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Shared genetics underlying epidemiological association between endometriosis and ovarian cancer

  • Australian Ovarian Cancer Study
  • , The International Endogene Consortium(IEC)
  • Statistical Genetics
  • Queensland Institute of Medical Research
  • Queensland University of Technology
  • University of Liverpool
  • University of Oxford
  • University of California at Los Angeles
  • Friedrich-Alexander University Erlangen-Nürnberg
  • KU Leuven
  • Flanders Institute for Biotechnology
  • Dartmouth College
  • University of Washington
  • Fred Hutchinson Cancer Research Center
  • German Cancer Research Center
  • Ulm University
  • Samuel Oschin Comprehensive Cancer Institute
  • Cedars-Sinai Medical Center
  • Hannover Medical School
  • Friedrich Schiller University Jena
  • N.N. Alexandrov National Cancer Centre of Belarus
  • University of Helsinki
  • University of Pittsburgh
  • University of Texas Health Science Center at Houston
  • Roswell Park Cancer Institute
  • Danish Cancer Society
  • University of Copenhagen
  • Monash University
  • University of Melbourne
  • Cancer Council Victoria
  • University of Texas MD Anderson Cancer Center
  • Texas Southern University
  • Memorial Sloan-Kettering Cancer Center
  • Brigham and Women’s Hospital

Research output: Contribution to journalArticlepeer-review

68 Scopus citations

Abstract

Epidemiological studies have demonstrated associations between endometriosis and certain histotypes of ovarian cancer, including clear cell, low-grade serous and endometrioid carcinomas. We aimed to determine whether the observed associations might be due to shared genetic aetiology. To address this, we used two endometriosis datasets genotyped on common arrays with full-genome coverage (3194 cases and 7060 controls) and a large ovarian cancer dataset genotyped on the customized Illumina Infinium iSelect (iCOGS) arrays (10 065 cases and 21 663 controls). Previous work has suggested that a large number of genetic variants contribute to endometriosis and ovarian cancer (all histotypes combined) susceptibility. Here, using the iCOGS data, we confirmed polygenic architecture for most histotypes of ovarian cancer. This led us to evaluate if the polygenic effects are shared across diseases. We found evidence for shared genetic risks between endometriosis and all histotypes of ovarian cancer, except for the intestinal mucinous type. Clear cell carcinoma showed the strongest genetic correlation with endometriosis (0.51, 95% CI = 0.18-0.84). Endometrioid and low-grade serous carcinomas had similar correlation coefficients (0.48, 95% CI = 0.07-0.89 and 0.40, 95% CI = 0.05-0.75, respectively). High-grade serous carcinoma, which often arises from the fallopian tubes, showed a weaker genetic correlation with endometriosis (0.25, 95% CI = 0.11-0.39), despite the absence of a known epidemiological association. These results suggest that the epidemiological association between endometriosis and ovarian adenocarcinoma may be attributable to shared genetic susceptibility loci.

Original languageEnglish
Pages (from-to)5955-5964
Number of pages10
JournalHuman Molecular Genetics
Volume24
Issue number20
DOIs
StatePublished - Jun 5 2015

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