Abstract

Breast cancer is a common disease partially caused by genetic risk factors. Germline pathogenic variants in DNA repair genes BRCA1, BRCA2, PALB2, ATM, and CHEK2 are associated with breast cancer risk. FANCM, which encodes for a DNA translocase, has been proposed as a breast cancer predisposition gene, with greater effects for the ER-negative and triple-negative breast cancer (TNBC) subtypes. We tested the three recurrent protein-truncating variants FANCM:p.Arg658*, p.Gln1701*, and p.Arg1931* for association with breast cancer risk in 67,112 cases, 53,766 controls, and 26,662 carriers of pathogenic variants of BRCA1 or BRCA2. These three variants were also studied functionally by measuring survival and chromosome fragility in FANCM−/− patient-derived immortalized fibroblasts treated with diepoxybutane or olaparib. We observed that FANCM:p.Arg658* was associated with increased risk of ER-negative disease and TNBC (OR = 2.44, P = 0.034 and OR = 3.79; P = 0.009, respectively). In a country-restricted analysis, we confirmed the associations detected for FANCM:p.Arg658* and found that also FANCM:p.Arg1931* was associated with ER-negative breast cancer risk (OR = 1.96; P = 0.006). The functional results indicated that all three variants were deleterious affecting cell survival and chromosome stability with FANCM:p.Arg658* causing more severe phenotypes. In conclusion, we confirmed that the two rare FANCM deleterious variants p.Arg658* and p.Arg1931* are risk factors for ER-negative and TNBC subtypes. Overall our data suggest that the effect of truncating variants on breast cancer risk may depend on their position in the gene. Cell sensitivity to olaparib exposure, identifies a possible therapeutic option to treat FANCM-associated tumors.

Details

Title
The FANCM:p.Arg658* truncating variant is associated with risk of triple-negative breast cancer
Author
Figlioli, Gisella 1 ; Bogliolo, Massimo 2 ; Catucci, Irene 1 ; Caleca, Laura 3   VIAFID ORCID Logo  ; Lasheras, Sandra Viz 4 ; Pujol, Roser 2 ; Kiiski, Johanna I 5 ; Muranen, Taru A 5   VIAFID ORCID Logo  ; Barnes, Daniel R 6 ; Dennis, Joe 6   VIAFID ORCID Logo  ; Michailidou, Kyriaki 7 ; Bolla, Manjeet K 6 ; Goska Leslie 6 ; Aalfs, Cora M 8 ; Balleine, Rosemary 9 ; Baxter, Robert 10 ; Braye, Stephen 11 ; Carpenter, Jane 12 ; Dahlstrom, Jane 13 ; Forbes, John 14 ; Lee, C Soon 15 ; Marsh, Deborah 16 ; Morey, Adrienne 17 ; Pathmanathan, Nirmala 18 ; Scott, Rodney 19 ; Simpson, Peter 20 ; Spigelman, Allan 21 ; Wilcken, Nicholas 22 ; Yip, Desmond 23 ; Zeps, Nikolajs 24 ; Adank, Muriel A 25 ; Adlard, Julian 26   VIAFID ORCID Logo  ; Agata, Simona 27 ; Cadoo, Karen 28 ; Agnarsson, Bjarni A 29 ; Ahearn, Thomas 30 ; Aittomäki, Kristiina 31 ; Ambrosone, Christine B 32 ; Andrews, Lesley 33 ; Anton-Culver, Hoda 34 ; Antonenkova, Natalia N 35 ; Arndt, Volker 36   VIAFID ORCID Logo  ; Arnold, Norbert 37 ; Aronson, Kristan J 38 ; Arun, Banu K 39 ; Asseryanis, Ella 40 ; Auber, Bernd 41   VIAFID ORCID Logo  ; Auvinen, Päivi 42 ; Azzollini, Jacopo 43 ; Balmaña, Judith 44 ; Barkardottir, Rosa B 45 ; Barrowdale, Daniel 6 ; Barwell, Julian 46 ; Beane Freeman, Laura E 30 ; Charles Joly Beauparlant 47 ; Beckmann, Matthias W 48 ; Behrens, Sabine 49 ; Benitez, Javier 50 ; Berger, Raanan 51 ; Bermisheva, Marina 52 ; Blanco, Amie M 53 ; Blomqvist, Carl 54 ; Bogdanova, Natalia V 55 ; Bojesen, Anders 56 ; Bojesen, Stig E 57 ; Bonanni, Bernardo 58   VIAFID ORCID Logo  ; Borg, Ake 59 ; Brady, Angela F 60 ; Brauch, Hiltrud 61   VIAFID ORCID Logo  ; Brenner, Hermann 62 ; Brüning, Thomas 63 ; Burwinkel, Barbara 64 ; Buys, Saundra S 65 ; Caldés, Trinidad 66 ; Caliebe, Almuth 67 ; Caligo, Maria A 68 ; Campa, Daniele 69 ; Campbell, Ian G 70 ; Canzian, Federico 71 ; Castelao, Jose E 72 ; Chang-Claude, Jenny 73 ; Chanock, Stephen J 30 ; Claes, Kathleen B M 74 ; Clarke, Christine L 12 ; Collavoli, Anita 75 ; Conner, Thomas A 76 ; Cox, David G 77 ; Cybulski, Cezary 78 ; Czene, Kamila 79 ; Daly, Mary B 80 ; de la Hoya, Miguel 66 ; Devilee, Peter 81   VIAFID ORCID Logo  ; Diez, Orland 82 ; Ding, Yuan Chun 83 ; Dite, Gillian S 84 ; Ditsch, Nina 85 ; Domchek, Susan M 86 ; Dorfling, Cecilia M 87 ; dos-Santos-Silva, Isabel 88 ; Durda, Katarzyna 78 ; Dwek, Miriam 89 ; Eccles, Diana M 90 ; Ekici, Arif B 91 ; Eliassen, A Heather 92 ; Ellberg, Carolina 93 ; Eriksson, Mikael 79 ; Evans, D Gareth 94 ; Fasching, Peter A 95 ; Figueroa, Jonine 96 ; Flyger, Henrik 97 ; Foulkes, William D 98   VIAFID ORCID Logo  ; Friebel, Tara M 99 ; Friedman, Eitan 100 ; Gabrielson, Marike 79 ; Gaddam, Pragna 101 ; Gago-Dominguez, Manuela 102 ; Gao, Chi 103 ; Gapstur, Susan M 104 ; Garber, Judy 105 ; García-Closas, Montserrat 30 ; García-Sáenz, José A 66 ; Gaudet, Mia M 104 ; Gayther, Simon A 106 ; Belotti, Muriel 107 ; Bertrand, Ophélie 107 ; Birot, Anne-Marie 107 ; Buecher, Bruno 107 ; Caputo, Sandrine 107 ; Dupré, Anaïs 107 ; Fourme, Emmanuelle 107 ; Gauthier-Villars, Marion 107 ; Golmard, Lisa 107 ; Marine Le Mentec 107 ; Moncoutier, Virginie 107 ; de Pauw, Antoine 107 ; Saule, Claire 107 ; Boutry-Kryza, Nadia 108 ; Calender, Alain 108 ; Giraud, Sophie 108 ; Léone, Mélanie 108 ; Bressac-de-Paillerets, Brigitte 109 ; Caron, Olivier 109 ; Guillaud-Bataille, Marine 109 ; Yves-Jean Bignon 110 ; Uhrhammer, Nancy 110 ; Bonadona, Valérie 111 ; Lasset, Christine 111 ; Berthet, Pascaline 112 ; Castera, Laurent 112 ; Vaur, Dominique 112 ; Bourdon, Violaine 113 ; Noguès, Catherine 113 ; Noguchi, Tetsuro 113 ; Popovici, Cornel 113 ; Remenieras, Audrey 113 ; Sobol, Hagay 113 ; Coupier, Isabelle 114 ; Pujol, Pascal 114 ; Adenis, Claude 115 ; Dumont, Aurélie 115 ; Révillion, Françoise 115 ; Muller, Danièle 116 ; Barouk-Simonet, Emmanuelle 117 ; Bonnet, Françoise 117 ; Bubien, Virginie 117 ; Longy, Michel 117 ; Sevenet, Nicolas 117 ; Gladieff, Laurence 118 ; Guimbaud, Rosine 118 ; Feillel, Viviane 118 ; Toulas, Christine 118 ; Dreyfus, Hélène 119 ; Leroux, Christine Dominique 119 ; Peysselon, Magalie 