Center for Cancer Genomics, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Cancer Epidemiol Biomarkers Prev. 2011 Nov;20(11):2396-403. doi: 10.1158/1055-9965.EPI-11-0523. Epub 2011 Sep 29.
The molecular mechanisms for the genome-wide association studies (GWAS)-identified prostate cancer (PCa) risk-associated single-nucleotide polymorphisms (SNP) remain largely unexplained. One recent finding that the PCa risk SNPs are enriched in genomic regions containing androgen receptor (AR)-binding sites has suggested altered AR signaling as a potentially important mechanism.
To explore novel associations by leveraging this knowledge, we utilized a meta-analysis previously done over SNPs harbored in ChIP-on-chip identified AR-binding genomic regions using the GWAS data from the Johns Hopkins Hospital (JHH) and the Cancer Genetic Markers of Susceptibility (CGEMS) study, and subsequently evaluated the top associations in a third population from the CAncer of the Prostate in Sweden (CAPS) study.
One SNP (rs4919743: G>A), located at the KRT8 locus at 12q13.13 which encodes a keratin protein (K8) long used as a prostate epithelial malignancy marker and implicated in the tumorigenesis of several cancer types, was identified to be associated with PCa risk. The frequency of its minor "A" allele was consistently higher in PCa cases than in controls in all three study populations, with a combined OR of 1.22 (95% CI: 1.13-1.32) and an overall P value of 4.50 × 10(-7) (Bonferroni corrected, P = 0.006).
We have identified a novel genetic locus that is associated with PCa risk.
This study illustrated the great potential of prior biological knowledge in facilitating the search for novel disease-associated genetic loci. This finding warrants further replication in other studies.
全基因组关联研究(GWAS)确定的前列腺癌(PCa)风险相关单核苷酸多态性(SNP)的分子机制在很大程度上仍未得到解释。最近的一项发现表明,PCa 风险 SNP 富集在包含雄激素受体(AR)结合位点的基因组区域中,这表明改变的 AR 信号转导可能是一个重要的机制。
为了利用这一知识探索新的关联,我们利用了之前在利用 GWAS 数据进行的元分析,该分析使用了在约翰霍普金斯医院(JHH)和癌症遗传易感性标记物(CGEMS)研究中使用 ChIP-on-chip 鉴定的 AR 结合基因组区域中所包含的 SNP,随后在来自瑞典前列腺癌(CAPS)研究的第三个人群中评估了最高关联。
一个位于 12q13.13 上的 KRT8 基因座的 SNP(rs4919743: G>A),该基因座编码一种角蛋白蛋白(K8),长期以来一直被用作前列腺上皮恶性肿瘤的标志物,并被认为参与了多种癌症类型的肿瘤发生,与 PCa 风险相关。该 SNP 的次要“A”等位基因在所有三个研究人群中的 PCa 病例中的频率始终高于对照组,合并 OR 为 1.22(95%CI:1.13-1.32),总 P 值为 4.50×10(-7)(Bonferroni 校正,P=0.006)。
我们已经确定了一个与 PCa 风险相关的新遗传位点。
本研究说明了利用先前的生物学知识来促进寻找新的疾病相关遗传位点的巨大潜力。这一发现值得在其他研究中进一步复制。