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Sex-Specific Genetic Associations for Barrett's Esophagus and Esophageal Adenocarcinoma.


ABSTRACT:

Background & aims

Esophageal adenocarcinoma (EA) and its premalignant lesion, Barrett's esophagus (BE), are characterized by a strong and yet unexplained male predominance (with a male-to-female ratio in EA incidence of up to 6:1). Genome-wide association studies (GWAS) have identified more than 20 susceptibility loci for these conditions. However, potential sex differences in genetic associations with BE/EA remain largely unexplored.

Methods

Given strong genetic overlap, BE and EA cases were combined into a single case group for analysis. These were compared with population-based controls. We performed sex-specific GWAS of BE/EA in 3 separate studies and then used fixed-effects meta-analysis to provide summary estimates for >9 million variants for male and female individuals. A series of downstream analyses were conducted separately in male and female individuals to identify genes associated with BE/EA and the genetic correlations between BE/EA and other traits.

Results

We included 6758 male BE/EA cases, 7489 male controls, 1670 female BE/EA cases, and 6174 female controls. After Bonferroni correction, our meta-analysis of sex-specific GWAS identified 1 variant at chromosome 6q11.1 (rs112894788, KHDRBS2-MTRNR2L9, PBONF = .039) that was statistically significantly associated with BE/EA risk in male individuals only, and 1 variant at chromosome 8p23.1 (rs13259457, PRSS55-RP1L1, PBONF = 0.057) associated, at borderline significance, with BE/EA risk in female individuals only. We also observed strong genetic correlations of BE/EA with gastroesophageal reflux disease in male individuals and obesity in female individuals.

Conclusions

The identified novel sex-specific variants associated with BE/EA could improve the understanding of the genetic architecture of the disease and the reasons for the male predominance.

SUBMITTER: Dong J 

PROVIDER: S-EPMC9057456 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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Publications

Sex-Specific Genetic Associations for Barrett's Esophagus and Esophageal Adenocarcinoma.

Dong Jing J   Maj Carlo C   Tsavachidis Spiridon S   Ostrom Quinn T QT   Gharahkhani Puya P   Anderson Lesley A LA   Wu Anna H AH   Ye Weimin W   Bernstein Leslie L   Borisov Oleg O   Schröder Julia J   Chow Wong-Ho WH   Gammon Marilie D MD   Liu Geoffrey G   Caldas Carlos C   Pharoah Paul D PD   Risch Harvey A HA   May Andrea A   Gerges Christian C   Anders Mario M   Venerito Marino M   Schmidt Thomas T   Izbicki Jakob R JR   Hölscher Arnulf H AH   Schumacher Brigitte B   Vashist Yogesh Y   Neuhaus Horst H   Rösch Thomas T   Knapp Michael M   Krawitz Peter P   Böhmer Anne A   Iyer Prasad G PG   Reid Brian J BJ   Lagergren Jesper J   Shaheen Nicholas J NJ   Corley Douglas A DA   Gockel Ines I   Fitzgerald Rebecca C RC   Cook Michael B MB   Whiteman David C DC   Vaughan Thomas L TL   Schumacher Johannes J   Thrift Aaron P AP  

Gastroenterology 20200909 6


<h4>Background & aims</h4>Esophageal adenocarcinoma (EA) and its premalignant lesion, Barrett's esophagus (BE), are characterized by a strong and yet unexplained male predominance (with a male-to-female ratio in EA incidence of up to 6:1). Genome-wide association studies (GWAS) have identified more than 20 susceptibility loci for these conditions. However, potential sex differences in genetic associations with BE/EA remain largely unexplored.<h4>Methods</h4>Given strong genetic overlap, BE and E  ...[more]

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