119 ; Rebischung, Christine 119 ; Legrand, Clémentine 119 ; Baurand, Amandine 120 ; Bertolone, Geoffrey 120 ; Coron, Fanny 120 ; Faivre, Laurence 120 ; Jacquot, Caroline 120 ; Lizard, Sarab 120 ; Kientz, Caroline 121 ; Lebrun, Marine 121 ; Prieur, Fabienne 121 ; Fert-Ferrer, Sandra 122 ; Mari, Véronique 123 ; Vénat-Bouvet, Laurence 124 ; Bézieau, Stéphane 125 ; Delnatte, Capucine 125 ; Mortemousque, Isabelle 126 ; Colas, Chrystelle 127 ; Coulet, Florence 127 ; Soubrier, Florent 127 ; Warcoin, Mathilde 127 ; Bronner, Myriam 128 ; Sokolowska, Johanna 128 ; Marie-Agnès Collonge-Rame 129 ; Damette, Alexandre 129 ; Gesta, Paul 130 ; Lallaoui, Hakima 131 ; Chiesa, Jean 132 ; Molina-Gomes, Denise 133 ; Ingster, Olivier 134 ; Manouvrier-Hanu, Sylvie 135 ; Lejeune, Sophie 135 ; Giles, Graham G 136 ; Glendon, Gord 137 ; Godwin, Andrew K 138 ; Goldberg, Mark S 139 ; Goldgar, David E 140 ; Guénel, Pascal 141 ; Gutierrez-Barrera, Angelica M 142 ; Haeberle, Lothar 143 ; Haiman, Christopher A 144 ; Håkansson, Niclas 145 ; Hall, Per 146 ; Hamann, Ute 147 ; Harrington, Patricia A 148 ; Hein, Alexander 48 ; Heyworth, Jane 149 ; Hillemanns, Peter 150 ; Hollestelle, Antoinette 151 ; Hopper, John L 84 ; Hosgood, H Dean, III 152 ; Howell, Anthony 153 ; Hu, Chunling 154 ; Hulick, Peter J 155 ; Hunter, David J 156 ; Imyanitov, Evgeny N 157 ; Aghmesheh, Morteza 158 ; Greening, Sian 158 ; Amor, David 159 ; Gattas, Mike 159 ; Botes, Leon 160 ; Buckley, Michael 160 ; Friedlander, Michael 160 ; Koehler, Jessica 160 ; Meiser, Bettina 160 ; Saleh, Mona 160 ; Salisbury, Elizabeth 160 ; Trainer, Alison 160 ; Tucker, Kathy 160 ; Antill, Yoland 161 ; Dobrovic, Alexander 161 ; Fellows, Andrew 161 ; Fox, Stephen 161 ; Harris, Marion 161 ; Nightingale, Sophie 161 ; Phillips, Kelly 161 ; Sambrook, Joe 161 ; Thorne, Heather 161 ; Armitage, Shane 162 ; Arnold, Leanne 162 ; Kefford, Rick 163 ; Kirk, Judy 163 ; Rickard, Edwina 163 ; Bastick, Patti 164 ; Beesley, Jonathan 165 ; Hayward, Nick 165 ; Spurdle, Amanda 165 ; Walker, Logan 165 ; Beilby, John 166 ; Saunders, Christobel 166 ; Bennett, Ian 167 ; Blackburn, Anneke 168 ; Bogwitz, Michael 169 ; Gaff, Clara 169 ; Lindeman, Geoff 169 ; Pachter, Nick 169 ; Scott, Clare 169 ; Sexton, Adrienne 169 ; Visvader, Jane 169 ; Taylor, Jessica 169 ; Winship, Ingrid 169 ; Brennan, Meagan 170 ; Brown, Melissa 171 ; French, Juliet 171 ; Edwards, Stacey 171 ; Burgess, Matthew 172 ; Burke, Jo 173 ; Patterson, Briony 173 ; Butow, Phyllis 174 ; Culling, Bronwyn 174 ; Caldon, Liz 175 ; Callen, David 176 ; Chauhan, Deepa 177 ; Eisenbruch, Maurice 177 ; Heiniger, Louise 177 ; Chauhan, Manisha 178 ; Christian, Alice 179 ; Dixon, Joanne 179 ; Kidd, Alexa 179 ; Cohen, Paul 180 ; Colley, Alison 181 ; Fenton, Georgina 181 ; Crook, Ashley 182 ; Dickson, Rebecca 182 ; Field, Michael 182 ; Cui, James 183 ; Cummings, Margaret 184 ; Dawson, Sarah-Jane 185 ; DeFazio, Anna 186 ; Delatycki, Martin 187 ; Dudding, Tracy 188 ; Edkins, Ted 189 ; Gelareh Farshid 190 ; Flanagan, James 191 ; Fong, Peter 192 ; Forrest, Laura 193 ; Gallego-Ortega, David 194 ; George, Peter 195 ; Gill, Grantley 196 ; Kollias, James 196 ; Haan, Eric 197 ; Hart, Stewart 198 ; Jenkins, Mark 199 ; Hunt, Clare 200 ; Lakhani, Sunil 201 ; Lipton, Lara 202 ; Lobb, Liz 177 ; Mann, Graham 203 ; McLachlan, Sue Anne 204 ; Shona O’Connell 205 ; Sarah O’Sullivan 206 ; Pieper, Ellen 207 ; Robinson, Bridget 208 ; Saunus, Jodi 209 ; Scott, Elizabeth 210 ; Shelling, Andrew 211 ; Williams, Rachael 212 ; Young, Mary Ann 213 ; Isaacs, Claudine 214   VIAFID ORCID Logo  ; Jakimovska, Milena 215   VIAFID ORCID Logo  ; Jakubowska, Anna 216 ; James, Paul 217 ; Janavicius, Ramunas 218 ; Janni, Wolfgang 219 ; John, Esther M 220 ; Jones, Michael E 221 ; Jung, Audrey 49 ; Kaaks, Rudolf 49 ; Karlan, Beth Y 222 ; Khusnutdinova, Elza 223 ; Kitahara, Cari M 224 ; Konstantopoulou, Irene 225   VIAFID ORCID Logo  ; Koutros, Stella 30 ; Kraft, Peter 226 ; Lambrechts, Diether 227 ; Lazaro, Conxi 228 ; Loic Le Marchand 229 ; Lester, Jenny 222 ; Lesueur, Fabienne 230   VIAFID ORCID Logo  ; Lilyquist, Jenna 231 ; Loud, Jennifer T 232 ; Lu, Karen H 233 ; Luben, Robert N 234 ; Lubinski, Jan 78 ; Mannermaa, Arto 235 ; Manoochehri, Mehdi 147 ; Manoukian, Siranoush 43 ; Margolin, Sara 236 ; Martens, John W M 151 ; Maurer, Tabea 237 ; Mavroudis, Dimitrios 238 ; Mebirouk, Noura 230 ; Meindl, Alfons 85 ; Menon, Usha 239   VIAFID ORCID Logo  ; Miller, Austin 240   VIAFID ORCID Logo  ; Montagna, Marco 27 ; Nathanson, Katherine L 86 ; Neuhausen, Susan L 83 ; Newman, William G 94 ; Nguyen-Dumont, Tu 241 ; Nielsen, Finn Cilius 242 ; Nielsen, Sarah 243 ; Nikitina-Zake, Liene 244 ; Offit, Kenneth 245 ; Olah, Edith 246 ; Olopade, Olufunmilayo I 243 ; Olshan, Andrew F 247 ; Olson, Janet E 231 ; Olsson, Håkan 93 ; Osorio, Ana 248 ; Ottini, Laura 249 ; Peissel, Bernard 43 ; Peixoto, Ana 250 ; Peto, Julian 88   VIAFID ORCID Logo  ; Plaseska-Karanfilska, Dijana 215 ; Pocza, Timea 246 ; Presneau, Nadege 89 ; Pujana, Miquel Angel 251 ; Punie, Kevin 252   VIAFID ORCID Logo  ; Rack, Brigitte 219 ; Rantala, Johanna 253 ; Rashid, Muhammad U 254 ; Rau-Murthy, Rohini 255 ; Rennert, Gad 256 ; Lejbkowicz, Flavio 256 ; Rhenius, Valerie 148 ; Romero, Atocha 257   VIAFID ORCID Logo  ; Rookus, Matti A 258 ; Ross, Eric A 259 ; Rossing, Maria 242 ; Rudaitis, Vilius 260 ; Ruebner, Matthias 143 ; Saloustros, Emmanouil 261   VIAFID ORCID Logo  ; Sanden, Kristin 262 ; Santamariña, Marta 263 ; Scheuner, Maren T 53 ; Schmutzler, Rita K 264 ; Schneider, Michael 143 ; Scott, Christopher 231   VIAFID ORCID Logo  ; Senter, Leigha 265 ; Shah, Mitul 148 ; Sharma, Priyanka 266 ; Xiao-Ou, Shu 267 ; Simard, Jacques 47 ; Singer, Christian F 40 ; Sohn, Christof 268 ; Soucy, Penny 47 ; Southey, Melissa C 241 ; Spinelli, John J 269 ; Steele, Linda 83 ; Stoppa-Lyonnet, Dominique 270 ; Tapper, William J 271 ; Teixeira, Manuel R 272 ; Terry, Mary Beth 273 ; Thomassen, Mads 274 ; Thompson, Jennifer 275 ; Thull, Darcy L 276 ; Tischkowitz, Marc 277 ; Tollenaar, Rob AEM 278 ; Torres, Diana 279 ; Troester, Melissa A 247 ; Truong, Thérèse 141 ; Tung, Nadine 280 ; Untch, Michael 281 ; Vachon, Celine M 231 ; van Rensburg, Elizabeth J 87 ; van Veen, Elke M 94 ; Vega, Ana 263 ; Viel, Alessandra 282   VIAFID ORCID Logo  ; Wappenschmidt, Barbara 264 ; Weitzel, Jeffrey N 283 ; Wendt, Camilla 236 ; Wieme, Greet 74   VIAFID ORCID Logo  ; Wolk, Alicja 284 ; Yang, Xiaohong R 30 ; Zheng, Wei 267   VIAFID ORCID Logo  ; Ziogas, Argyrios 34   VIAFID ORCID Logo  ; Zorn, Kristin K 285 ; Dunning, Alison M 148 ; Lush, Michael 6 ; Wang, Qin 6 ; McGuffog, Lesley 6 ; Parsons, Michael T 286 ; Pharoah, Paul D P 287 ; Fostira, Florentia 225 ; Toland, Amanda E 288 ; Andrulis, Irene L 289 ; Ramus, Susan J 290 ; Swerdlow, Anthony J 291 ; Greene, Mark H 232   VIAFID ORCID Logo  ; Chung, Wendy K 292 ; Milne, Roger L 293 ; Chenevix-Trench, Georgia 286 ; Dörk, Thilo 150 ; Schmidt, Marjanka K 294 ; Easton, Douglas F 287 ; Radice, Paolo 3 ; Hahnen, Eric 264 ; Antoniou, Antonis C 6 ; Couch, Fergus J 154 ; Nevanlinna, Heli 5   VIAFID ORCID Logo  ; Surrallés, Jordi 295 ; Peterlongo, Paolo 1   VIAFID ORCID Logo 

 IFOM - the FIRC Institute for Molecular Oncology, Genome Diagnostics Program, Milan, Italy 
 Department of Genetics and Microbiology, Universitat Autònoma de Barcelona, Bellaterra, Barcelona, Spain; Center for Biomedical Network Research on Rare Diseases (CIBERER), Madrid, Spain; Institute of Biomedical Research, Sant Pau Hospital, Barcelona, Spain 
 Fondazione IRCCS Istituto Nazionale dei Tumori, Unit of Molecular Bases of Genetic Risk and Genetic Testing, Department of Research, Milan, Italy 
 Department of Genetics and Microbiology, Universitat Autònoma de Barcelona, Bellaterra, Barcelona, Spain 
 University of Helsinki, Department of Obstetrics and Gynecology, Helsinki University Hospital, Helsinki, Finland 
 University of Cambridge, Centre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, Cambridge, UK 
 University of Cambridge, Centre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, Cambridge, UK; The Cyprus Institute of Neurology & Genetics, Department of Electron Microscopy/Molecular Pathology and The Cyprus School of Molecular Medicine, Nicosia, Cyprus 
 Amsterdam UMC, lokatie AMC, Department of Clinical Genetics, Amsterdam, The Netherlands 
 Pathology West ICPMR, Westmead, NSW, Australia 
10  Kolling Institute of Medical Research, University of Sydney, Royal North Shore Hospital, Sydney, NSW, Australia 
11  Pathology North, John Hunter Hospital, Newcastle, NSW, Australia 
12  University of Sydney, Westmead Institute for Medical Research, Sydney, NSW, Australia 
13  Department of Anatomical Pathology, ACT Pathology, Canberra Hospital, Canberra, ACT, Australia; ANU Medical School, Australian National University, Canberra, ACT, Australia 
14  Department of Surgical Oncology, Calvary Mater Newcastle Hospital, Australian New Zealand Breast Cancer Trials Group, and School of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia 
15  School of Science and Health, The University of Western Sydney, Sydney, NSW, Australia 
16  Hormones and Cancer Group, Kolling Institute of Medical Research, Royal North Shore Hospital, University of Sydney, Sydney, NSW, Australia 
17  SydPath St Vincent’s Hospital, Sydney, NSW, Australia 
18  Department of Tissue Pathology and Diagnostic Oncology, Pathology West, Westmead Breast Cancer Institute, Westmead Hospital, Sydney, NSW, Australia 
19  Centre for Information Based Medicine, Hunter Medical Research Institute, Sydney, NSW, Australia; Priority Research Centre for Cancer, School of Biomedical Sciences and Pharmacy, Faculty of Health, University of Newcastle, Callaghan, NSW, Australia 
20  The University of Queensland, UQ Centre for Clinical Research and School of Medicine, Brisbane, QLD, Australia 
21  Hereditary Cancer Clinic, St Vincent’s Hospital, The Kinghorn Cancer Centre, Sydney, NSW, Australia 
22  Crown Princess Mary Cancer Centre, Westmead Hospital, Westmead, NSW, Australia; Sydney Medical School - Westmead, University of Sydney, Sydney, NSW, Australia 
23  Department of Anatomical Pathology, ACT Pathology, Canberra Hospital, Canberra, ACT, Australia; Department of Medical Oncology, The Canberra Hospital, Garran, ACT, Australia 
24  St John of God Perth Northern Hospitals, Perth, WA, Australia 
25  The Netherlands Cancer Institute - Antoni van Leeuwenhoek hospital, Family Cancer Clinic, Amsterdam, The Netherlands 
26  Chapel Allerton Hospital, Yorkshire Regional Genetics Service, Leeds, UK 
27  Veneto Institute of Oncology IOV - IRCCS, Immunology and Molecular Oncology Unit, Padua, Italy 
28  Memorial Sloan-Kettering Cancer Center, Department of Medicine, New York, NY, USA 
29  Landspitali University Hospital, Department of Pathology, Reykjavik, Iceland; University of Iceland, School of Medicine, Reykjavik, Iceland 
30  National Cancer Institute, National Institutes of Health, Department of Health and Human Services, Division of Cancer Epidemiology and Genetics, Bethesda, MD, USA 
31  University of Helsinki, Department of Clinical Genetics, Helsinki University Hospital, Helsinki, Finland 
32  Roswell Park Cancer Institute, Buffalo, NY, USA 
33  Nelune Comprehensive Cancer Care Centre, The Bright Alliance Building, Randwick, NSW, Australia 
34  University of California Irvine, Department of Epidemiology, Genetic Epidemiology Research Institute, Irvine, CA, USA 
35  N.N. Alexandrov Research Institute of Oncology and Medical Radiology, Minsk, Belarus 
36  German Cancer Research Center (DKFZ), Division of Clinical Epidemiology and Aging Research, Heidelberg, Germany 
37  University Hospital of Schleswig-Holstein, Campus Kiel, Christian-Albrechts University Kiel, Department of Gynaecology and Obstetrics, and Institute of Clinical Molecular Biology, Kiel, Germany 
38  Queen’s University, Department of Public Health Sciences, and Cancer Research Institute, Kingston, ON, Canada 
