GWAS of follicular lymphoma reveals allelic heterogeneity at 6p21.32 and suggests shared genetic susceptibility with diffuse large B-cell lymphoma

Research output: Contribution to journalJournal articleResearchpeer-review

  • Karin E. Smedby
  • Jia Nee Foo
  • Christine F. Skibola
  • Hatef Darabi
  • Lucia Conde
  • Vikrant Kumar
  • Ellen T. Chang
  • Nathaniel Rothman
  • James R. Cerhan
  • Angela R. Brooks-Wilson
  • Emil Rehnberg
  • Ishak D. Irwan
  • Lars P. Ryder
  • Peter N. Brown
  • Paige M. Bracci
  • Luz Agana
  • Jacques Riby
  • Wendy Cozen
  • Scott Davis
  • Patricia Hartge
  • Lindsay M. Morton
  • Richard K. Severson
  • Sophia S. Wang
  • Susan L. Slager
  • Zachary S. Fredericksen
  • Anne J. Novak
  • Neil E. Kay
  • Thomas M. Habermann
  • Bruce Armstrong
  • Anne Kricker
  • Sam Milliken
  • Mark P. Purdue
  • Claire M. Vajdic
  • Peter Boyle
  • Qing Lan
  • Shelia H. Zahm
  • Yawei Zhang
  • Tongzhang Zheng
  • Stephen Leach
  • John J. Spinelli
  • Martyn T. Smith
  • Stephen J. Chanock
  • Leonid Padyukov
  • Lars Alfredsson
  • Lars Klareskog
  • Bengt Glimelius
  • Mads Melbye
  • Edison T. Liu
  • Hans Olov Adami
  • Keith Humphreys
  • Jianjun Liu

Non-Hodgkin lymphoma (NHL) represents a diverse group of hematological malignancies, of which follicular lymphoma (FL) is a prevalent subtype. A previous genome-wide association study has established a marker, rs10484561 in the human leukocyte antigen (HLA) class II region on 6p21.32 associated with increased FL risk. Here, in a three-stage genome-wide association study, starting with a genome-wide scan of 379 FL cases and 791 controls followed by validation in 1,049 cases and 5,790 controls, we identified a second independent FL-associated locus on 6p21.32, rs2647012 (ORcombined = 0.64, Pcombined = 2×10-21) located 962 bp away from rs10484561 (r2<0.1 in controls). After mutual adjustment, the associations at the two SNPs remained genome-wide significant (rs2647012:ORadjusted = 0.70, Padjusted = 4×10-12; rs10484561:ORadjusted = 1.64, Padjusted = 5×10-15). Haplotype and coalescence analyses indicated that rs2647012 arose on an evolutionarily distinct haplotype from that of rs10484561 and tags a novel allele with an opposite (protective) effect on FL risk. Moreover, in a follow-up analysis of the top 6 FL-associated SNPs in 4,449 cases of other NHL subtypes, rs10484561 was associated with risk of diffuse large B-cell lymphoma (ORcombined = 1.36, Pcombined = 1.4×10-7). Our results reveal the presence of allelic heterogeneity within the HLA class II region influencing FL susceptibility and indicate a possible shared genetic etiology with diffuse large B-cell lymphoma. These findings suggest that the HLA class II region plays a complex yet important role in NHL.

Original languageEnglish
Article numbere1001378
JournalPLOS Genetics
Volume7
Issue number4
ISSN1553-7390
DOIs
Publication statusPublished - Apr 2011

ID: 258836288