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Identification of a locus near ULK1 associated with progression-free survival in ovarian cancer

  • AGO Study Group
  • , OPAL Study Group
  • , Australian Ovarian Cancer Study Group
  • Queensland Institute of Medical Research
  • University of Cambridge
  • Mayo Clinic Rochester, MN
  • Westmead Hospital
  • Westmead Institute for Medical Research
  • University of California at Los Angeles
  • Friedrich-Alexander University Erlangen-Nürnberg
  • Flanders Institute for Biotechnology
  • KU Leuven
  • Vanderbilt University
  • Spanish National Cancer Research Centre (CNIO)
  • Cedars-Sinai Medical Center
  • Hannover Medical School
  • Friedrich Schiller University Jena
  • University of Pittsburgh
  • Kliniken Essen-Mitte
  • Dr. Horst Schmidt Klinik GmbH
  • Gynecologic Oncology Center
  • University of Marburg
  • University of Copenhagen
  • Danish Cancer Society
  • Emory University
  • Duke University
  • Harvard University
  • University of Bergen
  • University of New South Wales
  • Oregon Health and Science University
  • Netherlands Cancer Institute

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Background: Many loci have been found to be associated with risk of epithelial ovarian cancer (EOC). However, although there is considerable variation in progression-free survival (PFS), no loci have been found to be associated with outcome at genome-wide levels of significance. Methods: We carried out a genome-wide association study (GWAS) of PFS in 2, 352 women with EOC who had undergone cytoreductive surgery and standard carboplatin/paclitaxel chemotherapy. Results: We found seven SNPs at 12q24.33 associated with PFS (P < 5 × 10-8), the top SNP being rs10794418 (HR = 1.24; 95% CI, 1.15-1.34; P = 1.47 × 10-8). High expression of a nearby gene, ULK1, is associated with shorter PFS in EOC, and with poor prognosis in other cancers. SNP rs10794418 is also associated with expression of ULK1 in ovarian tumors, with the allele associated with shorter PFS being associated with higher expression, and chromatin interactions were detected between the ULK1 promoter and associated SNPs in serous and endometrioid EOC cell lines. ULK1 knockout ovarian cancer cell lines showed significantly increased sensitivity to carboplatin in vitro. Conclusions: The locus at 12q24.33 represents one of the first genome-wide significant loci for survival for any cancer. ULK1 is a plausible candidate for the target of this association. Impact: This finding provides insight into genetic markers associated with EOC outcome and potential treatment options.

Original languageEnglish
Pages (from-to)1669-1680
Number of pages12
JournalCancer Epidemiology Biomarkers and Prevention
Volume30
Issue number9
DOIs
StatePublished - Sep 2021

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