39  University of Texas MD Anderson Cancer Center, Department of Breast Medical Oncology, Houston, TX, USA 
40  Medical University of Vienna, Dept of OB/GYN and Comprehensive Cancer Center, Vienna, Austria 
41  Hannover Medical School, Institute of Human Genetics, Hannover, Germany 
42  Kuopio University Hospital, Cancer Center, Kuopio, Finland; University of Eastern Finland, Institute of Clinical Medicine, Oncology, Kuopio, Finland; University of Eastern Finland, Translational Cancer Research Area, Kuopio, Finland 
43  Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Department of Medical Oncology and Hematology, Unit of Medical Genetics, Milan, Italy 
44  Vall d’Hebron Institute of Oncology, High Risk and Cancer Prevention Group, Barcelona, Spain; University Hospital, Vall d’Hebron, Department of Medical Oncology, Barcelona, Spain 
45  Landspitali University Hospital, Department of Pathology, Reykjavik, Iceland; University of Iceland, BMC (Biomedical Centre), Faculty of Medicine, Reykjavik, Iceland 
46  University Hospitals of Leicester NHS Trust, Leicestershire Clinical Genetics Service, Leicester, UK 
47  Centre Hospitalier Universitaire de Québec – Université Laval, Research Center, Genomics Center, Québec City, QC, Canada 
48  University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nuremberg, Department of Gynecology and Obstetrics, Comprehensive Cancer Center ER-EMN, Erlangen, Germany 
49  German Cancer Research Center (DKFZ), Division of Cancer Epidemiology, Heidelberg, Germany 
50  Spanish National Cancer Research Centre (CNIO), Human Genetics Group, Human Cancer Genetics Programme, Madrid, Spain; Spanish Network on Rare Diseases (CIBERER), Madrid, Spain; Spanish National Cancer Research Centre (CNIO), Genotyping Unit (CEGEN), Human Cancer Genetics Programme, Madrid, Spain 
51  Chaim Sheba Medical Center, The Institute of Oncology, Ramat Gan, Israel 
52  Ufa Federal Research Center of the Russian Academy of Sciences, Institute of Biochemistry and Genetics, Ufa, Russia 
53  University of California San Francisco, Cancer Genetics and Prevention Program, San Francisco, CA, USA 
54  University of Helsinki, Department of Oncology, Helsinki University Hospital, Helsinki, Finland; Örebro University Hospital, Department of Oncology, Örebro, Sweden 
55  N.N. Alexandrov Research Institute of Oncology and Medical Radiology, Minsk, Belarus; Hannover Medical School, Department of Radiation Oncology, Hannover, Germany; Hannover Medical School, Gynaecology Research Unit, Hannover, Germany 
56  Aarhus University Hospital, Department of Clinical Genetics, Aarhus, Denmark 
57  Copenhagen University Hospital, Copenhagen General Population Study, Herlev and Gentofte Hospital, Herlev, Denmark; Copenhagen University Hospital, Department of Clinical Biochemistry, Herlev and Gentofte Hospital, Herlev, Denmark; University of Copenhagen, Faculty of Health and Medical Sciences, Copenhagen, Denmark 
58  IEO, European Institute of Oncology IRCCS, Division of Cancer Prevention and Genetics, Milan, Italy 
59  Lund University and Skåne University Hospital, Department of Oncology, Lund, Sweden 
60  London North West University Hospitals NHS Trust, Northwick Park Hospital, North West Thames Regional Genetics Service, Kennedy Galton Centre, Harrow, UK 
61  Dr. Margarete Fischer-Bosch-Institute of Clinical Pharmacology, Stuttgart, Germany; University of Tübingen, iFIT-Cluster of Excellence, Tübingen, Germany; German Cancer Research Center (DKFZ), German Cancer Consortium (DKTK), Heidelberg, Germany 
62  German Cancer Research Center (DKFZ), Division of Clinical Epidemiology and Aging Research, Heidelberg, Germany; German Cancer Research Center (DKFZ), German Cancer Consortium (DKTK), Heidelberg, Germany; German Cancer Research Center (DKFZ) and National Center for Tumor Diseases (NCT), Division of Preventive Oncology, Heidelberg, Germany 
63  Institute for Prevention and Occupational Medicine of the German Social Accident Insurance, Institute of the Ruhr University Bochum, Bochum, Germany 
64  German Cancer Research Center (DKFZ), Molecular Epidemiology Group, Heidelberg, Germany; University of Heidelberg, Molecular Biology of Breast Cancer, University Womens Clinic Heidelberg, Heidelberg, Germany 
65  Huntsman Cancer Institute, Department of Medicine, Salt Lake City, UT, USA 
66  Instituto de Investigación Sanitaria San Carlos (IdISSC), Centro Investigación Biomédica en Red de Cáncer (CIBERONC), Medical Oncology Department, Hospital Clínico San Carlos, Madrid, Spain 
67  University Hospital of Schleswig-Holstein, Campus Kiel, Christian-Albrechts University Kiel, Institute of Human Genetics, Kiel, Germany 
68  University Hospital of Pisa, Section of Molecular Genetics, Dept. of Laboratory Medicine, Pisa, Italy 
69  German Cancer Research Center (DKFZ), Division of Cancer Epidemiology, Heidelberg, Germany; University of Pisa, Department of Biology, Pisa, Italy 
70  Peter MacCallum Cancer Center, Research Division, Melbourne, VIC, Australia; The University of Melbourne, Sir Peter MacCallum Department of Oncology, Melbourne, VIC, Australia 
71  German Cancer Research Center (DKFZ), Genomic Epidemiology Group, Heidelberg, Germany 
72  Instituto de Investigacion Sanitaria Galicia Sur (IISGS), Xerencia de Xestion Integrada de Vigo-SERGAS, Oncology and Genetics Unit, Vigo, Spain 
73  German Cancer Research Center (DKFZ), Division of Cancer Epidemiology, Heidelberg, Germany; University Medical Center Hamburg-Eppendorf, Cancer Epidemiology Group, University Cancer Center Hamburg (UCCH), Hamburg, Germany 
74  Ghent University, Centre for Medical Genetics, Gent, Belgium 
75  University and University Hospital of Pisa, Section of Genetic Oncology, Dept. of Laboratory Medicine, Pisa, Italy 
76  Huntsman Cancer Institute, Salt Lake City, UT, USA 
77  Imperial College London, Department of Epidemiology and Biostatistics, School of Public Health, London, UK; Cancer Research Center of Lyon, INSERM, Lyon, France 
