PMID- 35543923 OWN - NLM STAT- MEDLINE DCOM- 20220819 LR - 20230301 IS - 1880-4233 (Electronic) IS - 1340-6868 (Print) IS - 1340-6868 (Linking) VI - 29 IP - 5 DP - 2022 Sep TI - Relevance of the MHC region for breast cancer susceptibility in Asians. PG - 869-879 LID - 10.1007/s12282-022-01366-w [doi] AB - BACKGROUND: Human leukocyte antigen (HLA) genes play critical roles in immune surveillance, an important defence against tumors. Imputing HLA genotypes from existing single-nucleotide polymorphism datasets is low-cost and efficient. We investigate the relevance of the major histocompatibility complex region in breast cancer susceptibility, using imputed class I and II HLA alleles, in 25,484 women of Asian ancestry. METHODS: A total of 12,901 breast cancer cases and 12,583 controls from 12 case-control studies were included in our pooled analysis. HLA imputation was performed using SNP2HLA on 10,886 quality-controlled variants within the 15-55 Mb region on chromosome 6. HLA alleles (n = 175) with info scores greater than 0.8 and frequencies greater than 0.01 were included (resolution at two-digit level: 71; four-digit level: 104). We studied the associations between HLA alleles and breast cancer risk using logistic regression, adjusting for population structure and age. Associations between HLA alleles and the risk of subtypes of breast cancer (ER-positive, ER-negative, HER2-positive, HER2-negative, early-stage, and late-stage) were examined. RESULTS: We did not observe associations between any HLA allele and breast cancer risk at P < 5e-8; the smallest p value was observed for HLA-C*12:03 (OR = 1.29, P = 1.08e-3). Ninety-five percent of the effect sizes (OR) observed were between 0.90 and 1.23. Similar results were observed when different subtypes of breast cancer were studied (95% of ORs were between 0.85 and 1.18). CONCLUSIONS: No imputed HLA allele was associated with breast cancer risk in our large Asian study. Direct measurement of HLA gene expressions may be required to further explore the associations between HLA genes and breast cancer risk. CI - (c) 2022. The Author(s). FAU - Ho, Peh Joo AU - Ho PJ AD - Women's Health and Genetics, Genome Institute of Singapore, 60 Biopolis Street, Genome, #02-01, Singapore, 138672, Singapore. AD - Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, 119077, Singapore. AD - Department of Surgery, National University Health System, Singapore, 119228, Singapore. FAU - Khng, Alexis Jiaying AU - Khng AJ AD - Women's Health and Genetics, Genome Institute of Singapore, 60 Biopolis Street, Genome, #02-01, Singapore, 138672, Singapore. FAU - Tan, Benita Kiat-Tee AU - Tan BK AD - Department of Breast Surgery, Singapore General Hospital, Singapore, Singapore. AD - Division of Surgery and Surgical Oncology, National Cancer Centre Singapore, Singapore, Singapore. AD - Department of General Surgery, Sengkang General Hospital, Singapore, Singapore. FAU - Tan, Ern Yu AU - Tan EY AD - Department of General Surgery, Tan Tock Seng Hospital, Singapore, 308433, Singapore. AD - Lee Kong Chian School of Medicine, Singapore, Singapore. AD - Institute of Molecular and Cell Biology, Singapore, Singapore. FAU - Tan, Su-Ming AU - Tan SM AD - Division of Breast Surgery, Changi General Hospital, Singapore, Singapore. FAU - Tan, Veronique Kiak Mien AU - Tan VKM AD - Department of Breast Surgery, Singapore General Hospital, Singapore, Singapore. AD - Division of Surgery and Surgical Oncology, National Cancer Centre Singapore, Singapore, Singapore. FAU - Lim, Geok Hoon AU - Lim GH AD - KK Breast Department, KK Women's and Children's Hospital, Singapore, 229899, Singapore. FAU - Aronson, Kristan J AU - Aronson KJ AD - Department of Public Health Sciences, and Cancer Research Institute, Queen's University, Kingston, ON, K7L 