Genome-wide association study of gastric adenocarcinoma in Asia: A comparison of associations between cardia and non-cardia tumours

  • Nan Hu
  • , Zhaoming Wang
  • , Xin Song
  • , Lixuan Wei
  • , Byung Sik Kim
  • , Neal D. Freedman
  • , Jiwon Baek
  • , Laurie Burdette
  • , Jiang Chang
  • , Charles Chung
  • , Sanford M. Dawsey
  • , Ti DIng
  • , Yu Tang Gao
  • , Carol Giffen
  • , Yaling Han
  • , Myunghee Hong
  • , Jia Huang
  • , Hee Sung Kim
  • , Woon Puay Koh
  • , Linda M. Liao
  • Yi Min Mao, You Lin Qiao, Xiao Ou Shu, Wen Tan, Chaoyu Wang, Chen Wu, Min Jie Wu, Yong Bing Xiang, Meredith Yeager, Jeong Hwan Yook, Jian Min Yuan, Peng Zhang, Xue Ke Zhao, Wei Zheng, Kyuyoung Song, Li Dong Wang, Dongxin Lin, Stephen J. Chanock, Alisa M. Goldstein, Philip R. Taylor, Christian C. Abnet*
*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

117 Citations (Scopus)

Abstract

Objective Genome-wide association studies (GWAS) of gastric cancer have reported differences in single-nucleotide polymorphism (SNP) associations for tumour subtypes, particularly when divided by location into the gastric cardia versus the non-cardia. Design Here we present results for a GWAS using 2350 East Asian gastric cancer cases divided as 1189 gastric cardia and 1027 gastric non-cardia cases and 2708 controls. We also included up to 3042 cardia cases, 4359 non-cardia cases and 7548 controls for replication from two Chinese studies and one Korean study. From the GWAS, we selected 12 top SNPs for each gastric cancer subtype, 4 top SNPs for total gastric cancer and 1 SNP in MUC1 for replication testing. Results We observed genome-wide significant associations for rs10074991 in PRKAA1 at 5p13.1 for cardia (p=7.36×10 -12) and non-cardia cancers (p=2.42×10 -23) with per allele OR (95% CI) for the combined endpoint of 0.80 (0.77 to 0.83). At 6p21.1, rs2294693 near UNC5CL was significantly associated with gastric non-cardia cancer risk (p=2.50×10 -8), with OR (95% CI) of 1.18 (1.12 to 1.26), but there was only a nominal association for cardia cancer (p=1.47×10 -2). We also confirmed a previously reported association for rs4072037 in MUC1 with p=6.59×10 -8 for total gastric cancer and similar estimates for cardia and non-cardia cancers. Three SNPs in PSCA previously reported to be associated with gastric non-cardia cancer showed no apparent association for cardia cancer. Conclusions Our results suggest that associations for SNPs with gastric cancer show some different results by tumour location in the stomach.

Original languageEnglish
Pages (from-to)1611-1618
Number of pages8
JournalGut
Volume65
Issue number10
DOIs
Publication statusPublished - 1 Oct 2016
Externally publishedYes

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© Published by the BMJ Publishing Group Limited.

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