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JNCI Journal of the National Cancer Institute 2004 96(1):15-21; doi:10.1093/jnci/djh008
© 2004 by Oxford University Press
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© 2004 Oxford University Press

ARTICLE

BRCA1 and BRCA2 Founder Mutations and the Risk of Colorectal Cancer

Bethany L. Niell, Gad Rennert, Joseph D. Bonner, Ronit Almog, Lynn P. Tomsho, Stephen B. Gruber

Affiliations of authors: Department of Internal Medicine, Division of Molecular Medicine and Genetics (BLN, JDB, LPT, SBG), Department of Epidemiology, School of Public Health (BLN, SBG), and Department of Human Genetics (SBG), University of Michigan Medical School, Ann Arbor, MI; Department of Community Medicine and Epidemiology, Carmel Medical Center and Technion Faculty of Medicine, Haifa, Israel (GR); Clalit Health Services National Cancer Control Center, Haifa (GR, RA).

Correspondence to: Stephen B. Gruber, MD, PhD, MPH, Division of Molecular Medicine and Genetics, 4301 MSRB III, Box 0638, 1150 W. Medical Center Dr., University of Michigan, Ann Arbor, MI 48109-0638 (e-mail: sgruber{at}umich.edu)

Background: Mutations in BRCA1 and/or BRCA2 (BRCA1/2) profoundly increase the risks of breast and ovarian cancers, but it is unclear whether mutations in these genes increase the risk of colorectal cancer. We investigated BRCA1/2 founder mutations and a family history of breast cancer as potential risk factors for colorectal cancer. Methods: In the population-based Molecular Epidemiology of Colorectal Cancer study in northern Israel, 1422 case patients with incident colorectal cancer, diagnosed between March 31, 1998, and December 31, 2002, and 1566 control subjects without colorectal cancer were genotyped for the BRCA1 187delAG, BRCA1 5385insC, and BRCA2 6174delT founder mutations. Genotypes and interview data from all case patients and control subjects and from only those of Ashkenazi Jewish descent (1002 case patients and 1038 control subjects) were used to calculate odds ratios [ORs] from logistic regression. Results: Twenty-four (2.4%) case patients and 20 (1.9%) control subjects carried one of the three mutations (OR = 1.24, 95% confidence interval [CI] = 0.68 to 2.26). A family history of breast cancer in a female relative was not associated with an increased risk of colorectal cancer, even after adjustment for the presence of a BRCA founder mutation (OR = 1.03, 95% CI = 0.75 to 1.41). Conclusions: Although weak associations cannot be excluded, Ashkenazi BRCA founder mutations do not confer a strongly elevated risk of colorectal cancer. Similarly, a family history of breast cancer does not appear to be a strong risk factor for colorectal cancer in this population.



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Correspondence about this Article

Re: BRCA1 and BRCA2 Founder Mutations and the Risk of Colorectal Cancer
Bernard Friedenson
J Natl Cancer Inst 2004 96: 1184-1185. [Extract] [Full Text] [PDF]

RESPONSE: Re: BRCA1 and BRCA2 Founder Mutations and the Risk of Colorectal Cancer
Bethany L. Niell, Gad Rennert, Joseph D. Bonner, and Stephen B. Gruber
J Natl Cancer Inst 2004 96: 1185-1186. [Extract] [Full Text] [PDF]

Editorial about this Article

One Less Thing to Worry About: The Shrinking Spectrum of Tumors in BRCA Founder Mutation Carriers
Judy E. Garber and Sapna Syngal
J Natl Cancer Inst 2004 96: 2-3. [Extract] [Full Text] [PDF]



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