Genetic Data from Nearly 63,000 Women of European Descent
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Published OnlineFirst December 17, 2018; DOI: 10.1158/0008-5472.CAN-18-2726 Cancer Genome and Epigenome Research Genetic Data from Nearly 63,000 Women of European Descent Predicts DNA Methylation Biomarkers and Epithelial Ovarian Cancer Risk Yaohua Yang1, Lang Wu1, Xiang Shu1, Yingchang Lu1, Xiao-Ou Shu1, Qiuyin Cai1, Alicia Beeghly-Fadiel1, Bingshan Li2,FeiYe3, Andrew Berchuck4, Hoda Anton-Culver5, Susana Banerjee6, Javier Benitez7,8, Line Bjørge9,10, James D. Brenton11, Ralf Butzow12, Ian G. Campbell13,14, Jenny Chang-Claude15,16, Kexin Chen17, Linda S. Cook18,19, Daniel W.Cramer20,21, Anna deFazio22,23, Joe Dennis24, Jennifer A. Doherty25,Thilo Dork€ 26, Diana M. Eccles27, Digna Velez Edwards28, Peter A. Fasching29,30, Renee T. Fortner15, Simon A. Gayther31, Graham G. Giles32,33,34, Rosalind M. Glasspool35, Ellen L. Goode36, Marc T. Goodman37, Jacek Gronwald38, Holly R. Harris39,40, Florian Heitz41,42, Michelle A. Hildebrandt43, Estrid Høgdall44,45, Claus K. Høgdall46, David G. Huntsman47,48,49,50, Siddhartha P. Kar24, Beth Y. Karlan51, Linda E. Kelemen52, Lambertus A. Kiemeney53, Susanne K. Kjaer44,54, Anita Koushik55, Diether Lambrechts56, Nhu D. Le57, Douglas A. Levine58,59, Leon F.Massuger60, Keitaro Matsuo61,62,TaymaaMay63, Iain A. McNeish64,65, Usha Menon66, Francesmary Modugno67,68, Alvaro N. Monteiro69, Patricia G. Moorman70, Kirsten B. Moysich71, Roberta B. Ness72, Heli Nevanlinna73, Ha kan Olsson74, N. Charlotte Onland-Moret75, Sue K. Park76,77,78, James Paul35, Celeste L. Pearce79,80, Tanja Pejovic81,82, Catherine M. Phelan69, Malcolm C. Pike80,83, Susan J. Ramus84,85, Elio Riboli86, Cristina Rodriguez-Antona7,8, Isabelle Romieu87, Dale P. Sandler88, Joellen M. Schildkraut89, Veronica W. Setiawan90, Kang Shan91, Nadeem Siddiqui92, Weiva Sieh93,94, Meir J. Stampfer95, Rebecca Sutphen96, Anthony J. Swerdlow97,98, Lukasz M. Szafron99, Soo Hwang Teo100,101, Shelley S. Tworoger69,102, Jonathan P. Tyrer103, Penelope M. Webb104, Nicolas Wentzensen105, Emily White106,107, Walter C. Willett20,95,108, Alicja Wolk109,110, Yin Ling Woo111, Anna H. Wu90,LiYan112, Drakoulis Yannoukakos113, Georgia Chenevix-Trench114, Thomas A. Sellers69, Paul D.P. Pharoah24,103, Wei Zheng1, and Jirong Long1 1Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Brigham and Women's Hospital and Harvard Medical School, Boston, Massa- Center, Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, chusetts. 22Centre for Cancer Research, The Westmead Institute for Medical Nashville, Tennessee. 2Department of Molecular Physiology & Biophysics, Van- Research, The University of Sydney, Sydney, New South Wales, Australia. derbilt Genetics Institute, Vanderbilt University, Nashville, Tennessee. 3Division 23Department of Gynaecological Oncology, Westmead Hospital, Sydney, New of Cancer Biostatistics, Department of Biostatistics, Vanderbilt University Med- South Wales, Australia. 24Centre for Cancer Genetic Epidemiology, Department ical Center, Nashville, Tennessee. 4Department of Obstetrics and Gynecology, of Public Health and Primary Care, University of Cambridge, Cambridge, United Duke University Medical Center, Durham, North Carolina. 5Department of Kingdom. 25Huntsman Cancer Institute, Department of Population Health Epidemiology, Genetic Epidemiology Research Institute, University of California Sciences, University of Utah, Salt Lake City, Utah. 26Gynaecology Research Unit, Irvine, Irvine, California. 6Gynaecology Unit, Royal Marsden Hospital, London, Hannover Medical School, Hannover, Germany. 27Cancer Sciences Academic United Kingdom. 7Human Cancer Genetics Programme, Spanish National Cancer Unit, Faculty of Medicine, University of Southampton, Southampton, United Research Centre (CNIO), Madrid, Spain. 8Biomedical Network on Rare Diseases Kingdom. 28Vanderbilt Epidemiology Center, Vanderbilt Genetics Institute, (CIBERER), Madrid, Spain. 9Department of Gynecology and Obstetrics, Hauke- Department of Obstetrics and Gynecology, Vanderbilt University Medical Cen- land University Hospital, Bergen, Norway. 10Center for Cancer Biomarkers ter, Nashville, Tennessee. 29David Geffen School of Medicine, Department of CCBIO, Department of Clinical Science, University of Bergen, Bergen, Norway. Medicine Division of Hematology and Oncology, University of California at Los 11Cancer Research UK Cambridge Institute, University of Cambridge, Cambridge, Angeles, Los Angeles, California. 30Department of Gynecology and Obstetrics, United Kingdom. 12Department of Pathology, Helsinki University Hospital, Uni- Comprehensive Cancer Center ER-EMN, University Hospital Erlangen, Friedrich- versity of Helsinki, Helsinki, Finland. 13Peter MacCallum Cancer Center, Mel- Alexander-University Erlangen-Nuremberg, Erlangen, Germany. 