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. 2016 Sep 1;76(17):5103-14.
doi: 10.1158/0008-5472.CAN-15-2980. Epub 2016 Apr 20.

Cross-Cancer Genome-Wide Analysis of Lung, Ovary, Breast, Prostate, and Colorectal Cancer Reveals Novel Pleiotropic Associations

Gordon Fehringer  1 Peter Kraft  2 Paul D Pharoah  3 Rosalind A Eeles  4 Nilanjan Chatterjee  5 Fredrick R Schumacher  6 Joellen M Schildkraut  7 Sara Lindström  2 Paul Brennan  8 Heike Bickeböller  9 Richard S Houlston  4 Maria Teresa Landi  5 Neil Caporaso  5 Angela Risch  10 Ali Amin Al Olama  11 Sonja I Berndt  5 Edward L Giovannucci  2 Henrik Grönberg  12 Zsofia Kote-Jarai  4 Jing Ma  13 Kenneth Muir  14 Meir J Stampfer  15 Victoria L Stevens  16 Fredrik Wiklund  12 Walter C Willett  2 Ellen L Goode  17 Jennifer B Permuth  18 Harvey A Risch  19 Brett M Reid  18 Stephane Bezieau  20 Hermann Brenner  21 Andrew T Chan  22 Jenny Chang-Claude  23 Thomas J Hudson  24 Jonathan K Kocarnik  25 Polly A Newcomb  25 Robert E Schoen  26 Martha L Slattery  27 Emily White  25 Muriel A Adank  28 Habibul Ahsan  29 Kristiina Aittomäki  30 Laura Baglietto  31 Carl Blomquist  30 Federico Canzian  32 Kamila Czene  12 Isabel Dos-Santos-Silva  33 A Heather Eliassen  34 Jonine D Figueroa  5 Dieter Flesch-Janys  35 Olivia Fletcher  36 Montserrat Garcia-Closas  5 Mia M Gaudet  16 Nichola Johnson  36 Per Hall  12 Aditi Hazra  15 Rebecca Hein  37 Albert Hofman  38 John L Hopper  39 Astrid Irwanto  40 Mattias Johansson  41 Rudolf Kaaks  23 Muhammad G Kibriya  29 Peter Lichtner  42 Jianjun Liu  40 Eiliv Lund  43 Enes Makalic  39 Alfons Meindl  44 Bertram Müller-Myhsok  45 Taru A Muranen  30 Heli Nevanlinna  30 Petra H Peeters  46 Julian Peto  33 Ross L Prentice  25 Nazneen Rahman  47 Maria Jose Sanchez  48 Daniel F Schmidt  39 Rita K Schmutzler  49 Melissa C Southey  31 Rulla Tamimi  15 Ruth C Travis  50 Clare Turnbull  47 Andre G Uitterlinden  51 Zhaoming Wang  5 Alice S Whittemore  52 Xiaohong R Yang  5 Wei Zheng  53 Daniel D Buchanan  31 Graham Casey  6 David V Conti  6 Christopher K Edlund  6 Steven Gallinger  1 Robert W Haile  52 Mark Jenkins  31 Loïc Le Marchand  54 Li Li  55 Noralene M Lindor  56 Stephanie L Schmit  6 Stephen N Thibodeau  17 Michael O Woods  57 Thorunn Rafnar  58 Julius Gudmundsson  58 Simon N Stacey  58 Kari Stefansson  58 Patrick Sulem  58 Y Ann Chen  18 Jonathan P Tyrer  3 David C Christiani  2 Yongyue Wei  2 Hongbing Shen  59 Zhibin Hu  59 Xiao-Ou Shu  53 Kouya Shiraishi  60 Atsushi Takahashi  61 Yohan Bossé  62 Ma'en Obeidat  63 David Nickle  64 Wim Timens  65 Matthew L Freedman  66 Qiyuan Li  67 Daniela Seminara  5 Stephen J Chanock  5 Jian Gong  25 Ulrike Peters  25 Stephen B Gruber  6 Christopher I Amos  68 Thomas A Sellers  18 Douglas F Easton  3 David J Hunter  2 Christopher A Haiman  6 Brian E Henderson  6 Rayjean J Hung  69 Ovarian Cancer Association Consortium (OCAC)PRACTICAL ConsortiumHereditary Breast and Ovarian Cancer Research Group Netherlands (HEBON)Colorectal Transdisciplinary (CORECT) StudyAfrican American Breast Cancer Consortium (AABC) and African Ancestry Prostate Cancer Consortium (AAPC)
Affiliations

Cross-Cancer Genome-Wide Analysis of Lung, Ovary, Breast, Prostate, and Colorectal Cancer Reveals Novel Pleiotropic Associations

Gordon Fehringer et al. Cancer Res. .

