4.8 Article

Five endometrial cancer risk loci identified through genome-wide association analysis

Journal

NATURE GENETICS
Volume 48, Issue 6, Pages 667-+

Publisher

NATURE PORTFOLIO
DOI: 10.1038/ng.3562

Keywords

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Funding

  1. NHMRC project grant [1031333]
  2. NHMRC Fellowship scheme
  3. Joseph Mitchell Trust
  4. Cancer Research UK [C1287/A10118, C1287/A10710, C12292/A11174, C1281/A12014, C5047/A8384, C5047/A15007, C5047/A10692, C8197/A16565, C490/A10124, C1287/A12014]
  5. Oxford Comprehensive Biomedical Research Centre
  6. Rhodes Trust
  7. Nuffield Department of Medicine
  8. European Community's Seventh Framework Programme (COGS) [223175, HEALTH-F2-2009-223175]
  9. US National Institutes of Health [R01 CA128978, U19 CA148537, U19 CA148065, U19 CA148112]
  10. US Department of Defense [W81XWH-10-1-0341]
  11. Canadian Institutes of Health Research (CIHR) for CIHR Team in Familial Risks of Breast Cancer
  12. Susan G. Komen Foundation for the Cure
  13. Breast Cancer Research Foundation
  14. Ovarian Cancer Research Fund
  15. NHMRC [1031333, 339435, 552402]
  16. Cancer Council Queensland [4196615]
  17. Cancer Council Tasmania [403031, 457636]
  18. UK Medical Research Council [G0000934]
  19. Wellcome Trust [068545/Z/02, 085475]
  20. European Union's Framework Programme 7 CHIBCHA grant
  21. Wellcome Trust Centre for Human Genetics Core Grant [090532/Z/09Z]
  22. ELAN fund of the University of Erlangen
  23. Rudolf Bartling Foundation
  24. Verelst Foundation for Endometrial Cancer
  25. National Cancer Institute of the US Public Health Service [R01 CA122443, P30 CA15083, P50 CA136393]
  26. Fred C. and Katherine B. Andersen Foundation
  27. Mayo Foundation
  28. Helse Vest Grant
  29. University of Bergen
  30. Melzer Foundation
  31. Norwegian Cancer Society (Harald Andersens legat)
  32. Research Council of Norway
  33. Haukeland University Hospital
  34. Stockholm County Council
  35. Karolinska Institutet [20110222, 20110483, 20110141, DF 07015]
  36. Swedish Labor Market Insurance [100069]
  37. Swedish Cancer Society [11 0439]
  38. Agency for Science, Technology and Research of Singapore (A*STAR)
  39. US National Institutes of Health
  40. Susan G. Komen Breast Cancer Foundation
  41. UK National Institute for Health Research Biomedical Research Centres at the University of Cambridge
  42. MRC [G0000934, MC_U127527198, MC_PC_U127527198] Funding Source: UKRI
  43. Academy of Medical Sciences (AMS) [AMS-CSF4-Church] Funding Source: researchfish
  44. Cancer Research UK [10118, 18927, 16565, 16561, 12076] Funding Source: researchfish
  45. Medical Research Council [1243081, G0000934, MC_PC_U127527198, MC_U127527198] Funding Source: researchfish
  46. National Institute for Health Research [CL-2010-13-007] Funding Source: researchfish
  47. The Francis Crick Institute
  48. Cancer Research UK [10119, 10124] Funding Source: researchfish

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We conducted a meta-analysis of three endometrial cancer genome-wide association studies (GWAS) and two follow-up phases totaling 7,737 endometrial cancer cases and 37,144 controls of European ancestry. Genome-wide imputation and meta-analysis identified five new risk loci of genome-wide significance at likely regulatory regions on chromosomes 13q22.1 (rs11841589, near KLF5), 6q22.31 (rs13328298, in LOC643623 and near HEY2 and NCOA7), 8q24.21 (rs4733613, telomeric to MYC), 15q15.1 (rs937213, in EIF2AK4, near BMF) and 14q32.33 (rs2498796, in AKT1, near SIVA1). We also found a second independent 8q24.21 signal (rs17232730). Functional studies of the 13q22.1 locus showed that rs9600103 (pairwise r(2) = 0.98 with rs11841589) is located in a region of active chromatin that interacts with the KLF5 promoter region. The rs9600103[T] allele that is protective in endometrial cancer suppressed gene expression in vitro, suggesting that regulation of the expression of KLF5, a gene linked to uterine development, is implicated in tumorigenesis. These findings provide enhanced insight into the genetic and biological basis of endometrial cancer.

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