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Identification of Novel Loci and New Risk Variant in Known Loci for Colorectal Cancer Risk in East Asians

Y. Lu, SS. Kweon, Q. Cai, C. Tanikawa, XO. Shu, WH. Jia, YB. Xiang, JR. Huyghe, TA. Harrison, J. Kim, A. Shin, DH. Kim, K. Matsuo, SH. Jee, X. Guo, W. Wen, J. Shi, B. Li, N. Wang, MH. Shin, HL. Li, Z. Ren, JH. Oh, I. Oze, YO. Ahn, KJ. Jung, J....

. 2020 ; 29 (2) : 477-486. [pub] 20191211

Language English Country United States

Document type Journal Article, Research Support, N.I.H., Extramural, Research Support, N.I.H., Intramural, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.

Grant support
R01 CA067941 NCI NIH HHS - United States
U01 HG004438 NHGRI NIH HHS - United States
U01 HG004446 NHGRI NIH HHS - United States
R01 CA042182 NCI NIH HHS - United States
P01 CA196569 NCI NIH HHS - United States
U01 CA067941 NCI NIH HHS - United States
R01 CA059045 NCI NIH HHS - United States
HHSN268201100001I NHLBI NIH HHS - United States
R01 CA197350 NCI NIH HHS - United States
R01 CA076366 NCI NIH HHS - United States
R01 CA188214 NCI NIH HHS - United States
R35 CA197735 NCI NIH HHS - United States
C570/A16491 Cancer Research UK - United Kingdom
U10 CA037429 NCI NIH HHS - United States
R01 CA114347 NCI NIH HHS - United States
R01 CA072520 NCI NIH HHS - United States
R01 CA082729 NCI NIH HHS - United States
P01 CA087969 NCI NIH HHS - United States
14136 Cancer Research UK - United Kingdom
MR/N003284/1 Medical Research Council - United Kingdom
P30 CA015704 NCI NIH HHS - United States
HHSN268201100004I NHLBI NIH HHS - United States
P30 CA006973 NCI NIH HHS - United States
K05 CA154337 NCI NIH HHS - United States
C8221/A19170 Cancer Research UK - United Kingdom
P01 CA055075 NCI NIH HHS - United States
R37 CA070867 NCI NIH HHS - United States
R01 CA151993 NCI NIH HHS - United States
HHSN268201100046C NHLBI NIH HHS - United States
P30 DK034987 NIDDK NIH HHS - United States
R01 CA048998 NCI NIH HHS - United States
U01 CA137088 NCI NIH HHS - United States
R01 CA189184 NCI NIH HHS - United States
U01 CA167552 NCI NIH HHS - United States
HHSN268201100003C WHI NIH HHS - United States
G1000143 Medical Research Council - United Kingdom
Z01 CP010200 Intramural NIH HHS - United States
UM1 CA173640 NCI NIH HHS - United States
U01 CA164930 NCI NIH HHS - United States
R01 CA092585 NCI NIH HHS - United States
R01 CA066635 NCI NIH HHS - United States
R21 CA191312 NCI NIH HHS - United States
U01 CA206110 NCI NIH HHS - United States
1000143 Medical Research Council - United Kingdom
HHSN268201200008C NHLBI NIH HHS - United States
R01 CA137178 NCI NIH HHS - United States
P30 CA008748 NCI NIH HHS - United States
U01 CA167551 NCI NIH HHS - United States
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P30 CA014089 NCI NIH HHS - United States
R01 CA148667 NCI NIH HHS - United States
R01 CA081488 NCI NIH HHS - United States
G0401527 Medical Research Council - United Kingdom
HHSN271201100004C NIA NIH HHS - United States
R01 CA124558 NCI NIH HHS - United States
R01 CA201407 NCI NIH HHS - United States
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P01 CA033619 NCI NIH HHS - United States
UM1 CA186107 NCI NIH HHS - United States
MR/M012190/1 Medical Research Council - United Kingdom
HHSN268201100002C WHI NIH HHS - United States
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U19 CA148107 NCI NIH HHS - United States
10124 Cancer Research UK - United Kingdom
NV15-27580A MZ0 CEP Register

