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, 2056-7944, Volume 9, 1, 10.1038/s41525-024-00395-y
Contributors
Ramachandran, Dhanya 0000-0001-8139-7799 Tyrer, Jonathan P. [1] Kommoss, Stefan [2] [3] [4] DeFazio, Anna 0000-0003-0057-4744 [5] [6] [7] [8] Riggan, Marjorie J. [9] Webb, Penelope 0000-0003-0733-5930 [10] Fasching, Peter A. [11] Lambrechts, Diether 0000-0002-3429-302X [12] [13] Garcia, Maria J. [14] Rodriguez-Antona, Cristina [15] [16] [17] [18] Goodman, Marc T. [19] Modugno, Francesmary [20] [21] [22] Moysich, Kirsten B. [23] Karlan, Beth Y. [24] [25] [26] [27] Lester, Jenny [24] [25] [26] [27] Kjaer, Susanne K. [28] [29] [30] Jensen, Allan 0000-0003-1103-2860 [28] Hogdall, Estrid [29] [31] Goode, Ellen L. [32] Cliby, William A. [33] Kumar, Amanika [33] Wang, Chen [32] Cunningham, Julie M. [32] Winham, Stacey J. [32] Monteiro, Alvaro N. [34] Schildkraut, Joellen M. [35] [36] Cramer, Daniel W. 0000-0002-8024-3066 [37] [38] [39] [40] Terry, Kathryn L. [37] [38] [39] [40] Titus, Linda [41] Bjorge, L. [42] [43] Thomsen, Liv Cecilie Vestrheim [42] [43] Pejovic, Tanja [44] [45] Hogdall, Claus K. [29] [30] McNeish, Iain A. [46] [47] May, Taymaa [48] [49] [50] Huntsman, David G. [51] [52] Pfisterer, J. [53] Canzler, U. [54] [55] [56] [57] [58] Park-Simon, T. W. 0000-0002-2863-3040 [59] Schroeder, W. [60] [61] Belau, A. [62] [63] Hanker, Lars [64] [65] [66] [67] Harter, Philipp [68] Sehouli, Jalid 0000-0002-5963-6623 [69] [70] [71] Kimmig, Rainer [72] De Gregorio, N. [73] [74] Schmalfeldt, Barbara [75] [76] Baumann, K. [77] [78] Hilpert, Felix [66] [67] [79] Burges, A. [80] Winterhoff, B. [81] [82] Schuermann, Peter [59] Speith, Lisa-Marie [59] Hillemanns, Peter [59] Berchuck, Andrew [9] Johnatty, Sharon E. 0000-0002-7888-1966 [10] Ramus, Susan J. [83] [84] Chenevix-Trench, Georgia [10] Pharoah, P. P. D. [1] [19] Doerk, Thilo (Corresponding author) [59] Heitz, Florian (Corresponding author) [68] [69] [70] [71] [85] AOCS Grp OPAL Study GrpAffiliations
- [1] Univ Cambridge, Dept Oncol, Ctr Canc Genet Epidemiol, Cambridge, England [NORA names: United Kingdom; Europe, Non-EU; OECD];
- [2] Tuebingen Univ Hosp, Dept Womens Hlth, Tubingen, Germany [NORA names: Germany; Europe, EU; OECD];
- [3] Tuebingen Univ Hosp, Dept Womens Hlth, Tubingen, Germany [NORA names: Germany; Europe, EU; OECD];
- [4] Tuebingen Univ Hosp, Dept Womens Hlth, Tubingen, Germany [NORA names: Germany; Europe, EU; OECD];
- [5] Westmead Hosp, Dept Gynaecol Oncol, Sydney, NSW, Australia [NORA names: Australia; Oceania; OECD];
- [6] Univ Sydney, Discipline Obstet & Gynaecol, Sydney, NSW, Australia [NORA names: Australia; Oceania; OECD];
- [7] Westmead Hosp, Dept Gynaecol Oncol, Sydney, NSW, Australia [NORA names: Australia; Oceania; OECD];
- [8] Univ Sydney, Westmead Inst Med Res, Ctr Canc Res, Sydney, NSW, Australia [NORA names: Australia; Oceania; OECD];
- [9] Duke Univ, Div Gynecol Oncol, Dept Obstet & Gynecol, Med Ctr, Durham, NC USA [NORA names: United States; America, North; OECD];
- [10] QIMR Berghofer Med Res Inst, Canc Div, Brisbane, Qld, Australia [NORA names: Australia; Oceania; OECD];
