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      A genome-wide association study yields five novel thyroid cancer risk loci

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      a , 1 , 1 , 1 , 1 , 2 , 3 , 4 , 1 , 1 , 1 , 1 , 1 , 1 , 1 , 5 , 1 , 6 , 7 , 7 , 8 , 9 , 10 , 11 , 12 , 12 , 12 , 13 , 14 , 15 , 16 , 2 , 2 , 17 , 2 , 3 , 18 , 19 , 2 , 2 , 13 , 1 , 3 , 1 , 7 , b , 1 , 3
      Nature Communications
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          Abstract

          The great majority of thyroid cancers are of the non-medullary type. Here we report findings from a genome-wide association study of non-medullary thyroid cancer, including in total 3,001 patients and 287,550 controls from five study groups of European descent. Our results yield five novel loci (all with P combined<3 × 10 −8): 1q42.2 (rs12129938 in PCNXL2), 3q26.2 (rs6793295 a missense mutation in LRCC34 near TERC), 5q22.1 (rs73227498 between NREP and EPB41L4A), 10q24.33 (rs7902587 near OBFC1), and two independently associated variants at 15q22.33 (rs2289261 and rs56062135; both in SMAD3). We also confirm recently published association results from a Chinese study of a variant on 5p15.33 (rs2736100 near the TERT gene) and present a stronger association result for a moderately correlated variant (rs10069690; OR=1.20, P=3.2 × 10 −7) based on our study of individuals of European ancestry. In combination, these results raise several opportunities for future studies of the pathogenesis of thyroid cancer.

          Abstract

          Non-medullary thyroid cancers include papillary and follicular subtypes, and are the most common type of thyroid cancer. Here, the authors extend previous work by performing a large genome-wide association study and find five novel loci associated with this disease.

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          Most cited references31

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          Fine-scale recombination rate differences between sexes, populations and individuals.

          Meiotic recombinations contribute to genetic diversity by yielding new combinations of alleles. Recently, high-resolution recombination maps were inferred from high-density single-nucleotide polymorphism (SNP) data using linkage disequilibrium (LD) patterns that capture historical recombination events. The use of these maps has been demonstrated by the identification of recombination hotspots and associated motifs, and the discovery that the PRDM9 gene affects the proportion of recombinations occurring at hotspots. However, these maps provide no information about individual or sex differences. Moreover, locus-specific demographic factors like natural selection can bias LD-based estimates of recombination rate. Existing genetic maps based on family data avoid these shortcomings, but their resolution is limited by relatively few meioses and a low density of markers. Here we used genome-wide SNP data from 15,257 parent-offspring pairs to construct the first recombination maps based on directly observed recombinations with a resolution that is effective down to 10 kilobases (kb). Comparing male and female maps reveals that about 15% of hotspots in one sex are specific to that sex. Although male recombinations result in more shuffling of exons within genes, female recombinations generate more new combinations of nearby genes. We discover novel associations between recombination characteristics of individuals and variants in the PRDM9 gene and we identify new recombination hotspots. Comparisons of our maps with two LD-based maps inferred from data of HapMap populations of Utah residents with ancestry from northern and western Europe (CEU) and Yoruba in Ibadan, Nigeria (YRI) reveal population differences previously masked by noise and map differences at regions previously described as targets of natural selection.
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            Pathogenetic mechanisms in thyroid follicular-cell neoplasia.

            Thyroid cancer is one of the few malignancies that are increasing in incidence. Recent advances have improved our understanding of its pathogenesis; these include the identification of genetic alterations that activate a common effector pathway involving the RET-Ras-BRAF signalling cascade, and other unique chromosomal rearrangements. Some of these have been associated with radiation exposure as a pathogenetic mechanism. Defects in transcriptional and post-transcriptional regulation of adhesion molecules and cell-cycle control elements seem to affect tumour progression. This information can provide powerful ancillary diagnostic tools and can also be used to identify new therapeutic targets.
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              Systematic population-based assessment of cancer risk in first-degree relatives of cancer probands.

