Polygenic risk modeling for prediction of epithelial ovarian cancer risk

被引:35
作者
Dareng, Eileen O. [1 ]
Tyrer, Jonathan P. [2 ]
Barnes, Daniel R. [1 ]
Jones, Michelle R. [3 ]
Yang, Xin [1 ]
Aben, Katja K. H. [4 ,5 ]
Adank, Muriel A. [6 ]
Agata, Simona [7 ]
Andrulis, Irene L. [8 ,9 ]
Anton-Culver, Hoda [10 ]
Antonenkova, Natalia N. [11 ]
Aravantinos, Gerasimos [12 ]
Arun, Banu K. [13 ]
Augustinsson, Annelie [14 ]
Balmana, Judith [15 ,16 ]
Bandera, Elisa, V [17 ]
Barkardottir, Rosa B. [18 ,19 ]
Barrowdale, Daniel [1 ]
Beckmann, Matthias W. [20 ]
Beeghly-Fadiel, Alicia [21 ]
Benitez, Javier [22 ,23 ]
Bermisheva, Marina [24 ]
Bernardini, Marcus Q. [25 ]
Bjorge, Line [26 ,27 ]
Black, Amanda [28 ]
Bogdanova, Natalia, V [11 ,29 ,30 ]
Bonanni, Bernardo [31 ]
Borg, Ake [32 ,33 ]
Brenton, James D. [34 ]
Budzilowska, Agnieszka [35 ]
Butzow, Ralf [36 ]
Buys, Saundra S. [37 ]
Cai, Hui [21 ]
Caligo, Maria A. [38 ]
Campbell, Ian [39 ,40 ]
Cannioto, Rikki [41 ]
Cassingham, Hayley [42 ]
Chang-Claude, Jenny [43 ,44 ]
Chanock, Stephen J. [45 ]
Chen, Kexin [46 ]
Chiew, Yoke-Eng [47 ,48 ]
Chung, Wendy K. [49 ,50 ]
Claes, Kathleen B. M. [51 ]
Colonna, Sarah [37 ]
Cook, Linda S. [57 ,58 ]
Couch, Fergus J. [59 ]
Daly, Mary B. [60 ]
Dao, Fanny [61 ]
Davies, Eleanor
de la Hoya, Miguel [62 ]
机构
[1] Univ Cambridge, Ctr Canc Genet Epidemiol, Dept Publ Hlth & Primary Care, Cambridge, England
[2] Univ Cambridge, Ctr Canc Genet Epidemiol, Dept Oncol, Cambridge, England
[3] Cedars Sinai Med Ctr, Ctr Bioinformat & Funct Genom, Los Angeles, CA 90048 USA
[4] Radboud Univ Nijmegen Med Ctr, Radboud Inst Hlth Sci, Nijmegen, Netherlands
[5] Netherlands Comprehens Canc Org, Utrecht, Netherlands
[6] Antoni van Leeuwenhoek Hosp, Family Canc Clin, Netherlands Canc Inst, Amsterdam, Netherlands
[7] IRCCS, Immunol & Mol Oncol Unit, Veneto Inst Oncol IOV, Padua, Italy
[8] Mt Sinai Hosp, Fred A Litwin Ctr Canc Genet, Lunenfeld Tanenbaum Res Inst, Toronto, ON, Canada
[9] Univ Toronto, Dept Mol Genet, Toronto, ON, Canada
[10] Univ Calif Irvine, Genet pidemiol Res Inst, Dept Epidemiol, Irvine, CA USA
[11] NN Alexandrov Res Inst Oncol & Med Radiol, Minsk, BELARUS
[12] Agii Anargiri Canc Hosp, Athens, Greece
[13] Univ Texas MD Anderson Canc Ctr, Dept Breast Med Oncol, Houston, TX 77030 USA
[14] Lund Univ, Dept Canc Epidemiol, Clin Sci, Lund, Sweden
[15] Vall Hebron Inst Oncol, Hereditary Canc Genet Grp, Barcelona, Spain
[16] Univ Hosp Vall Hebron, Dept Med Oncol, Barcelona, Spain
[17] Rutgers Canc Inst New Jersey, Canc Prevent & Control Program, New Brunswick, NJ USA
[18] Landspitali Univ Hosp, Dept Pathol, Reykjavik, Iceland
[19] Univ Iceland, Fac Med, BMC Biomed Ctr, Reykjavik, Iceland
[20] Friedrich Alexander Univ Erlangen Nuremberg, Univ Hosp Erlangen, Comprehens Canc Ctr ER EMN, Dept Gynecol & Obstet, Erlangen, Germany
[21] Vanderbilt Univ, Vanderbilt Epidemiol Ctr, Vanderbilt Ingram Canc Ctr, Dept Med,Sch Med, Nashville, TN USA
[22] Biomed Network Rare Dis CIBERER, Madrid, Spain
[23] Spanish Natl Canc Res Ctr CNIO, Human Canc Genet Programme, Madrid, Spain
[24] Russian Acad Sci, Inst Biochem & Genet, Ufa Fed Res Ctr, Ufa, Russia
[25] Univ Hlth Network, Princess Margaret Hosp, Div Gynecol Oncol, Toronto, ON, Canada
[26] Haukeland Hosp, Dept Obstet & Gynecol, Bergen, Norway
[27] Univ Bergen, Ctr Canc Biomarkers CCBIO, Dept Clin Sci, Bergen, Norway
[28] NCI, Div Canc Epidemiol & Genet, Bethesda, MD 20892 USA
[29] Hannover Med Sch, Dept Radiat Oncol, Hannover, Germany
