02 | NA | NA | |||
| PLRTd | .61 | |||||||
| BRCA2 pathogenic variant location (PCCR) | ||||||||
| 5’ to c.755 | NA | NA | NA | 1.67 (1.06 to 2.62) | .03 | |||
| c.756 to c.1000 | NA | NA | NA | 1.77 (1.07 to 2.95) | .03 | |||
| c.1001 to c.7913 | NA | NA | NA | 1.49 (1.18 to 1.89) | <.001 | |||
| c.7914 to 3’ | NA | NA | NA | 1.76 (1.24 to 2.50) | .002 | |||
| PLRTd | .52 | |||||||
The associations with breast cancer risk are reported for the ER-positive breast cancer PRS (PRSER+). CI = confidence interval; OCCR = ovarian cancer cluster region; OR = odds ratio per PRS standard deviation, estimated from a multinomial logistic regression; PCCR = prostate cancer cluster region; PRS = polygenic risk score; NA = not applicable.
P value was calculated using a 2-sided Wald test, unless otherwise indicated.
The PRS term is applicable at age 0 years and the PRS x age interaction term is a per-year effect. Age in years.
P values were calculated using a 2-sided likelihood ratio test. The likelihood ratio test compared the model that estimated the interaction term with a nested model that omitted the interaction term.
Class I pathogenic variant = loss-of-function pathogenic variants expected to result in unstable or no protein; class II pathogenic variant = pathogenic variants likely to yield stable mutant proteins.