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Exome genotyping arrays to identify rare and low frequency variants associated with epithelial ovarian cancer risk

  • behalf of the Ovarian Cancer Association Consortium
  • , AOCS study group
  • , Australian Cancer Study (Ovarian Cancer)
  • Moffitt Cancer Center
  • University of Cambridge
  • University of California at Irvine
  • Rutgers - The State University of New Jersey, New Brunswick
  • Memorial Sloan-Kettering Cancer Center
  • National Institutes of Health
  • Provincial Health Services Authority
  • Simon Fraser University
  • University of Hawai'i at Mānoa
  • Queensland Institute of Medical Research
  • University of New Mexico
  • Brigham and Women’s Hospital
  • Mayo Clinic Rochester, MN
  • Pomeranian Medical University in Szczecin
  • Social & Scientific Systems Inc
  • Dartmouth College
  • University of Pittsburgh
  • University of Kansas
  • University of Southern California
  • University College London
  • Cedars-Sinai Medical Center
  • Danish Cancer Society
  • University of Copenhagen
  • Duke University
  • Medical University of South Carolina
  • Harvard University
  • Maria Sklodowska-Curie Institute of Oncology
  • Aichi Cancer Center Hospital and Research Institute
  • University of Texas Health Science Center at Houston
  • University of Michigan, Ann Arbor

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

Rare and low frequency variants are not well covered inmost germline genotyping arrays and are understudied in relation to epithelial ovarian cancer (EOC) risk. To address this gap, we used genotyping arrays targeting rarer protein-coding variation in 8,165 EOC cases and 11,619 controls from the international Ovarian Cancer Association Consortium(OCAC). Pooled association analyses were conducted at the variant and gene level for 98,543 variants directly genotyped through two exome genotyping projects. Only common variants that represent or are in strong linkage disequilibrium(LD) with previously-identified signals at established loci reached traditional thresholds for exome-wide significance (P < 5.0×10-7). One of themost significant signals (Pall histologies=1.01×10-13;Pserous=3.54×10-14) occurred at 3q25.31 for rs62273959, amissense variantmapping to the LEKR1 gene that is in LD (r2=0.90) with a previously identified 'best hit' (rs7651446)mapping to an intron of TIPARP. Suggestive associations (5.0×10-5 > P≥5.0 ×10-7) were detected for rare and low-frequency variants at 16 novel loci. Four raremissense variants were identified (ACTBL2 rs73757391 (5q11.2), BTD rs200337373 (3p25.1), KRT13 rs150321809 (17q21.2) and MC2R rs104894658 (18p11.21)), but only MC2R rs104894668 had a large effect size (OR=9.66). Genesmost strongly associated with EOC risk included ACTBL2 (PAML=3.23×10-5; PSKAT-o=9.23×10-4) and KRT13 (PAML=1.67×10-4; PSKAT-o=1.07×10-5), reaffirming variant-level analysis. In summary, this large study identified several rare and low-frequency variants and genes thatmay contribute to EOC susceptibility, albeit with possible small effects. Future studies that integrate epidemiology, sequencing, and functional assays are needed to further unravel the unexplained heritability and biology of this disease.

Original languageEnglish
Pages (from-to)3600-3612
Number of pages13
JournalHuman Molecular Genetics
Volume25
Issue number16
DOIs
StatePublished - Aug 15 2016

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