Breast cancer is the most commonly occurring invasive cancer among women and its estimated incidence rate worldwide is approximately 1 million cases annually. Although several breast cancer susceptibility genes have been identified over the past two decades, it is likely that many genes with modest effects are yet to be found. In this review, we discuss the progress that has been recently made with the emergence of empirical genome-wide association studies for breast cancer and the identification of several common, low-penetrance disease alleles at loci that had not been previously implicated as candidates for breast cancer susceptibility. We also discuss the implications of these recent findings for risk prediction, targeted screening and public health interventions, and conclude by discussing the strengths and weaknesses of these studies, and the strategies required to identify additional risk factors for breast cancer.Keywords association studies; breast cancer; clinical relevance; frequent variants; genetic susceptibility; genome-wide association; low penetrance; risk prediction Breast cancer is the most commonly occurring cancer in women worldwide. With an estimated 1,150,000 new cases each year, female breast cancer accounts for over 400,000 cancer deaths per year [1]. Its incidence rates have increased in all regions of the world, but are nearly threefold higher in developed than less-developed countries [1]. However, breast cancer death rates have been dropping steadily since 1990, because of a better understanding of the disease etiology, earlier detection and better treatments [101]. † Author for correspondence: Cancer Research UK, Department of Oncology, University of Cambridge, Strangeways Research Laboratory, Cambridge, UK Tel.: +44 122 374 0272 maya@srl.cam.ac.uk.
Financial & competing interests disclosureDr Paul DP Pharoah is a Cancer Research UK Senior Clinical Research Fellow. Dr Maya Ghoussaini is funded through a program grant from Cancer Research UK. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed. No writing assistance was utilized in the production of this manuscript.
Europe PMC Funders GroupAuthor Manuscript Future Oncol. Author manuscript; available in PMC 2016 July 04.
Europe PMC Funders Author Manuscripts Europe PMC Funders Author ManuscriptsObservational epidemiology has shown that breast cancer is approximately twice as common among first-degree relatives of breast cancer patients as compared with women in the general population [2,3]. In parallel, twin studies reported that the relative risk of breast cancer is much higher in monozygotic twins compared with dizygotic [4,5]. Together, these observations strongly suggest that the predominant component of familial aggregation in breast cancer is genetic rather than environmental.To date, several approaches have been used to identif...