Higher polygenic risk for melanoma is associated with improved survival in a high ultraviolet radiation setting.
Genome-wide association study
Melanoma
Melanoma-specific survival
Polygenic risk score
Skin cancer
Journal
Journal of translational medicine
ISSN: 1479-5876
Titre abrégé: J Transl Med
Pays: England
ID NLM: 101190741
Informations de publication
Date de publication:
05 09 2022
05 09 2022
Historique:
received:
01
08
2022
accepted:
24
08
2022
entrez:
5
9
2022
pubmed:
6
9
2022
medline:
9
9
2022
Statut:
epublish
Résumé
The role of germline genetic factors in determining survival from cutaneous melanoma (CM) is not well understood. To perform a genome-wide association study (GWAS) meta-analysis of melanoma-specific survival (MSS), and test whether a CM-susceptibility polygenic risk score (PRS) is associated with MSS. We conducted two Cox proportional-hazard GWAS of MSS using data from the Melanoma Institute Australia, a high ultraviolet (UV) radiation setting (MIA; 5,762 patients with melanoma; 800 melanoma deaths) and UK Biobank (UKB: 5,220 patients with melanoma; 241 melanoma deaths), and combined them in a fixed-effects meta-analysis. Significant (P < 5 × 10-8) results were investigated in the Leeds Melanoma Cohort (LMC; 1,947 patients with melanoma; 370 melanoma deaths). We also developed a CM-susceptibility PRS using a large independent GWAS meta-analysis (23,913 cases, 342,870 controls). The PRS was tested for an association with MSS in the MIA and UKB cohorts. Two loci were significantly associated with MSS in the meta-analysis of MIA and UKB with lead SNPs rs41309643 (G allele frequency 1.6%, HR = 2.09, 95%CI = 1.61-2.71, P = 2.08 × 10-8) on chromosome 1, and rs75682113 (C allele frequency 1.8%, HR = 2.38, 95%CI = 1.77-3.21, P = 1.07 × 10-8) on chromosome 7. While neither SNP replicated in the LMC, rs75682113 was significantly associated in the combined discovery and replication sets. After adjusting for age at diagnosis, sex and the first ten principal components, a one standard deviation increase in the CM-susceptibility PRS was associated with improved MSS in the discovery meta-analysis (HR = 0.88, 95% CI = 0.83-0.94, P = 6.93 × 10-5; I2 = 88%). However, this was only driven by the high UV setting cohort (MIA HR = 0.84, 95% CI = 0.78-0.90). We found two loci potentially associated with MSS. Increased genetic susceptibility to develop CM is associated with improved MSS in a high UV setting.
Sections du résumé
BACKGROUND
The role of germline genetic factors in determining survival from cutaneous melanoma (CM) is not well understood.
OBJECTIVE
To perform a genome-wide association study (GWAS) meta-analysis of melanoma-specific survival (MSS), and test whether a CM-susceptibility polygenic risk score (PRS) is associated with MSS.
METHODS
We conducted two Cox proportional-hazard GWAS of MSS using data from the Melanoma Institute Australia, a high ultraviolet (UV) radiation setting (MIA; 5,762 patients with melanoma; 800 melanoma deaths) and UK Biobank (UKB: 5,220 patients with melanoma; 241 melanoma deaths), and combined them in a fixed-effects meta-analysis. Significant (P < 5 × 10-8) results were investigated in the Leeds Melanoma Cohort (LMC; 1,947 patients with melanoma; 370 melanoma deaths). We also developed a CM-susceptibility PRS using a large independent GWAS meta-analysis (23,913 cases, 342,870 controls). The PRS was tested for an association with MSS in the MIA and UKB cohorts.
RESULTS
Two loci were significantly associated with MSS in the meta-analysis of MIA and UKB with lead SNPs rs41309643 (G allele frequency 1.6%, HR = 2.09, 95%CI = 1.61-2.71, P = 2.08 × 10-8) on chromosome 1, and rs75682113 (C allele frequency 1.8%, HR = 2.38, 95%CI = 1.77-3.21, P = 1.07 × 10-8) on chromosome 7. While neither SNP replicated in the LMC, rs75682113 was significantly associated in the combined discovery and replication sets. After adjusting for age at diagnosis, sex and the first ten principal components, a one standard deviation increase in the CM-susceptibility PRS was associated with improved MSS in the discovery meta-analysis (HR = 0.88, 95% CI = 0.83-0.94, P = 6.93 × 10-5; I2 = 88%). However, this was only driven by the high UV setting cohort (MIA HR = 0.84, 95% CI = 0.78-0.90).
CONCLUSION
We found two loci potentially associated with MSS. Increased genetic susceptibility to develop CM is associated with improved MSS in a high UV setting.
Identifiants
pubmed: 36064556
doi: 10.1186/s12967-022-03613-2
pii: 10.1186/s12967-022-03613-2
pmc: PMC9446843
doi:
Types de publication
Journal Article
Meta-Analysis
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
403Subventions
Organisme : Medical Research Council
ID : MC_PC_17228
Pays : United Kingdom
Organisme : Cancer Research UK
ID : C588/A19167
Pays : United Kingdom
Organisme : Cancer Research UK
ID : C8216/A6129
Pays : United Kingdom
Organisme : National Institutes of Health (US)
ID : R01 CA83115
Organisme : Medical Research Council
ID : MC_QA137853
Pays : United Kingdom
Informations de copyright
© 2022. The Author(s).