31The Center bourne, Victoria, Australia. 14Sir Peter MacCallum Department of Oncology, The for Bioinformatics and Functional Genomics at the Samuel Oschin Comprehen- University of Melbourne, Melbourne, Victoria, Australia. 15Division of Cancer sive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, California. Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany. 32Cancer Epidemiology & Intelligence Division, Cancer Council Victoria, Mel- 16Cancer Epidemiology Group, University Cancer Center Hamburg (UCCH), bourne, Victoria, Australia. 33Centre for Epidemiology and Biostatistics, Mel- University Medical Center Hamburg-Eppendorf, Hamburg, Germany. 17Depart- bourne School of Population and Global Health, The University of Melbourne, ment of Epidemiology, Tianjin Medical University Cancer Institute and Hospital, Melbourne, Victoria, Australia. 34Department of Epidemiology and Preventive Tianjin, China. 18University of New Mexico Health Sciences Center, University of Medicine, Monash University, Melbourne, Victoria, Australia. 35The Beatson West New Mexico, Albuquerque, New Mexico. 19Department of Cancer Epidemiology of Scotland Cancer Centre, Glasgow, United Kingdom. 36Department of Health and Prevention Research, Alberta Health Services, Calgary, Alberta, Canada. Science Research, Division of Epidemiology, Mayo Clinic, Rochester, Minnesota. 20Department of Epidemiology, Harvard T.H. Chan School of Public Health, 37Samuel Oschin Comprehensive Cancer Institute, Cancer Prevention and Boston, Massachusetts. 21Obstetrics and Gynecology Epidemiology Center, Genetics Program, Cedars-Sinai Medical Center, Los Angeles, California. www.aacrjournals.org 505 Downloaded from cancerres.aacrjournals.org on October 1, 2021. © 2019 American Association for Cancer Research. Published OnlineFirst December 17, 2018; DOI: 10.1158/0008-5472.CAN-18-2726 Yang et al. Abstract DNA methylation is instrumental for gene regulation. Glob- regions and two resided in a genomic region not previously al changes in the epigenetic landscape have been recognized as reported to be associated with EOC risk. Integrative analyses a hallmark of cancer. However, the role of DNA methylation in of genetic, methylation, and gene expression data identified epithelial ovarian cancer (EOC) remains unclear. In this study, consistent directions of associations across 12 CpG, five high-density genetic and DNA methylation data in white genes, and EOC risk, suggesting that methylation at these blood cells from the Framingham Heart Study (N ¼ 1,595) 12 CpG may influence EOC risk by regulating expression of were used to build genetic models to predict DNA methylation these five genes, namely MAPT,HOXB3,ABHD8,ARH- levels. These prediction models were then applied to the GAP27,andSKAP1.Weidentified novel DNA methylation summary statistics of a genome-wide association study markers associated with EOC risk and propose that meth- (GWAS) of ovarian cancer including 22,406 EOC cases and ylation at multiple CpG may affect EOC risk via regulation 40,941 controls to investigate genetically predicted DNA of gene expression. methylation levels in association with EOC risk. Among 62,938 CpG sites investigated, genetically predicted methyl- Significance: Identification of novel DNA methylation ation levels at 89 CpG were significantly associated with EOC markers associated with EOC risk suggests that methylation À risk at a Bonferroni-corrected threshold of P < 7.94 Â 10 7.Of at multiple CpG may affect EOC risk through regulation of them, 87 were located at GWAS-identified EOC susceptibility gene expression. 38Department of Genetics and Pathology, Pomeranian Medical University, Pittsburgh School of Medicine, Pittsburgh, Pennsylvania. 69Department of Szczecin, Poland. 39Program in Epidemiology, Division of Public Health Sciences, Cancer Epidemiology, Moffitt Cancer Center, Tampa, Florida. 70Department of Fred Hutchinson Cancer Research Center, Seattle, Washington. 40Department of Community and Family Medicine, Duke University Medical Center, Durham, Epidemiology, University of Washington, Seattle, Washington. 41Department of North Carolina. 71Division of Cancer Prevention and Control, Roswell Park Cancer Gynecology and Gynecologic Oncology, Dr. Horst Schmidt Kliniken Wiesbaden, Institute, Buffalo, New York. 72School of Public Health, University of Texas Health Wiesbaden, Germany. 42Department of Gynecology and Gynecologic Oncology, Science Center at Houston (UTHealth), Houston, Texas. 73Department of Obstet- Kliniken Essen-Mitte/Evang. Huyssens-Stiftung/Knappschaft GmbH, Essen, rics and Gynecology, Helsinki University Hospital, University of Helsinki, Helsinki, Germany. 43Department of Epidemiology, University of Texas MD Anderson Finland. 74Department of Cancer