Identification of independent association signals and putative functional variants for breast cancer risk through fine-scale mapping of the 12p11 locus.
Zeng C., Guo X., Long J., Kuchenbaecker KB., Droit A., Michailidou K., Ghoussaini M., Kar S., Freeman A., Hopper JL., Milne RL., Bolla MK., Wang Q., Dennis J., Agata S., Ahmed S., Aittomäki K., Andrulis IL., Anton-Culver H., Antonenkova NN., Arason A., Arndt V., Arun BK., Arver B., Bacot F., Barrowdale D., Baynes C., Beeghly-Fadiel A., Benitez J., Bermisheva M., Blomqvist C., Blot WJ., Bogdanova NV., Bojesen SE., Bonanni B., Borresen-Dale A-L., Brand JS., Brauch H., Brennan P., Brenner H., Broeks A., Brüning T., Burwinkel B., Buys SS., Cai Q., Caldes T., Campbell I., Carpenter J., Chang-Claude J., Choi J-Y., Claes KBM., Clarke C., Cox A., Cross SS., Czene K., Daly MB., de la Hoya M., De Leeneer K., Devilee P., Diez O., Domchek SM., Doody M., Dorfling CM., Dörk T., Dos-Santos-Silva I., Dumont M., Dwek M., Dworniczak B., Egan K., Eilber U., Einbeigi Z., Ejlertsen B., Ellis S., Frost D., Lalloo F., EMBRACE None., Fasching PA., Figueroa J., Flyger H., Friedlander M., Friedman E., Gambino G., Gao Y-T., Garber J., García-Closas M., Gehrig A., Damiola F., Lesueur F., Mazoyer S., Stoppa-Lyonnet D., behalf of GEMO Study Collaborators None., Giles GG., Godwin AK., Goldgar DE., González-Neira A., Greene MH., Guénel P., Haeberle L., Haiman CA., Hallberg E., Hamann U., Hansen TVO., Hart S., Hartikainen JM., Hartman M., Hassan N., Healey S., Hogervorst FBL., Verhoef S., HEBON None., Hendricks CB., Hillemanns P., Hollestelle A., Hulick PJ., Hunter DJ., Imyanitov EN., Isaacs C., Ito H., Jakubowska A., Janavicius R., Jaworska-Bieniek K., Jensen UB., John EM., Joly Beauparlant C., Jones M., Kabisch M., Kang D., Karlan BY., Kauppila S., Kerin MJ., Khan S., Khusnutdinova E., Knight JA., Konstantopoulou I., Kraft P., Kwong A., Laitman Y., Lambrechts D., Lazaro C., Le Marchand L., Lee CN., Lee MH., Lester J., Li J., Liljegren A., Lindblom A., Lophatananon A., Lubinski J., Mai PL., Mannermaa A., Manoukian S., Margolin S., Marme F., Matsuo K., McGuffog L., Meindl A., Menegaux F., Montagna M., Muir K., Mulligan AM., Nathanson KL., Neuhausen SL., Nevanlinna H., Newcomb PA., Nord S., Nussbaum RL., Offit K., Olah E., Olopade OI., Olswold C., Osorio A., Papi L., Park-Simon T-W., Paulsson-Karlsson Y., Peeters S., Peissel B., Peterlongo P., Peto J., Pfeiler G., Phelan CM., Presneau N., Radice P., Rahman N., Ramus SJ., Rashid MU., Rennert G., Rhiem K., Rudolph A., Salani R., Sangrajrang S., Sawyer EJ., Schmidt MK., Schmutzler RK., Schoemaker MJ., Schürmann P., Seynaeve C., Shen C-Y., Shrubsole MJ., Shu X-O., Sigurdson A., Singer CF., Slager S., Soucy P., Southey M., Steinemann D., Swerdlow A., Szabo CI., Tchatchou S., Teixeira MR., Teo SH., Terry MB., Tessier DC., Teulé A., Thomassen M., Tihomirova L., Tischkowitz M., Toland AE., Tung N., Turnbull C., van den Ouweland AMW., van Rensburg EJ., Ven den Berg D., Vijai J., Wang-Gohrke S., Weitzel JN., Whittemore AS., Winqvist R., Wong TY., Wu AH., Yannoukakos D., Yu J-C., Pharoah PDP., Hall P., Chenevix-Trench G., KConFab None., AOCS Investigators None., Dunning AM., Simard J., Couch FJ., Antoniou AC., Easton DF., Zheng W.
BACKGROUND: Multiple recent genome-wide association studies (GWAS) have identified a single nucleotide polymorphism (SNP), rs10771399, at 12p11 that is associated with breast cancer risk. METHOD: We performed a fine-scale mapping study of a 700 kb region including 441 genotyped and more than 1300 imputed genetic variants in 48,155 cases and 43,612 controls of European descent, 6269 cases and 6624 controls of East Asian descent and 1116 cases and 932 controls of African descent in the Breast Cancer Association Consortium (BCAC; http://bcac.ccge.medschl.cam.ac.uk/ ), and in 15,252 BRCA1 mutation carriers in the Consortium of Investigators of Modifiers of BRCA1/2 (CIMBA). Stepwise regression analyses were performed to identify independent association signals. Data from the Encyclopedia of DNA Elements project (ENCODE) and the Cancer Genome Atlas (TCGA) were used for functional annotation. RESULTS: Analysis of data from European descendants found evidence for four independent association signals at 12p11, represented by rs7297051 (odds ratio (OR) = 1.09, 95 % confidence interval (CI) = 1.06-1.12; P = 3 × 10(-9)), rs805510 (OR = 1.08, 95 % CI = 1.04-1.12, P = 2 × 10(-5)), and rs1871152 (OR = 1.04, 95 % CI = 1.02-1.06; P = 2 × 10(-4)) identified in the general populations, and rs113824616 (P = 7 × 10(-5)) identified in the meta-analysis of BCAC ER-negative cases and BRCA1 mutation carriers. SNPs rs7297051, rs805510 and rs113824616 were also associated with breast cancer risk at P < 0.05 in East Asians, but none of the associations were statistically significant in African descendants. Multiple candidate functional variants are located in putative enhancer sequences. Chromatin interaction data suggested that PTHLH was the likely target gene of these enhancers. Of the six variants with the strongest evidence of potential functionality, rs11049453 was statistically significantly associated with the expression of PTHLH and its nearby gene CCDC91 at P < 0.05. CONCLUSION: This study identified four independent association signals at 12p11 and revealed potentially functional variants, providing additional insights into the underlying biological mechanism(s) for the association observed between variants at 12p11 and breast cancer risk.