- [11] Friedrich Alexander Univ Erlangen Nuremberg, Univ Hosp Erlangen, Dept Gynecol & Obstet, Comprehens Canc Ctr Erlangen EMN, Erlangen, Germany [NORA names: Germany; Europe, EU; OECD];
- [12] VIB, VIB Ctr Canc Biol, Leuven, Belgium [NORA names: Belgium; Europe, EU; OECD];
- [13] Katholieke Univ Leuven, Dept Human Genet, Lab Translat Genet, Leuven, Belgium [NORA names: Belgium; Europe, EU; OECD];
- [14] Rey Juan Carlos Univ, Dept Basic Hlth Sci, Biochem & Mol Biol Area, Fac Hlth Sci, Madrid, Spain [NORA names: Spain; Europe, EU; OECD];
- [15] Inst Salud Carlos III, Ctr Biomed Network Res Rare Dis CIBERER, Madrid, Spain [NORA names: Spain; Europe, EU; OECD];
- [16] Inst Salud Carlos III, Ctr Biomed Network Res Rare Dis CIBERER, Madrid, Spain [NORA names: Spain; Europe, EU; OECD];
- [17] Spanish Natl Canc Res Ctr CNIO, Hereditary Endocrine Canc Grp, Madrid, Spain [NORA names: Spain; Europe, EU; OECD];
- [18] Inst Salud Carlos III, Ctr Biomed Network Res Rare Dis CIBERER, Madrid, Spain [NORA names: Spain; Europe, EU; OECD];
- [19] Cedars Sinai Med Ctr, Canc Prevent & Control Program, Cedars Sinai Canc, Los Angeles, CA USA [NORA names: United States; America, North; OECD];
- [20] Magee WomensResearch Inst, Womens Canc Res Ctr, Pittsburgh, PA USA [NORA names: United States; America, North; OECD];
- [21] Univ Pittsburgh, Dept Epidemiol, Sch Publ Hlth, Pittsburgh, PA USA [NORA names: United States; America, North; OECD];
- [22] Univ Pittsburgh, Dept Epidemiol, Sch Publ Hlth, Pittsburgh, PA USA [NORA names: United States; America, North; OECD];
- [23] Roswell Park Canc Inst, Dept Canc Prevent & Control, Buffalo, NY USA [NORA names: United States; America, North; OECD];
- [24] Univ Calif LosAngeles, David Geffen Sch Med, Dept Obstet & Gynecol, Los Angeles, CA USA [NORA names: United States; America, North; OECD];
- [25] Univ Calif LosAngeles, David Geffen Sch Med, Dept Obstet & Gynecol, Los Angeles, CA USA [NORA names: United States; America, North; OECD];
- [26] Univ Calif LosAngeles, David Geffen Sch Med, Dept Obstet & Gynecol, Los Angeles, CA USA [NORA names: United States; America, North; OECD];
- [27] Univ Calif LosAngeles, David Geffen Sch Med, Dept Obstet & Gynecol, Los Angeles, CA USA [NORA names: United States; America, North; OECD];
- [28] Danish Canc Inst, Dept Virus Lifestyle & Genes, Copenhagen, Denmark [NORA names: DCRC Danish Cancer Society Research Center; Non-Profit Organisations; Denmark; Europe, EU; Nordic; OECD];
- [29] Univ Copenhagen, Dept Gynaecol, Rigshosp, Copenhagen, Denmark [NORA names: KU University of Copenhagen; University; Denmark; Europe, EU; Nordic; OECD];
- [30] Univ Copenhagen, Dept Gynaecol, Rigshosp, Copenhagen, Denmark [NORA names: Capital Region of Denmark; Hospital; Denmark; Europe, EU; Nordic; OECD];
- [31] Univ Copenhagen, Herlev Hosp, Dept Pathol, Copenhagen, Denmark [NORA names: Capital Region of Denmark; Hospital; Denmark; Europe, EU; Nordic; OECD];
- [32] Mayo Clin, Dept Lab Med & Pathol, Rochester, MN USA [NORA names: United States; America, North; OECD];
