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Candidate locus analysis of the TERT-CLPTM1L cancer risk region on chromosome 5p15 identifies multiple independent variants associated with endometrial cancer risk.


ABSTRACT: Several studies have reported associations between multiple cancer types and single-nucleotide polymorphisms (SNPs) on chromosome 5p15, which harbours TERT and CLPTM1L, but no such association has been reported with endometrial cancer. To evaluate the role of genetic variants at the TERT-CLPTM1L region in endometrial cancer risk, we carried out comprehensive fine-mapping analyses of genotyped and imputed SNPs using a custom Illumina iSelect array which includes dense SNP coverage of this region. We examined 396 SNPs (113 genotyped, 283 imputed) in 4,401 endometrial cancer cases and 28,758 controls. Single-SNP and forward/backward logistic regression models suggested evidence for three variants independently associated with endometrial cancer risk (P = 4.9 × 10(-6) to P = 7.7 × 10(-5)). Only one falls into a haplotype previously associated with other cancer types (rs7705526, in TERT intron 1), and this SNP has been shown to alter TERT promoter activity. One of the novel associations (rs13174814) maps to a second region in the TERT promoter and the other (rs62329728) is in the promoter region of CLPTM1L; neither are correlated with previously reported cancer-associated SNPs. Using TCGA RNASeq data, we found significantly increased expression of both TERT and CLPTM1L in endometrial cancer tissue compared with normal tissue (TERT P = 1.5 × 10(-18), CLPTM1L P = 1.5 × 10(-19)). Our study thus reports a novel endometrial cancer risk locus and expands the spectrum of cancer types associated with genetic variation at 5p15, further highlighting the importance of this region for cancer susceptibility.

SUBMITTER: Carvajal-Carmona LG 

PROVIDER: S-EPMC4291520 | biostudies-literature | 2015 Feb

REPOSITORIES: biostudies-literature

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Candidate locus analysis of the TERT-CLPTM1L cancer risk region on chromosome 5p15 identifies multiple independent variants associated with endometrial cancer risk.

Carvajal-Carmona Luis G LG   O'Mara Tracy A TA   Painter Jodie N JN   Lose Felicity A FA   Dennis Joe J   Michailidou Kyriaki K   Tyrer Jonathan P JP   Ahmed Shahana S   Ferguson Kaltin K   Healey Catherine S CS   Pooley Karen K   Beesley Jonathan J   Cheng Timothy T   Jones Angela A   Howarth Kimberley K   Martin Lynn L   Gorman Maggie M   Hodgson Shirley S   Wentzensen Nicholas N   Fasching Peter A PA   Hein Alexander A   Beckmann Matthias W MW   Renner Stefan P SP   Dörk Thilo T   Hillemanns Peter P   Dürst Matthias M   Runnebaum Ingo I   Lambrechts Diether D   Coenegrachts Lieve L   Schrauwen Stefanie S   Amant Frederic F   Winterhoff Boris B   Dowdy Sean C SC   Goode Ellen L EL   Teoman Attila A   Salvesen Helga B HB   Trovik Jone J   Njolstad Tormund S TS   Werner Henrica M J HM   Scott Rodney J RJ   Ashton Katie K   Proietto Tony T   Otton Geoffrey G   Wersäll Ofra O   Mints Miriam M   Tham Emma E   Hall Per P   Czene Kamila K   Liu Jianjun J   Li Jingmei J   Hopper John L JL   Southey Melissa C MC   Ekici Arif B AB   Ruebner Matthias M   Johnson Nichola N   Peto Julian J   Burwinkel Barbara B   Marme Frederik F   Brenner Hermann H   Dieffenbach Aida K AK   Meindl Alfons A   Brauch Hiltrud H   Lindblom Annika A   Depreeuw Jeroen J   Moisse Matthieu M   Chang-Claude Jenny J   Rudolph Anja A   Couch Fergus J FJ   Olson Janet E JE   Giles Graham G GG   Bruinsma Fiona F   Cunningham Julie M JM   Fridley Brooke L BL   Børresen-Dale Anne-Lise AL   Kristensen Vessela N VN   Cox Angela A   Swerdlow Anthony J AJ   Orr Nicholas N   Bolla Manjeet K MK   Wang Qin Q   Weber Rachel Palmieri RP   Chen Zhihua Z   Shah Mitul M   Pharoah Paul D P PD   Dunning Alison M AM   Tomlinson Ian I   Easton Douglas F DF   Spurdle Amanda B AB   Thompson Deborah J DJ  

Human genetics 20141209 2


Several studies have reported associations between multiple cancer types and single-nucleotide polymorphisms (SNPs) on chromosome 5p15, which harbours TERT and CLPTM1L, but no such association has been reported with endometrial cancer. To evaluate the role of genetic variants at the TERT-CLPTM1L region in endometrial cancer risk, we carried out comprehensive fine-mapping analyses of genotyped and imputed SNPs using a custom Illumina iSelect array which includes dense SNP coverage of this region.  ...[more]

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