78  Pomeranian Medical University, Department of Genetics and Pathology, Szczecin, Poland 
79  Karolinska Institutet, Department of Medical Epidemiology and Biostatistics, Stockholm, Sweden 
80  Fox Chase Cancer Center, Department of Clinical Genetics, Philadelphia, PA, USA 
81  Leiden University Medical Center, Department of Pathology, Leiden, The Netherlands; Leiden University Medical Center, Department of Human Genetics, Leiden, The Netherlands 
82  Vall d’Hebron Institute of Oncology (VHIO), Oncogenetics Group, Barcelona, Spain; University Hospital Vall d’Hebron, Area of Clinical and Molecular Genetics, Barcelona, Spain 
83  Beckman Research Institute of City of Hope, Department of Population Sciences, Duarte, CA, USA 
84  The University of Melbourne, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, Melbourne, Victoria, Australia 
85  Ludwig Maximilian University of Munich, Department of Gynecology and Obstetrics, Munich, Germany 
86  Perelman School of Medicine at the University of Pennsylvania, Department of Medicine, Abramson Cancer Center, Philadelphia, PA, USA 
87  University of Pretoria, Department of Genetics, Arcadia, South Africa 
88  London School of Hygiene and Tropical Medicine, Department of Non-Communicable Disease Epidemiology, London, UK 
89  University of Westminster, Department of Biomedical Sciences, Faculty of Science and Technology, London, UK 
90  University of Southampton, Cancer Sciences Academic Unit, Faculty of Medicine, Southampton, UK 
91  Friedrich-Alexander University Erlangen-Nuremberg, Comprehensive Cancer Center Erlangen-EMN, Institute of Human Genetics, University Hospital Erlangen, Erlangen, Germany 
92  Harvard Medical School, Channing Division of Network Medicine, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA; Harvard T.H. Chan School of Public Health, Department of Epidemiology, Boston, MA, USA 
93  Lund University, Department of Cancer Epidemiology, Clinical Sciences, Lund, Sweden 
94  University of Manchester, Division of Evolution and Genomic Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester, UK; Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester Centre for Genomic Medicine, Manchester, UK 
95  University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nuremberg, Department of Gynecology and Obstetrics, Comprehensive Cancer Center ER-EMN, Erlangen, Germany; University of California at Los Angeles, David Geffen School of Medicine, Department of Medicine Division of Hematology and Oncology, Los Angeles, CA, USA 
96  National Cancer Institute, National Institutes of Health, Department of Health and Human Services, Division of Cancer Epidemiology and Genetics, Bethesda, MD, USA; The University of Edinburgh Medical School, Usher Institute of Population Health Sciences and Informatics, Edinburgh, UK; Cancer Research UK Edinburgh Centre, Edinburgh, UK 
97  Copenhagen University Hospital, Department of Breast Surgery, Herlev and Gentofte Hospital, Herlev, Denmark 
98  McGill University, Program in Cancer Genetics, Departments of Human Genetics and Oncology, Montréal, QC, Canada 
99  Harvard T.H. Chan School of Public Health, Boston, MA, USA; Dana-Farber Cancer Institute, Boston, MA, USA 
100  Chaim Sheba Medical Center, The Susanne Levy Gertner Oncogenetics Unit, Ramat Gan, Israel; Tel Aviv University, Sackler Faculty of Medicine, Ramat Aviv, Israel 
101  Memorial Sloan-Kettering Cancer Center, Clinical Genetics Research Lab, Department of Cancer Biology and Genetics, New York, NY, USA 
102  Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS), Complejo Hospitalario Universitario de Santiago, SERGAS, Genomic Medicine Group, Galician Foundation of Genomic Medicine, Santiago de Compostela, Spain; University of California San Diego, Moores Cancer Center, La Jolla, CA, USA 
103  Harvard T.H. Chan School of Public Health, Program in Genetic Epidemiology and Statistical Genetics, Boston, MA, USA 
104  American Cancer Society, Epidemiology Research Program, Atlanta, GA, USA 
105  Dana-Farber Cancer Institute, Cancer Risk and Prevention Clinic, Boston, MA, USA 
106  Cedars-Sinai Medical Center, The Center for Bioinformatics and Functional Genomics at the Samuel Oschin Comprehensive Cancer Institute, Los Angeles, CA, USA 
107  Institut Curie, Service de Génétique, Paris, France 
108  Unité Mixte de Génétique Constitutionnelle des Cancers Fréquents, Hospices Civils de Lyon, Lyon, France; Centre Léon Bérard, Lyon, France 
109  Institut Gustave Roussy, Villejuif, France 
110  Centre Jean Perrin, Clermont–Ferrand, France 
111  Centre Léon Bérard, Lyon, France 
112  Centre François Baclesse, Caen, France 
113  Institut Paoli Calmettes, Marseille, France 
114  CHU Arnaud-de-Villeneuve, Montpellier, France 
115  Centre Oscar Lambret, Lille, France 
116  Centre Paul Strauss, Strasbourg, France 
117  Institut Bergonié, Bordeaux, France 
118  Institut Claudius Regaud, Toulouse, France 
119  CHU, Grenoble, France 
120  CHU, Dijon, France 
121  CHU, St-Etienne, France 
122  Hôtel Dieu Centre Hospitalier, Chambéry, France 
123  Centre Antoine Lacassagne, Nice, France 
124  CHU, Limoges, France 
125  CHU, Nantes, France 
126  CHU Bretonneau, Tours and Centre Hospitalier de Bourges, Bourges, France 
127  Groupe Hospitalier Pitié-Salpétrière, Paris, France 
128  CHU Vandoeuvre-les-, Nancy, France 
129  CHU, Besançon, France 
130  CHU Poitiers, Centre Hospitalier d’Angoulême and Centre Hospitalier de Niort, Niort, France 
131  Centre Hospitalier de La Rochelle, La Rochelle, France 
132  CHU Nîmes, Carémeau, France 
133  CHI, Poissy, France 
134  CHU, Angers, France 
135  CHRU, de Lille, France 
136  The University of Melbourne, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, Melbourne, Victoria, Australia; Cancer Council Victoria, Cancer Epidemiology Division, Melbourne, VIC, Australia; Monash University, Department of Epidemiology and Preventive Medicine, Melbourne, VIC, Australia 
