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Evidence of a genetic link between endometriosis and ovarian cancer

Alice W Lee, Claire Templeman, Douglas A Stram, Jonathan Beesley, Jonathan Tyrer, Andrew Berchuck, Paul P Pharoah, Georgia Chenevix-Trench, Celeste Leigh Pearce, Ovarian Cancer Association Consortium

47 Citations (Scopus)

Abstract

OBJECTIVE: To evaluate whether endometriosis-associated genetic variation affects risk of ovarian cancer.

DESIGN: Pooled genetic analysis.

SETTING: University hospital.

PATIENT(S): Genetic data from 46,176 participants (15,361 ovarian cancer cases and 30,815 controls) from 41 ovarian cancer studies.

INTERVENTION(S): None.

MAIN OUTCOME MEASURE(S): Endometriosis-associated genetic variation and ovarian cancer.

RESULT(S): There was significant evidence of an association between endometriosis-related genetic variation and ovarian cancer risk, especially for the high-grade serous and clear cell histotypes. Overall we observed 15 significant burden statistics, which was three times more than expected.

CONCLUSION(S): By focusing on candidate regions from a phenotype associated with ovarian cancer, we have shown a clear genetic link between endometriosis and ovarian cancer that warrants further follow-up. The functional significance of the identified regions and SNPs is presently uncertain, though future fine mapping and histotype-specific functional analyses may shed light on the etiologies of both gynecologic conditions.

Original languageEnglish
JournalFertility and Sterility
Volume105
Issue number1
Pages (from-to)35-43.e1-10
ISSN0015-0282
DOIs
Publication statusPublished - Jan 2016
Externally publishedYes

Keywords

  • Case-Control Studies
  • Computational Biology
  • Databases, Genetic
  • Endometriosis
  • Female
  • Genetic Predisposition to Disease
  • Genome-Wide Association Study
  • Humans
  • Neoplasm Grading
  • Ovarian Neoplasms
  • Phenotype
  • Polymorphism, Single Nucleotide
  • Risk Assessment
  • Risk Factors
  • Journal Article
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

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