- [33] MayoClin, Div Gynecol Oncol, Dept Obstet & Gynecol, Rochester, MN USA [NORA names: United States; America, North; OECD];
- [34] H Lee Moffitt Canc Ctr & Res Inst, Dept Canc Epidemiol, Tampa, FL USA [NORA names: United States; America, North; OECD];
- [35] Emory Univ, Rollins Sch Publ Hlth, Dept Epidemiol, Atlanta, GA USA [NORA names: United States; America, North; OECD];
- [36] Emory Univ, Rollins Sch Publ Hlth, Dept Epidemiol, Atlanta, GA USA [NORA names: United States; America, North; OECD];
- [37] Brigham & Womens Hosp, Dept Obstet & Gynecl, Obstet & Gynecol Epidemiol Ctr, Boston, MA USA [NORA names: United States; America, North; OECD];
- [38] Harvard Med Sch, Boston, MA USA [NORA names: United States; America, North; OECD];
- [39] Harvard T H Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA USA [NORA names: United States; America, North; OECD];
- [40] Brigham & Womens Hosp, Dept Obstet & Gynecl, Obstet & Gynecol Epidemiol Ctr, Boston, MA USA [NORA names: United States; America, North; OECD];
- [41] Norris Cotton Canc Ctr, Lebanon, NH USA [NORA names: United States; America, North; OECD];
- [42] Haukeland Hosp, Dept Obstet & Gynecol, Bergen, Norway [NORA names: Norway; Europe, Non-EU; Nordic; OECD];
- [43] Haukeland Hosp, Dept Obstet & Gynecol, Bergen, Norway [NORA names: Norway; Europe, Non-EU; Nordic; OECD];
- [44] Oregon Hlth & Sci Univ, Knight Canc Inst, Portland, OR USA [NORA names: United States; America, North; OECD];
- [45] Providence Med Ctr, Dept ObGyn, Medford, OR USA [NORA names: United States; America, North; OECD];
- [46] Imperial Coll London, Dept Surg & Canc, Div Canc, London, England [NORA names: United Kingdom; Europe, Non-EU; OECD];
- [47] Univ Glasgow, Inst Canc Sci, Glasgow, Lanark, Scotland [NORA names: United Kingdom; Europe, Non-EU; OECD];
- [48] Univ Hlth Network, Princess Margaret Hosp, Div Gynecol Oncol, Toronto, ON, Canada [NORA names: Canada; America, North; OECD];
- [49] Univ Hlth Network, Princess Margaret Hosp, Div Gynecol Oncol, Toronto, ON, Canada [NORA names: Canada; America, North; OECD];
- [50] Univ Hlth Network, Princess Margaret Hosp, Div Gynecol Oncol, Toronto, ON, Canada [NORA names: Canada; America, North; OECD];
- [51] BC Canc Res Ctr, Dept Mol Oncol, Vancouver, BC, Canada [NORA names: Canada; America, North; OECD];
- [52] Univ British Columbia, Dept Obstet & Gynecol, Vancouver, BC, Canada [NORA names: Canada; America, North; OECD];
- [53] Gynecol Oncol Ctr, Kiel, Germany [NORA names: Germany; Europe, EU; OECD];
- [54] Tech Univ Dresden, Univ Hosp Carl Gustav Carus, Dresden, Germany [NORA names: Germany; Europe, EU; OECD];
- [55] Partner Site Dresden, Natl Ctr Tumor Dis NCT, Dresden, Germany [NORA names: Germany; Europe, EU; OECD];
- [56] Partner Site Dresden, Natl Ctr Tumor Dis NCT, Dresden, Germany [NORA names: Germany; Europe, EU; OECD];
- [57] Partner Site Dresden, Natl Ctr Tumor Dis NCT, Dresden, Germany [NORA names: Germany; Europe, EU; OECD];
- [58] Tech Univ Dresden, Univ Hosp Carl Gustav Carus, Dresden, Germany [NORA names: Germany; Europe, EU; OECD];