              Cancer has long been recognized to have a familial component. Elevated risks for cancers at the same site for relatives of cancer probands have been reported for both common cancers and a number of the rarer cancer sites. For a particular cancer site, however, the estimated risks to relatives have varied considerably depending on criteria for selection of probands, how cancers were determined in relatives, and overall study design. Not surprisingly, the estimated risks of other cancers in relatives of probands with cancer at a given site have been subject to even more variation. The aim of this study was to use the Utah Population Database resource to systematically study familial clustering of 28 distinct cancer site definitions among first-degree relatives (parents, siblings, and off-spring) of cancer probands. We estimated familial relative risks from the Utah Population Database by identifying all cases of cancer in these first-degree relatives. These observed values were compared with those expected based on cohort-specific internal rates calculated from 399,786 relatives of all individuals in the Utah Population Database known to have died in Utah. All sites showed an excess of cancers of the same site among relatives, with thyroid and colon cancers and lymphocytic leukemia showing the highest familial risks. When the analyses were restricted to cases with early ages at diagnosis, increased familial components for most cancer sites became evident. A significant difference in familial relative risk (FRR) between male (FRR = 4.04; 95% confidence interval [CI] = 3.13-5.07) and female (FRR = 2.24; 95% CI = 1.54-3.08) probands was found for colon cancer. Highly significant familial associations (one-sided; P < .001) were found among breast, colon, and prostate cancers and between breast and thyroid cancers. Statistically significant (one-sided, P < .01) associations were also found between tobacco-associated sites (lung, larynx, lip, and cervix). This study represents a unique comprehensive population-based study of familial cancer. The familial associations reported here will be useful in generating hypotheses about specific genetic and environmental factors that can be tested in genetic linkage and case-control studies.
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                Author and article information

                Journal
                Nat Commun
                Nat Commun
                Nature Communications
                Nature Publishing Group
                2041-1723
                14 February 2017
                2017
                : 8
                : 14517
                Affiliations
                [1 ]deCODE genetics/AMGEN , 101 Reykjavik, Iceland
                [2 ]Landspitali-University Hospital , 101 Reykjavik, Iceland
                [3 ]Faculty of Medicine, University of Iceland , 101 Reykjavik, Iceland
                [4 ]The Icelandic Cancer Registry , 105 Reykjavik, Iceland
                [5 ]School of Engineering and Natural Sciences, University of Iceland , 101 Reykjavik, Iceland
                [6 ]Division of Human Genetics, Ohio State University Comprehensive Cancer Center , Columbus, Ohio 43210, USA
                [7 ]Department of Cancer Biology and Genetics, Ohio State University Comprehensive Cancer Center , Columbus, Ohio 43210, USA
                [8 ]Division of Endocrinology, Diabetes, and Metabolism, The Ohio State University , Columbus, Ohio 43210, USA
                [9 ]Division of Endocrinology, University Hospital , 50009 Zaragoza, Spain
                [10 ]Division of Medical Oncology, Ciudad de Coria Hospital , 10800 Coria, Spain
                [11 ]Division of Nuclear Medicine, University Hospital , 50009 Zaragoza, Spain
                [12 ]Division of Medical Oncology, Marques de Valdecilla University Hospital , 39008 Santander, Spain
                [13 ]Department of Head & Neck Surgery, The University of Texas MD Anderson Cancer Center , Houston, Texas 77030, USA
                [14 ]Radboud University Medical Centre, Radboud Institute for Health Sciences , 6500HB Nijmegen, The Netherlands
                [15 ]The Laboratory in Mjodd , 109 Reykjavik, Iceland
                [16 ]Department of Clinical Biochemistry, Akureyri Hospital , 600 Akureyri, Iceland
                [17 ]Division of Endocrinology, Department of Internal Medicine, Radboud University Medical Centre, Radboud Institute for Health Sciences , 6500HB Nijmegen, The Netherlands
                [18 ]University of Colorado Hospital , Aurora, Colorado 80045, USA
                [19 ]Department of Pathology, Radboud University Medical Center, Radboud Institute for Molecular Life Sciences , 6500HB Nijmegen, The Netherlands
                Author notes
                Author information
                http://orcid.org/0000-0001-7123-6123
                http://orcid.org/0000-0001-9345-9248
                Article
                ncomms14517
                10.1038/ncomms14517
                5316879
                28195142
                c7be18b9-8173-4db4-85b1-91ebe2e682c5
                Copyright © 2017, The Author(s)

                This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article's Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

                History
                : 08 August 2016
                : 06 January 2017
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