Article, 2024
Genome-wide association analyses of ovarian cancer patients undergoing primary debulking surgery identify candidate genes for residual disease
Npj Genomic Medicine, ISSN 2056-7944, Volume 9, 1, 10.1038/s41525-024-00395-y
Contributors
Ramachandran D. 0000-0001-8139-7799 [1] Tyrer J.P. 0000-0003-3724-4757 [2] Kommoss S. [3] deFazio A. 0000-0003-0057-4744 [4] [5] Riggan M.J. 0000-0002-3701-8031 [6] Webb P.M. 0000-0003-0733-5930 [7] Fasching P.A. 0000-0003-4885-8471 [8] Lambrechts D. 0000-0002-3429-302X [9] [10] Garcia M.J. 0000-0002-2236-9912 [11] Rodriguez-Antona C. 0000-0001-8750-7338 [12] [13] Goodman M.T. [14] Modugno F. 0000-0003-0637-1534 [15] [16] [17] Moysich K.B. [18] Karlan B.Y. 0000-0002-9451-2933 [19] Lester J. [19] Kjaer S.K. 0000-0002-8347-1398 [20] [21] Jensen A. 0000-0001-8124-4880 [20] Hogdall E. 0000-0003-4689-5658 [22] Goode E.L. 0000-0002-9094-8326 [23] Cliby W.A. [23] Kumar A. [23] Wang C. [23] Cunningham J.M. 0000-0002-8159-3025 [23] Winham S.J. 0000-0002-8492-9102 [23] Monteiro A.N.A. 0000-0002-8448-4801 [24] Schildkraut J.M. 0000-0002-0990-9339 [25] Cramer D.W. 0000-0002-8024-3066 [26] [27] Terry K.L. [26] [27] Titus L. [28] Bjorge L. [29] [30] Thomsen L.C.V. [29] [30] Pejovic T. [31] Hogdall C. 0000-0002-5959-8874 [21] McNeish I. 0000-0002-9387-7586 [32] [33] May T. [34] Huntsman D. [35] [36] Pfisterer J. [37] Canzler U. [38] [39] Park-Simon T.-W. [1] Schroder W. [40] Belau A. [41] Hanker L.C. [42] [43] Harter P. 0000-0002-9663-5005 [44] Sehouli J. 0000-0002-5963-6623 [45] Kimmig R. 0000-0003-1118-2199 [46] de Gregorio N. [47] Schmalfeldt B. [48] Baumann K. [49] [50] Hilpert F. [51] [52] Burges A. [53] Winterhoff B. [54] Schurmann P. [1] Speith L.-M. [1] Hillemanns P. 0000-0001-9829-3531 [1] Berchuck A. [6] Johnatty S.E. [7] Ramus S.J. 0000-0003-0005-7798 [55] [56] Chenevix-Trench G. 0000-0002-1878-2587 [7] Pharoah P.D.P. 0000-0001-8494-732X [2] [14] [57] Dork T. 0000-0002-9458-0282 (Corresponding author) [1] Heitz F. 0000-0002-2412-0352 (Corresponding author) [44] [45] [58] Bowtell D.D.L. [59] Fereday S. 0000-0002-8559-8579 [59] Traficante N. [59] Hung J.A. [7] Friedlander M. 0000-0003-3090-795X [56] Obermair A. [7] Grant P. [59] Beesley V. [7] Blomfield P. [7] Brand A. [5] Davis A. [7] Leung Y. [7] Nicklin J. [7] Quinn M. [7] Livingstone K. [7] O'Neill H. [7] Williams M. [7]Affiliations
- [1] Hannover Medical School [NORA names: Germany; Europe, EU; OECD];
- [2] Department of Oncology [NORA names: United Kingdom; Europe, Non-EU; OECD];
- [3] University Hospital Tübingen [NORA names: Germany; Europe, EU; OECD];
- [4] University of Sydney [NORA names: Australia; Oceania; OECD];
- [5] Westmead Hospital [NORA names: Australia; Oceania; OECD];
- [6] Duke University Medical Center [NORA names: United States; America, North; OECD];
- [7] QIMR Berghofer Medical Research Institute [NORA names: Australia; Oceania; OECD];
- [8] University Hospital Erlangen [NORA names: Germany; Europe, EU; OECD];
- [9] Laboratory for Translational Genetics [NORA names: Belgium; Europe, EU; OECD];
- [10] VIB [NORA names: Belgium; Europe, EU; OECD];
- [11] Universidad Rey Juan Carlos [NORA names: Spain; Europe, EU; OECD];
- [12] Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER) [NORA names: Spain; Europe, EU; OECD];
- [13] Spanish National Cancer Research Centre (CNIO) [NORA names: Spain; Europe, EU; OECD];
- [14] Cedars-Sinai Medical Center [NORA names: United States; America, North; OECD];
- [15] Department of Epidemiology [NORA names: United States; America, North; OECD];
- [16] Magee-Womens Research Institute [NORA names: United States; America, North; OECD];
- [17] University of Pittsburgh School of Medicine [NORA names: United States; America, North; OECD];
- [18] Roswell Park Cancer Institute [NORA names: United States; America, North; OECD];
- [19] David Geffen School of Medicine [NORA names: United States; America, North; OECD];
- [20] Danish Cancer Research Center [NORA names: DCRC Danish Cancer Society Research Center; Non-Profit Organisations; Denmark; Europe, EU; Nordic; OECD];
- [21] Rigshospitalet [NORA names: Capital Region of Denmark; Hospital; Denmark; Europe, EU; Nordic; OECD];
- [22] Department of Cardiology [NORA names: Capital Region of Denmark; Hospital; Denmark; Europe, EU; Nordic; OECD];
- [23] Mayo Clinic [NORA names: United States; America, North; OECD];
- [24] Moffitt Cancer Center [NORA names: United States; America, North; OECD];
- [25] Rollins School of Public Health [NORA names: United States; America, North; OECD];
- [26] Brigham and Women's Hospital [NORA names: United States; America, North; OECD];
- [27] Harvard School of Public Health [NORA names: United States; America, North; OECD];
- [28] Norris Cotton Cancer Center [NORA names: United States; America, North; OECD];
- [29] Haukeland University Hospital [NORA names: Norway; Europe, Non-EU; Nordic; OECD];
