Penetrance of ATM Gene Mutations in Breast Cancer: A Meta-Analysis of Different Measures of Risk.

Penetrance of ATM Gene Mutations in Breast Cancer: A Meta-Analysis of Different Measures of Risk.
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DOI:
10.1002/gepi.21971
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发表时间:
2016-07
影响因子:
2.1
通讯作者:
Parmigiani G
Parmigiani G
中科院分区:
医学4区
文献类型:
--
作者:
Marabelli M;Cheng SC;Parmigiani G

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导致共济失调毛细血管扩张综合征的基因ATM也是一种中等风险乳腺癌易感基因。已经进行了许多研究来确定ATM基因突变对乳腺癌(BC)风险的贡献。流行病学调查、分离分析和病例对照研究以不同形式报告了BC风险,包括发病率、相对危险度、标准化发病率和比值比。由于报告的估计值在定性和定量上都不同,我们开发了一个通用模型,可以整合文献中提供的不同类型的癌症风险。我们进行了一项综合的荟萃分析,确定了19项研究,并使用我们的模型获得了BC发生率的一致估计。ATM杂合突变携带者乳腺癌的累积风险估计为6.02%,50岁(95%可信区间:4.58-7.42%)和32.83%,80岁(95%可信区间:24.55-40.43%)。准确评估癌症的发病率是至关重要的,以便让突变携带者做出医疗和生活方式的决定,可以减少他们患上这种疾病的机会。
The gene responsible for ataxia telangiectasia syndrome, ATM, is also an intermediate-risk breast cancer susceptibility gene. Numerous studies have been carried out to determine the contribution of ATM gene mutations to breast cancer (BC) risk. Epidemiological surveys, segregation analyses and case-control studies reported BC risk in different forms, including penetrance, Relative Risk, Standardized Incidence Ratio and Odds Ratio. Since the reported estimates vary both qualitatively and quantitatively, we developed a general model allowing the integration of the different types of cancer risk available in the literature. We performed a comprehensive meta-analysis identifying 19 studies, and used our model to obtain a consensus estimate of BC penetrance. The cumulative risk of breast cancer in heterozygous ATM mutation carriers was estimated to be 6.02% by 50 years of age (95% credible interval: 4.58–7.42%) and 32.83% by 80 years of age (95% credible interval: 24.55–40.43%). An accurate assessment of cancer penetrance is crucial in order to allow mutation carriers to make medical and lifestyle decisions that can reduce their chances of developing the disease.
DOI: 10.1186/bcr2919
发表时间: 2011-07-25
期刊: Breast cancer research : BCR
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影响因子: 3.8
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