Evidence map›Paper›PMID 9497246›Full record

ArticleAmerican journal of human genetics1998

Genetic heterogeneity and penetrance analysis of the BRCA1 and BRCA2 genes in breast cancer families. The Breast Cancer Linkage Consortium.

D Ford, D F Easton, M Stratton, S Narod, D Goldgar, P Devilee, D T Bishop, B Weber, G Lenoir, J Chang-Claude and 15 more

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in American journal of human genetics, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 831 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
831citing papers in PubMed, 8 pooled it
82.9field-weighted citation impact, top 1% of its field
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.

NCT03421327 completednot on this mapstarted 2017, after this paper: background citation

Genetic Risk: Whether, When, and How to Tell Adolescents

TypeobservationalSponsorJohns Hopkins UniversityRan2017 to 2018Enrolled85ConditionsHuntington Disease, Hereditary Breast and Ovarian Cancer, Hereditary Cancer, Hereditary Non-polyposis Colon Cancer
NCT03667417 recruitingnot on this mapstarted 1999, after this paper: background citation

Genetic Predisposition to Breast and Ovarian Cancer: Prospective Study of BRCAx Gene Mutation

TypeobservationalSponsorInstitut Paoli-CalmettesRan1999 to 2028Enrolled5,000ConditionsBreast Cancers, Ovarian CancersArmsQuestionnaires
3 · Its place in the literature

Who cites it

831 citing papers in PubMed, 8 syntheses or guidelines pooled it, 3,035 citations in OpenAlex.

  1. Pooled it
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  3. Guideline
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  9. Trial
  10. Balkan medical journal · 2026
    Article
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  12. Article
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  15. Hotspots and future trends of male breast cancer: a global perspective.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  16. Review
  17. Exon-Specific Targeted Analysis ofCancer informatics · 2026
    Article
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  20. Article

771 more citing papers are in PubMed but not listed here.

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

25 authors at 20 institutions in 9 countries.

D FordSection of Epidemiology, Institute of Cancer Research, Sutton, United Kingdom.
D F Easton
M Stratton
S Narod
D Goldgar
P Devilee
D T Bishop
B Weber
G Lenoir
J Chang-Claude
H Sobol
M D Teare
J Struewing
A Arason
S Scherneck
J Peto
T R Rebbeck
P Tonin
S Neuhausen
R Barkardottir
J Eyfjord
H Lynch
B A Ponder
S A Gayther
M Zelada-Hedman
Centre international de recherche sur le cancer · FRGerman Cancer Research Center · DEInstitute of Cancer Research · GBKantonsspital Baselland · CHKarolinska Institutet · SEMax Delbrück Center · DEUniversity of Cambridge · GBUniversity of Pennsylvania · USUniversity of Utah · USCancer Research UK Manchester Institute · GBCentre Jean Perrin · FRCoalition for Research in Women's Health · CACreighton University · USExpression Génétique Microbienne · FRIcelandic Cancer Society · ISInserm · FRLeiden University · NLLund University · SEMcGill University · CASutton Hospital · GB

Funding

MAPPING AND CLONING THE 17Q-LINKED BREAST CANCER LOCUSR01CA055914 · NCI · UNIVERSITY OF UTAH · PI NEUHAUSEN, SUSAN L. · 1993 to 1996
–
NCI NIH HHS CA55914
6 · The paper itself

Abstract

The contribution of BRCA1 and BRCA2 to inherited breast cancer was assessed by linkage and mutation analysis in 237 families, each with at least four cases of breast cancer, collected by the Breast Cancer Linkage Consortium. Families were included without regard to the occurrence of ovarian or other cancers. Overall, disease was linked to BRCA1 in an estimated 52% of families, to BRCA2 in 32% of families, and to neither gene in 16% (95% confidence interval [CI] 6%-28%), suggesting other predisposition genes. The majority (81%) of the breast-ovarian cancer families were due to BRCA1, with most others (14%) due to BRCA2. Conversely, the majority of families with male and female breast cancer were due to BRCA2 (76%). The largest proportion (67%) of families due to other genes was found in families with four or five cases of female breast cancer only. These estimates were not substantially affected either by changing the assumed penetrance model for BRCA1 or by including or excluding BRCA1 mutation data. Among those families with disease due to BRCA1 that were tested by one of the standard screening methods, mutations were detected in the coding sequence or splice sites in an estimated 63% (95% CI 51%-77%). The estimated sensitivity was identical for direct sequencing and other techniques. The penetrance of BRCA2 was estimated by maximizing the LOD score in BRCA2-mutation families, over all possible penetrance functions. The estimated cumulative risk of breast cancer reached 28% (95% CI 9%-44%) by age 50 years and 84% (95% CI 43%-95%) by age 70 years. The corresponding ovarian cancer risks were 0.4% (95% CI 0%-1%) by age 50 years and 27% (95% CI 0%-47%) by age 70 years. The lifetime risk of breast cancer appears similar to the risk in BRCA1 carriers, but there was some suggestion of a lower risk in BRCA2 carriers <50 years of age.

Indexed as

Genes, BRCA1Genetic HeterogeneityAdultAgedBRCA2 ProteinBreast NeoplasmsFemaleGenetic Carrier ScreeningGenetic Predisposition to DiseaseHumansMaleMiddle AgedMutationNeoplasm ProteinsTranscription FactorsBRCA2 ProteinNeoplasm ProteinsTranscription Factors

Identifiers

PMID9497246
PMCPMC1376944
OpenAlexW2103970959

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.