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Multiple independent variants at the TERT locus are associated with telomere length and risks of breast and ovarian cancer.


ABSTRACT: TERT-locus SNPs and leukocyte telomere measures are reportedly associated with risks of multiple cancers. Using the Illumina custom genotyping array iCOGs, we analyzed ?480 SNPs at the TERT locus in breast (n = 103,991), ovarian (n = 39,774) and BRCA1 mutation carrier (n = 11,705) cancer cases and controls. Leukocyte telomere measurements were also available for 53,724 participants. Most associations cluster into three independent peaks. The minor allele at the peak 1 SNP rs2736108 associates with longer telomeres (P = 5.8 × 10(-7)), lower risks for estrogen receptor (ER)-negative (P = 1.0 × 10(-8)) and BRCA1 mutation carrier (P = 1.1 × 10(-5)) breast cancers and altered promoter assay signal. The minor allele at the peak 2 SNP rs7705526 associates with longer telomeres (P = 2.3 × 10(-14)), higher risk of low-malignant-potential ovarian cancer (P = 1.3 × 10(-15)) and greater promoter activity. The minor alleles at the peak 3 SNPs rs10069690 and rs2242652 increase ER-negative (P = 1.2 × 10(-12)) and BRCA1 mutation carrier (P = 1.6 × 10(-14)) breast and invasive ovarian (P = 1.3 × 10(-11)) cancer risks but not via altered telomere length. The cancer risk alleles of rs2242652 and rs10069690, respectively, increase silencing and generate a truncated TERT splice variant.

SUBMITTER: Bojesen SE 

PROVIDER: S-EPMC3670748 | biostudies-literature | 2013 Apr

REPOSITORIES: biostudies-literature

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Multiple independent variants at the TERT locus are associated with telomere length and risks of breast and ovarian cancer.

