Abstract
Purpose
Circulating anti-Müllerian hormone (AMH) levels are positively associated with time to menopause and breast cancer risk. We examined breast cancer associations with single nucleotide polymorphisms (SNPs) in the AMH gene or its receptor genes, ACVR1 and AMHR2, among African American women.
Methods
In the AMBER consortium, we tested 65 candidate SNPs, and 1130 total variants, in or near AMH, ACVR1, and AMHR2 and breast cancer risk. Overall, 3649 cases and 4230 controls contributed to analyses. Odds ratios (OR) and 95% confidence intervals (CI) for breast cancer were calculated using multivariable logistic regression.
Results
After correction for multiple comparisons (false-discovery rate of 5%), there were no statistically significant associations with breast cancer risk. Without correction for multiple testing, four candidate SNPs in ACVR1 and one near AMH were associated with breast cancer risk. In ACVR1, rs13395576[C] was associated with lower breast cancer risk overall (OR 0.84; 95% CI 0.72, 0.97) and for ER+ disease (OR 0.75; CI 0.62, 0.89) (p < 0.05). Rs1220110[A] and rs1220134[T] each had ORs of 0.89–0.90 for postmenopausal and ER+ breast cancer (p ≤ 0.03). Conversely, rs1682130[T] was associated with higher risk of ER+ breast cancer (OR 1.17; 95% CI 1.04, 1.32). Near AMH, rs6510652[T] had ORs of 0.85–0.90 for breast cancer overall and after menopause (p ≤ 0.02).
Conclusions
The present results, from a large study of African American women, provide limited support for an association between AMH-related polymorphisms and breast cancer risk and require replication in other studies.
Similar content being viewed by others
References
Visser JA, Schipper I, Laven JS, Themmen AP (2012) Anti-Mullerian hormone: an ovarian reserve marker in primary ovarian insufficiency. Nat Rev Endocrinol 8:331–341
Lie Fong S, Visser JA, Welt CK, de Rijke YB, Eijkemans MJ, Broekmans FJ et al (2012) Serum anti-mullerian hormone levels in healthy females: a nomogram ranging from infancy to adulthood. J Clin Endocrinol Metab 97:4650–4655
Kevenaar ME, Themmen AP, Rivadeneira F, Uitterlinden AG, Laven JS, van Schoor NM et al (2007) A polymorphism in the AMH type II receptor gene is associated with age at menopause in interaction with parity. Hum Reprod 22:2382–2388
Voorhuis M, Broekmans FJ, Fauser BC, Onland-Moret NC, van der Schouw YT (2011) Genes involved in initial follicle recruitment may be associated with age at menopause. J Clin Endocrinol Metab 96:E473–E479
Collaborative Group on Hormonal Factors in Breast C (2012) Menarche, menopause, and breast cancer risk: individual participant meta-analysis, including 118 964 women with breast cancer from 117 epidemiological studies. Lancet Oncol 13:1141–1151
Kevenaar ME, Themmen AP, van Kerkwijk AJ, Valkenburg O, Uitterlinden AG, de Jong FH et al (2009) Variants in the ACVR1 gene are associated with AMH levels in women with polycystic ovary syndrome. Hum Reprod 24:241–249
Ge W, Clendenen TV, Afanasyeva Y, Koenig KL, Agnoli C, Brinton LA et al (2018) Circulating anti-Mullerian hormone and breast cancer risk: a study in ten prospective cohorts. Int J Cancer 142:2215–2226
Slattery ML, John EM, Torres-Mejia G, Herrick JS, Giuliano AR, Baumgartner KB et al (2013) Genetic variation in bone morphogenetic proteins and breast cancer risk in hispanic and non-hispanic white women: the breast cancer health disparities study. Int J Cancer 132:2928–2939
Nan H, Dorgan JF, Rebbeck TR (2014) Genetic variants in anti-Mullerian hormone and anti-Mullerian hormone receptor genes and breast cancer risk in Caucasians and African Americans. Int J Mol Epidemiol Genet 5:145–151
Palmer JR, Ambrosone CB, Olshan AF (2014) A collaborative study of the etiology of breast cancer subtypes in African American women: the AMBER consortium. Cancer Causes Control 25:309–319
Newman B, Moorman PG, Millikan R, Qaqish BF, Geradts J, Aldrich TE et al (1995) The Carolina Breast Cancer Study: integrating population-based epidemiology and molecular biology. Breast Cancer Res Treat 35:51–60
Ambrosone CB, Ciupak GL, Bandera EV, Jandorf L, Bovbjerg DH, Zirpoli G et al (2009) Conducting molecular epidemiological research in the age of HIPAA: a multi-institutional case–control study of breast cancer in African-American and European-American Women. J Oncol 2009:871250
Bandera EV, Chandran U, Zirpoli G, McCann SE, Ciupak G, Ambrosone CB (2013) Rethinking sources of representative controls for the conduct of case–control studies in minority populations. BMC Med Res Methodol 13:71
