2016
DOI: 10.1158/1055-9965.epi-15-0913
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The Heritability of Breast Cancer among Women in the Nordic Twin Study of Cancer

Abstract: Background: Family history is an established risk factor for breast cancer. Although some important genetic factors have been identified, the extent to which familial risk can be attributed to genetic factors versus common environment remains unclear.Methods: We estimated the familial concordance and heritability of breast cancer among 21,054 monozygotic and 30,939 dizygotic female twin pairs from the Nordic Twin Study of Cancer, the largest twin study of cancer in the world. We accounted for leftcensoring, ri… Show more

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Cited by 88 publications
(71 citation statements)
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“…Individuals with a first-degree relative affected by the disease have a roughly two-fold increased risk of developing breast cancer themselves, and a more extensive family history or having relatives diagnosed at an earlier age confers yet greater risk [24]. A recent twin study estimated the heritability of breast cancer to be 31% [5], but the combination of rare variants (e.g., in BRCA1 , BRCA2 ) identified from linkage studies (summarized in [6]) and common single nucleotide polymorphisms (SNPs) at roughly 100 loci identified from genome-wide association studies (GWAS; summarized in [7]) explain only one-third of the excess familial risk of disease [8]. Thus, a substantial gap remains in the understanding of the genetic factors that contribute to breast cancer risk.…”
Section: Introductionmentioning
confidence: 99%
“…Individuals with a first-degree relative affected by the disease have a roughly two-fold increased risk of developing breast cancer themselves, and a more extensive family history or having relatives diagnosed at an earlier age confers yet greater risk [24]. A recent twin study estimated the heritability of breast cancer to be 31% [5], but the combination of rare variants (e.g., in BRCA1 , BRCA2 ) identified from linkage studies (summarized in [6]) and common single nucleotide polymorphisms (SNPs) at roughly 100 loci identified from genome-wide association studies (GWAS; summarized in [7]) explain only one-third of the excess familial risk of disease [8]. Thus, a substantial gap remains in the understanding of the genetic factors that contribute to breast cancer risk.…”
Section: Introductionmentioning
confidence: 99%
“…Breast cancer is the most frequently diagnosed cancer in women, accounting for 25% of diagnoses worldwide, with nearly 50% of the diagnoses occurring in Europe and North America . Evidence from studies of migrants moving from a low‐risk to a high‐risk country and studies of twins suggest nongenetic factors contribute substantially to breast carcinogenesis . Public concerns exist about the health effects of broad, low‐level exposure to environmental pollutants worldwide, yet the role of the environmental pollutants in breast carcinogenesis is poorly understood .…”
Section: Introductionmentioning
confidence: 99%
“…The World Health Organization estimates that, excluding non-melanoma skin cancers, breast cancer was the most common cancer in women and was second only to lung cancer worldwide (GLOBOCAN 2012). While roughly 30% of breast cancer cases can be linked to established risk factors, including genetics, the remaining 70% are associated with exogenous components such as environmental chemical exposures (Davis et al 1993; Fenton 2006; Moller et al 2015). …”
Section: Introductionmentioning
confidence: 99%