Abstract

Identifying genetic variants with pleiotropic associations can uncover common pathways influencing multiple cancers. We took a two-stage approach to conduct genome-wide association studies for lung, ovary, breast, prostate, and colorectal cancer from the GAME-ON/GECCO Network (61,851 cases, 61,820 controls) to identify pleiotropic loci. Findings were replicated in independent association studies (55,789 cases, 330,490 controls). We identified a novel pleiotropic association at 1q22 involving breast and lung squamous cell carcinoma, with eQTL analysis showing an association with ADAM15/THBS3 gene expression in lung. We also identified a known breast cancer locus CASP8/ALS2CR12 associated with prostate cancer, a known cancer locus at CDKN2B-AS1 with different variants associated with lung adenocarcinoma and prostate cancer, and confirmed the associations of a breast BRCA2 locus with lung and serous ovarian cancer. This is the largest study to date examining pleiotropy across multiple cancer-associated loci, identifying common mechanisms of cancer development and progression. Cancer Res; 76(17); 5103-14. ©2016 AACR.

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Conflict of interest statement

of Potential Conflicts of Interest: Dr. David Nickle is a full time employee at Merck & Co. No potential conflicts of interest were disclosed by other authors.

Figures

Figure 1
Figure 1
Result for rs1057941. Forest plot showing per allele ORs for risk allele A (of A/G). Standard fixed effects meta-analysis (also indicated by dashed line), and subset meta-analysis results (two-sided, one-sided and positive and negative subset associations) are shown. Abbreviations - CRC: colorectal, ERNEG: estrogen receptor negative, Aggrsv: aggressive, Adeno: Adenocarcinoma.
Figure 2
Figure 2
Results for rs1057941 (A) Regional plot showing P values from overall meta-analysis at region 1q22 using GAME-ON/GECCO discovery set data. The top breast cancer hit (rs3814316) and top squamous cell carcinoma hit (rs4072037) are also highlighted. (B) Boxplots of gene expression levels in normal lung tissue for ADAM15 and THBS3 by study (Laval, UBC, Groningen).
Figure 3
Figure 3
Results for rs13016963: (A) Forest plot showing per allele ORs for risk allele G (of A/G). Standard fixed effects meta-analysis (also indicated by dashed line), and subset meta-analysis results (two-sided, one-sided and positive and negative subset associations) are shown. (B) Regional plot showing P values for GAME-ON prostate cancer GWAS at region 2q33.1 using GAME-ON/GECCO discovery set data. Peak is at ALS2CR12. (C) Boxplot of BZW1 gene expression levels in prostate tumor and normal tissue for rs1035142/rs13016963. rs1035142 is presented as a surrogate for rs13016963, with which it shows perfect LD in eQTL data. Abbreviations - CRC: colorectal, ERNEG: estrogen receptor negative, Aggrsv: aggressive, Adeno: Adenocarcinoma.
Figure 4
Figure 4
Results for rs62560775: (A) Forest plot showing per allele ORs for risk allele G (of A/G). Standard fixed effects meta-analysis (also indicated by dashed line), and subset meta-analysis results (two-sided, one-sided and positive and negative subset associations) are shown. (B) Regional plot showing P values for GAME-ON lung adenocarcinoma GWAS at region 9p21.3, using GAME-ON/GECCO discovery set data. Peak is at CDKN2B-AS1. Results for rs1011970: (C) Forest plot showing per allele ORs for risk allele T (of T/G). Standard fixed effects meta-analysis (also indicated by dashed line), and subset meta-analysis results (two-sided, one-sided and positive and negative subset associations) are shown. (D) Regional plot showing P values for GAME-ON prostate cancer GWAS at region 9p21.3, using GAME-ON/GECCO discovery set data. Peak is at CDKN2B-AS1. Abbreviations - CRC: colorectal, ERNEG: estrogen receptor negative, Aggrsv: aggressive, Adeno: Adenocarcinoma.

Comment in

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