Rosenberg L, Adams-Campbell L, Palmer JR (1972) The Black Women’s Health Study: a follow-up study for causes and preventions of illness. J Am Med Womens Assoc 1995(50):56–58
Kolonel LN, Henderson BE, Hankin JH, Nomura AM, Wilkens LR, Pike MC et al (2000) A multiethnic cohort in Hawaii and Los Angeles: baseline characteristics. Am J Epidemiol 151:346–357
Bethea TN, Rosenberg L, Castro-Webb N, Lunetta KL, Sucheston-Campbell LE, Ruiz-Narvaez EA et al (2016) Family history of cancer in relation to breast cancer subtypes in African American Women. Cancer Epidemiol Biomark Prev 25:366–373
Howie BN, Donnelly P, Marchini J (2009) A flexible and accurate genotype imputation method for the next generation of genome-wide association studies. PLoS Genet 5:e1000529
Chen F, Chen GK, Stram DO, Millikan RC, Ambrosone CB, John EM et al (2013) A genome-wide association study of breast cancer in women of African ancestry. Hum Genet 132:39–48
Price AL, Patterson NJ, Plenge RM, Weinblatt ME, Shadick NA, Reich D (2006) Principal components analysis corrects for stratification in genome-wide association studies. Nat Genet 38:904–909
Haddad SA, Ruiz-Narvaez EA, Haiman CA, Sucheston-Campbell LE, Bensen JT, Zhu Q et al (2016) An exome-wide analysis of low frequency and rare variants in relation to risk of breast cancer in African American Women: the AMBER Consortium. Carcinogenesis 37:870–877
Purcell S, Neale B, Todd-Brown K, Thomas L, Ferreira MA, Bender D et al (2007) PLINK: a tool set for whole-genome association and population-based linkage analyses. Am J Hum Genet 81:559–575
Benjamini Y, Hochberg Y (1995) Controlling the false discovery rate: a practical and powerful approach to multiple testing. R Stat Soc 57:289–300
Dorgan JF, Stanczyk FZ, Egleston BL, Kahle LL, Shaw CM, Spittle CS et al (2009) Prospective case–control study of serum mullerian inhibiting substance and breast cancer risk. J Natl Cancer Inst 101:1501–1509
Eliassen AH, Zeleniuch-Jacquotte A, Rosner B, Hankinson SE (2016) Plasma anti-Mullerian hormone concentrations and risk of breast cancer among premenopausal women in the Nurses’ Health Studies. Cancer Epidemiol Biomark Prev 25:854–860
Nichols HB, Baird DD, Stanczyk FZ, Steiner AZ, Troester MA, Whitworth KW et al (2015) Anti-Mullerian hormone concentrations in premenopausal women and breast cancer risk. Cancer Prev Res (Phila) 8:528–534
Zhou X, Li D, Zhang B, Lowdon RF, Rockweiler NB, Sears RL et al (2015) Epigenomic annotation of genetic variants using the Roadmap Epigenome Browser. Nat Biotechnol 33:345–346
Roten LT, Johnson MP, Forsmo S, Fitzpatrick E, Dyer TD, Brennecke SP et al (2009) Association between the candidate susceptibility gene ACVR2A on chromosome 2q22 and pre-eclampsia in a large Norwegian population-based study (the HUNT study). Eur J Hum Genet 17:250–257
Gabriel SB, Schaffner SF, Nguyen H, Moore JM, Roy J, Blumenstiel B et al (2002) The structure of haplotype blocks in the human genome. Science 296:2225–2229
Acknowledgements
The authors appreciate the helpful comments of Drs. Alexandra White and Helen Chin.
Funding
This research was funded in part by the National Center for Advancing Translational Sciences (KL2-TR001109) and by the National Institutes of Health: P01 CA151135 (CBA, JRP, and AFO), UM1 CA164974 (JRP), R01 CA098663 (JRP), R01 CA100598 (CBA), P50 CA58223 (MAT, AO), U01 CA179715 (MAT); and by the Susan G. Komen Foundation (JRP), the Breast Cancer Research Foundation (CBA); and the University Cancer Research Fund of North Carolina. The results do not necessarily reflect the views of the NIH or the sponsors, who had no role in study design; data collection, analysis, or interpretation; or writing and submission of the manuscript.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors have no conflicts to disclose.
Ethical approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent
Informed consent was obtained from all individual participants included in the study.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Electronic supplementary material
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Nichols, H.B., Graff, M., Bensen, J.T. et al. Genetic variants in anti-Müllerian hormone-related genes and breast cancer risk: results from the AMBER consortium. Breast Cancer Res Treat 185, 469–478 (2021). https://doi.org/10.1007/s10549-020-05944-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10549-020-05944-4