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Identification of novel epithelial ovarian cancer loci in women of African ancestry

  • the African American Breast Cancer Consortium (AABC)
  • , the African Ancestry Prostate Cancer Consortium (AAPC)
  • , the African American Cancer Epidemiology Study (AACES) and the Ovarian Cancer Association Consortium (OCAC)
  • University of Virginia
  • Moffitt Cancer Center
  • University of Utah
  • University of Southern California
  • University of Cambridge
  • Wayne State University
  • Louisiana State University Health Sciences Center
  • Duke University
  • Baylor College of Medicine
  • Case Western Reserve University
  • University of Tennessee Medical Center
  • University of South Carolina
  • Rutgers - The State University of New Jersey, New Brunswick
  • University of Alabama at Birmingham
  • University of Michigan, Ann Arbor
  • Memorial Sloan-Kettering Cancer Center
  • Boston University
  • University of Hawai'i at Mānoa
  • University of Pittsburgh
  • University of Texas Health Science Center at Houston
  • University of California at Los Angeles
  • Stanford University
  • Icahn School of Medicine at Mount Sinai
  • Cedars-Sinai Medical Center

Research output: Contribution to journalArticlepeer-review

24 Scopus citations

Abstract

Women of African ancestry have lower incidence of epithelial ovarian cancer (EOC) yet worse survival compared to women of European ancestry. We conducted a genome-wide association study in African ancestry women with 755 EOC cases, including 537 high-grade serous ovarian carcinomas (HGSOC) and 1,235 controls. We identified four novel loci with suggestive evidence of association with EOC (p < 1 × 10−6), including rs4525119 (intronic to AKR1C3), rs7643459 (intronic to LOC101927394), rs4286604 (12 kb 3′ of UGT2A2) and rs142091544 (5 kb 5′ of WWC1). For HGSOC, we identified six loci with suggestive evidence of association including rs37792 (132 kb 5′ of follistatin [FST]), rs57403204 (81 kb 3′ of MAGEC1), rs79079890 (LOC105376360 intronic), rs66459581 (5 kb 5′ of PRPSAP1), rs116046250 (GABRG3 intronic) and rs192876988 (32 kb 3′ of GK2). Among the identified variants, two are near genes known to regulate hormones and diseases of the ovary (AKR1C3 and FST), and two are linked to cancer (AKR1C3 and MAGEC1). In follow-up studies of the 10 identified variants, the GK2 region SNP, rs192876988, showed an inverse association with EOC in European ancestry women (p = 0.002), increased risk of ER positive breast cancer in African ancestry women (p = 0.027) and decreased expression of GK2 in HGSOC tissue from African ancestry women (p = 0.004). A European ancestry-derived polygenic risk score showed positive associations with EOC and HGSOC in women of African ancestry suggesting shared genetic architecture. Our investigation presents evidence of variants for EOC shared among European and African ancestry women and identifies novel EOC risk loci in women of African ancestry.

Original languageEnglish
Pages (from-to)2987-2998
Number of pages12
JournalInternational Journal of Cancer
Volume146
Issue number11
DOIs
StatePublished - Jun 1 2020

Keywords

  • African ancestry
  • eQTLs
  • gene expression
  • genome wide association study
  • ovarian cancer

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