137  Lunenfeld-Tanenbaum Research Institute of Mount Sinai Hospital, Fred A. Litwin Center for Cancer Genetics, Toronto, ON, Canada 
138  Kansas University Medical Center, Department of Pathology and Laboratory Medicine, Kansas City, KS, USA 
139  McGill University, Department of Medicine, Montréal, QC, Canada; McGill University, Division of Clinical Epidemiology, Royal Victoria Hospital, Montréal, QC, Canada 
140  Huntsman Cancer Institute, University of Utah School of Medicine, Department of Dermatology, Salt Lake City, UT, USA 
141  INSERM, University Paris-Sud, University Paris-Saclay, Cancer & Environment Group, Center for Research in Epidemiology and Population Health (CESP), Villejuif, France 
142  University of Texas MD Anderson Cancer Center, Department of Breast Medical Oncology and Clinical Genetics Program, Houston, TX, USA 
143  Friedrich-Alexander University Erlangen-Nuremberg, Comprehensive Cancer Center Erlangen-EMN, Department of Gynaecology and Obstetrics, University Hospital Erlangen, Erlangen, Germany 
144  University of Southern California, Department of Preventive Medicine, Keck School of Medicine, Los Angeles, CA, USA 
145  Karolinska Institutet, Institute of Environmental Medicine, Stockholm, Sweden 
146  Karolinska Institutet, Department of Medical Epidemiology and Biostatistics, Stockholm, Sweden; Södersjukhuset, Department of Oncology, Stockholm, Sweden 
147  German Cancer Research Center (DKFZ), Molecular Genetics of Breast Cancer, Heidelberg, Germany 
148  University of Cambridge, Centre for Cancer Genetic Epidemiology, Department of Oncology, Cambridge, UK 
149  The University of Western Australia, School of Population and Global Health, Perth, WA, Australia 
150  Hannover Medical School, Gynaecology Research Unit, Hannover, Germany 
151  Erasmus MC Cancer Institute, Department of Medical Oncology, Family Cancer Clinic, Rotterdam, The Netherlands 
152  Albert Einstein College of Medicine, Department of Epidemiology and Public Health, Bronx, NY, USA 
153  University of Manchester, Division of Cancer Sciences, Manchester, UK 
154  Mayo Clinic, Department of Laboratory Medicine and Pathology, Rochester, MN, USA 
155  NorthShore University HealthSystem, Center for Medical Genetics, Evanston, IL, USA; The University of Chicago Pritzker School of Medicine, Chicago, IL, USA 
156  Harvard T.H. Chan School of Public Health, Department of Epidemiology, Boston, MA, USA; Harvard T.H. Chan School of Public Health, Program in Genetic Epidemiology and Statistical Genetics, Boston, MA, USA; University of Oxford, Nuffield Department of Population Health, Oxford, UK 
157  N.N. Petrov Institute of Oncology, St. Petersburg, Russia 
158  Illawarra Cancer Care Centre Wollongong Hospital, Wollongong, Australia 
159  Royal Children’s Hospital, Melbourne, VIC, Australia 
160  Prince of Wales Hospital, Randwick, NSW, Australia 
161  Peter MacCallum Cancer Centre, East Melbourne, VIC, Australia 
162  Royal Brisbane and Women’s Hospital, Herston, QLD, Australia 
163  Westmead Hospital, Westmead, NSW, Australia 
164  St George Hospital, Kogarah, NSW, Australia 
165  Queensland Institute of Medical Research, Herston, QLD, Australia 
166  Queen Elizabeth Medical Centre, Nedlands, WA, Australia 
167  Silverton Place, Brisbane, QLD, Australia 
168  Australian National University, Canberra, Australia 
169  The Royal Melbourne Hospital, Parkville, VIC, Australia 
170  NSW Breast Cancer Institute, Westmead, NSW, Australia 
171  University of Queensland, Queensland, QLD, Australia 
172  Austin Health, Heidelberg, VIC, Australia 
173  Royal Hobart Hospital, Hobart, TAS, Australia 
174  Royal Prince Alfred Hospital, Camperdown, NSW, Australia 
175  Garvan Institute of Medical Research, Darlinghurst, NSW, Australia 
176  University of Adelaide/Hanson Institute, Rundle Mall, SA, Australia 
177  University of Sydney, Sydney, NSW, Australia 
178  The Kinghorn Cancer Centre, Sydney, NSW, Australia 
179  Wellington Hospital, Wellington, New Zealand 
180  St John of God Subiaco Hospital, Subiaco, New Zealand 
181  Liverpool Health Service, Liverpool, UK 
182  Royal North Shore Hospital, St Leonards, NSW, Australia 
183  Monash University, Melbourne, VIC, Australia 
184  University of Queensland Medical School, Herston, NSW, Australia 
185  Cambridge University, Cambridge, UK 
186  Westmead Hospital, Westmead, NSW, Australia; Westmead Institute for Cancer Research, Westmead, NSW, Australia 
187  Heidelberg Repatriation Hospital, Heidelberg Heights, VIC, Australia 
188  Hunter Area Health Service, Waratah, USA 
189  Princess Margret Hospital for Children, Perth, WA, Australia 
190  IMVS, Adelaide, SA, Australia 
191  Imperial College London, London, UK 
192  Auckland City Hospital, Auckland, New Zealand 
193  Parkville Familial Cancer Centre, Melbourne, VIC, Australia 
194  The Kinghorn Cancer Centre, Darlinghurst, NSW, Australia 
195  Canterbury Health Labs, Christchurch, New Zealand 
196  Royal Adelaide Hospital, Adelaide, SA, Australia 
197  Women’s and Children’s Hospital, North Adelaide, NSW, Australia 
198  Monash Medical Centre, Bentleigh, VIC, Australia 
199  University of Melbourne, Melbourne, VIC, Australia 
200  Monash Medical Centre, Melbourne, VIC, Australia 
201  Queensland Institute of Medical Research, Herston, QLD, Australia; The Royal Brisbane & Women’s Hospital, Herston, QLD, Australia 
202  Western Hospital, Footscray, VIC, Australia 
203  Westmead Millennium Institute, Westmead, NSW, Australia 
204  St Vincent’s Hospital, Fitzroy, VIC, Australia 
205  Southern Health Familial Cancer Centre, Clayton, VIC, USA 
206  Agnes Walsh House, Subiaco, WA, Australia 
207  Parkville Familial Cancer Centre, Melbourne, VIC, Australia; Genomic Medicine, Melbourne, VIC, Australia 
208  Christchurch Hospital, Christchurch, New Zealand 
209  University of Queensland Medical School, Herston, NSW, Australia; Women’s Hospital, Herston, QLD, Australia 