- [59] Hannover Med Sch, Gynaecol Res Unit, Hannover, Germany [NORA names: Germany; Europe, EU; OECD];
- [60] Gynaekologicum Bremen, Bremen, Germany [NORA names: Germany; Europe, EU; OECD];
- [61] Klinikum Bremen Mitte, Bremen, Germany [NORA names: Germany; Europe, EU; OECD];
- [62] Frauenarztpraxis Belau, Greifswald, Germany [NORA names: Germany; Europe, EU; OECD];
- [63] Univ Hosp Greifswald, Greifswald, Germany [NORA names: Germany; Europe, EU; OECD];
- [64] Univ Hosp Frankfurt, Frankfurt, Germany [NORA names: Germany; Europe, EU; OECD];
- [65] Univ Hosp Frankfurt, Frankfurt, Germany [NORA names: Germany; Europe, EU; OECD];
- [66] Univ Hosp Schleswig Holstein, Campus Kiel, Kiel, Germany [NORA names: Germany; Europe, EU; OECD];
- [67] Univ Hosp Schleswig Holstein, Campus Kiel, Kiel, Germany [NORA names: Germany; Europe, EU; OECD];
- [68] Evangel Kliniken Essen Mitte KEM, Dept Gynecol & Gynecol Oncol, Essen, Germany [NORA names: Germany; Europe, EU; OECD];
- [69] Charite UnivMed Berlin, Campus Virchow Klinikum, Berlin, Germany [NORA names: Germany; Europe, EU; OECD];
- [70] Charite UnivMed Berlin, Campus Virchow Klinikum, Berlin, Germany [NORA names: Germany; Europe, EU; OECD];
- [71] Charite UnivMed Berlin, Campus Virchow Klinikum, Berlin, Germany [NORA names: Germany; Europe, EU; OECD];
- [72] Univ Duisburg Essen, Univ Hosp Essen, Essen, Germany [NORA names: Germany; Europe, EU; OECD];
- [73] SLK Kliniken Heilbronn, Klinikum Gesundbrunnen, Heilbronn, Germany [NORA names: Germany; Europe, EU; OECD];
- [74] Univ Hosp Ulm, Ulm, Germany [NORA names: Germany; Europe, EU; OECD];
- [75] Univ Med Ctr Hamburg Eppendorf, Hamburg, Germany [NORA names: Germany; Europe, EU; OECD];
- [76] Univ Med Ctr Hamburg Eppendorf, Hamburg, Germany [NORA names: Germany; Europe, EU; OECD];
- [77] Klinikum Ludwigshafen, Ludwigshafen, Germany [NORA names: Germany; Europe, EU; OECD];
- [78] Univ Hosp Giess & Marburg, Site Marburg, Marburg, Germany [NORA names: Germany; Europe, EU; OECD];
- [79] Krankenhaus Jerusalem, Mammazentrum Hamburg, Hamburg, Germany [NORA names: Germany; Europe, EU; OECD];
- [80] Univ Hosp LMUMunich, Munich, Germany [NORA names: Germany; Europe, EU; OECD];
- [81] Univ Minnesota, Div Gynecol Oncol, Dept Obstet Gynecol & Womens Hlth, Minneapolis, MN USA [NORA names: United States; America, North; OECD];
- [82] Univ Minnesota, Div Gynecol Oncol, Dept Obstet Gynecol & Womens Hlth, Minneapolis, MN USA [NORA names: United States; America, North; OECD];
- [83] Univ NSWSydney, Sch Clin Med, UNSW Med & Hlth, Sydney, NSW, Australia [NORA names: Australia; Oceania; OECD];
- [84] Univ NSW Sydney, Adult Canc Program, Lowy Canc Res Ctr, Sydney, NSW, Australia [NORA names: Australia; Oceania; OECD];
- [85] HSK, Dept Gynecol & Gynecol Oncol, Dr Horst Schmidt Klin, Wiesbaden, Germany [NORA names: Germany; Europe, EU; 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 x 10(-8)). 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 B56. subunit of the PP2A tumour suppressor. Our results link heritable variation at these two loci with resection status in HGSOC.
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