Bojesen Stig E SE   Pooley Karen A KA   Johnatty Sharon E SE   Beesley Jonathan J   Michailidou Kyriaki K   Tyrer Jonathan P JP   Edwards Stacey L SL   Pickett Hilda A HA   Shen Howard C HC   Smart Chanel E CE   Hillman Kristine M KM   Mai Phuong L PL   Lawrenson Kate K   Stutz Michael D MD   Lu Yi Y   Karevan Rod R   Woods Nicholas N   Johnston Rebecca L RL   French Juliet D JD   Chen Xiaoqing X   Weischer Maren M   Nielsen Sune F SF   Maranian Melanie J MJ   Ghoussaini Maya M   Ahmed Shahana S   Baynes Caroline C   Bolla Manjeet K MK   Wang Qin Q   Dennis Joe J   McGuffog Lesley L   Barrowdale Daniel D   Lee Andrew A   Healey Sue S   Lush Michael M   Tessier Daniel C DC   Vincent Daniel D   Bacot Françis F   Vergote Ignace I   Lambrechts Sandrina S   Despierre Evelyn E   Risch Harvey A HA   González-Neira Anna A   Rossing Mary Anne MA   Pita Guillermo G   Doherty Jennifer A JA   Alvarez Nuria N   Larson Melissa C MC   Fridley Brooke L BL   Schoof Nils N   Chang-Claude Jenny J   Cicek Mine S MS   Peto Julian J   Kalli Kimberly R KR   Broeks Annegien A   Armasu Sebastian M SM   Schmidt Marjanka K MK   Braaf Linde M LM   Winterhoff Boris B   Nevanlinna Heli H   Konecny Gottfried E GE   Lambrechts Diether D   Rogmann Lisa L   Guénel Pascal P   Teoman Attila A   Milne Roger L RL   Garcia Joaquin J JJ   Cox Angela A   Shridhar Vijayalakshmi V   Burwinkel Barbara B   Marme Frederik F   Hein Rebecca R   Sawyer Elinor J EJ   Haiman Christopher A CA   Wang-Gohrke Shan S   Andrulis Irene L IL   Moysich Kirsten B KB   Hopper John L JL   Odunsi Kunle K   Lindblom Annika A   Giles Graham G GG   Brenner Hermann H   Simard Jacques J   Lurie Galina G   Fasching Peter A PA   Carney Michael E ME   Radice Paolo P   Wilkens Lynne R LR   Swerdlow Anthony A   Goodman Marc T MT   Brauch Hiltrud H   Garcia-Closas Montserrat M   Hillemanns Peter P   Winqvist Robert R   Dürst Matthias M   Devilee Peter P   Runnebaum Ingo I   Jakubowska Anna A   Lubinski Jan J   Mannermaa Arto A   Butzow Ralf R   Bogdanova Natalia V NV   Dörk Thilo T   Pelttari Liisa M LM   Zheng Wei W   Leminen Arto A   Anton-Culver Hoda H   Bunker Clareann H CH   Kristensen Vessela V   Ness Roberta B RB   Muir Kenneth K   Edwards Robert R   Meindl Alfons A   Heitz Florian F   Matsuo Keitaro K   du Bois Andreas A   Wu Anna H AH   Harter Philipp P   Teo Soo-Hwang SH   Schwaab Ira I   Shu Xiao-Ou XO   Blot William W   Hosono Satoyo S   Kang Daehee D   Nakanishi Toru T   Hartman Mikael M   Yatabe Yasushi Y   Hamann Ute U   Karlan Beth Y BY   Sangrajrang Suleeporn S   Kjaer Susanne Krüger SK   Gaborieau Valerie V   Jensen Allan A   Eccles Diana D   Høgdall Estrid E   Shen Chen-Yang CY   Brown Judith J   Woo Yin Ling YL   Shah Mitul M   Azmi Mat Adenan Noor MA   Luben Robert R   Omar Siti Zawiah SZ   Czene Kamila K   Vierkant Robert A RA   Nordestgaard Børge G BG   Flyger Henrik H   Vachon Celine C   Olson Janet E JE   Wang Xianshu X   Levine Douglas A DA   Rudolph Anja A   Weber Rachel Palmieri RP   Flesch-Janys Dieter D   Iversen Edwin E   Nickels Stefan S   Schildkraut Joellen M JM   Silva Isabel Dos Santos Idos S   Cramer Daniel W DW   Gibson Lorna L   Terry Kathryn L KL   Fletcher Olivia O   Vitonis Allison F AF   van der Schoot C Ellen CE   Poole Elizabeth M EM   Hogervorst Frans B L FB   Tworoger Shelley S SS   Liu Jianjun J   Bandera Elisa V EV   Li Jingmei J   Olson Sara H SH   Humphreys Keith K   Orlow Irene I   Blomqvist Carl C   Rodriguez-Rodriguez Lorna L   Aittomäki Kristiina K   Salvesen Helga B HB   Muranen Taru A TA   Wik Elisabeth E   Brouwers Barbara B   Krakstad Camilla C   Wauters Els E   Halle Mari K MK   Wildiers Hans H   Kiemeney Lambertus A LA   Mulot Claire C   Aben Katja K KK   Laurent-Puig Pierre P   Altena Anne Mvan AM   Truong Thérèse T   Massuger Leon F A G LF   Benitez Javier J   Pejovic Tanja T   Perez Jose Ignacio Arias JI   Hoatlin Maureen M   Zamora M Pilar MP   Cook Linda S LS   Balasubramanian Sabapathy P SP   Kelemen Linda E LE   Schneeweiss Andreas A   Le Nhu D ND   Sohn Christof C   Brooks-Wilson Angela A   Tomlinson Ian I   Kerin Michael J MJ   Miller Nicola N   Cybulski Cezary C   Henderson Brian E BE   Menkiszak Janusz J   Schumacher Fredrick F   Wentzensen Nicolas N   Le Marchand Loic L   Yang Hannah P HP   Mulligan Anna Marie AM   Glendon Gord G   Engelholm Svend Aage SA   Knight Julia A JA   Høgdall Claus K CK   Apicella Carmel C   Gore Martin M   Tsimiklis Helen H   Song Honglin H   Southey Melissa C MC   Jager Agnes A   den Ouweland Ans M Wvan AM   Brown Robert R   Martens John W M JW   Flanagan James M JM   Kriege Mieke M   Paul James J   Margolin Sara S   Siddiqui Nadeem N   Severi Gianluca G   Whittemore Alice S AS   Baglietto Laura L   McGuire Valerie V   Stegmaier Christa C   Sieh Weiva W   