BACKGROUND: Risk variants identified so far for colorectal cancer explain only a small proportion of familial risk of this cancer, particularly in Asians. METHODS: We performed a genome-wide association study (GWAS) of colorectal cancer in East Asians, including 23,572 colorectal cancer cases and 48,700 controls. To identify novel risk loci, we selected 60 promising risk variants for replication using data from 58,131 colorectal cancer cases and 67,347 controls of European descent. To identify additional risk variants in known colorectal cancer loci, we performed conditional analyses in East Asians. RESULTS: An indel variant, rs67052019 at 1p13.3, was found to be associated with colorectal cancer risk at P = 3.9 × 10-8 in Asians (OR per allele deletion = 1.13, 95% confidence interval = 1.08-1.18). This association was replicated in European descendants using a variant (rs2938616) in complete linkage disequilibrium with rs67052019 (P = 7.7 × 10-3). Of the remaining 59 variants, 12 showed an association at P < 0.05 in the European-ancestry study, including rs11108175 and rs9634162 at P < 5 × 10-8 and two variants with an association near the genome-wide significance level (rs60911071, P = 5.8 × 10-8; rs62558833, P = 7.5 × 10-8) in the combined analyses of Asian- and European-ancestry data. In addition, using data from East Asians, we identified 13 new risk variants at 11 loci reported from previous GWAS. CONCLUSIONS: In this large GWAS, we identified three novel risk loci and two highly suggestive loci for colorectal cancer risk and provided evidence for potential roles of multiple genes and pathways in the etiology of colorectal cancer. In addition, we showed that additional risk variants exist in many colorectal cancer risk loci identified previously. IMPACT: Our study provides novel data to improve the understanding of the genetic basis for colorectal cancer risk.

Broad Institute of Harvard and MIT Cambridge Massachusetts

Cancer Prevention and Control Program Catalan Institute of Oncology IDIBELL L'Hospitalet de Llobregat Barcelona Spain

Case Comprehensive Cancer Center Case Western Reserve University Cleveland Ohio

Center for Colorectal Cancer National Cancer Center Hospital National Cancer Center Gyeonggi do South Korea

Channing Division of Network Medicine Brigham and Women's Hospital and Harvard Medical School Boston Massachusetts

CIBER Epidemiología y Salud Pública Madrid Spain

Clinical Genetics Service Department of Medicine Memorial Sloan Kettering Cancer Center New York New York

Department of Biostatistics University of Washington Seattle Washington

Department of Cancer Biomedical Science Graduate School of Cancer Science and Policy National Cancer Center Gyeonggi do South Korea

Department of Clinical Genetics Karolinska University Hospital Stockholm Sweden

Department of Clinical Sciences Faculty of Medicine University of Barcelona Barcelona Spain

Department of Epidemiology and Health Promotion Graduate School of Public Health Yonsei University Seoul Korea

Department of Epidemiology and Immunology and Infectious Diseases Harvard T H Chan School of Public Health Harvard University Boston Massachusetts

Department of Epidemiology Nagoya University Graduate School of Medicine Nagoya Japan

Department of Epidemiology University of Washington Seattle Washington

Department of Medicine 1 University Hospital Dresden Technische Universität Dresden Dresden Germany

Department of Medicine Weill Cornell Medical College New York New York

Department of Molecular Biology of Cancer Institute of Experimental Medicine of the Czech Academy of Sciences Prague Czech Republic

Department of Molecular Medicine and Surgery Karolinska Institutet Stockholm Sweden

Department of Molecular Physiology and Biophysics Vanderbilt University School of Medicine Nashville Tennessee

Department of Preventive Medicine Chonnam National University Medical School Gwangju South Korea

Department of Preventive Medicine Seoul National University College of Medicine Seoul National University Cancer Research Institute Seoul Korea

Department of Preventive Medicine Seoul National University College of Medicine Seoul South Korea

Department of Public Health and Primary Care University of Cambridge Cambridge United Kingdom

Department of Radiation Sciences Oncology Unit Umeå University Umeå Sweden

Department of Social and Preventive Medicine Hallym University College of Medicine Okcheon dong Korea

Division of Cancer Epidemiology and Genetics National Cancer Institute NIH Bethesda Maryland

Division of Epidemiology Department of Medicine Vanderbilt Ingram Cancer Center Vanderbilt Epidemiology Center Vanderbilt University School of Medicine Nashville Tennessee

Division of Gastroenterology and Clinical and Translational Epidemiology Unit Massachusetts General Hospital and Harvard Medical School Boston Massachusetts

