García-Closas M, Couch F, Lindström S, Michailidou K, Schmidt M, Brook M, Orr N, Rhie SK, Riboli E, Feigelson H, Le Marchand L, Buring J, Eccles D, Miron P, Fasching P, Brauch H, Chang-Claude J, Carpenter J, Godwin A, Nevanlinna H, Giles G, Cox A, Hopper J, Bolla M, Wang Q, Dennis J, Dicks E, Howat W, Schoof N, Bojesen S, Lambrechts D, Broeks A, Andrulis I, Guénel P, Burwinkel B, Sawyer E, Hollestelle A, Fletcher O, Winqvist R, Brenner H, Mannermaa A, Hamann U, Meindl A, Lindblom A, Zheng W, Devillee P, Goldberg M, Lubinski J, Kristensen V, Swerdlow A, Anton-Culver H, Dörk T, Muir K, Matsuo K, Wu A, Radice P, Teo SH, Shu X-O, Blot W, Kang D, Hartman M, Sangrajrang S, Shen C-Y, Southey M, Park D, Hammet F, Stone J, Veer LV't, Rutgers E, Lophatananon A, Stewart-Brown S, Siriwanarangsan P, Peto J, Schrauder M, Ekici A, Beckmann M, Santos Silva I, Johnson N, Warren H, Tomlinson I, Kerin M, Miller N, Marme F, Schneeweiss A, Sohn C, Truong T, Laurent-Puig P, Kerbrat P, Nordestgaard B, Nielsen S, Flyger H, Milne R, Arias Perez JI, Menéndez P, Müller H, Arndt V, Stegmaier C, Lichtner P, Lochmann M, Justenhoven C, Ko Y-D, Gene ENvironmental Interaction and breast CAncer (GENICA) Network, Muranen T, Aittomäki K, Blomqvist C, Greco D, Heikkinen T, Ito H, Iwata H, Yatabe Y, Antonenkova N, Margolin S, Kataja V, Kosma V-M, Hartikainen J, Balleine R, kConFab Investigators, Tseng C-chen, Van Den Berg D, Stram D, Neven P, Dieudonné A-S, Leunen K, Rudolph A, Nickels S, Flesch-Janys D, Peterlongo P, Peissel B, Bernard L, Olson J, Wang X, Stevens K, Severi G, Baglietto L, McLean C, Coetzee G, Feng Y, Henderson B, Schumacher F, Bogdanova N, Labrèche F, Dumont M, Yip CH, Taib NAM, Cheng C-Y, Shrubsole M, Long J, Pylkäs K, Jukkola-Vuorinen A, Kauppila S, Knight J, Glendon G, Mulligan AM, Tollenaar R, Seynaeve C, Kriege M, Hooning M, Ouweland A, Deurzen C, Lu W, Gao Y-T, Cai H, Balasubramanian S, Cross S, Reed M, Signorello L, Cai Q, Shah M, Miao H, Chan CW, Chia KS, Jakubowska A, Jaworska K, Durda K, Hsiung C-N, Wu P-E, Yu J-C, Ashworth A, Jones M, Tessier D, González-Neira A, Pita G, Alonso R, Vincent D, Bacot F, Ambrosone C, Bandera E, John E, Chen G, Hu J, Rodriguez-Gil J, Bernstein L, Press M, Ziegler R, Millikan R, Deming-Halverson S, Nyante S, Ingles S, Waisfisz Q, Tsimiklis H, Makalic E, Schmidt D, Bui M, Gibson L, Müller-Myhsok B, Schmutzler R, Hein R, Dahmen N, Beckmann L, Aaltonen K, Czene K, Irwanto A, Liu J, Turnbull C, Familial Breast Cancer Study (FBCS), Rahman N, Meijers-Heijboer H, Uitterlinden A, Rivadeneira F, Australian Breast Cancer Tissue Bank (ABCTB) Investigators, Olswold C, Slager S, Pilarski R, Ademuyiwa F, Konstantopoulou I, Martin N, Montgomery G, Slamon D, Rauh C, Lux M, Jud S, Bruning T, Weaver J, Sharma P, Pathak H, Tapper W, Gerty S, Durcan L, Trichopoulos D, Tumino R, Peeters P, Kaaks R, Campa D, Canzian F, Weiderpass E, Johansson M, Khaw K-T, Travis R, Clavel-Chapelon F, Kolonel L, Chen C, Beck A, Hankinson S, Berg C, Hoover R, Lissowska J, Figueroa J, Chasman D, Gaudet M, Diver R, Willett W, Hunter D, Simard J, Benitez J, Dunning A, Sherman M, Chenevix-Trench G, Chanock S, Hall P, Pharoah P, Vachon C, Easton D, Haiman C, Kraft P. Genome-wide association studies identify four ER negative-specific breast cancer risk loci. Nat Genet 2013;45(4):392-8, 398e1-2.
Estrogen receptor (ER)-negative tumors represent 20-30% of all breast cancers, with a higher proportion occurring in younger women and women of African ancestry. The etiology and clinical behavior of ER-negative tumors are different from those of tumors expressing ER (ER positive), including differences in genetic predisposition. To identify susceptibility loci specific to ER-negative disease, we combined in a meta-analysis 3 genome-wide association studies of 4,193 ER-negative breast cancer cases and 35,194 controls with a series of 40 follow-up studies (6,514 cases and 41,455 controls), genotyped using a custom Illumina array, iCOGS, developed by the Collaborative Oncological Gene-environment Study (COGS). SNPs at four loci, 1q32.1 (MDM4, P = 2.1 × 10(-12) and LGR6, P = 1.4 × 10(-8)), 2p24.1 (P = 4.6 × 10(-8)) and 16q12.2 (FTO, P = 4.0 × 10(-8)), were associated with ER-negative but not ER-positive breast cancer (P > 0.05). These findings provide further evidence for distinct etiological pathways associated with invasive ER-positive and ER-negative breast cancers.