The Breast Cancer Family Registry: an infrastructure for cooperative multinational, interdisciplinary and translational studies of the genetic epidemiology of breast cancer

IntroductionThe etiology of familial breast cancer is complex and involves genetic and environmental factors such as hormonal and lifestyle factors. Understanding familial aggregation is a key to understanding the causes of breast cancer and to facilitating the development of effective prevention and therapy. To address urgent research questions and to expedite the translation of research results to the clinical setting, the National Cancer Institute (USA) supported in 1995 the establishment of a novel research infrastructure, the Breast Cancer Family Registry, a collaboration of six academic and research institutions and their medical affiliates in the USA, Canada, and Australia.MethodsThe sites have developed core family history and epidemiology questionnaires, data dictionaries, and common protocols for biospecimen collection and processing and pathology review. An Informatics Center has been established to collate, manage, and distribute core data.ResultsAs of September 2003, 9116 population-based and 2834 clinic-based families have been enrolled, including 2346 families from minority populations. Epidemiology questionnaire data are available for 6779 affected probands (with a personal history of breast cancer), 4116 unaffected probands, and 16,526 relatives with or without a personal history of breast or ovarian cancer. The biospecimen repository contains blood or mouthwash samples for 6316 affected probands, 2966 unaffected probands, and 10,763 relatives, and tumor tissue samples for 4293 individuals.ConclusionThis resource is available to internal and external researchers for collaborative, interdisciplinary, and translational studies of the genetic epidemiology of breast cancer. Detailed information can be found at the URL http://www.cfr.epi.uci.edu/.

[1]  Alfred A. Boyd,et al.  Ashkenazi Jewish population frequencies for common mutations in BRCA1 and BRCA2 , 1996, Nature Genetics.

[2]  B. Ponder Genetic predisposition to cancer. , 1991, British Journal of Cancer.

[3]  Thomas M. Mack,et al.  Heritable breast cancer in twins , 2002, British Journal of Cancer.

[4]  A. Whittemore,et al.  Comparison of DNA‐ and RNA‐Based Methods for Detection of Truncating BRCA1 Mutations , 2002, Human mutation.

[5]  S. Seal,et al.  Prevalence of BRCA1 and BRCA2 gene mutations in patients with early-onset breast cancer. , 1999, Journal of the National Cancer Institute.

[6]  C. Turnbull,et al.  Genetic predisposition to cancer. , 2005, Clinical medicine.

[7]  J. Carlin,et al.  Familial aggregation of a disease consequent upon correlation between relatives in a risk factor measured on a continuous scale. , 1992, American journal of epidemiology.

[8]  I. Andrulis,et al.  Ethnicity, but not cancer family history, is related to response to a population-based mailed questionnaire. , 2004, Annals of epidemiology.

[9]  N. Boyd,et al.  Characteristics associated with participation at various stages at the Ontario site of the cooperative family registry for breast cancer studies. , 2002, Annals of epidemiology.

[10]  G. Giles,et al.  Development of the Melbourne FFQ: a food frequency questionnaire for use in an Australian prospective study involving an ethnically diverse cohort. , 1994, Asia Pacific journal of clinical nutrition.

[11]  D. Seminara,et al.  Participation in the cooperative family registry for breast cancer studies: issues of informed consent. , 2000, Journal of the National Cancer Institute.

[12]  S. Friend,et al.  Screening for germ line TP53 mutations in breast cancer patients. , 1992, Cancer research.

[13]  D. Grabrick,et al.  Risk of breast cancer with oral contraceptive use in women with a family history of breast cancer. , 2000, JAMA.

[14]  Sean V Tavtigian,et al.  Clinical characteristics of individuals with germline mutations in BRCA1 and BRCA2: analysis of 10,000 individuals. , 2002, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[15]  L. Le Marchand,et al.  A simple mouthwash method for obtaining genomic DNA in molecular epidemiological studies. , 1998, Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology.

[16]  J. Sambrook,et al.  Dominant negative ATM mutations in breast cancer families. , 2002, Journal of the National Cancer Institute.

[17]  J Chang-Claude,et al.  Genetic heterogeneity and penetrance analysis of the BRCA1 and BRCA2 genes in breast cancer families. The Breast Cancer Linkage Consortium. , 1998, American journal of human genetics.

[18]  E. John,et al.  Successful transformation of cryopreserved lymphocytes: a resource for epidemiological studies. , 2001, Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology.

[19]  L. Kolonel,et al.  Validation of a quantitative diet history method in Hawaii. , 1991, American journal of epidemiology.

[20]  G. Giles,et al.  Regressive logistic and proportional hazards disease models for within‐family analyses of measured genotypes, with application to a CYP17 polymorphism and breast cancer , 2003, Genetic epidemiology.

[21]  J Halpern,et al.  Multi-stage sampling in genetic epidemiology. , 1997, Statistics in medicine.

[22]  L. Palmer,et al.  Genomewide scans of complex human diseases: true linkage is hard to find. , 2001, American journal of human genetics.

[23]  John L Hopper Commentary: Case-control-family designs: a paradigm for future epidemiology research? , 2003, International journal of epidemiology.

[24]  A. Whittemore,et al.  Study design in genetic epidemiology: theoretical and practical considerations. , 1999, Journal of the National Cancer Institute. Monographs.

[25]  N E Day,et al.  A comprehensive model for familial breast cancer incorporating BRCA1, BRCA2 and other genes , 2002, British Journal of Cancer.

[26]  J. Peto,et al.  High constant incidence in twins and other relatives of women with breast cancer , 2000, Nature Genetics.

[27]  S. Seal,et al.  Localization of a breast cancer susceptibility gene, BRCA2, to chromosome 13q12-13. , 1994, Science.

[28]  Steven E. Bayer,et al.  A strong candidate for the breast and ovarian cancer susceptibility gene BRCA1. , 1994, Science.

[29]  Alice S Whittemore,et al.  Logistic regression of family data from retrospective study designs , 2003, Genetic epidemiology.

[30]  G. Giles,et al.  Prognosis of premenopausal breast cancer and childbirth prior to diagnosis. , 2004, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[31]  Ralph J. Greenspan,et al.  The flexible genome , 2001, Nature Reviews Genetics.

[32]  John S Witte,et al.  Point: population stratification: a problem for case-control studies of candidate-gene associations? , 2002, Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology.

[33]  O. Olopade,et al.  Pregnancy and risk of early breast cancer in carriers of BRCA1 and BRCA2 , 1999, The Lancet.

[34]  Nazneen Rahman,et al.  Low-penetrance susceptibility to breast cancer due to CHEK2*1100delC in noncarriers of BRCA1 or BRCA2 mutations , 2002, Nature Genetics.

[35]  Noreen Clancy,et al.  Case Studies of Existing Human Tissue Repositories: "Best Practices" for a Biospecimen Resource for the Genomic and Proteomic Era , 2003 .