Genome-wide association studies have revealed many breast cancer (BC) risk-associated genetic variants that might functionally interact with other molecular determinants of BC. We analysed the association of 21 known risk-associated single-nucleotide variants (SNVs) with recurrent somatic variants in two cohorts of 77 and 754 oestrogen receptor α-positive BCs. Four SNVs located at 5q11.2 were found to be associated with the somatic PIK3CA variant status in the pilot cohort of 77 cases with odds ratio (OR) up to 6.5 indicating strong effects, and were selected for the validation phase. Two of these SNVs, rs252913 and rs331499, located in the MAP3K1/SETD9 gene boundary, were confirmed to be associated with somatic PIK3CA variants in the large cohort with OR 2.97 (1.17-7.75) and 1.76 (1.11-2.77), respectively, notably higher than their BC risk-associated values, both around 1.1. In the presence of the SNV or of somatic PIK3CA variants, cancers express significantly elevated levels of MAP3K1 and SETD9, with synergy of SNV and PIK3CA variants in MAP3K1 gene overexpression, consistent with a preferential PIK3CA-dependent regulation of the variant alleles. European Journal of Human Genetics (2017) 25, 384-387; doi:10.1038/ejhg.2016.179; published online 28 December 2016
INTRODUCTIONLess than 10% of human breast cancers (BCs) show pronounced familiarity that can be explained by high penetrance germline variants, but sporadic BCs are also co-determined by low penetrance variants. 1-3 Genome-wide association studies in BC cohorts compared with the general population have identified almost a 100 singlenucleotide variants (SNVs) associated with BC with odds ratio (OR) below 1.2 for most single SNVs. 4,5 However, differently from high penetrance variants, how SNVs functionally increase BC risk is difficult to establish and mostly unknown.In sporadic BC, next-generation sequencing has revealed a mutational landscape characterised by a large number of somatic variants (SM), but few recurrently mutated genes: PIK3CA (25-35%), TP53 (20-30%), and to a lesser extent MAP3K1, GATA3 and CDH1, with a certain preference for specific BC (sub)types. 6-8 Recurrent somatic variants drive tumour progression, but little is known about what leads to the development of tumours carrying these variants. We reasoned that risk-associated genetic variants might modify driver gene penetrance, and investigated the issue by analysing the association of a small series of known BC risk-associated SNVs with the occurrence of SM in the frequently mutated genes PIK3CA, TP53 and MAP3K1.
METHODSTwenty-one SNVs were selected (Supplementary Table S1): 11 from O'Brien et al., 9 rs889312, an expression quantitative trait locus (eQTL) SNV, 10,11 and three further SNVs in high linkage disequilibrium (LD) with the former all located at 5q11.2 (Supplementary Table S2), as well as seven further SNVs were selected from Rhie et al. 12 We preferred SNVs associated with oestrogen receptor α-positive (ER+) BC risk (often higher than for all BC) and close to coding sequenc...