Abstract
Malignant gliomas are the most common and deadly brain tumors. Although their etiology remains elusive, recent studies have narrowed the search for genetic loci that influence risk. We examined variants implicated in recent cancer genome-wide association studies (GWAS) for associations with glioma risk in a US case–control study. Cases were identified from neurosurgical and neuro-oncology clinics at major academic centers in the Southeastern US. Controls were identified from the community or were friends or other associates of cases. We examined a total of 191 susceptibility variants in genes identified in published cancer GWAS including glioma. A total of 639 glioma cases and 649 controls, all Caucasian, were included in analysis. Cases were enrolled a median of 1 month following diagnosis. Among glioma GWAS-identified variants, we detected associations in CDKN2B, RTEL1, TERT and PHLDB1, whereas we did not find overall associations for CCDC26. Results showed clear heterogeneity according to histologic subtypes of glioma, with TERT and RTEL variants a feature of astrocytic tumors and glioblastoma (GBM), CCDC26 and PHLDB1 variants a feature of astrocytic and oligodendroglial tumors, and CDKN2B variants most prominent in GBM. No examined variant in other cancer GWAS was found to be related to risk after adjustment for multiple comparisons. These results suggest that GWAS-identified SNPs in glioma mark different molecular etiologies in glioma. Stratification by broad histological subgroups may shed light on molecular mechanisms and assist in the discovery of novel loci in future studies of genetic susceptibility variants in glioma.
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Acknowledgements
The authors wish to acknowledge study participants for their contributions. We further wish to thank the clinicians and research staffs at participating medical centers. Special thanks go to Celia Sigua and Marek Wloch of the Tissue Core at Moffitt and Cara Sutcliffe of the Center for Human Genetics Research DNA Resources Core at Vanderbilt University School of Medicine for their work in processing DNA samples, and Ms. Anna Konidari and staff at the Center for Genome Technology at the Hussman Institute for Human Genomics, University of Miami for their expert technical assistance in the genotyping phase of the study. This study was supported by a grant from the National Institutes of Health (CA R01CA116174) as well as institutional funding from the Moffitt Cancer Center, Tampa, FL and the Vanderbilt-Ingram Comprehensive Cancer Center, Nashville, TN.
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An erratum to this article can be found at http://dx.doi.org/10.1007/s11060-011-0527-3
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Egan, K.M., Thompson, R.C., Nabors, L.B. et al. Cancer susceptibility variants and the risk of adult glioma in a US case–control study. J Neurooncol 104, 535–542 (2011). https://doi.org/10.1007/s11060-010-0506-0
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DOI: https://doi.org/10.1007/s11060-010-0506-0