Références
Cancer Res. 2018 Nov 1;78(21):6329-6338
pubmed: 30385609
Eur J Epidemiol. 2011 Apr;26(4):261-4
pubmed: 21431839
J Invest Dermatol. 2018 Dec;138(12):2617-2624
pubmed: 29890168
Nat Genet. 2009 Aug;41(8):920-5
pubmed: 19578364
Am J Hum Genet. 1999 Aug;65(2):483-92
pubmed: 10417291
Int J Cancer. 2015 Oct 1;137(7):1691-8
pubmed: 25809795
J Invest Dermatol. 2001 Aug;117(2):348-52
pubmed: 11511314
Med J Aust. 2020 Aug;213(4):189-189.e1
pubmed: 32277474
J Clin Oncol. 2004 Sep 15;22(18):3651-3
pubmed: 15302907
An Bras Dermatol. 2018 Jan-Feb;93(1):19-26
pubmed: 29641692
Cancer Prev Res (Phila). 2010 Feb;3(2):233-45
pubmed: 20086181
Sci Rep. 2018 Jul 19;8(1):10947
pubmed: 30026606
Hum Mol Genet. 2020 May 28;29(8):1388-1395
pubmed: 32219344
Cancer Epidemiol. 2020 Apr;65:101688
pubmed: 32092486
Circulation. 2020 Feb 25;141(8):616-623
pubmed: 31707849
Eur J Cancer. 2005 Jan;41(1):28-44
pubmed: 15617989
J Natl Cancer Inst. 2005 Feb 2;97(3):195-9
pubmed: 15687362
Cancer Res. 2002 Mar 1;62(5):1246-50
pubmed: 11888884
J Clin Aesthet Dermatol. 2013 Sep;6(9):18-26
pubmed: 24062870
Medicine (Baltimore). 2016 Oct;95(40):e4975
pubmed: 27749552
Evid Based Ment Health. 2019 Nov;22(4):153-160
pubmed: 31563865
JAMA Netw Open. 2021 Oct 1;4(10):e2127784
pubmed: 34613403
JAMA Dermatol. 2021 Dec 01;157(12):1425-1436
pubmed: 34730781
Eur J Cancer. 2008 Jun;44(9):1275-81
pubmed: 18406602
Am J Hum Genet. 2008 Nov;83(5):604-9
pubmed: 18926513
J Invest Dermatol. 2022 Jun;142(6):1607-1616
pubmed: 34813871
Gigascience. 2015 Feb 25;4:7
pubmed: 25722852
Cancer Epidemiol Biomarkers Prev. 2010 Aug;19(8):2043-54
pubmed: 20647408
Int J Cancer. 2015 Jun 15;136(12):2890-9
pubmed: 25403087
J Clin Oncol. 2014 Aug 10;32(23):2479-85
pubmed: 25002727
Nat Commun. 2018 Nov 14;9(1):4774
pubmed: 30429480
Eur J Cancer. 2017 Feb;72:210-214
pubmed: 28042992
Nature. 2012 Nov 15;491(7424):449-53
pubmed: 23123854
Appl Health Econ Health Policy. 2017 Dec;15(6):805-816
pubmed: 28756584
Int J Cancer. 2015 Dec 15;137(12):3006-7
pubmed: 26095813
PLoS One. 2013 Aug 19;8(8):e71121
pubmed: 23990928
Int J Epidemiol. 2012 Aug;41(4):929-929i
pubmed: 22933644
Nat Commun. 2017 Nov 28;8(1):1826
pubmed: 29184056
Eur J Cancer. 2005 Sep;41(14):2040-59
pubmed: 16125929
Circulation. 2020 Feb 25;141(8):624-636
pubmed: 31707832
Bioinformatics. 2010 Sep 1;26(17):2190-1
pubmed: 20616382
Nat Commun. 2019 Apr 5;10(1):1561
pubmed: 30952951
Int J Epidemiol. 2009 Jun;38(3):814-30
pubmed: 19359257
Wellcome Open Res. 2020 Oct 22;5:252
pubmed: 33381656
Am J Surg. 2016 Jan;211(1):89-94
pubmed: 26275921
Nature. 2018 Oct;562(7726):203-209
pubmed: 30305743
Br J Dermatol. 2011 Aug;165(2):342-8
pubmed: 21457213
Cancer Epidemiol Biomarkers Prev. 2010 Jan;19(1):111-20
pubmed: 20056629
Hum Mol Genet. 2019 Nov 21;28(R2):R133-R142
pubmed: 31363735
Nat Genet. 2020 May;52(5):494-504
pubmed: 32341527
Nat Genet. 2016 Nov;48(11):1443-1448
pubmed: 27694958
PLoS Med. 2015 Mar 31;12(3):e1001779
pubmed: 25826379
Am J Hum Genet. 2020 Sep 3;107(3):418-431
pubmed: 32758451
Am J Hum Genet. 2015 Oct 1;97(4):576-92
pubmed: 26430803
N Engl J Med. 2021 Jan 7;384(1):72-79
pubmed: 33406334
J Clin Oncol. 2016 Jan 20;34(3):251-8
pubmed: 26628467