Genome-wide association study of treatment-related toxicity two years following radiotherapy for breast cancer

Background and purpose - Up to a quarter of breast cancer patients treated by surgery and radiotherapy experience clinically significant toxicity. If patients at high risk of adverse effects could be identified at diagnosis, their treatment could be tailored accordingly. This study was designed to i...

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Hauptverfasser: Jandu, Harkeran (VerfasserIn) , Veal, Colin D. (VerfasserIn) , Fachal, Laura (VerfasserIn) , Luccarini, Craig (VerfasserIn) , Aguado-Barrera, Miguel E. (VerfasserIn) , Altabas, Manuel (VerfasserIn) , Azria, David (VerfasserIn) , Baten, Adinda (VerfasserIn) , Bourgier, Celine (VerfasserIn) , Bultijnck, Renée (VerfasserIn) , Colciago, Riccardo R. (VerfasserIn) , Farcy-Jacquet, Marie-Pierre (VerfasserIn) , Chang-Claude, Jenny (VerfasserIn) , Choudhury, Ananya (VerfasserIn) , Dunning, Alison (VerfasserIn) , Elliott, Rebecca M. (VerfasserIn) , Green, Sheryl (VerfasserIn) , Gutiérrez-Enríquez, Sara (VerfasserIn) , Herskind, Carsten (VerfasserIn) , Lambrecht, Maarten (VerfasserIn) , Monten, Christel (VerfasserIn) , Rancati, Tiziana (VerfasserIn) , Reyes, Victoria (VerfasserIn) , Rosenstein, Barry S. (VerfasserIn) , De Ruysscher, Dirk (VerfasserIn) , Carmen De Santis, Maria (VerfasserIn) , Seibold, Petra (VerfasserIn) , Sperk, Elena (VerfasserIn) , Veldwijk, Marlon Romano (VerfasserIn) , Paul Symonds, R. (VerfasserIn) , Stobart, Hilary (VerfasserIn) , Taboada-Valladares, Begoña (VerfasserIn) , Vega, Ana (VerfasserIn) , Veldeman, Liv (VerfasserIn) , Webb, Adam J. (VerfasserIn) , Weltens, Caroline (VerfasserIn) , West, Catharine M. (VerfasserIn) , Rattay, Tim (VerfasserIn) , Talbot, Christopher J. (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: October 2023
In: Radiotherapy and oncology
Year: 2023, Jahrgang: 187, Pages: 1-10
ISSN:1879-0887
DOI:10.1016/j.radonc.2023.109806
Online-Zugang:Verlag, kostenfrei, Volltext: https://doi.org/10.1016/j.radonc.2023.109806
Verlag, kostenfrei, Volltext: https://www.sciencedirect.com/science/article/pii/S0167814023003444
Volltext
Verfasserangaben:Harkeran K. Jandu, Colin D. Veal, Laura Fachal, Craig Luccarini, Miguel E. Aguado-Barrera, Manuel Altabas, David Azria, Adinda Baten, Celine Bourgier, Renée Bultijnck, Riccardo R. Colciago, Marie-Pierre Farcy-Jacquet, Jenny Chang-Claude, Ananya Choudhury, Alison Dunning, Rebecca M. Elliott, Sheryl Green, Sara Gutiérrez-Enríquez, Carsten Herskind, Maarten Lambrecht, Christel Monten, Tiziana Rancati, Victoria Reyes, Barry S. Rosenstein, Dirk De Ruysscher, Maria Carmen De Santis, Petra Seibold, Elena Sperk, Marlon Veldwijk, R. Paul Symonds, Hilary Stobart, Begoña Taboada-Valladares, Ana Vega, Liv Veldeman, Adam J. Webb, Caroline Weltens, Catharine M. West, Tim Rattay, Christopher J. Talbot, on behalf of the REQUITE consortium

MARC

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245 1 0 |a Genome-wide association study of treatment-related toxicity two years following radiotherapy for breast cancer  |c Harkeran K. Jandu, Colin D. Veal, Laura Fachal, Craig Luccarini, Miguel E. Aguado-Barrera, Manuel Altabas, David Azria, Adinda Baten, Celine Bourgier, Renée Bultijnck, Riccardo R. Colciago, Marie-Pierre Farcy-Jacquet, Jenny Chang-Claude, Ananya Choudhury, Alison Dunning, Rebecca M. Elliott, Sheryl Green, Sara Gutiérrez-Enríquez, Carsten Herskind, Maarten Lambrecht, Christel Monten, Tiziana Rancati, Victoria Reyes, Barry S. Rosenstein, Dirk De Ruysscher, Maria Carmen De Santis, Petra Seibold, Elena Sperk, Marlon Veldwijk, R. Paul Symonds, Hilary Stobart, Begoña Taboada-Valladares, Ana Vega, Liv Veldeman, Adam J. Webb, Caroline Weltens, Catharine M. West, Tim Rattay, Christopher J. Talbot, on behalf of the REQUITE consortium 
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520 |a Background and purpose - Up to a quarter of breast cancer patients treated by surgery and radiotherapy experience clinically significant toxicity. If patients at high risk of adverse effects could be identified at diagnosis, their treatment could be tailored accordingly. This study was designed to identify common single nucleotide polymorphisms (SNPs) associated with toxicity two years following whole breast radiotherapy. - Materials and Methods - A genome-wide association study (GWAS) was performed in 1,640 breast cancer patients with complete SNP, clinical, treatment and toxicity data, recruited across 18 European and US centres into the prospective REQUITE cohort study. Toxicity data (CTCAE v4.0) were collected at baseline, end of radiotherapy, and annual follow-up. A total of 7,097,340 SNPs were tested for association with the residuals of toxicity endpoints, adjusted for clinical, treatment co-variates and population substructure. - Results - Quantile-quantile plots showed more associations with toxicity above the p < 5 × 10-5 level than expected by chance. Eight SNPs reached genome-wide significance. Nipple retraction grade ≥ 2 was associated with the rs188287402 variant (p = 2.80 × 10-8), breast oedema grade ≥ 2 with rs12657177 (p = 1.12 × 10-10), rs75912034 (p = 1.12 × 10-10), rs145328458 (p = 1.06 × 10-9) and rs61966612 (p = 1.23 × 10-9), induration grade ≥ 2 with rs77311050 (p = 2.54 × 10-8) and rs34063419 (p = 1.21 × 10-8), and arm lymphoedema grade ≥ 1 with rs643644 (p = 3.54 × 10-8). Heritability estimates across significant endpoints ranged from 25% to 39%. Our study did not replicate previously reported SNPs associated with breast radiation toxicity at the pre-specified significance level. - Conclusions - This GWAS for long-term breast radiation toxicity provides further evidence for significant association of common SNPs with distinct toxicity endpoints. 
650 4 |a Breast Cancer 
650 4 |a Chronic toxicity 
650 4 |a Genome-wide association study 
650 4 |a Radiogenomics 
650 4 |a Radiotherapy 
650 4 |a Radiotherapy side effects 
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700 1 |a Veldeman, Liv  |e VerfasserIn  |4 aut 
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