210  South View Clinic, Kogarah, NSW, Australia 
211  University of Auckland, Auckland, New Zealand 
212  St Vincent’s Hospital, Darlinghurst, NSW, Australia 
213  Genome.One, Darlinghurst, NSW, Australia 
214  Lombardi Comprehensive Cancer Center, Georgetown University, Washington, DC, USA 
215  Macedonian Academy of Sciences and Arts, Research Centre for Genetic Engineering and Biotechnology ‘Georgi D. Efremov’, Skopje, Republic of Macedonia 
216  Pomeranian Medical University, Department of Genetics and Pathology, Szczecin, Poland; Pomeranian Medical University, Independent Laboratory of Molecular Biology and Genetic Diagnostics, Szczecin, Poland 
217  The University of Melbourne, Sir Peter MacCallum Department of Oncology, Melbourne, VIC, Australia; Peter MacCallum Cancer Center, Parkville Familial Cancer Centre, Melbourne, VIC, Australia 
218  Vilnius University Hospital Santariskiu Clinics, Hematology, oncology and transfusion medicine center, Dept. of Molecular and Regenerative Medicine, Vilnius, Lithuania; State Research Institute Innovative Medicine Center, Vilnius, Lithuania 
219  University Hospital Ulm, Department of Gynaecology and Obstetrics, Ulm, Germany 
220  Stanford University School of Medicine, Department of Medicine (Oncology) and Stanford Cancer Institute, Stanford, CA, USA 
221  The Institute of Cancer Research, Division of Genetics and Epidemiology, London, UK 
222  Cedars-Sinai Medical Center, Women’s Cancer Program at the Samuel Oschin Comprehensive Cancer Institute, Los Angeles, CA, USA 
223  Ufa Federal Research Center of the Russian Academy of Sciences, Institute of Biochemistry and Genetics, Ufa, Russia; Bashkir State Medical University, Department of Medical Genetics, Ufa, Russia 
224  National Cancer Institute, Radiation Epidemiology Branch, Division of Cancer Epidemiology and Genetics, Bethesda, MD, USA 
225  National Centre for Scientific Research ‘Demokritos’, Molecular Diagnostics Laboratory, INRASTES, Athens, Greece 
226  Harvard T.H. Chan School of Public Health, Department of Epidemiology, Boston, MA, USA; Harvard T.H. Chan School of Public Health, Program in Genetic Epidemiology and Statistical Genetics, Boston, MA, USA 
227  VIB, VIB Center for Cancer Biology, Leuven, Belgium; University of Leuven, Laboratory for Translational Genetics, Department of Human Genetics, Leuven, Belgium 
228  IDIBELL (Bellvitge Biomedical Research Institute),Catalan Institute of Oncology, CIBERONC, Molecular Diagnostic Unit, Hereditary Cancer Program, Barcelona, Spain 
229  University of Hawaii Cancer Center, Epidemiology Program, Honolulu, HI, USA 
230  Inserm U900, Genetic Epidemiology of Cancer team, Paris, France; PSL University, Paris, France; Institut Curie, Paris, France; Mines ParisTech, Fontainebleau, France 
231  Mayo Clinic, Department of Health Sciences Research, Rochester, MN, USA 
232  National Cancer Institute, Clinical Genetics Branch, Division of Cancer Epidemiology and Genetics, Bethesda, MD, USA 
233  University of Texas MD Anderson Cancer Center, Department of Gynecologic Oncology and Clinical Cancer Genetics Program, Houston, TX, USA 
234  University of Cambridge, Clinical Gerontology, Department of Public Health and Primary Care, Cambridge, UK 
235  University of Eastern Finland, Translational Cancer Research Area, Kuopio, Finland; University of Eastern Finland, Institute of Clinical Medicine, Pathology and Forensic Medicine, Kuopio, Finland; Kuopio University Hospital, Imaging Center, Department of Clinical Pathology, Kuopio, Finland 
236  Södersjukhuset, Department of Oncology, Stockholm, Sweden; Karolinska Institutet, Department of Clinical Science and Education, Södersjukhuset, Stockholm, Sweden 
237  University Medical Center Hamburg-Eppendorf, Cancer Epidemiology Group, University Cancer Center Hamburg (UCCH), Hamburg, Germany 
238  University Hospital of Heraklion, Department of Medical Oncology, Heraklion, Greece 
239  University College London, MRC Clinical Trials Unit at UCL, Institute of Clinical Trials & Methodology, London, UK 
240  Roswell Park Cancer Institute, NRG Oncology, Clinical Trials Development Division, Buffalo, NY, USA 
241  Monash University, Precision Medicine, School of Clinical Sciences at Monash Health, Clayton, VIC, Australia; The University of Melbourne, Department of Clinical Pathology, Melbourne, VIC, Australia 
242  Rigshospitalet, Copenhagen University Hospital, Center for Genomic Medicine, Copenhagen, Denmark 
243  The University of Chicago, Center for Clinical Cancer Genetics, Chicago, IL, USA 
244  Latvian Biomedical Research and Study Centre, Riga, Latvia 
245  Memorial Sloan-Kettering Cancer Center, Clinical Genetics Research Lab, Department of Cancer Biology and Genetics, New York, NY, USA; Memorial Sloan-Kettering Cancer Center, Clinical Genetics Service, Department of Medicine, New York, NY, USA 
246  National Institute of Oncology, Department of Molecular Genetics, Budapest, Hungary 
247  University of North Carolina at Chapel Hill, Department of Epidemiology, Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA 
248  Spanish National Cancer Research Centre (CNIO), Human Genetics Group, Human Cancer Genetics Programme, Madrid, Spain; Spanish Network on Rare Diseases (CIBERER), Madrid, Spain 
249  University La Sapienza, Department of Molecular Medicine, Rome, Italy 
250  Portuguese Oncology Institute, Department of Genetics, Porto, Portugal 
251  IDIBELL (Bellvitge Biomedical Research Institute),Catalan Institute of Oncology, CIBERONC, ProCURE, Oncobell, Barcelona, Spain 
252  Leuven Cancer Institute, University Hospitals Leuven, Multidisciplinary Breast Center, Department of General Medical Oncology, Leuven, Belgium 
253  Karolinska Institutet, Clinical Genetics, Stockholm, Sweden 
254  German Cancer Research Center (DKFZ), Molecular Genetics of Breast Cancer, Heidelberg, Germany; Shaukat Khanum Memorial Cancer Hospital and Research Centre (SKMCH & RC), Department of Basic Sciences, Lahore, Pakistan 
