PMID- 17909071 OWN - NLM STAT- MEDLINE DCOM- 20071031 LR - 20211020 IS - 0008-5472 (Print) IS - 1538-7445 (Electronic) IS - 0008-5472 (Linking) VI - 67 IP - 19 DP - 2007 Oct 1 TI - Genetic heterogeneity among Fanconi anemia heterozygotes and risk of cancer. PG - 9591-6 AB - Fanconi anemia (FA) is a rare autosomal recessive disease characterized by a greatly increased risk of cancer among those diagnosed with the syndrome. The question as to whether FA heterozygotes are at increased risk for cancer is of great importance to those at risk for being a carrier. To address this question, we formed a cohort of grandparents of probands identified through the International Fanconi Anemia Registry. We obtained informed consent, a short questionnaire, and either blood or buccal swab DNA. After diagnosis of the proband was confirmed and complementation studies or DNA sequencing on the proband were completed, mutation analyses of the putative carriers and noncarriers was carried out. Standardized incidence ratios (SIR) were calculated to compare the observed cancer incidence of the grandparents and other relatives with the expected rates of cancer, using the Surveillance, Epidemiology, and End Results registries and the Connecticut Cancer registry. In the 944 study subjects who participated (784 grandparents and 160 other relatives), there was no suggestion of an increase in overall cancer incidence. On the other hand, a significantly higher rate of breast cancer than expected was observed among carrier grandmothers [SIR, 1.7; 95% confidence interval (95% CI), 1.1-2.7]. Among the grandmothers, those who were carriers of FANCC mutations were found to be at highest risk (SIR, 2.4; 95% CI, 1.1-5.2). Overall, there was no increased risk for cancer among FA heterozygotes in this study of Fanconi relatives, although there is some evidence that FANCC mutations are possibly breast cancer susceptibility alleles. FAU - Berwick, Marianne AU - Berwick M AD - Cancer Research and Treatment Center/Internal Medicine, University of New Mexico, Albuquerque, New Mexico, USA. FAU - Satagopan, Jaya M AU - Satagopan JM FAU - Ben-Porat, Leah AU - Ben-Porat L FAU - Carlson, Ann AU - Carlson A FAU - Mah, Katherine AU - Mah K FAU - Henry, Rashida AU - Henry R FAU - Diotti, Raffaella AU - Diotti R FAU - Milton, Kelly AU - Milton K FAU - Pujara, Kanan AU - Pujara K FAU - Landers, Tom AU - Landers T FAU - Dev Batish, Sat AU - Dev Batish S FAU - Morales, Jose AU - Morales J FAU - Schindler, Detlev AU - Schindler D FAU - Hanenberg, Helmut AU - Hanenberg H FAU - Hromas, Robert AU - Hromas R FAU - Levran, Orna AU - Levran O FAU - Auerbach, Arleen D AU - Auerbach AD LA - eng GR - M01 RR000102/RR/NCRR NIH HHS/United States GR - R01 CA082678-04/CA/NCI NIH HHS/United States GR - UL1RR024143/RR/NCRR NIH HHS/United States GR - M01RR000102/RR/NCRR NIH HHS/United States GR - R37 HL032987/HL/NHLBI NIH HHS/United States GR - UL1 RR024143/RR/NCRR NIH HHS/United States GR - R01 CA098438/CA/NCI NIH HHS/United States GR - R01CA82678/CA/NCI NIH HHS/United States GR - R01CA098438/CA/NCI NIH HHS/United States GR - R01 CA082678/CA/NCI NIH HHS/United States GR - R37HL32987/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R SB - IM MH - Breast Neoplasms/genetics MH - Fanconi Anemia/*genetics MH - Female MH - Genetic Predisposition to Disease MH - Heterozygote MH - Humans MH - Male MH - Neoplasms/*genetics PMC - PMC3622247 MID - NIHMS250819 EDAT- 2007/10/03 09:00 MHDA- 2007/11/01 09:00 PMCR- 2013/04/10 CRDT- 2007/10/03 09:00 PHST- 2007/10/03 09:00 [pubmed] PHST- 2007/11/01 09:00 [medline] PHST- 2007/10/03 09:00 [entrez] PHST- 2013/04/10 00:00 [pmc-release] AID - 67/19/9591 [pii] AID - 10.1158/0008-5472.CAN-07-1501 [doi] PST - ppublish SO - Cancer Res. 2007 Oct 1;67(19):9591-6. doi: 10.1158/0008-5472.CAN-07-1501.