Division of Human Nutrition Wageningen University and Research Wageningen the Netherlands

Division of Molecular and Clinical Epidemiology Aichi Cancer Center Research Institute Nagoya Japan

Faculty of Medicine and Biomedical Center in Pilsen Charles University Pilsen Czech Republic

General Surgery Department Tangdu Hospital 4th Military Medical University Xi'an Shaanxi China

Institute for Health Promotion Graduate School of Public Health Yonsei University Seoul Korea

Institute of Biology and Medical Genetics 1st Faculty of Medicine Charles University Prague Czech Republic

Institute of Cancer Research Department of Medicine 1 Medical University Vienna Vienna Austria

Institute of Environmental Medicine Karolinska Institutet Stockholm Sweden

Jeonnam Regional Cancer Center Chonnam National University Hwasun Hospital Hwasun South Korea

Kyoto McGill International Collaborative School in Genomic Medicine Kyoto University Graduate School of Medicine Kyoto Japan

Laboratory for Statistical Analysis RIKEN Center for Integrative Medical Sciences Kanagawa Japan

Laboratory of Clinical Genome Sequencing Department of Computational Biology and Medical Sciences Graduate School of Frontier Sciences University of Tokyo Tokyo Japan

Laboratory of Genome Technology Human Genome Center Institute of Medical Science University of Tokyo Tokyo Japan

Public Health Sciences Division Fred Hutchinson Cancer Research Center Seattle Washington

School of Public Health Sun Yat sen University Guangzhou China

School of Public Health University of Washington Seattle Washington

State Key Laboratory of Oncogene and Related Genes and Department of Epidemiology Shanghai Cancer Institute Renji Hospital Shanghai Jiaotong University School of Medicine Shanghai China

State Key Laboratory of Oncology in South China Cancer Center Sun Yat sen University Guangzhou China