255  Memorial Sloan-Kettering Cancer Center, Clinical Genetics Service, Department of Medicine, New York, NY, USA 
256  Carmel Medical Center and Technion Faculty of Medicine, Clalit National Cancer Control Center, Haifa, Israel 
257  Hospital Universitario Puerta de Hierro, Medical Oncology Department, Madrid, Spain 
258  The Netherlands Cancer Institute, Department of Epidemiology, Amsterdam, The Netherlands 
259  Fox Chase Cancer Center, Biostatistics and Bioinformatics Facility, Philadelphia, PA, USA 
260  Vilnius University, Medical Faculty, Institute of Clinical Medicine, Vilnius, Lithuania 
261  University Hospital of Larissa, Department of Oncology, Larissa, Greece 
262  University of Wisconsin, Cancer Center at ProHealth Care, Waukesha, WI, USA 
263  Spanish Network on Rare Diseases (CIBERER), Madrid, Spain; Fundación Pública Galega Medicina Xenómica, Santiago De Compostela, Spain; Instituto de Investigación Sanitaria de Santiago de Compostela, Santiago De Compostela, Spain 
264  University Hospital of Cologne, Center for Hereditary Breast and Ovarian Cancer, Cologne, Germany; University of Cologne, Center for Molecular Medicine Cologne (CMMC), Cologne, Germany 
265  The Ohio State University, Clinical Cancer Genetics Program, Division of Human Genetics, Department of Internal Medicine, The Comprehensive Cancer Center, Columbus, OH, USA 
266  University of Kansas Medical Center, Department of Internal Medicine, Division of Oncology, Westwood, KS, USA 
267  Vanderbilt University School of Medicine, Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Nashville, TN, USA 
268  University of Heidelberg, National Center for Tumor Diseases, Heidelberg, Germany 
269  BC Cancer, Population Oncology, Vancouver, BC, Canada; University of British Columbia, School of Population and Public Health, Vancouver, BC, Canada 
270  Institut Curie, Service de Génétique, Paris, France; INSERM U830, Department of Tumour Biology, Paris, France; Université Paris Descartes, Paris, France 
271  University of Southampton, Faculty of Medicine, Southampton, UK 
272  Portuguese Oncology Institute, Department of Genetics, Porto, Portugal; University of Porto, Biomedical Sciences Institute (ICBAS), Porto, Portugal 
273  Columbia University, Department of Epidemiology, Mailman School of Public Health, New York, NY, USA 
274  Odense University Hospital, Department of Clinical Genetics, Odence C, Denmark 
275  NorthShore University HealthSystem, Center for Medical Genetics, Evanston, IL, USA 
276  Magee-Womens Hospital, University of Pittsburgh School of Medicine, Department of Medicine, Pittsburgh, PA, USA 
277  McGill University, Program in Cancer Genetics, Departments of Human Genetics and Oncology, Montréal, QC, Canada; University of Cambridge, Department of Medical Genetics, Cambridge, UK 
278  Leiden University Medical Center, Department of Surgery, Leiden, The Netherlands 
279  German Cancer Research Center (DKFZ), Molecular Genetics of Breast Cancer, Heidelberg, Germany; Pontificia Universidad Javeriana, Institute of Human Genetics, Bogota, Colombia 
280  Beth Israel Deaconess Medical Center, Department of Medical Oncology, Boston, MA, USA 
281  Helios Clinics Berlin-Buch, Department of Gynecology and Obstetrics, Berlin, Germany 
282  Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, Division of Functional onco-genomics and genetics, Aviano, Italy 
283  City of Hope, Clinical Cancer Genetics, Duarte, CA, USA 
284  Karolinska Institutet, Institute of Environmental Medicine, Stockholm, Sweden; Uppsala University, Department of Surgical Sciences, Uppsala, Sweden 
285  Magee-Womens Hospital, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA 
286  QIMR Berghofer Medical Research Institute, Department of Genetics and Computational Biology, Brisbane, QLD, Australia 
287  University of Cambridge, Centre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, Cambridge, UK; University of Cambridge, Centre for Cancer Genetic Epidemiology, Department of Oncology, Cambridge, UK 
288  The Ohio State University, Department of Cancer Biology and Genetics, Columbus, OH, USA 
289  Lunenfeld-Tanenbaum Research Institute of Mount Sinai Hospital, Fred A. Litwin Center for Cancer Genetics, Toronto, ON, Canada; University of Toronto, Department of Molecular Genetics, Toronto, ON, Canada 
290  University of NSW Sydney, School of Women’s and Children’s Health, Faculty of Medicine, Sydney, NSW, Australia; The Kinghorn Cancer Centre, Garvan Institute of Medical Research, Sydney, NSW, Australia 
291  The Institute of Cancer Research, Division of Genetics and Epidemiology, London, UK; The Institute of Cancer Research, Division of Breast Cancer Research, London, UK 
292  Columbia University, Departments of Pediatrics and Medicine, New York, NY, USA 
293  The University of Melbourne, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, Melbourne, Victoria, Australia; Cancer Council Victoria, Cancer Epidemiology Division, Melbourne, VIC, Australia; Monash University, Precision Medicine, School of Clinical Sciences at Monash Health, Clayton, VIC, Australia 
294  The Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Division of Molecular Pathology, Amsterdam, The Netherlands; The Netherlands Cancer Institute - Antoni van Leeuwenhoek hospital, Division of Psychosocial Research and Epidemiology, Amsterdam, The Netherlands 
295  Department of Genetics and Microbiology, Universitat Autònoma de Barcelona, Bellaterra, Barcelona, Spain; Center for Biomedical Network Research on Rare Diseases (CIBERER), Madrid, Spain; Institute of Biomedical Research, Sant Pau Hospital, Barcelona, Spain; Department of Genetics, Sant Pau Hospital, Barcelona, Spain 
Pages
1-14
Publication year
2019
Publication date
Nov 2019
Publisher
Nature Publishing Group
e-ISSN
23744677
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2311224044
Copyright
© 2019. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.