Model of Breast Carcinogenesis.
From: O'Connell et al. Department of Pathology
The University of Texas health Science Center at San Antonio.

BREAST CANCER

Description: Four main breast cancer related projects are underway in our lab:

1. Modifiers of Cancer Risk in Hereditary Breast Cancer: Using a sample of BRCA1 and BRCA2 mutation carriers, we are studying the role of genes at other loci and other risk factors in modifying the incidence of breast and ovarian cancer.

2. Prophylactic Surgery: We are studying the role of prophylactic surgery in reducing the incidence and and mortality from cancer in carriers of BRCA1 or BRCA2 mutations.

3. Etiologic Heterogeneity in Late Onset Breast Cancer: This study is addressing three specific hypotheses. First, we are evaluating whether candidate susceptibility genotypes at the cytochromes P450 and glutathione-S-transferase loci define etiologically heterogeneous case groups with respect to age at breast cancer diagnosis. Second, we are evaluating whether candidate genotypes define etiologically heterogeneous case groups with respect to somatic genetic damage. Third, we are evaluating whether interactions of candidate susceptibility genotypes and somatic genetic mutation define etiologically heterogeneous case groups.

4. Genotype-Hormone Interaction in Breast Cancer Susceptibility: This is a population-based case-control study evaluating interactions of hormonal factors (including reproductive events and exogenous hormone exposures) and inherited genotypes that are involved in the metabolism of hormones in breast cancer risk.

Collaborators:
M. Daly, A. Godwin (Fox Chase Cancer Center)
J. Garber, M. Brown (Dana-Farber Cancer Institute)
C. Lerman, C. Isaacs (Georgetown U.)
H. Lynch (Creighton U.)
S. Narod (Women's College Hospital/U. of Toronto)
S. Neuhausen (U. of Utah)
F. Olopade (U. of Chicago)
B. Strom, B. Weber (U. of Pennsylvania)
L. Van 't Veer (Netherlands Cancer Institute)
Ros Eeles (Royal Marsden Hospital)
Gareth Evans (Manchester NHS Trust)

Funding: Public Health Service Grants R01-CA73730, R01-CA83855, P01-CA77596

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