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@ARTICLE{Barnett:180699,
author = {G. C. Barnett and S. L. Kerns and L. Dorling and L. Fachal
and M. E. Aguado-Barrera and L. Martínez-Calvo and H. K.
Jandu and C. Welsh and J. Tyrer and C. E. Coles and J. S.
Haviland and C. Parker and A. Gómez-Caamaño and P.
Calvo-Crespo and P. Sosa-Fajardo and N. G. Burnet and H.
Summersgill and A. Webb and D. De Ruysscher and P.
Seibold$^*$ and J. Chang-Claude$^*$ and C. J. Talbot and T.
Rattay and M. Parliament and K. De Ruyck and B. S.
Rosenstein and P. D. P. Pharoah and A. M. Dunning and A.
Vega and C. M. L. West},
title = {{N}o association between polygenic risk scores for cancer
and development of radiotherapy toxicity.},
journal = {International journal of radiation oncology, biology,
physics},
volume = {114},
number = {3},
issn = {0360-3016},
address = {Amsterdam [u.a.]},
publisher = {Elsevier Science},
reportid = {DKFZ-2022-01495},
pages = {494-501},
year = {2022},
note = {2022 Nov 1;114(3):494-501},
abstract = {To test whether updated polygenic risk scores (PRS) for
susceptibility to cancer affect risk of radiotherapy
toxicity.Analyses included 9,717 patients with breast
(n=3,078), prostate (n=5,748) or lung (n=891) cancer from
XXXX and XXXX Consortia cohorts. Patients underwent
potentially curative radiotherapy and were assessed
prospectively for toxicity. Germline genotyping involved
genome-wide single nucleotide polymorphism (SNP) arrays with
non-typed SNPs imputed. PRS for each cancer were generated
by summing literature-identified cancer susceptibility risk
alleles: 352 breast, 136 prostate, 24 lung. Weighted PRS
were generated using log odds ratios for cancer
susceptibility. Standardized total average toxicity (STAT)
scores at 2 and 5 years (breast, prostate) or 6 to 12 months
(lung) quantified toxicity. Primary analysis tested late
STAT, secondary analyses investigated acute STAT, and
individual endpoints and SNPs using multivariable
regression.Increasing PRS did not increase risk of late
toxicity in patients with breast (OR 1.000, $95\%CI$
0.997-1.002), prostate (OR 0.99, $95\%CI$ 0.98-1.00;
weighted PRS OR 0.93, $95\%CI$ 0.83-1.03) or lung (OR 0.93,
$95\%CI$ 0.87-1.00; weighted PRS OR 0.68, $95\%CI$
0.45-1.03) cancer. Similar results were seen for acute
toxicity. Secondary analyses identified rs138944387
associated with breast pain (OR=3.05; $95\%CI$ 1.86- 5.01;
P=1.09 × 10-5) and rs17513613 with breast oedema (OR=0.94;
$95\%CI$ 0.92- 0.97; P=1.08 × 1 0-5).Patients with
increased polygenic predisposition to breast, prostate or
lung cancer can safely undergo radiotherapy with no
anticipated excess toxicity risk. Some individual SNPs
increase likelihood of a specific toxicity endpoint
warranting validation in independent cohorts and functional
studies to elucidate biologic mechanisms.},
cin = {C020},
ddc = {610},
cid = {I:(DE-He78)C020-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:35840111},
doi = {10.1016/j.ijrobp.2022.06.098},
url = {https://inrepo02.dkfz.de/record/180699},
}