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CYP3A7*1C allele: linking premenopausal oestrone and progesterone levels with risk of hormone receptor-positive breast cancers

Abstract:
Background Epidemiological studies provide strong evidence for a role of endogenous sex hormones in the aetiology of breast cancer. The aim of this analysis was to identify genetic variants that are associated with urinary sex-hormone levels and breast cancer risk. Methods We carried out a genome-wide association study of urinary oestrone-3-glucuronide and pregnanediol-3-glucuronide levels in 560 premenopausal women, with additional analysis of progesterone levels in 298 premenopausal women. To test for the association with breast cancer risk, we carried out follow-up genotyping in 90,916 cases and 89,893 controls from the Breast Cancer Association Consortium. All women were of European ancestry. Results For pregnanediol-3-glucuronide, there were no genome-wide significant associations; for oestrone-3-glucuronide, we identified a single peak mapping to the CYP3A locus, annotated by rs45446698. The minor rs45446698-C allele was associated with lower oestrone-3-glucuronide (-49.2%, 95% CI -56.1% to -41.1%, P = 3.1 x 10(-18)); in follow-up analyses, rs45446698-C was also associated with lower progesterone (-26.7%, 95% CI -39.4% to -11.6%, P = 0.001) and reduced risk of oestrogen and progesterone receptor-positive breast cancer (OR = 0.86, 95% CI 0.82-0.91, P = 6.9 x 10(-8)). Conclusions The CYP3A7*1C allele is associated with reduced risk of hormone receptor-positive breast cancer possibly mediated via an effect on the metabolism of endogenous sex hormones in premenopausal women.Peer reviewe
Publication status:
Published
Peer review status:
Peer reviewed

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10.1038/s41416-020-01185-w

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ORCID:
0000-0001-6654-3620
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ORCID:
0000-0001-7479-3451
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ORCID:
0000-0001-8403-2234
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ORCID:
0000-0002-9477-6090
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ORCID:
0000-0002-4351-9326


Publisher:
Springer Nature [academic journals on nature.com]
Journal:
British Journal of Cancer More from this journal
Volume:
124
Issue:
4
Pages:
842-854
Publication date:
2021-01-26
DOI:
EISSN:
1532-1827
ISSN:
0007-0920


Language:
English
Keywords:
Pubs id:
1158960
Local pid:
pubs:1158960
Source identifiers:
W3121425442
Deposit date:
2026-02-13
ARK identifier:
This ORA record was generated from metadata provided by an external service. It has not been edited by the ORA Team.

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