Molecular Cancer Epidemiology Group, Genetics and Computational Biology Department, QIMR Berghofer Medical Research Institute, Brisbane, Australia.
Centre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom.
Cancer Epidemiol Biomarkers Prev. 2019 Jul;28(7):1095-1102. doi: 10.1158/1055-9965.EPI-18-1031. Epub 2019 Apr 30.
Endometrial cancer, the most commonly diagnosed cancer of the female reproductive tract in developed countries, has a heritable component. To date, 16 genetic risk regions have been robustly discovered by genome-wide association studies (GWAS) of endometrial cancer. Post-GWAS analyses including expression quantitative trait loci analysis and laboratory-based functional studies have been successful in identifying genes and pathways involved in endometrial carcinogenesis. Mendelian randomization analysis studies have confirmed factors causal for endometrial cancer risk, including increased body mass index and early onset of menarche. In this review, we summarize findings from GWAS and post-GWAS analyses of endometrial cancer. We discuss clinical implications of these findings, current knowledge gaps, and future directions for the study of endometrial cancer genetics.
子宫内膜癌是发达国家女性生殖道最常见的癌症,具有遗传成分。迄今为止,通过全基因组关联研究(GWAS)已经发现了 16 个遗传风险区域。GWAS 后分析,包括表达数量性状基因座分析和基于实验室的功能研究,成功鉴定了参与子宫内膜癌发生的基因和途径。孟德尔随机化分析研究证实了导致子宫内膜癌风险的因素,包括体重指数增加和初潮提前。在这篇综述中,我们总结了 GWAS 和 GWAS 后对子宫内膜癌的分析结果。我们讨论了这些发现的临床意义、当前的知识空白以及子宫内膜癌遗传学研究的未来方向。