University of Hawaii Cancer Center Honolulu Hawaii

University of Southern California Preventative Medicine Los Angeles California

References provided by Crossref.org

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$a BACKGROUND: Risk variants identified so far for colorectal cancer explain only a small proportion of familial risk of this cancer, particularly in Asians. METHODS: We performed a genome-wide association study (GWAS) of colorectal cancer in East Asians, including 23,572 colorectal cancer cases and 48,700 controls. To identify novel risk loci, we selected 60 promising risk variants for replication using data from 58,131 colorectal cancer cases and 67,347 controls of European descent. To identify additional risk variants in known colorectal cancer loci, we performed conditional analyses in East Asians. RESULTS: An indel variant, rs67052019 at 1p13.3, was found to be associated with colorectal cancer risk at P = 3.9 × 10-8 in Asians (OR per allele deletion = 1.13, 95% confidence interval = 1.08-1.18). This association was replicated in European descendants using a variant (rs2938616) in complete linkage disequilibrium with rs67052019 (P = 7.7 × 10-3). Of the remaining 59 variants, 12 showed an association at P < 0.05 in the European-ancestry study, including rs11108175 and rs9634162 at P < 5 × 10-8 and two variants with an association near the genome-wide significance level (rs60911071, P = 5.8 × 10-8; rs62558833, P = 7.5 × 10-8) in the combined analyses of Asian- and European-ancestry data. In addition, using data from East Asians, we identified 13 new risk variants at 11 loci reported from previous GWAS. CONCLUSIONS: In this large GWAS, we identified three novel risk loci and two highly suggestive loci for colorectal cancer risk and provided evidence for potential roles of multiple genes and pathways in the etiology of colorectal cancer. In addition, we showed that additional risk variants exist in many colorectal cancer risk loci identified previously. IMPACT: Our study provides novel data to improve the understanding of the genetic basis for colorectal cancer risk.
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$a R01 CA189184 $p NCI NIH HHS $2 United States
GRA    __
$a U01 CA167552 $p NCI NIH HHS $2 United States
GRA    __
$a HHSN268201100003C $p WHI NIH HHS $2 United States
GRA    __
$a G1000143 $p Medical Research Council $2 United Kingdom
GRA    __
$a Z01 CP010200 $p Intramural NIH HHS $2 United States
GRA    __
$a UM1 CA173640 $p NCI NIH HHS $2 United States
GRA    __
$a U01 CA164930 $p NCI NIH HHS $2 United States
GRA    __
$a R01 CA092585 $p NCI NIH HHS $2 United States
GRA    __
$a R01 CA066635 $p NCI NIH HHS $2 United States
GRA    __
$a R21 CA191312 $p NCI NIH HHS $2 United States
GRA    __
$a U01 CA206110 $p NCI NIH HHS $2 United States
GRA    __
$a 1000143 $p Medical Research Council $2 United Kingdom
GRA    __
$a HHSN268201200008C $p NHLBI NIH HHS $2 United States
GRA    __
$a R01 CA137178 $p NCI NIH HHS $2 United States
GRA    __
$a P30 CA008748 $p NCI NIH HHS $2 United States
GRA    __
$a U01 CA167551 $p NCI NIH HHS $2 United States
GRA    __
$a P30 CA076292 $p NCI NIH HHS $2 United States
GRA    __
$a R01 CA064277 $p NCI NIH HHS $2 United States
GRA    __
$a P30 CA014089 $p NCI NIH HHS $2 United States
GRA    __
$a R01 CA148667 $p NCI NIH HHS $2 United States
GRA    __
$a R01 CA081488 $p NCI NIH HHS $2 United States
GRA    __
$a G0401527 $p Medical Research Council $2 United Kingdom
GRA    __
$a HHSN271201100004C $p NIA NIH HHS $2 United States
GRA    __
$a R01 CA124558 $p NCI NIH HHS $2 United States
GRA    __
$a R01 CA201407 $p NCI NIH HHS $2 United States
GRA    __
$a R01 CA063464 $p NCI NIH HHS $2 United States
GRA    __
$a P01 CA033619 $p NCI NIH HHS $2 United States
GRA    __
$a UM1 CA186107 $p NCI NIH HHS $2 United States
GRA    __
$a MR/M012190/1 $p Medical Research Council $2 United Kingdom
GRA    __
$a HHSN268201100002C $p WHI NIH HHS $2 United States
GRA    __
$a R01 CA207371 $p NCI NIH HHS $2 United States
GRA    __
$a R03 CA153323 $p NCI NIH HHS $2 United States
GRA    __
$a P30 CA068485 $p NCI NIH HHS $2 United States
GRA    __
$a R01 CA060987 $p NCI NIH HHS $2 United States
GRA    __
$a T32 ES013678 $p NIEHS NIH HHS $2 United States
GRA    __
$a R01 CA136726 $p NCI NIH HHS $2 United States
GRA    __
$a P30 CA016058 $p NCI NIH HHS $2 United States
GRA    __
$a UM1 CA167552 $p NCI NIH HHS $2 United States
GRA    __
$a K05 CA152715 $p NCI NIH HHS $2 United States
GRA    __
$a U01 CA122839 $p NCI NIH HHS $2 United States
GRA    __
$a HHSN261201500005C $p NCI NIH HHS $2 United States
GRA    __
$a 10119 $p Cancer Research UK $2 United Kingdom
GRA    __
$a HHSN268201100003I $p NHLBI NIH HHS $2 United States
GRA    __
$a HHSN268201100002I $p NHLBI NIH HHS $2 United States
GRA    __
$a U01 CA074783 $p NCI NIH HHS $2 United States
GRA    __
$a U01 CA084968 $p NCI NIH HHS $2 United States
GRA    __
$a KL2 TR000421 $p NCATS NIH HHS $2 United States
GRA    __
$a UM1 CA182910 $p NCI NIH HHS $2 United States
GRA    __
$a P50 CA127003 $p NCI NIH HHS $2 United States
GRA    __
$a R01 CA158473 $p NCI NIH HHS $2 United States
GRA    __
$a UM1 CA182883 $p NCI NIH HHS $2 United States
GRA    __
$a K07 CA190673 $p NCI NIH HHS $2 United States
GRA    __
$a HHSN268201200008I $p NHLBI NIH HHS $2 United States
GRA    __
$a R37 CA054281 $p NCI NIH HHS $2 United States
GRA    __
$a HHSN268201100001C $p WHI NIH HHS $2 United States
GRA    __
$a HHSN268201100004C $p WHI NIH HHS $2 United States
GRA    __
$a R01 CA097325 $p NCI NIH HHS $2 United States
GRA    __
$a U19 CA148107 $p NCI NIH HHS $2 United States
GRA    __
$a 10124 $p Cancer Research UK $2 United Kingdom
GRA    __
$a NV15-27580A $p MZ0
LZP    __
$a Pubmed-20210420

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