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An intergenic risk locus containing an enhancer deletion in 2q35 modulates breast cancer risk by deregulating IGFBP5 expression.


ABSTRACT: Breast cancer is the most diagnosed malignancy and the second leading cause of cancer mortality in females. Previous association studies have identified variants on 2q35 associated with the risk of breast cancer. To identify functional susceptibility loci for breast cancer, we interrogated the 2q35 gene desert for chromatin architecture and functional variation correlated with gene expression. We report a novel intergenic breast cancer risk locus containing an enhancer copy number variation (enCNV; deletion) located approximately 400Kb upstream to IGFBP5, which overlaps an intergenic ER?-bound enhancer that loops to the IGFBP5 promoter. The enCNV is correlated with modified ER? binding and monoallelic-repression of IGFBP5 following oestrogen treatment. We investigated the association of enCNV genotype with breast cancer in 1,182 cases and 1,362 controls, and replicate our findings in an independent set of 62,533 cases and 60,966 controls from 41 case control studies and 11 GWAS. We report a dose-dependent inverse association of 2q35 enCNV genotype (percopy OR?=?0.68 95%CI 0.55-0.83, P?=?0.0002; replication OR?=?0.77 95% CI 0.73-0.82, P?=?2.1 × 10-19) and identify 13 additional linked variants (r2?>?0.8) in the 20Kb linkage block containing the enCNV (P?=?3.2?×?10-15 - 5.6?×?10-17). These associations were independent of previously reported 2q35 variants, rs13387042/rs4442975 and rs16857609, and were stronger for ER-positive than ER-negative disease. Together, these results suggest that 2q35 breast cancer risk loci may be mediating their effect through IGFBP5.

SUBMITTER: Wyszynski A 

PROVIDER: S-EPMC5216618 | biostudies-literature | 2016 Sep

REPOSITORIES: biostudies-literature

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An intergenic risk locus containing an enhancer deletion in 2q35 modulates breast cancer risk by deregulating IGFBP5 expression.

Wyszynski Asaf A   Hong Chi-Chen CC   Lam Kristin K   Michailidou Kyriaki K   Lytle Christian C   Yao Song S   Zhang Yali Y   Bolla Manjeet K MK   Wang Qin Q   Dennis Joe J   Hopper John L JL   Southey Melissa C MC   Schmidt Marjanka K MK   Broeks Annegien A   Muir Kenneth K   Lophatananon Artitaya A   Fasching Peter A PA   Beckmann Matthias W MW   Peto Julian J   Dos-Santos-Silva Isabel I   Sawyer Elinor J EJ   Tomlinson Ian I   Burwinkel Barbara B   Marme Frederik F   Guénel Pascal P   Truong Thérèse T   Bojesen Stig E SE   Nordestgaard Børge G BG   González-Neira Anna A   Benitez Javier J   Neuhausen Susan L SL   Brenner Hermann H   Dieffenbach Aida Karina AK   Meindl Alfons A   Schmutzler Rita K RK   Brauch Hiltrud H   Nevanlinna Heli H   Khan Sofia S   Matsuo Keitaro K   Ito Hidemi H   Dörk Thilo T   Bogdanova Natalia V NV   Lindblom Annika A   Margolin Sara S   Mannermaa Arto A   Kosma Veli-Matti VM   Wu Anna H AH   Van Den Berg David D   Lambrechts Diether D   Wildiers Hans H   Chang-Claude Jenny J   Rudolph Anja A   Radice Paolo P   Peterlongo Paolo P   Couch Fergus J FJ   Olson Janet E JE   Giles Graham G GG   Milne Roger L RL   Haiman Christopher A CA   Henderson Brian E BE   Dumont Martine M   Teo Soo Hwang SH   Wong Tien Y TY   Kristensen Vessela V   Zheng Wei W   Long Jirong J   Winqvist Robert R   Pylkäs Katri K   Andrulis Irene L IL   Knight Julia A JA   Devilee Peter P   Seynaeve Caroline C   García-Closas Montserrat M   Figueroa Jonine J   Klevebring Daniel D   Czene Kamila K   Hooning Maartje J MJ   van den Ouweland Ans M W AM   Darabi Hatef H   Shu Xiao-Ou XO   Gao Yu-Tang YT   Cox Angela A   Blot William W   Signorello Lisa B LB   Shah Mitul M   Kang Daehee D   Choi Ji-Yeob JY   Hartman Mikael M   Miao Hui H   Hamann Ute U   Jakubowska Anna A   Lubinski Jan J   Sangrajrang Suleeporn S   McKay James J   Toland Amanda E AE   Yannoukakos Drakoulis D   Shen Chen-Yang CY   Wu Pei-Ei PE   Swerdlow Anthony A   Orr Nick N   Simard Jacques J   Pharoah Paul D P PD   Dunning Alison M AM   Chenevix-Trench Georgia G   Hall Per P   Bandera Elisa E   Amos Chris C   Ambrosone Christine C   Easton Douglas F DF   Cole Michael D MD  

Human molecular genetics 20160711 17


Breast cancer is the most diagnosed malignancy and the second leading cause of cancer mortality in females. Previous association studies have identified variants on 2q35 associated with the risk of breast cancer. To identify functional susceptibility loci for breast cancer, we interrogated the 2q35 gene desert for chromatin architecture and functional variation correlated with gene expression. We report a novel intergenic breast cancer risk locus containing an enhancer copy number variation (enC  ...[more]

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