[30] Hannover Med Sch, Gynaecol Res Unit, Hannover, Germany
[31] European Inst Oncol IRCCS, Div Canc Prevent & Genet, IEO, Milan, Italy
[32] Lund Univ, Dept Oncol, Lund, Sweden
[33] Skane Univ Hosp, Dept Oncol, Lund, Sweden
[34] Univ Cambridge, Canc Res UK Cambridge Inst, Cambridge, England
[35] Maria Sklodowska Curie Natl Res Inst Oncol, Dept Pathol & Lab Diagnost, Warsaw, Poland
[36] Univ Helsinki, Helsinki Univ Hosp, Dept Pathol, Helsinki, Finland
[37] Huntsman Canc Inst, Dept Med, Salt Lake City, UT USA
[38] Univ Hosp, SOD Genet Mol, Pisa, Italy
[39] Peter MacCallum Canc Ctr, Melbourne, Vic, Australia
[40] Univ Melbourne, Sir Peter MacCallum Dept Oncol, Melbourne, Vic, Australia
[41] Roswell Park Canc Inst, Canc Pathol & Prevent, Div Canc Prevent & Populat Sci, Buffalo, NY USA
[42] Ohio State Univ, Dept Internal Med, Div Human Genet, Columbus, OH 43210 USA
[43] German Canc Res Ctr, Div Canc Epidemiol, Heidelberg, Germany
[44] Univ Med Ctr Hamburg Eppendorf, Univ Canc Ctr Hamburg UCCH, Canc Epidemiol Grp, Hamburg, Germany
[45] NCI, NIH, US Dept HHS, Div Canc Epidemiol & Genet, Bethesda, MD 20892 USA
[46] Tianjin Med Univ Canc Inst & Hosp, Dept Epidemiol, Tianjin, Peoples R China
[47] Univ Sydney, Ctr Canc Res, Westmead Inst Med Res, Sydney, NSW, Australia
[48] Westmead Hosp, Dept Gynaecol Oncol, Sydney, NSW, Australia
[49] Columbia Univ, Dept Pediat, New York, NY USA
[50] Columbia Univ, Dept Med, New York, NY USA
关键词
SUSCEPTIBILITY;
D O I
10.1038/s41431-021-00987-7
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Polygenic risk scores (PRS) for epithelial ovarian cancer (EOC) have the potential to improve risk stratification. Joint estimation of Single Nucleotide Polymorphism (SNP) effects in models could improve predictive performance over standard approaches of PRS construction. Here, we implemented computationally efficient, penalized, logistic regression models (lasso, elastic net, stepwise) to individual level genotype data and a Bayesian framework with continuous shrinkage, "select and shrink for summary statistics" (S4), to summary level data for epithelial non-mucinous ovarian cancer risk prediction. We developed the models in a dataset consisting of 23,564 non-mucinous EOC cases and 40,138 controls participating in the Ovarian Cancer Association Consortium (OCAC) and validated the best models in three populations of different ancestries: prospective data from 198,101 women of European ancestries; 7,669 women of East Asian ancestries; 1,072 women of African ancestries, and in 18,915 BRCA1 and 12,337 BRCA2 pathogenic variant carriers of European ancestries. In the external validation data, the model with the strongest association for non-mucinous EOC risk derived from the OCAC model development data was the S4 model (27,240 SNPs) with odds ratios (OR) of 1.38 (95% CI: 1.28-1.48, AUC: 0.588) per unit standard deviation, in women of European ancestries; 1.14 (95% CI: 1.08-1.19, AUC: 0.538) in women of East Asian ancestries; 1.38 (95% CI: 1.21-1.58, AUC: 0.593) in women of African ancestries; hazard ratios of 1.36 (95% CI: 1.29-1.43, AUC: 0.592) in BRCA1 pathogenic variant carriers and 1.49 (95% CI: 1.35-1.64, AUC: 0.624) in BRCA2 pathogenic variant carriers. Incorporation of the S4 PRS in risk prediction models for ovarian cancer may have clinical utility in ovarian cancer prevention programs.
引用
收藏
页码:349 / 362
页数:14
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