Evidence map›Paper›PMID 40462315›Full record

Observational studyCancer medicine2025

Estimating Cancer Penetrance in Carriers of BRCA2 Pathogenic Variants Using Cancer-Specific Polygenic Scores.

Brendan Prassas, Zhuqing Shi, Huy Tran, Jun Wei, Chi-Hsiung Wang, Andrew S Rifkin, Annabelle Ashworth, S Lilly Zheng, Ashley J Mulford, Alan R Sanders and 7 more

Abstract readObservational Study
In one paragraph

Observational study in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Opportunistic Screening of High-Risk Breast Cancer Variants in Hospital Biobank Setting.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  2. Article
  3. Advances in the Basic Sciences in Thoracic Oncology in the Last 20 Years and Their Translational Impact.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Brendan PrassasProgram for Genomic Translational Research, NorthShore University HealthSystem (Endeavor Health), Evanston, Illinois, USA.
Zhuqing ShiProgram for Genomic Translational Research, NorthShore University HealthSystem (Endeavor Health), Evanston, Illinois, USA.
Huy TranProgram for Genomic Translational Research, NorthShore University HealthSystem (Endeavor Health), Evanston, Illinois, USA.
Jun WeiProgram for Genomic Translational Research, NorthShore University HealthSystem (Endeavor Health), Evanston, Illinois, USA.
Chi-Hsiung WangProgram for Genomic Translational Research, NorthShore University HealthSystem (Endeavor Health), Evanston, Illinois, USA.
Andrew S RifkinProgram for Genomic Translational Research, NorthShore University HealthSystem (Endeavor Health), Evanston, Illinois, USA.ORCID https://orcid.org/0009-0004-9038-7014
Annabelle AshworthProgram for Genomic Translational Research, NorthShore University HealthSystem (Endeavor Health), Evanston, Illinois, USA.
S Lilly ZhengProgram for Genomic Translational Research, NorthShore University HealthSystem (Endeavor Health), Evanston, Illinois, USA.
Ashley J MulfordGenomic Health Initiative, NorthShore University HealthSystem (Endeavor Health), Evanston, Illinois, USA.
Alan R SandersGenomic Health Initiative, NorthShore University HealthSystem (Endeavor Health), Evanston, Illinois, USA.
Catherine E PesceDepartment of Surgery, NorthShore University HealthSystem (Endeavor Health), Evanston, Illinois, USA.
Brian T HelfandProgram for Genomic Translational Research, NorthShore University HealthSystem (Endeavor Health), Evanston, Illinois, USA.
Henry M DunnenbergerNeaman Center for Personalized Medicine, NorthShore University HealthSystem (Endeavor Health), Evanston, Illinois, USA.
David DugganTranslational Genomics Research Institute, Part of City of Hope, Phoenix, Arizona, USA.
Peter J HulickNeaman Center for Personalized Medicine, NorthShore University HealthSystem (Endeavor Health), Evanston, Illinois, USA.
Allison DePersiaNeaman Center for Personalized Medicine, NorthShore University HealthSystem (Endeavor Health), Evanston, Illinois, USA.ORCID https://orcid.org/0000-0001-8338-3112
Jianfeng XuProgram for Genomic Translational Research, NorthShore University HealthSystem (Endeavor Health), Evanston, Illinois, USA.ORCID https://orcid.org/0000-0002-1343-8752

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBRCA2 is a causal gene for hereditary breast and ovarian cancer (HBOC) syndrome. However, its association with other cancers and interplay with polygenic scores (PGS) remains unclear.

methodsAn observational cohort study for the diagnosis of various cancers in the UK Biobank (UKB, N = 453,541) were recruited at ages of 40-69 years Association of germline pathogenic variants (PVs) in BRCA2 and published cancer-specific PGS with cancer risk was tested using Cox proportional hazards model.

resultsThe median age and interquartile range (IQR) of participants at the analysis was 58.34 (50.60-63.74) years. Carriers of BRCA2 PVs (N = 1629) had a significantly increased risk for four core HBOC-associated cancers (breast, ovarian, pancreatic, and prostate) and six additional types of cancer (lung, oral, small intestine, larynx, liver, and mesothelioma), hazard ratio (HR) > 2.37, all ps < 0.001. For eight cancers where cancer-specific PGS is available, each PGS was significantly associated with its respective cancer risk and independent of BRCA2, HR > 1.25 for 1 unit increase in standard deviation, all ps < 0.001. For female breast and prostate cancer, a significant interaction between BRCA2 and PGS was found (HR < 0.83, p < 0.05); the effect of PGS on cancer risk was weaker in carriers than noncarriers. The probability of cancer by age 75 years (P

conclusionsBRCA2 PVs increase risk beyond core HBOC cancers and their risks are modified by cancer-specific PGS. These results suggest that genetic counseling of BRCA2 PV carriers may extend to cancers beyond core HBOC syndrome and incorporate cancer-specific PGS in estimating their penetrance.

Indexed as

BRCA2 ProteinHereditary Breast and Ovarian Cancer SyndromeMultifactorial InheritanceNeoplasmsPenetranceAdultAgedFemaleGenetic Predisposition to DiseaseGerm-Line MutationHeterozygoteHumansMaleMiddle AgedUnited KingdomBRCA2 ProteinBRCA2 protein, humanBRCA2breast cancer (female and male)hereditary breast and ovarian cancer syndrome (HBOC)liver cancerlung canceroral cancerovarian cancerpancreatic cancerpolygenic scoreprostate cancer

Identifiers

PMID40462315
PMCPMC12133613

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.