Department of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Public Health Informatics Unit, Department of Integrated Health Sciences, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Nagoya J Med Sci. 2021 Feb;83(1):183-194. doi: 10.18999/nagjms.83.1.183.
Prostate cancer is emerging as a significant global public health burden. The incidence and prevalence of prostate cancer has increased in Japan, as westernized lifestyles become more popular. Recent advances in genetic epidemiology, including genome-wide association studies (GWASs), have identified considerable numbers of human genetic factors associated with diseases. Several GWASs have reported significant loci associated with serum prostate-specific antigen (PSA) levels. One GWAS, which was based on classic GWAS microarray measurements, has been reported for Japanese so far. In the present study, we conducted a GWAS of serum PSA using 1000Genomes imputed GWAS data (n =1,216) from the Japan Multi-Institutional Collaborative Cohort (J-MICC) Study, to detect candidate novel genetic loci that influence serum PSA levels in Japanese. The association of SNPs/genetic variants with serum PSA as a continuous variable was tested using the linear Wald test. SNP rs10000006 in (sphingomyelin synthase 2) on chromosome 4 had genome-wide significance ( <5×10), and eight variants on three chromosomes (chromosomes 12, 14, 15) had genome-wide suggestive levels of significance ( <1×10). With an independent data set from the J-MICC Shizuoka Study (n = 2,447), the association of the SNP with blood PSA levels was not replicated. Although our GWAS failed to detect novel loci associated with serum PSA levels in the Japanese cohort, it confirmed the significant effects of previously reported genetic loci on PSA levels in Japanese. Importantly, our results confirmed the significance of SNPs also in Japanese, implying that consideration of individual genetic information in prostate cancer diagnosis may be possible in the future.
前列腺癌正在成为一个重大的全球公共卫生负担。随着西方化生活方式变得更加流行,日本的前列腺癌发病率和患病率有所上升。遗传流行病学的最新进展,包括全基因组关联研究(GWAS),已经确定了相当数量的与疾病相关的人类遗传因素。几项 GWAS 研究报告了与血清前列腺特异性抗原(PSA)水平相关的显著位点。迄今为止,已经有一项基于经典 GWAS 微阵列测量的 GWAS 研究报告了日本人的数据。在本研究中,我们使用来自日本多机构合作队列研究(J-MICC)的 1000Genomes 推断的 GWAS 数据(n = 1216)进行了血清 PSA 的 GWAS,以检测影响日本人血清 PSA 水平的候选新遗传位点。使用线性 Wald 检验测试 SNP/遗传变异与作为连续变量的血清 PSA 的关联。位于染色体 4 上的 (鞘磷脂合酶 2)中的 SNP rs10000006 具有全基因组显著意义( <5×10),三个染色体(染色体 12、14、15)上的 8 个变体具有全基因组提示意义水平的显著性( <1×10)。使用来自 J-MICC 静冈研究(n = 2447)的独立数据集,该 SNP 与血液 PSA 水平的关联未得到复制。尽管我们的 GWAS 未能在日本队列中检测到与血清 PSA 水平相关的新位点,但它证实了先前报道的遗传位点对 PSA 水平在日本人中的显著影响。重要的是,我们的结果证实了 SNPs 在日本人中的重要性,这意味着在未来可能可以考虑个体遗传信息在前列腺癌诊断中的作用。