Müller Heiko H   Arndt Volker V   Labrèche France F   Gao Yu-Tang YT   Goldberg Mark S MS   Yang Gong G   Dumont Martine M   McLaughlin John R JR   Hartmann Arndt A   Ekici Arif B AB   Beckmann Matthias W MW   Phelan Catherine M CM   Lux Michael P MP   Permuth-Wey Jenny J   Peissel Bernard B   Sellers Thomas A TA   Ficarazzi Filomena F   Barile Monica M   Ziogas Argyrios A   Ashworth Alan A   Gentry-Maharaj Aleksandra A   Jones Michael M   Ramus Susan J SJ   Orr Nick N   Menon Usha U   Pearce Celeste L CL   Brüning Thomas T   Pike Malcolm C MC   Ko Yon-Dschun YD   Lissowska Jolanta J   Figueroa Jonine J   Kupryjanczyk Jolanta J   Chanock Stephen J SJ   Dansonka-Mieszkowska Agnieszka A   Jukkola-Vuorinen Arja A   Rzepecka Iwona K IK   Pylkäs Katri K   Bidzinski Mariusz M   Kauppila Saila S   Hollestelle Antoinette A   Seynaeve Caroline C   Tollenaar Rob A E M RA   Durda Katarzyna K   Jaworska Katarzyna K   Hartikainen Jaana M JM   Kosma Veli-Matti VM   Kataja Vesa V   Antonenkova Natalia N NN   Long Jirong J   Shrubsole Martha M   Deming-Halverson Sandra S   Lophatananon Artitaya A   Siriwanarangsan Pornthep P   Stewart-Brown Sarah S   Ditsch Nina N   Lichtner Peter P   Schmutzler Rita K RK   Ito Hidemi H   Iwata Hiroji H   Tajima Kazuo K   Tseng Chiu-Chen CC   Stram Daniel O DO   van den Berg David D   Yip Cheng Har CH   Ikram M Kamran MK   Teh Yew-Ching YC   Cai Hui H   Lu Wei W   Signorello Lisa B LB   Cai Qiuyin Q   Noh Dong-Young DY   Yoo Keun-Young KY   Miao Hui H   Iau Philip Tsau-Choong PT   Teo Yik Ying YY   McKay James J   Shapiro Charles C   Ademuyiwa Foluso F   Fountzilas George G   Hsiung Chia-Ni CN   Yu Jyh-Cherng JC   Hou Ming-Feng MF   Healey Catherine S CS   Luccarini Craig C   Peock Susan S   Stoppa-Lyonnet Dominique D   Peterlongo Paolo P   Rebbeck Timothy R TR   Piedmonte Marion M   Singer Christian F CF   Friedman Eitan E   Thomassen Mads M   Offit Kenneth K   Hansen Thomas V O TV   Neuhausen Susan L SL   Szabo Csilla I CI   Blanco Ignacio I   Garber Judy J   Narod Steven A SA   Weitzel Jeffrey N JN   Montagna Marco M   Olah Edith E   Godwin Andrew K AK   Yannoukakos Drakoulis D   Goldgar David E DE   Caldes Trinidad T   Imyanitov Evgeny N EN   Tihomirova Laima L   Arun Banu K BK   Campbell Ian I   Mensenkamp Arjen R AR   van Asperen Christi J CJ   van Roozendaal Kees E P KE   Meijers-Heijboer Hanne H   Collée J Margriet JM   Oosterwijk Jan C JC   Hooning Maartje J MJ   Rookus Matti A MA   van der Luijt Rob B RB   Os Theo A Mvan TA   Evans D Gareth DG   Frost Debra D   Fineberg Elena E   Barwell Julian J   Walker Lisa L   Kennedy M John MJ   Platte Radka R   Davidson Rosemarie R   Ellis Steve D SD   Cole Trevor T   Bressac-de Paillerets Brigitte B   Buecher Bruno B   Damiola Francesca F   Faivre Laurence L   Frenay Marc M   Sinilnikova Olga M OM   Caron Olivier O   Giraud Sophie S   Mazoyer Sylvie S   Bonadona Valérie V   Caux-Moncoutier Virginie V   Toloczko-Grabarek Aleksandra A   Gronwald Jacek J   Byrski Tomasz T   Spurdle Amanda B AB   Bonanni Bernardo B   Zaffaroni Daniela D   Giannini Giuseppe G   Bernard Loris L   Dolcetti Riccardo R   Manoukian Siranoush S   Arnold Norbert N   Engel Christoph C   Deissler Helmut H   Rhiem Kerstin K   Niederacher Dieter D   Plendl Hansjoerg H   Sutter Christian C   Wappenschmidt Barbara B   Borg Ake A   Melin Beatrice B   Rantala Johanna J   Soller Maria M   Nathanson Katherine L KL   Domchek Susan M SM   Rodriguez Gustavo C GC   Salani Ritu R   Kaulich Daphne Gschwantler DG   Tea Muy-Kheng MK   Paluch Shani Shimon SS   Laitman Yael Y   Skytte Anne-Bine AB   Kruse Torben A TA   Jensen Uffe Birk UB   Robson Mark M   Gerdes Anne-Marie AM   Ejlertsen Bent B   Foretova Lenka L   Savage Sharon A SA   Lester Jenny J   Soucy Penny P   Kuchenbaecker Karoline B KB   Olswold Curtis C   Cunningham Julie M JM   Slager Susan S   Pankratz Vernon S VS   Dicks Ed E   Lakhani Sunil R SR   Couch Fergus J FJ   Hall Per P   Monteiro Alvaro N A AN   Gayther Simon A SA   Pharoah Paul D P PD   Reddel Roger R RR   Goode Ellen L EL   Greene Mark H MH   Easton Douglas F DF   Berchuck Andrew A   Antoniou Antonis C AC   Chenevix-Trench Georgia G   Dunning Alison M AM  

Nature genetics 20130401 4


TERT-locus SNPs and leukocyte telomere measures are reportedly associated with risks of multiple cancers. Using the Illumina custom genotyping array iCOGs, we analyzed ∼480 SNPs at the TERT locus in breast (n = 103,991), ovarian (n = 39,774) and BRCA1 mutation carrier (n = 11,705) cancer cases and controls. Leukocyte telomere measurements were also available for 53,724 participants. Most associations cluster into three independent peaks. The minor allele at the peak 1 SNP rs2736108 associates wi  ...[more]

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