RT Journal Article T1 Mitochondrial DNA copy number variation, leukocyte telomere length, and breast cancer risk in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. A1 Campa, Daniele A1 Barrdahl, Myrto A1 Santoro, Aurelia A1 Severi, Gianluca A1 Baglietto, Laura A1 Omichessan, Hanane A1 Tumino, Rosario A1 Bueno-de-Mesquita, H B As A1 Peeters, Petra H A1 Weiderpass, Elisabete A1 Chirlaque, Maria-Dolores A1 Rodríguez-Barranco, Miguel A1 Agudo, Antonio A1 Gunter, Marc A1 Dossus, Laure A1 Krogh, Vittorio A1 Matullo, Giuseppe A1 Trichopoulou, Antonia A1 Travis, Ruth C A1 Canzian, Federico A1 Kaaks, Rudolf K1 Breast cancer K1 Cancer epidemiology K1 Mitochondrial copy number K1 Telomere length AB Leukocyte telomere length (LTL) and mitochondrial genome (mtDNA) copy number and deletions have been proposed as risk markers for various cancer types, including breast cancer (BC). To gain a more comprehensive picture on how these markers can modulate BC risk, alone or in conjunction, we performed simultaneous measurements of LTL and mtDNA copy number in up to 570 BC cases and 538 controls from the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. As a first step, we measured LTL and mtDNA copy number in 96 individuals for which a blood sample had been collected twice with an interval of 15 years. According to the intraclass correlation (ICC), we found very good stability over the time period for both measurements, with ICCs of 0.63 for LTL and 0.60 for mtDNA copy number. In the analysis of the entire study sample, we observed that longer LTL was strongly associated with increased risk of BC (OR 2.71, 95% CI 1.58-4.65, p = 3.07 × 10- 4 for highest vs. lowest quartile; OR 3.20, 95% CI 1.57-6.55, p = 1.41 × 10- 3 as a continuous variable). We did not find any association between mtDNA copy number and BC risk; however, when considering only the functional copies, we observed an increased risk of developing estrogen receptor-positive BC (OR 2.47, 95% CI 1.05-5.80, p = 0.04 for highest vs. lowest quartile). We observed a very good correlation between the markers over a period of 15 years. We confirm a role of LTL in BC carcinogenesis and suggest an effect of mtDNA copy number on BC risk. YR 2018 FD 2018-04-17 LK http://hdl.handle.net/10668/12362 UL http://hdl.handle.net/10668/12362 LA en DS RISalud RD Apr 19, 2025