3N6, Canada. FAU - Chan, Tsun L AU - Chan TL AD - Hong Kong Hereditary Breast Cancer Family Registry, Hong Kong, Hong Kong. AD - Department of Molecular Pathology, Hong Kong Sanatorium and Hospital, Hong Kong, Hong Kong. FAU - Choi, Ji-Yeob AU - Choi JY AD - Department of Biomedical Sciences, Seoul National University Graduate School, Seoul, 03080, Korea. AD - Cancer Research Institute, Seoul National University, Seoul, 03080, Korea. AD - Institute of Health Policy and Management, Seoul National University Medical Research Center, Seoul, 03080, Korea. FAU - Dennis, Joe AU - Dennis J AD - Department of Public Health and Primary Care, Centre for Cancer Genetic Epidemiology, University of Cambridge, Cambridge, CB1 8RN, UK. FAU - Ho, Weang-Kee AU - Ho WK AD - Department of Mathematical Sciences, Faculty of Science and Engineering, University of Nottingham Malaysia Campus, 43500, Semenyih, Selangor, Malaysia. AD - Breast Cancer Research Programme, Cancer Research Malaysia, 47500, Subang Jaya, Selangor, Malaysia. FAU - Hou, Ming-Feng AU - Hou MF AD - Department of Surgery, Kaohsiung Municipal Hsiao-Kang Hospital, Kao-hsiung, 812, Taiwan. FAU - Ito, Hidemi AU - Ito H AD - Division of Cancer Information and Control, Aichi Cancer Center Research Institute, Nagoya, 464-8681, Japan. AD - Division of Cancer Epidemiology, Nagoya University Graduate School of Medicine, Nagoya, 466-8550, Japan. FAU - Iwasaki, Motoki AU - Iwasaki M AD - Division of Epidemiology, Center for Public Health Sciences, National Cancer Center, Tokyo, 104-0045, Japan. FAU - John, Esther M AU - John EM AD - Department of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, CA, 94305, USA. AD - Department of Medicine, Division of Oncology, Stanford Cancer Institute, Stanford University School of Medicine, Stanford, CA, 94304, USA. FAU - Kang, Daehee AU - Kang D AD - Cancer Research Institute, Seoul National University, Seoul, 03080, Korea. AD - Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, 03080, Korea. FAU - Kim, Sung-Won AU - Kim SW AD - Department of Surgery, Daerim Saint Mary's Hospital, Seoul, 07442, Korea. FAU - Kurian, Allison W AU - Kurian AW AD - Department of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, CA, 94305, USA. AD - Department of Medicine, Division of Oncology, Stanford Cancer Institute, Stanford University School of Medicine, Stanford, CA, 94304, USA. FAU - Kwong, Ava AU - Kwong A AD - Hong Kong Hereditary Breast Cancer Family Registry, Hong Kong, Hong Kong. AD - Department of Surgery, The University of Hong Kong, Hong Kong, Hong Kong. AD - Department of Surgery and Cancer Genetics Center, Hong Kong Sanatorium and Hospital, Hong Kong, Hong Kong. FAU - Lophatananon, Artitaya AU - Lophatananon A AD - Division of Population Health, Health Services Research and Primary Care, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, M13 9PL, UK. FAU - Matsuo, Keitaro AU - Matsuo K AD - Division of Cancer Epidemiology, Nagoya University Graduate School of Medicine, Nagoya, 466-8550, Japan. AD - Division of Cancer Epidemiology and Prevention, Aichi Cancer Center Research Institute, Nagoya, 464-8681, Japan. FAU - Mohd-Taib, Nur Aishah AU - Mohd-Taib NA AD - Department of Surgery, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia. FAU - Muir, Kenneth AU - Muir K AD - Division of Population Health, Health Services Research and Primary Care, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, M13 9PL, UK. FAU - Murphy, Rachel A AU - Murphy RA AD - School of Population and Public Health, University of British Columbia, Vancouver, BC, V6T 1Z4, Canada. AD - Cancer Control Research, BC Cancer, Vancouver, BC, V5Z 1L3, Canada. FAU - Park, Sue K AU - Park SK AD - Cancer Research Institute, Seoul National University, Seoul, 03080, Korea. AD - Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, 03080, Korea. AD - Integrated Major in Innovative Medical Science, Seoul National University College of Medicine, Seoul, 03080, South Korea. FAU - Shen, Chen-Yang AU - Shen CY AD - Institute of Biomedical Sciences, Academia Sinica, Taipei, 115, Taiwan. AD - School of Public Health, China Medical University, Taichung, Taiwan. FAU - Shu, Xiao-Ou AU - Shu XO AD - Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, TN, 37232, USA. FAU - Teo, Soo Hwang AU - Teo SH AD - Breast Cancer Research Programme, Cancer Research Malaysia, 47500, Subang Jaya, Selangor, Malaysia. AD - Department of Surgery, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia. FAU - Wang, Qin AU - Wang Q AD - Department of Public Health and Primary Care, Centre for Cancer Genetic Epidemiology, University of Cambridge, Cambridge, CB1 8RN, UK. FAU - Yamaji, Taiki AU - Yamaji T AD - Division of Epidemiology, Center for Public Health Sciences, National Cancer Center, Tokyo, 104-0045, Japan. FAU - Zheng, Wei AU - Zheng W AD - Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, TN, 37232, USA. FAU - Bolla, Manjeet K AU - Bolla MK AD - Department of Public Health and Primary Care, Centre for Cancer Genetic Epidemiology, University of Cambridge, Cambridge, CB1 8RN, UK. FAU - Dunning, Alison M AU - Dunning AM AD - Department of Public Health and Primary Care, Centre for Cancer Genetic Epidemiology, University of Cambridge, Cambridge, CB1 8RN, UK. FAU - Easton, Douglas F AU - Easton DF AD - Department of Public Health and Primary Care, Centre for Cancer Genetic Epidemiology, University of Cambridge, Cambridge, CB1 8RN, UK. AD - Department of Oncology, Centre for Cancer Genetic Epidemiology, University of Cambridge, Cambridge, CB1 8RN, UK. FAU - Pharoah, Paul D P AU - Pharoah PDP AD - Department of Public Health and Primary Care, Centre for Cancer Genetic Epidemiology, University of Cambridge, Cambridge, CB1 8RN, UK. AD - Department of Oncology, Centre for Cancer Genetic Epidemiology, University of Cambridge, Cambridge, CB1 8RN, UK. FAU - Hartman, Mikael AU - Hartman M AD - Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, 119077, Singapore. AD - Department of Surgery, National University Health System, Singapore, 119228, Singapore. FAU - Li, Jingmei AU - Li J AUID- ORCID: 0000-0001-8587-7511 AD - Women's Health and Genetics, Genome Institute of Singapore, 60 Biopolis Street, Genome, #02-01, Singapore, 138672, Singapore. lijm1@gis.a-star.edu.sg. AD - Department of Surgery, National University Health System, Singapore, 119228, Singapore. lijm1@gis.a-star.edu.sg. LA - eng GR - 203477/Z/16/Z/WT_/Wellcome Trust/United Kingdom GR - Applied Translational Research/Biomedical Research Council/ GR - NRF-NRFF2017-02/National Research Foundation Singapore/ PT - Journal Article DEP - 20220511 PL - Japan TA - Breast Cancer JT - Breast cancer (Tokyo, Japan) JID - 100888201 RN - 0 (HLA Antigens) SB - IM MH - Alleles MH - Asian People/genetics MH - *Breast Neoplasms/genetics MH - Female MH - Genetic Predisposition to Disease MH - Genotype MH - *HLA Antigens/genetics MH - Humans MH - Polymorphism, Single Nucleotide PMC - PMC9385763 OTO - NOTNLM OT - Breast cancer risk OT - Breast cancer subtypes OT - HLA COIS- The authors declare no potential conflicts of interest. EDAT- 2022/05/12 06:00 MHDA- 2022/08/20 06:00 PMCR- 2022/05/11 CRDT- 2022/05/11 11:22 PHST- 2022/01/30 00:00 [received] PHST- 2022/04/22 00:00 [accepted] PHST- 2022/05/12 06:00 [pubmed] PHST- 2022/08/20 06:00 [medline] PHST- 2022/05/11 11:22 [entrez] PHST- 2022/05/11 00:00 [pmc-release] AID - 10.1007/s12282-022-01366-w [pii] AID - 1366 [pii] AID - 10.1007/s12282-022-01366-w [doi] PST - ppublish SO - Breast Cancer. 2022 Sep;29(5):869-879. doi: 10.1007/s12282-022-01366-w. Epub 2022 May 11.