title: The effect of the I1307K APC polymorphism on the clinicopathological features and natural history of breast cancer.
abstract: The I1307K polymorphism in APC has been found to predispose to colorectal cancer in Ashkenazi Jews, and has recently been associated with an increased risk for breast cancer in the same population. In that study, we genotyped 205 paraffin-embedded breast cancers from Ashkenazi Jewish women diagnosed below the age of 65. We now present an extended analysis, with clinicopathological correlations between carriers of I1307K and non-carriers. Twenty-four of 209 cases (11.5%, 95% confidence interval 7.5-16.6) were found to carry the I1307K polymorphism. When stratifying the data by other relevant clinicopathological variables, we observed no association between the presence of this polymorphism and age at diagnosis (P = 0.52), grade (P = 0.074), tumour size (P = 0.99), lymph node status (P = 0.82), oestrogen receptor status (P = 0.23) or P53 immunoreactivity (P = 0.80). The breast-cancer specific 5-year survival for women with I1307 K polymorphism was 88.9% compared with 81.6% in women without I1307K (P = 0.34). Using microdissected samples and direct sequencing, no somatic mutations were observed in any of the 24 I1307K-positive cases. Single-strand conformation analysis of 158 of the I1307K-negative breast cancers that were available for study revealed no mobility shifts. We conclude that the presence of the I1307K polymorphism does not appear to be associated with any particular clinicopathological feature of breast cancer and importantly, does not affect the prognosis.
authors.affiliation: Department of Medicine, Sir MB Davis-Jewish General Hospital, Montreal, Quebec, Canada.
authors.forename: Z Q
authors.initials: ZQ
authors.lastname: Yuan
authors.forename: L R
authors.initials: LR
authors.lastname: Bégin
authors.forename: N
authors.initials: N
authors.lastname: Wong
authors.forename: J S
authors.initials: JS
authors.lastname: Brunet
authors.forename: M
authors.initials: M
authors.lastname: Trifiro
authors.forename: P H
authors.initials: PH
authors.lastname: Gordon
authors.forename: L
authors.initials: L
authors.lastname: Pinsky
authors.forename: W D
authors.initials: WD
authors.lastname: Foulkes
mesh_terms: D025601:Adenomatous Polyposis Coli Protein; D000328:Adult; D000368:Aged; D000483:Alleles; D001943:Breast Neoplasms / Q000737:chemistry / Q000235:genetics* / Q000473:pathology*; D015331:Cohort Studies; D003598:Cytoskeletal Proteins / Q000235:genetics*; D005260:Female; D017491:Genes, APC / Q000235:genetics*; D006801:Humans; D007150:Immunohistochemistry; D007585:Jews / Q000235:genetics; D008875:Middle Aged; D009363:Neoplasm Proteins / Q000235:genetics*; D011110:Polymorphism, Genetic; D018807:Polymorphism, Single-Stranded Conformational; D011960:Receptors, Estrogen / Q000032:analysis; D012307:Risk Factors; D016159:Tumor Suppressor Protein p53 / Q000032:analysis
chemical_list: D025601:Adenomatous Polyposis Coli Protein; D003598:Cytoskeletal Proteins; D009363:Neoplasm Proteins; D011960:Receptors, Estrogen; D016159:Tumor Suppressor Protein p53