- [30] University of Bergen [NORA names: Norway; Europe, Non-EU; Nordic; OECD];
- [31] Oregon Health and Science University [NORA names: United States; America, North; OECD];
- [32] Imperial College London [NORA names: United Kingdom; Europe, Non-EU; OECD];
- [33] University of Glasgow [NORA names: United Kingdom; Europe, Non-EU; OECD];
- [34] University Health Network [NORA names: Canada; America, North; OECD];
- [35] BC Cancer Research Centre [NORA names: Canada; America, North; OECD];
- [36] University of British Columbia [NORA names: Canada; America, North; OECD];
- [37] Gynecologic Oncology Center [NORA names: Germany; Europe, EU; OECD];
- [38] National Center for Tumor Diseases (NCT) [NORA names: Germany; Europe, EU; OECD];
- [39] University Hospital Carl Gustav Carus [NORA names: Germany; Europe, EU; OECD];
- [40] Klinikum Bremen-Mitte [NORA names: Germany; Europe, EU; OECD];
- [41] University Medicine Greifswald [NORA names: Germany; Europe, EU; OECD];
- [42] University Hospital Frankfurt [NORA names: Germany; Europe, EU; OECD];
- [43] University Hospital Schleswig-Holstein [NORA names: Germany; Europe, EU; OECD];
- [44] Department of Gynecology and Gynecologic Oncology [NORA names: Germany; Europe, EU; OECD];
- [45] Charité-Universitätsmedizin Berlin [NORA names: Germany; Europe, EU; OECD];
- [46] University Hospital Essen [NORA names: Germany; Europe, EU; OECD];
- [47] University Hospital Ulm [NORA names: Germany; Europe, EU; OECD];
- [48] University Medical Center Hamburg-Eppendorf [NORA names: Germany; Europe, EU; OECD];
- [49] Klinikum Ludwigshafen [NORA names: Germany; Europe, EU; OECD];
- [50] University Hospital Marburg [NORA names: Germany; Europe, EU; OECD];
- [51] Campus Kiel [NORA names: Germany; Europe, EU; OECD];
- [52] Onkologisches Therapiezentrum am Krankenhaus Jerusalem [NORA names: Germany; Europe, EU; OECD];
- [53] University Hospital [NORA names: Germany; Europe, EU; OECD];
- [54] University of Minnesota [NORA names: United States; America, North; OECD];
- [55] Lowy Cancer Research Centre [NORA names: Australia; Oceania; OECD];
- [56] University of New South Wales [NORA names: Australia; Oceania; OECD];
- [57] Department of Public Health and Primary Care [NORA names: United Kingdom; Europe, Non-EU; OECD];
- [58] Department of Gynecology and Gynecologic Oncology [NORA names: Germany; Europe, EU; OECD];
- [59] Peter MacCallum Cancer Centre [NORA names: Australia; Oceania; OECD]
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Abstract
Survival from ovarian cancer depends on the resection status after primary surgery. We performed genome-wide association analyses for resection status of 7705 ovarian cancer patients, including 4954 with high-grade serous carcinoma (HGSOC), to identify variants associated with residual disease. The most significant association with resection status was observed for rs72845444, upstream of MGMT, in HGSOC (p = 3.9 × 10). In gene-based analyses, PPP2R5C was the most strongly associated gene in HGSOC after stage adjustment. In an independent set of 378 ovarian tumours from the AGO-OVAR 11 study, variants near MGMT and PPP2R5C correlated with methylation and transcript levels, and PPP2R5C mRNA levels predicted progression-free survival in patients with residual disease. MGMT encodes a DNA repair enzyme, and PPP2R5C encodes the B56γ subunit of the PP2A tumour suppressor. Our results link heritable variation at these two loci with resection status in HGSOC.
Funders
- Ovarian Cancer Research Fund
- Helse Vest
- Cancer Research Society
- National Health & Medical Research Council of Australia
- Kreftforeningen
- Cancer Research UK
- U.S. Department of Defense
- United States/National Cancer Institute
- Ministerio de Economía y Competitividad
- Princess Margaret Cancer Centre Foundation-Bridge for the Cure
- National Center for Advancing Translational Sciences
- Wellcome Trust
- VGH and UBC Hospital Foundation
- Minnesota Ovarian Cancer Alliance
- Canadian Institutes of Health Research
- Cancer Councils of New South Wales
- Instituto de Salud Carlos III
- Brisbane Women’s Club
- Imperial Experimental Cancer Research Centre
- Seventh Framework Programme
- BC Cancer Foundation
- Peter MacCallum Foundation
- National Cancer Institute
- Fraternal Order of Eagles
- Merck Pharmaceuticals
- Canadian Cancer Society
- Roche Pharma AG
- Norges Forskningsråd
- National Institutes of Health
- Kræftens Bekæmpelse
- American Cancer Society
- National Health and Medical Research Council
- Ovarian Cancer Australia
- School of Dental Medicine, University of Pittsburgh
- Medical Research and Materiel Command
- Mayo Foundation for Medical Education and Research
- Friedrich-Alexander-Universität Erlangen-Nürnberg
Data Provider: Elsevier
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