Abstract

<div>Abstract<p>Early-onset breast cancer (EOBC) causes substantial loss of life and productivity, creating a major burden among women worldwide. We analyzed 1,265,548 Hapmap3 single-nucleotide polymorphisms (SNP) among a discovery set of 3,523 EOBC incident cases and 2,702 population control women ages ≤ 51 years. The SNPs with smallest <i>P</i> values were examined in a replication set of 3,470 EOBC cases and 5,475 control women. We also tested EOBC association with 19,684 genes by annotating each gene with putative functional SNPs, and then combining their <i>P</i> values to obtain a gene-based <i>P</i> value. We examined the gene with smallest <i>P</i> value for replication in 1,145 breast cancer cases and 1,142 control women. The combined discovery and replication sets identified 72 new SNPs associated with EOBC (<i>P</i> < 4 × 10<sup>−8</sup>) located in six genomic regions previously reported to contain SNPs associated largely with later-onset breast cancer (LOBC). SNP rs2229882 and 10 other SNPs on chromosome 5q11.2 remained associated (<i>P</i> < 6 × 10<sup>−4</sup>) after adjustment for the strongest published SNPs in the region. Thirty-two of the 82 currently known LOBC SNPs were associated with EOBC (<i>P</i> < 0.05). Low power is likely responsible for the remaining 50 unassociated known LOBC SNPs. The gene-based analysis identified an association between breast cancer and the phosphofructokinase-muscle (<i>PFKM</i>) gene on chromosome 12q13.11 that met the genome-wide gene-based threshold of 2.5 × 10<sup>−6</sup>. In conclusion, EOBC and LOBC seem to have similar genetic etiologies; the 5q11.2 region may contain multiple distinct breast cancer loci; and the <i>PFKM</i> gene region is worthy of further investigation. These findings should enhance our understanding of the etiology of breast cancer. <i>Cancer Epidemiol Biomarkers Prev; 23(4); 658–69. ©2014 AACR</i>.</p></div>

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