TY - JOUR
T1 - Gene-based burden tests of rare germline variants identify six cancer susceptibility genes
AU - Ivarsdottir, Erna V
AU - Gudmundsson, Julius
AU - Tragante, Vinicius
AU - Sveinbjornsson, Gardar
AU - Kristmundsdottir, Snaedis
AU - Stacey, Simon N
AU - Halldorsson, Gisli H
AU - Magnusson, Magnus I
AU - Oddsson, Asmundur
AU - Walters, G Bragi
AU - Sigurdsson, Asgeir
AU - Saevarsdottir, Saedis
AU - Beyter, Doruk
AU - Thorleifsson, Gudmar
AU - Halldorsson, Bjarni V
AU - Melsted, Pall
AU - Stefansson, Hreinn
AU - Jonsdottir, Ingileif
AU - Sørensen, Erik
AU - Pedersen, Ole B
AU - Erikstrup, Christian
AU - Bøgsted, Martin
AU - Pøhl, Mette
AU - Røder, Andreas
AU - Stroomberg, Hein Vincent
AU - Gögenur, Ismail
AU - Hillingsø, Jens
AU - Bojesen, Stig E
AU - Lassen, Ulrik
AU - Høgdall, Estrid
AU - Ullum, Henrik
AU - Brunak, Søren
AU - Ostrowski, Sisse R
AU - Sonderby, Ida Elken
AU - Frei, Oleksandr
AU - Djurovic, Srdjan
AU - Havdahl, Alexandra
AU - Moller, Pal
AU - Dominguez-Valentin, Mev
AU - Haavik, Jan
AU - Andreassen, Ole A
AU - Hovig, Eivind
AU - Agnarsson, Bjarni A
AU - Hilmarsson, Rafn
AU - Johannsson, Oskar Th
AU - Valdimarsson, Trausti
AU - Jonsson, Steinn
AU - Moller, Pall H
AU - Olafsson, Jon H
AU - Sigurgeirsson, Bardur
AU - DBDS Genomic Consortium
N1 - © 2024. The Author(s), under exclusive licence to Springer Nature America, Inc.
PY - 2024/11
Y1 - 2024/11
N2 - Discovery of cancer risk variants in the sequence of the germline genome can shed light on carcinogenesis. Here we describe gene burden association analyses, aggregating rare missense and loss of function variants, at 22 cancer sites, including 130,991 cancer cases and 733,486 controls from Iceland, Norway and the United Kingdom. We identified four genes associated with increased cancer risk; the pro-apoptotic BIK for prostate cancer, the autophagy involved ATG12 for colorectal cancer, TG for thyroid cancer and CMTR2 for both lung cancer and cutaneous melanoma. Further, we found genes with rare variants that associate with decreased risk of cancer; AURKB for any cancer, irrespective of site, and PPP1R15A for breast cancer, suggesting that inhibition of PPP1R15A may be a preventive strategy for breast cancer. Our findings pinpoint several new cancer risk genes and emphasize autophagy, apoptosis and cell stress response as a focus point for developing new therapeutics.
AB - Discovery of cancer risk variants in the sequence of the germline genome can shed light on carcinogenesis. Here we describe gene burden association analyses, aggregating rare missense and loss of function variants, at 22 cancer sites, including 130,991 cancer cases and 733,486 controls from Iceland, Norway and the United Kingdom. We identified four genes associated with increased cancer risk; the pro-apoptotic BIK for prostate cancer, the autophagy involved ATG12 for colorectal cancer, TG for thyroid cancer and CMTR2 for both lung cancer and cutaneous melanoma. Further, we found genes with rare variants that associate with decreased risk of cancer; AURKB for any cancer, irrespective of site, and PPP1R15A for breast cancer, suggesting that inhibition of PPP1R15A may be a preventive strategy for breast cancer. Our findings pinpoint several new cancer risk genes and emphasize autophagy, apoptosis and cell stress response as a focus point for developing new therapeutics.
KW - Autophagy/genetics
KW - Case-Control Studies
KW - Female
KW - Genetic Predisposition to Disease
KW - Germ-Line Mutation
KW - Humans
KW - Iceland
KW - Male
KW - Neoplasms/genetics
KW - Norway
KW - United Kingdom/epidemiology
UR - http://www.scopus.com/inward/record.url?scp=85207879557&partnerID=8YFLogxK
U2 - 10.1038/s41588-024-01966-6
DO - 10.1038/s41588-024-01966-6
M3 - Journal article
C2 - 39472694
SN - 1061-4036
VL - 56
SP - 2422
EP - 2433
JO - Nature Genetics
JF - Nature Genetics
IS - 11
ER -