TY - JOUR
T1 - Age-specific genome-wide association study in glioblastoma identifies increased proportion of ‘lower grade glioma’-like features associated with younger age
AU - Ostrom, Quinn T.
AU - Kinnersley, Ben
AU - Armstrong, Georgina
AU - Rice, Terri
AU - Chen, Yanwen
AU - Wiencke, John K.
AU - McCoy, Lucie S.
AU - Hansen, Helen M.
AU - Amos, Christopher I.
AU - Bernstein, Jonine L.
AU - Claus, Elizabeth B.
AU - Eckel-Passow, Jeanette E.
AU - Il'yasova, Dora
AU - Johansen, Christoffer
AU - Lachance, Daniel H.
AU - Lai, Rose K.
AU - Merrell, Ryan T.
AU - Olson, Sara H.
AU - Sadetzki, Siegal
AU - Schildkraut, Joellen M.
AU - Shete, Sanjay
AU - Rubin, Joshua B.
AU - Andersson, Ulrika
AU - Rajaraman, Preetha
AU - Chanock, Stephen J.
AU - Linet, Martha S.
AU - Wang, Zhaoming
AU - Yeager, Meredith
AU - Houlston, Richard S.
AU - Jenkins, Robert B.
AU - Wrensch, Margaret R.
AU - Melin, Beatrice
AU - Bondy, Melissa L.
AU - Barnholtz-Sloan, Jill S.
AU - on behalf of the GliomaScan consortium
PY - 2018
Y1 - 2018
N2 -
Glioblastoma (GBM) is the most common malignant brain tumor in the United States. Incidence of GBM increases with age, and younger age-at-diagnosis is significantly associated with improved prognosis. While the relationship between candidate GBM risk SNPs and age-at-diagnosis has been explored, genome-wide association studies (GWAS) have not previously been stratified by age. Potential age-specific genetic effects were assessed in autosomal SNPs for GBM patients using data from four previous GWAS. Using age distribution tertiles (18–53, 54–64, 65+) datasets were analyzed using age-stratified logistic regression to generate p values, odds ratios (OR), and 95% confidence intervals (95%CI), and then combined using meta-analysis. There were 4,512 total GBM cases, and 10,582 controls used for analysis. Significant associations were detected at two previously identified SNPs in 7p11.2 (rs723527 [p
54–63
= 1.50x10
−9
, OR
54–63
= 1.28, 95%CI
54–63
= 1.18–1.39; p
64+
= 2.14x10
−11
, OR
64+
= 1.32, 95%CI
64+
= 1.21–1.43] and rs11979158 [p
54–63
= 6.13x10
−8
, OR
54–63
= 1.35, 95%CI
54–63
= 1.21–1.50; p
64+
= 2.18x10
−10
, OR
64+
= 1.42, 95%CI
64+
= 1.27–1.58]) but only in persons >54. There was also a significant association at the previously identified lower grade glioma (LGG) risk locus at 8q24.21 (rs55705857) in persons ages 18–53 (p
18–53
= 9.30 × 10
−11
, OR
18–53
= 1.76, 95%CI
18–53
= 1.49–2.10). Within The Cancer Genome Atlas (TCGA) there was higher prevalence of ‘LGG’-like tumor characteristics in GBM samples in those 18–53, with IDH1/2 mutation frequency of 15%, as compared to 2.1% [54–63] and 0.8% [64+] (p = 0.0005). Age-specific differences in cancer susceptibility can provide important clues to etiology. The association of a SNP known to confer risk for IDH1/2 mutant glioma and higher prevalence of IDH1/2 mutation within younger individuals 18–53 suggests that more younger individuals may present initially with ‘secondary glioblastoma.’.
AB -
Glioblastoma (GBM) is the most common malignant brain tumor in the United States. Incidence of GBM increases with age, and younger age-at-diagnosis is significantly associated with improved prognosis. While the relationship between candidate GBM risk SNPs and age-at-diagnosis has been explored, genome-wide association studies (GWAS) have not previously been stratified by age. Potential age-specific genetic effects were assessed in autosomal SNPs for GBM patients using data from four previous GWAS. Using age distribution tertiles (18–53, 54–64, 65+) datasets were analyzed using age-stratified logistic regression to generate p values, odds ratios (OR), and 95% confidence intervals (95%CI), and then combined using meta-analysis. There were 4,512 total GBM cases, and 10,582 controls used for analysis. Significant associations were detected at two previously identified SNPs in 7p11.2 (rs723527 [p
54–63
= 1.50x10
−9
, OR
54–63
= 1.28, 95%CI
54–63
= 1.18–1.39; p
64+
= 2.14x10
−11
, OR
64+
= 1.32, 95%CI
64+
= 1.21–1.43] and rs11979158 [p
54–63
= 6.13x10
−8
, OR
54–63
= 1.35, 95%CI
54–63
= 1.21–1.50; p
64+
= 2.18x10
−10
, OR
64+
= 1.42, 95%CI
64+
= 1.27–1.58]) but only in persons >54. There was also a significant association at the previously identified lower grade glioma (LGG) risk locus at 8q24.21 (rs55705857) in persons ages 18–53 (p
18–53
= 9.30 × 10
−11
, OR
18–53
= 1.76, 95%CI
18–53
= 1.49–2.10). Within The Cancer Genome Atlas (TCGA) there was higher prevalence of ‘LGG’-like tumor characteristics in GBM samples in those 18–53, with IDH1/2 mutation frequency of 15%, as compared to 2.1% [54–63] and 0.8% [64+] (p = 0.0005). Age-specific differences in cancer susceptibility can provide important clues to etiology. The association of a SNP known to confer risk for IDH1/2 mutant glioma and higher prevalence of IDH1/2 mutation within younger individuals 18–53 suggests that more younger individuals may present initially with ‘secondary glioblastoma.’.
KW - age
KW - brain tumors
KW - glioma
U2 - 10.1002/ijc.31759
DO - 10.1002/ijc.31759
M3 - Journal article
C2 - 30152087
AN - SCOPUS:85053534188
SN - 0020-7136
VL - 143
SP - 2359
EP - 2366
JO - Radiation Oncology Investigations
JF - Radiation Oncology Investigations
IS - 10
ER -